04-6月9日-Zorowitz-Bladder and Bowel Management after Stroke
摩罗诗力说
鲁迅：《摩罗诗力说 》 鲁迅：
• 修黎者，神思之人，求索而无止期，猛进而不退转，浅人 修黎者，神思之人，求索而无止期，猛进而不退转， 之所观察，殊莫可得其渊深。若能真识其人， 之所观察，殊莫可得其渊深。若能真识其人，将见品性之 出于云间，热诚勃然，无可沮遏， 卓，出于云间，热诚勃然，无可沮遏，自趁其神思而奔神 思之乡；此其为乡，则爰有美之本体。奥古斯丁曰， 思之乡；此其为乡，则爰有美之本体。奥古斯丁曰，吾未 有爱而吾欲爱，因抱希冀以求足爱者也。惟修黎亦然， 有爱而吾欲爱，因抱希冀以求足爱者也。惟修黎亦然，故 终出人间而神行，冀自达其所崇信之境；复以妙音，喻一 终出人间而神行，冀自达其所崇信之境；复以妙音， 切未觉，使知人类曼衍之大故，暨人生价值之所存， 切未觉，使知人类曼衍之大故，暨人生价值之所存，扬同 情之精神，而张其上征渴仰之思想，使怀大希以奋进， 情之精神，而张其上征渴仰之思想，使怀大希以奋进，与 时劫同其无穷。世则谓之恶魔，而修黎遂以孤立； 时劫同其无穷。世则谓之恶魔，而修黎遂以孤立；群复加 以排挤，使不可久留于人间，于是压制凯还，修黎以死， 以排挤，使不可久留于人间，于是压制凯还，修黎以死， 盖宛然阿剌斯多之殒于大漠也。 盖宛然阿剌斯多之殒于大漠也。
鲁迅：《摩罗诗力说 》 鲁迅：
• 天地虽大，故乡已失，于是至伦敦，时年十八，顾已孤立两 天地虽大，故乡已失，于是至伦敦，时年十八， 欢爱悉绝，不得不与社会战矣。已而知戈德文( 间，欢爱悉绝，不得不与社会战矣。已而知戈德文(W. Godwin)，读其著述，博爱之精神益张。次年入爱尔兰，檄 ) 读其著述，博爱之精神益张。次年入爱尔兰， 其人士，于政治宗教，皆欲有所更革，顾终不成。 其人士，于政治宗教，皆欲有所更革，顾终不成。逮千八百 十五年，其诗《阿剌斯多》 十五年，其诗《阿剌斯多》(Alastor)始出世，记怀抱神思之 )始出世， 人，索求美者，遍历不见，终死旷原，如自叙也。次年乃识 索求美者，遍历不见，终死旷原，如自叙也。 裴伦于瑞士；裴伦深称其人，谓奋迅如狮子，又善其诗， 裴伦于瑞士；裴伦深称其人，谓奋迅如狮子，又善其诗，而 世犹无顾之者。又次年成《伊式阑转轮篇》 世犹无顾之者。又次年成《伊式阑转轮篇》(The Revolt of Islam)。凡修黎怀抱，多抒于此。篇中英雄曰罗昂，以热诚 ) 凡修黎怀抱，多抒于此。篇中英雄曰罗昂， 雄辩，警其国民，鼓吹自由，挤击压制，顾正义终败， 雄辩，警其国民，鼓吹自由，挤击压制，顾正义终败，而压 制于以凯还，罗昂遂为正义死。是诗所函，有无量希望信仰， 制于以凯还，罗昂遂为正义死。是诗所函，有无量希望信仰， 暨无穷之爱，穷追不舍，终以殒亡。盖罗昂者， 暨无穷之爱，穷追不舍，终以殒亡。盖罗昂者，实诗人之先 亦即修黎之化身也。 觉，亦即修黎之化身也。ຫໍສະໝຸດ 鲁迅：《摩罗诗力说 》 鲁迅：
英文经典名著的优美段落
【导语】经典名著反映⼀个国家在⼀定阶段的发展状况和民族性格且代表国家发展的精华部分。
下⾯是由©⽆忧考⽹带来的英⽂经典名著的优美段落，欢迎阅读!【篇⼀】英⽂经典名著的优美段落 Stray Birds Stray birds of summer come to my window to sing and fly away. And yellow leaves of autumn, which have no songs, flutter and fall there with a sigh. If you shed tears when you miss the sun, you also miss the stars. Man is a born child, his power is the power of growth. The trees come up to my window like the yearning voice of the dumb earth. You smiled and talked to me of nothing and I felt that for this I had been waiting long. The fish in the water is silent, the animal on the earth is noisy, the bird in the air is singing. But Man has in him the silence of the sea, the noise of the earth and the music of the air. The world rushes on over the strings of the lingering heart making the music of sadness. We come nearest to the great when we are great in humility. The mist, like love, plays upon the heart of the hills and brings out surprises of beauty. Your voice, my friend, wanders in my heart, like the muffled sound of the sea among theselistening pines. What is this unseen flame of darkness whose sparks are the stars? Let life be beautiful like summer flowers and death like autumn leaves. The touch of the nameless days clings to my heart like mosses round the old tree.【篇⼆】英⽂经典名著的优美段落 The Mysterious Recluse Garbo—divine, mysterious, reclusive. One of the most famous faces of the 20th century. On screen she was raw sexuality, off screen her affairs with men and women captivated the press. And her silence made her a legend. But it was a legend she tried to escape for fifty years. What was the secret of Greta Garbo? The truth lies in the face, the voice and our own appetite for mystery. Greta Lovisa Gustafson was born on September 18, 1905 in the working class soda mall merrier of Stockholm. The 19-year-old Garbo said goodbye to her family in Stockholm, she was given visa number 396 and arrived in New York City on July 5, 1925. At the time MGM publicity chief Howard Dietz said of Garbo, “I hate that name, It reminds me of garbage.” America was unimpressed with Greta -- but a series of amateur photos was about to launch Garbo’s career. After three months, production chief Irving Thalberg assigned Garbo to The Torrent. Garbo’s natural manner distinguished her from more histrionic silent actors. MGM had found Garbo’s identity. Off screen, Garbo barely spoke English. When she tried to joke that she was an “imported star”, but accidentally said “important star” the crew laughed at her vanity. On screen, MGM enhanced the mystique of its new star by teaming her with the best photographers and designers. Clarence Sinclair Bull was assigned to do all her official photography. He would become known as “the man who shot Garbo.” He referred to her as the Mona Lisa of the 20th century. Garbo created a new kind of 1glamour. A combination of sexuality, fashion and mystery. Audiences wanted to know more about the woman behind the face, but Garbo refused to talk. The studio played along since her 1reticence seemed to create more interest in the Swedish 1sphinx. The 1subtext of one of her next films was thinly 1veiled. Queen Christina was the story of the legendary 17th century Swedish leader who 1abdicated her throne rather than 1subjugate herself to a man. Greta Garbo (Lines from Queen Christina): I thought you would understand when you saw me again what hadhappened. Could it have been so enchanting to be a woman? Mother queen -- just a woman in a man’s arms. Garbo inspired and yet 1defied interpretation, on screen and off. For the final shot of Queen Christina, Mamoulian gave his 1inscrutable leading lady her most brilliant direction. He asked her to think of nothing. Garbo’s era had passed. She had outlived most of her lovers and costars. Greta Garbo’s screen legend had become Greta Garbo urban legend. In 1970’s New York, a Garbo sighting as she marched through the streets of Manhattan stopping only to browse through 1junk shops and 2antique stores was recorded the same status as a UFO. She became a 2cult figure and showed up in unlikely places. On Friday April 28, 1990, she went for her regular 2dialysis treatment but did not return. She died on Easter Sunday. They say the only thing an actor owes the public is a performance. That much Garbo gave. Whether she had nothing to say or simply said nothing doesn’t matter. Hers was a perfect face. A blank screen on to which the world projected what it needed to see. Her silence told us what we wanted to hear.【篇三】英⽂经典名著的优美段落 I have come to believe that a great teacher is a great artist and that there are as few asthere are any other great artists. It might even be the greatest of the arts since the mediumis the human mind and spirit. I shall speak only of my first teacher because in addition to the other things, she broughtdiscovery. She aroused us to shouting, bookwaving discussions. She had the noisiest class in school andshe didn’t even seem to know it. We could never stick to the subject. She breathedcuriosity into us so that we brought in facts or truths shielded in our hands like capturedfireflies. She was fired and perhaps rightly so, for failing to teach fundamentals. Such thingsmust be learned. But she left a passion in us for the pure knowable world and she1inflamed me with a curiosity which has never left. I could not do simple1arithmetic butthrough her I sensed that 1abstract 1mathematics was very much like music. When she was relieved, a sadness came over us but the light did not go out. She left her1signature on us, the literature of the teacher who writes on minds. I suppose that to alarge extent I am the unsigned 1manus cript of the high school teacher. What deathlesspower lies in the hands of such a person. I can tell my son who looks forward with horror to fifteen years of 1drudgery thatsomewhere in the 1dusty dark a magic may happen that will 1light up the years... if he isvery lucky.。
《探索与突破》第三集内容
《探索与突破》第三集内容英文回答：Episode 3: Uncharted Horizons.Episode 3 of the "Exploration and Beyond" documentary series plunges viewers into the fascinating world of sea exploration and the trailblazing scientists who have dedicated their lives to unraveling its mysteries.The episode opens with a stunning underwater sequence that captures the awe-inspiring beauty and complexity of the ocean ecosystem. From the intricate coral reefs teeming with life to the colossal whales that roam its vast depths, the ocean holds countless wonders waiting to be discovered.Leading the charge in this exploration are scientists who combine passion, technological ingenuity, and unwavering perseverance to push the boundaries of our knowledge. Dr. Sylvia Earle, an acclaimed marine biologistand oceanographer, has spent her life exploring the ocean's depths, advocating for its conservation, and inspiring generations of scientists and enthusiasts.Dr. Robert Ballard, renowned for his groundbreaking discovery of the Titanic wreckage, shares his passion for using advanced technology to uncover the secrets of the underwater world. Together with a team of scientists, he has ventured into uncharted territories, making remarkable discoveries that have transformed our understanding of the ocean's past and present.The episode also explores the latest advancements in underwater technology, from remotely operated vehicles (ROVs) that allow scientists to remotely explore the deep ocean to submersibles that enable them to venture further than ever before. These technological marvels have revolutionized sea exploration, providing scientists with the tools they need to conduct groundbreaking research and gain unprecedented insights into the ocean's mysteries.中文回答：第三集，探索未知之境。
探索“自私”着丝粒，揭示一场演化军备竞赛
探索“自私”着丝粒，揭示一场演化军备竞赛葡萄牙的马德拉岛上生活着6种不同染色体小种的小鼠，每一种小鼠和其他地区的小鼠相比，二倍体染色体的数目大幅减少。
这种引人注目的多样性最早在20世纪与21世纪之交时得到确认，可以用个别染色体的反复融合来解释。
每个小种有一组不同的染色体融合，由于染色体配对的问题，两个小种之间的混种很可能会降低可育性，或者根本就不育。
种群中的生殖隔离是通往物种形成之路上的关键一步——在小鼠的例子中，这些染色体改变全都发生在小鼠的祖先抵达马德拉岛（可能是搭乘维京人的船只）后的1 000年之内。
导致这些快速核型变化的所谓罗氏融合是相对常见的染色体重排。
但它们在马德拉岛小鼠种群和其他地区多个孤立小鼠种群中的积聚很可能是源于另一个影响因素：罗氏融合为卵细胞，而不是雌性减数分裂中形成的、被抛弃的极体的偏向分离。
我们一般认为，染色体的分离机制是要确保不偏不倚的随机分离。
正如我们在高中生物课上学到的，假如一个二倍体携带两个不同的等位基因（也就是杂合子），那么每个等位基因最终进入单倍体配子的可能性相等。
这条定律解释了孟德尔在经典遗传研究中观察到的表现型的3：1比例。
然而，科学家在几十年前就已经知道，自私基因能够破坏孟德尔式分离，提高它们在下一代中出现的频率，这个现象被称为减数分裂驱动。
马德拉鼠的例子提出，融合的染色体也能驱动不相等的遗传。
因为罗氏融合从形态上很容易识别，也因为小鼠卵母细胞是一个已确立的模型系统，所以从2010年开始，在我位于宾夕法尼亚大学的实验室里，研究小鼠的这些染色体融合为研究减数分裂驱动的细胞生物学提供了一个切入点。
我们的研究聚焦于着丝粒——也就是每个染色体中与纺锤体微管相互作用，在有丝分裂或减数分裂中指导分离的部分——发现着丝粒结构的尺寸决定偏向分离的方向，较大的着丝粒偏向分离成卵细胞。
着丝粒DNA 一般是高度重复性的，我们发现，较大的着丝粒具有较多的小鼠着丝粒随体重复特征，有更多的着丝粒蛋白质与DNA 有关。
《旁观者：街头摄影的历史》
全
民阅读
80
Bystander
, co-authored by the renowned photography critic Colin Westerbeck and famous photographer Joel Meyerowitz after 15 years of research, is a milestone in the study of street photography. Since its first edition was published in 1994, it has been hailed as the “Bible” of street photography.
《旁观者：街头摄影的历史》
Bystander
文|于谦
本书是研究街头摄影的里程碑式著作，由著名摄影批评家柯林·韦斯特贝克和著名摄影师乔尔·迈耶罗维兹历经15年研究合著而成，自1994年首版出版以来就被誉为街头摄影的“圣经”。
本书探讨了街头摄影的发展史，分析了从19世纪到20世纪活跃在这一领域的摄影大师的创作，如尤金·阿杰、阿尔弗雷
德·施蒂格利茨、保罗·斯特兰德、布勒松、布拉塞、安德烈·柯特兹、罗伯特·弗兰克、黛安·阿巴斯、
加里·维诺格兰德、海伦·莱维特等。
此次最新修订版收录了更多的研究材料，探讨了进入数码摄影时代后，街头摄影的发展趋势。
我最喜欢的电影白日梦想家英语作文
我最喜欢的电影白日梦想家英语作文全文共3篇示例，供读者参考篇1The Eternal Sunshine of the Spotless Mind: A Poignant Exploration of Love, Memory, and the Human ConditionAs a student of life, I have found solace and inspiration in the realm of cinema, where stories unfold, emotions resonate, and profound truths are unveiled. Among the myriad of cinematic masterpieces, one film stands out as a testament to the complexities of love, memory, and the human experience – "The Eternal Sunshine of the Spotless Mind."Directed by the visionary Michel Gondry and penned by the brilliant Charlie Kaufman, this 2004 romantic science-fiction drama has captivated my heart and mind like no other. Its premise alone is a tantalizing enigma: a couple, Joel and Clementine, undergo a procedure to erase each other from their memories after a tumultuous breakup. What unfolds is a poetic exploration of the indelible imprints love leaves on our psyche and the lengths we may go to escape the pain of heartbreak.The film's nonlinear narrative structure is a masterful tapestry woven with threads of reality, memory, and imagination, challenging conventional storytelling norms. We are transported into Joel's mind as he relives cherished moments with Clementine, only to witness their gradual erasure. This ingenious narrative device not only immerses us in the protagonists' emotional turmoil but also prompts us to ponder the malleability of memory and the fragility of our experiences.At the core of "Eternal Sunshine" lies a profound meditation on the nature of love itself. Joel and Clementine's tumultuous relationship is a testament to the complexities of human connection, where passion and discord coexist in a delicate dance. Their decision to erase one another from their memories raises thought-provoking questions: Is it better to forget the pain of a failed relationship, or to embrace the bittersweet memories that shape us? Can we truly erase the indelible imprints left by love on our souls?The film's exploration of these existential quandaries is elevated by the phenomenal performances of its lead actors, Jim Carrey and Kate Winslet. Carrey's portrayal of Joel is a tour de force, seamlessly transitioning from a meek, introverted man to a passionate, resolute lover determined to preserve his memoriesof Clementine. Winslet's captivating portrayal of the free-spirited Clementine is a masterclass in emotional depth, imbuing her character with a raw vulnerability that resonates long after the credits roll.Beyond the compelling narrative and stellar performances, "Eternal Sunshine" is a visual feast, blending surreal dreamscapes with gritty realism. Gondry's innovative use of practical effects and clever cinematography transport us into the labyrinthine realms of Joel's mind, where memories blur, distort, and fragment, mirroring the fragile nature of our own recollections.But what truly elevates this film to the realm of cinematic brilliance is its profound exploration of the human condition. Through Joel and Clementine's journey, we are confronted with existential questions that resonate with our own experiences: How do we reconcile the pain of heartbreak with the beauty of love? Can we ever truly know another person, or are we destined to misunderstand and hurt one another? How much of our identities are shaped by the memories we hold dear?As a student of life, "Eternal Sunshine" has resonated with me on a profound level. Its poignant exploration of love, memory, and the human condition has challenged me to reevaluate my own relationships, cherish the memories thatdefine me, and embrace the complexities of the human experience. It is a film that transcends mere entertainment, offering a poetic and introspective exploration of the very essence of what it means to be human.In the end, "The Eternal Sunshine of the Spotless Mind" is a cinematic masterpiece that has left an indelible mark on my soul. Its haunting melodies, captivating visuals, andthought-provoking themes have etched themselves into the fabric of my being, reminding me of the beauty and resilience of love, the fragility of memory, and the enduring power of the human spirit.篇2My Favorite Movie: The Day Dreamer (La Mome)There are films that touch your heart and soul in profound ways, transporting you to different times and places, allowing you to walk in someone else's shoes. For me, that movie is the 2007 French biographical musical drama "The Day Dreamer" (La Mome) about the legendary singer Édith Piaf. This powerful cinematic masterpiece, directed by Olivier Dahan, encapsulates the incredible life journey of the iconic "Little Sparrow" from herhumble beginnings as a street singer to her rise as one of the most revered performers of the 20th century.What draws me so deeply into this film is not merely Piaf's unparalleled talent or the spectacular musical performances, but rather the raw, unwavering spirit that drove her existence. From the moment the movie opens with a haunting scene of a frail Piaf lying on her deathbed, reminiscing about her tumultuous life, I found myself utterly captivated. The film then takes us on a poignant voyage through her childhood, filled with abandonment, poverty, and a resilience that would shape her indomitable character.One of the most striking aspects of the film is the exceptional performance by Marion Cotillard, who completely disappears into the role of Édith Piaf. Cotillard's transformation is nothing short of astonishing, capturing not only Piaf's distinctive physical mannerisms but also the profound emotional depth that lay beneath her diminutive frame. Her portrayal is so genuine and visceral that it becomes easy to forget you're watching an actor – she is Piaf, in every sense of the word.The film's narrative structure is masterfully crafted, weaving seamlessly between Piaf's past and present, allowing us to witness the pivotal moments that shaped her extraordinary life.From her days as a street performer in the seedy underbelly of Paris to her tumultuous love affairs and battles with addiction, each chapter unveils a new layer of complexity, painting a portrait of a woman who lived life with an intensity that few could match.What resonates most profoundly with me is Piaf's unwavering determination to pursue her dreams, no matter the obstacles that stood in her way. Born into abject poverty and abandoned by her mother at a young age, her life could have easily taken a different, darker path. Yet, through sheer force of will and an inextinguishable passion for music, she defied all odds, rising from the streets of Montmartre to become an international sensation.The musical sequences in the film are truly breathtaking, with Cotillard's powerful vocals capturing the raw emotion and vulnerability that made Piaf's performances so legendary. From the haunting melancholy of "La Vie en Rose" to the defiant anthem "Non, je ne regrette rien," each song is a visceral expression of Piaf's indomitable spirit, resonating with audiences across generations and cultures.Moreover, the film's attention to historical detail is impeccable, transporting viewers back to the vibrant, yetturbulent, world of mid-20th century Paris. The sets, costumes, and cinematography all work in harmony to create an authentic and immersive experience, allowing us to fully immerse ourselves in Piaf's world.Ultimately, what makes "The Day Dreamer" truly special is its ability to transcend the boundaries of a mere biographical film and become a profound meditation on the human condition. Piaf's life was a testament to the power of passion, resilience, and the inextinguishable flame of artistic expression. Her story is one of triumph over adversity, of finding beauty and purpose amidst the harshest of circumstances.In a world that often seems dominated by cynicism and mediocrity, "The Day Dreamer" stands as a powerful reminder of the transformative power of art and the indomitable spirit of those who dare to dream. Piaf's life was a symphony of highs and lows, triumphs and tragedies, but through it all, her voice remained a beacon of hope and authenticity, touching the hearts of millions across the globe.As a student and a lover of film, "The Day Dreamer" has left an indelible mark on my soul. It has inspired me to embrace life with the same fervor and passion that Piaf embodied, to never surrender to the forces that seek to diminish our dreams, and toalways strive to find beauty and purpose in even the darkest of moments. This film is not merely a story of one woman's extraordinary journey – it is a celebration of the human spirit, a testament to the enduring power of art, and a poignant reminder that our dreams, no matter how improbable they may seem, are always within reach if we have the courage to pursue them.篇3The Science of Sleep: My Favorite FilmThere's something magical about films that transport you to another world, a realm where the boundaries between dreams and reality blur. Michel Gondry's 2006 masterpiece, "The Science of Sleep," is a whimsical exploration of this very concept, seamlessly weaving together the fantastical and the mundane in a way that resonates with the dreamer in all of us.The film follows the story of Stephane Miroux, a young man whose vivid imagination and penchant for daydreaming often clashes with the harsh realities of adulthood. Gael García Bernal's portrayal of Stephane is both endearing and relatable, capturing the essence of someone who struggles to reconcile their inner world with the outside world.From the very first scene, Gondry immerses us in Stephane's dreamscape, where ordinary objects come to life and the laws of physics are mere suggestions. We're introduced to his quirky collection of handmade toys and contraptions, each one a testament to his boundless creativity. It's impossible not to be charmed by the whimsical nature of these creations, which serve as a window into Stephane's mind.As the film progresses, we find ourselves navigating the intricate layers of Stephane's dreams and reality, often blurring the lines between the two. Gondry's use of practical effects and stop-motion animation creates a delightfully surreal atmosphere, making it increasingly difficult to distinguish what's real and what's not.One of the film's most captivating elements is its exploration of the creative process. Stephane's inability to separate his dreams from his waking life is a metaphor for the struggles that artists face in translating their visions into tangible works. We witness his frustrations as he grapples with the gap between his imaginative ideas and their practical execution, a relatable struggle for anyone who has ever tried to bring their dreams to life.However, it's not just Stephane's creative journey that resonates; the film also touches upon themes of love, loneliness, and the search for connection. Stephane's infatuation with his neighbor, Stephanie (played by the enchanting Audrey Tautou), adds a layer of poignancy to the story, as he struggles to navigate the complexities of human relationships while lost in his own imaginary world.What truly sets "The Science of Sleep" apart is its ability to evoke a sense of childlike wonder and nostalgia. Gondry's use of practical effects and handmade sets transport us back to a time when imagination knew no bounds, when the lines between reality and fantasy were blurred by the sheer power of our minds.Throughout the film, we're reminded of the importance of holding onto that spark of creativity and whimsy, even as we navigate the challenges of adulthood. Stephane's refusal to let go of his dreams, no matter how impractical or far-fetched they may seem, is a testament to the resilience of the human spirit and the power of imagination.In many ways, "The Science of Sleep" is a love letter to dreamers and artists alike, celebrating the beauty and complexity of the human mind. It's a film that encourages us to embrace ourquirks, to find joy in the ordinary, and to never lose sight of the magic that resides within our own imaginations.As a student, I find myself drawn to this film time and time again, not just for its artistic merits, but for the way it speaks to the struggles and triumphs of the creative process. In a world that often prioritizes practicality over imagination, "The Science of Sleep" serves as a reminder that it's okay to dream, to embrace the absurd, and to let our minds wander into realms beyond the constraints of reality.Whether you're an aspiring artist, a daydreamer, or simply someone who appreciates the beauty of the human imagination, "The Science of Sleep" is a film that will leave you enchanted, inspired, and perhaps a little bit more inclined to follow your dreams, no matter how fantastical they may seem.。
学法语——英国第一个新冠疫苗接种男去世
William Shakespeare, premier homme vacciné, vient de décéder威廉姆莎士比亚新冠疫苗第一个男性接种者去世William Shakespeare est connu pour être le premier Britannique à avoir été vacciné contre le Covid-19. Il est décédé le 20 mai dernier à l’hôpital de Coventry, une ville au centre del’Angleterre. Vous pouvez voir le visage de l’homonyme du grand dramaturge anglais dans la vidéo ci-dessous .威廉姆莎士比亚作为英国第一个新冠疫苗男士接种者出名，于5月20日在英国中部城市考文垂医院去世。
视频中看到这位与英国著名剧作家同名者的面容。
William Shakespeare, premier Britannique vacciné, est décédéL’homonyme du célèbre poète et dramaturge anglais est décédé le 20 mai dernier. William Shakespeare est devenu le premier homme britannique à avoir reçu la première dose du vaccin Pfizer-BioNTech le 8 décembre 2020 à l’hôpital universitaire de Coventry. Soit quelques minutes après Margaret Keenan, la première femme et première personne à recevoir un vaccin anti-Covid au Royaume-Uni. L’octogénaire était à la Une de plusieurs médias britanniques en raison du même nom que le poète du 16ème siècle.Les médecins ont assuré que le décès de William Shakespeare n’était pas dû au vaccin. L’homme de 81 ans est mort des suites d’un accident vasculaire cérébral (AVC). Sa mort laisse une femme, deux fils ainsi que quatre petits-enfants derrière lui.威廉姆莎士比亚英国第一个疫苗接种者去世英国著名诗人剧作家同名者5月20日去世，威廉姆莎士比亚于2020年12月8日在考文垂大学医院成为英国第一个新冠疫苗男士接种者，此前几分钟英国首位女士接种者是玛格丽特柯南。
关于太空宇宙的英语作文三句或四句
关于太空宇宙的英语作文三句或四句I. IntroductionThe universe, an immense expanse teeming with celestial wonders, has long captivated human imagination and driven our insatiable quest for knowledge. From the twinkling stars that adorn our night skies to the enigmatic black holes lurking in the darkness, the cosmos is a realm of unfathomable beauty and mystery. This vast, ever-expanding entity, comprised of billions of galaxies, each housing countless stars and their planetary systems, represents the ultimate frontier for scientific inquiry.II. The Observable Universe: A Glimpse into Infinity Our observable universe, extending approximately 93 billion light-years in diameter, is but a tiny fraction of what may lie beyond. It contains a staggering array of celestial bodies, ranging from blazing stars in various stages of life to the ethereal, ghostly remnants of exploded stars known as supernovae. Furthermore, it is threaded by invisible forces, such as gravity and dark matter, which shape the cosmic web and govern the dance of galaxies. The cosmic microwave background radiation, theresidual heat left over from the Big Bang, whispers tales of our universe's fiery birth and subsequent expansion.III. The Search for Extraterrestrial LifeAs we peer deeper into this celestial tapestry, one question looms large: Are we alone in the universe? The discovery of thousands of exoplanets orbiting distant stars has fueled optimism that Earth might not be the sole cradle of life. These alien worlds, some found within the "habitable zones" where liquid water can exist, beckon us to ponder the possibility of extraterrestrial organisms thriving under different conditions. Ongoing missions, such as NASA's James Webb Space Telescope and the search for biosignatures, aim to unveil whether these seemingly habitable planets indeed harbor life, thus rewriting our understanding of our place in the cosmos.IV. Challenges and Future ProspectsExploring the universe is an audacious endeavor fraught with challenges, including the vast distances involved, harsh space environments, and the limitations of current technology. However, advancements in fields like astrophysics, aerospace engineering, and artificial intelligence hold promise for surmounting these obstacles.Space telescopes with unprecedented resolution will enable us to observe the universe in greater detail, while interstellar travel concepts like nuclear fusion propulsion and light sails could potentially revolutionize our ability to traverse the cosmos. Moreover, the pursuit of establishing permanent human settlements on other planets, such as Mars, signifies our aspirations to become a multi-planetary species and secure humanity's future among the stars.In conclusion, the universe, a boundless expanse of celestial marvels and profound mysteries, continues to entice and challenge us. As we delve deeper into its secrets, we not only broaden our understanding of the cosmos but also gain invaluable insights into our own existence. The quest to explore and comprehend this magnificent realm reflects our innate curiosity and unyielding spirit of exploration, promising a future filled with groundbreaking discoveries and paradigm-shifting revelations about the universe we call home.。
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BLADDER DYSFUNCTION
Failure to Fill
• Timed voiding
– Urinate before detrusor contraction – Good technique for cognitively challenged, but requires periodic reminders
BOWEL MANAGEMENT Innervation: sympathetic • Hypogastric nerve: sympathetic fibers (levels L1-L3) to descending colon
BOWEL MANAGEMENT Innervation: other
BLADDER DYSFUNCTION
Failure to Empty
• Bladder drainage
– Continuous intermittent catheterization (CIC)
• Keep urine volumes < 500 cc • Empty bladder at regular intervals
BIG BLADDER BAD
BLADDER DYSFUNCTION
Failure to Empty • When hypotonic, detrusor cannot effectively contract • When internal, external sphincters do not synergistically relax when detrusor contracts
BLADDER AND BOWEL MANAGEMENT AFTER STROKE
Richard D. Zorowitz, M.D. Chairman and Associate Professor of PM&R
DETRUSOR •Parasympathetic •Innervation: pelvic nerve, sacral micturition center (levels S2-S4)
CONSTIPATION
Management: Bowel program
• Optimize hydration (in the range of 2 liters daily for maintenance) • Use natural substances to encourage evacuation (e.g., caffeinated beverages, prune juice, apricot nectar) • Create natural pattern, setting as possible to facilitate bowel evacuation • Private use of bedside
Para β
ά S
BLADDER DYSFUNCTION
Failure to Empty
• Bladder stimulation
– Stroking – Tapping – Valsalva/Crede maneuver: mechanically pushes out urine – Anal stretch: stretch anal sphincter, then use Valsalva/Crede maneuver
BLADDER MANAGEMENT
Other Diagnostic Studies • Cystography: presence or absence of ureteral reflux • Cystoscopy • Neuropharmacological management
BLADDER DYSFUNCTION
DETRUSOR •Parasympathetic •Sympathetic (β)
•Internal sphincter •Innervation: hypogastric nerve (levels T11-L2) •α: contract
DETRUSOR •Parasympathetic •Sympathetic (β)
DETRUSOR •Parasympathetic •Sympathetic (β) •Innervation: hypogastric nerve (levels T11-L2)
DETRUSOR •Parasympathetic •Sympathetic (β): motor •Relax
DETRUSOR •Parasympathetic •Sympathetic (β): sensory •Pain •Temperature •Tactile sensation
•Internal sphincter
•α: contract •S: contract
•External sphincter (somatic) •Innervation: pudendal nerve (levels S1-S4)
BLADDER MANAGEMENT
Goals • Adequate emptying at low pressures • Decrease infection • Adequate urine storage without distention • Adequate control • Social acceptability • Vocational acceptability
– Indwelling catheter
SURGICAL INTERVENTIONS
• Purpose: decrease outflow obstruction, prevent urethral erosions • Transurethral sphincterotomy/stenting
– Penile implant
• Cystostomy: long-term access rather than indwelling catheter
BOWEL MANAGEMENT
BOWEL MANAGEMENT Innervation: parasympathetic
• Vagus nerve: GI tract to splenic flexure • Inferior splanchnic nerve: (levels S2-S4) to descending colon, rectum • Auerbach’s plexus: unmyelinated parasympathetic fibers to coordinate peristalsis
DETRUSOR •Parasympathetic: motor •Detrusor contraction •Bladder neck funneling •Internal sphincter opening
DETRUSOR •Parasympathetic: sensory •Sensation of distention •Urge of voiding
BLADDER DYSFUNCTION
Failure to Fill • Parasympathetic antagonists: oxybutinin, hyoscyamine, tolterodine, imipramine/amitriptyline • Alpha antagnoists: prazosin, terazosin, doxazosin, tamsulosin • Alpha agonists: ephedrine
• Meissner’s plexus: sensory and local motor response • Pudendal nerve: external anal sphincter
CONSTIPATION
Causes
• Oral caloric intake • Hydration • Exposure to medications that discourage defecation (e.g., anticholinergic agents, narcotic analgesics) • Disrupted sleep-wake cycle • Behavioral, environmental cues that facilitate bowel evacuation
CONSTIPATION
Management: Bowel program
• Plan bowel evacuation after meals: capitalize on gastrocolic reflex • Encourage resumption of regular bowel habits that simulates patient’s prehospital pattern • Minimize constipationinducing medications • Digital stimulation
BLADDER DYSFUNCTION
Failure to Fill
• When hypertonic detrusor contracts spontaneously • When internal, external sphincters not contracted at rest • Prior to beginning any medications to modify bladder behavior, incumbent upon clinician to complete evaluation which includes a urinalysis, urine culture, postvoid residuals, urodynamics where necessary