July 2019

The study of monomodal language in discourse linguistics needs to be combined with other fields, such as visual, auditory and media studies. Diet is closely related to culture, and diet culture is an important part of the splendid culture of China, which is the concentrated expression of people's production and lifestyle for thousands of years. It reflects people’s attitude towards life, and also represents the spirit and temperament of a nation. Chinese culture is of long standing and well established, and cultures in different fields have their own particularities. The documentary a bite of China, as a multimodal discourse that includes text, pictures, music, photography and other art forms, is dedicated to introducing the rich and colorful food culture of China. The results lend support to relevance theory. In addition, this paper probes into the food culture of a bite of China from the perspectives of vision, taste and touch. Lastly, the result makes a brief analysis of the Chinese food culture attempt to explore how the film reflects Chinese food culture from different perspectives via certain modes. The study provides a new perspective for discourse analysis composed of multiple symbols and offers readers a framework for theoretical analysis of culture. It helps individuals to improve their ability to read multimodal discourses, and enables people to study symbolic resources in a more in-depth way.

Background: Diabetic nephropathy is one of the major microvascular complications of diabetes which eventually manifests into end-stage renal disease. One-third of the diabetic population is prone to develop nephropathy and it represents the major cause of morbidity and mortality. Objective: The purpose of this study was to find out the effect aerobic training on urinary albumin excretion protein in type 2 diabetes mellitus. Methods: the study was conducted on twenty patients, their age ranged from 45 to 55 years. They participated inmoderate aerobic exercise (50-70%of MHR) for 30-40 minutes on electronic bicycle ergometer, 3 session per week for 12 weeks in addition to their medical treatment. Micro albumin urea, HBA1C, Fasting blood glucose, blood pressure was measured before and after the study. Results: statistical analysis showed a significant improvement (decrease) in HbA1C By 1.26%, Fasting blood glucose by 5.21%, Systolic & diastolic blood pressure by 4.78% &6.79% and albuminuria level by 9.68%. Conclusion: it is recommended for patients of diabetic nephropathy to practice aerobic exercise to avoid diabetic complication

The management of Le Fort-type fractures, their surgical repair and the management of the airway are a challenge for the surgeon and the anesthesiologist. Although orotracheal intubation is the most frequently used route in securing airway, it interferes with the surgical field, as an alternative nasotracheal intubation is commonly used. However, nasotracheal intubation is contraindicated in cases of skull-base trauma, therefore the tracheostomy is a good route for securing the airway, nevertheless, this procedure is associated with various complications. In 1986 submental intubation was described for the first time, since then it has been used as an attractive option in the control of the airway management for this type of situations. We present the case of a patient with multiple fractures of the maxillofacial complex, in whom tracheostomy was avoided and the submental intubation technique was chosen.

Malignant hyperthermia (MH) is a severe and sudden increase in metabolism, the common clinical manifestations are: High central temperature, increase in ETCO2, hyperkalemia, acidosis, muscle rigidity and cardiovascular instability, after exposure to certain anesthetic drugs. Malignant hyperthermia occurs in persons who have a genetic alteration in the sarcoplasmic reticulum of striated.

Background: Splenectomy is a surgical intervention commonly performed at hospitals as a cause of splenic trauma. Aerobic exercise increases blood flow to contracting muscles, causes hypercoagulability and vasoconstriction in the splenic area, hence the portal vein diameter and blood flow velocity decrease. Aim: to study the effect of aerobic exercise on portal venous system in splenectomized patients. Material and Methods: Thirty adult male participated in this investigation were divided into two groups, control group received traditional treatment (encourage ROM, cough techniques and ambulation), study group received aerobic exercise (run for twenty minutes on treadmill at a velocity of 6km/h and ten –degree elevation for four weeks). We compared the white blood cells count, portal vein diameter, portal venous blood flow velocity and functional activities before and after exercise. Results: After exercise, the white blood cells count was significantly increased and portal vein diameter with portal venous blood flow were significantly reduced in study group(p<0.001), but no statistically differences in two groups before and after exercise in functional activities. Conclusion: Aerobic exercise in splenectomized individuals cause decrease splenic blood flow which increase blood viscosity and decease portal vein diameter.

The fundamental question in forensic science is identification of a person for legal and ethical issues and declaration of death reports. Even estimation of age in living persons for clarification of criminal and civil liability and social issues is on high pace. Teeth being the hardest part of the body and remains preserved without gross changes for longer period of time after death, it is one of the most reliable method for age estimation. Age estimation from TCI is a precise, non-invasive, not time consuming, not requiring highly specialized equipment and applicable to both living and dead individuals

This study explores the concept of children’s perception toward activities. The study took place at a nursery setting in Hull in the UK. The paper begins by explaining the meaning of children’s voices, and the many ways to tune to these voices which can lead to production of desirable outcomes for children in general. It then goes on to clarify the various ways to communicate with children that allows for their participation and free expression of children’s opinions, feelings etc. After that, the Early Years’ Foundation Stage (EYFS) which is the framework for early years practice in the United Kingdom is explored to find out what extent the idea of tuning to children’s voices is supported, and ways it could be applied in their learning and in particular, ways by which children could be included in the evaluation of activities provided for them. Next, the study presents the project carried out in a nursery setting in Hull city which involved developing a method of gathering children’s perceptions about some of the activities which are provided for them during the day. Finally, I draw on some activities to allow children share their feelings, opinions, and responses to ascertain their preferences for activities. It is suggested that this is within children’s rights as stipulated by the EYFS and proper consideration of children’s voices by practitioners will provide them with the opportunity to participate in the evaluation of activities which could lead to desirable outcomes.