8 research outputs found
Asia Pacific link project
No full textResearch Paper Series (National University of Singapore. Faculty of Business Administration); 1996-0291-5
Author reply to letter to the editor “Imaging abnormalities in pediatric neuro-COVID are more diverse than specified”
No full textIndo-European vocabulary in Old Chinese : a new thesis on the emergence of Chinese language and civilization in the late Neolithic age
No full textThis study is a much expanded version of the paper I read at the XXXII International Congress for Asian and North African Studies on August 28, 1986 in Hamburg (Germany). Contents 1. Recent developments in the field of historical linguistics 2. Monosyllabic structure of Chinese words and Indo-European stems 3. Tonal accents of Middle Chinese 4. Preliminaries on the comparison of consonants and vowels 5. Some IE stems corresponding to Chinese words of entering tone 6. Middle Chinese tones and final consonants of IE stems 7. Some IE stems corresponding to Chinese words of rising tone 8. Some IE stems corresponding to Chinese words of vanishing tone 9. Some IE stems corresponding to Chinese words of level tone 10. Reconstruction of Middle Chinese vocalism according to Yün-ching 11. Old Chinese vocalism 12. Vocalic correspondences between Chinese and IE 13. Initials of Old Chinese 14. Initial consonant clusters in Old Chinese as seen from IE-stems 15. Proximity of Chinese to Germanic 16. Relation of Old Chinese to neighboring languages 17. Emergence of Chinese Empire and language in the middle of the third millennium B.C. Appendix * Abbrevations * Bibliography * Rhyme Tables of Early Middle Chinese (600) * Rhyme Tables of Early Mandarin (1300) * Word Index o English o Pinyin In 1786, just over two hundred years ago, comparative historical linguistics was born, when Sir William Jones (1746-1794) discovered the relationship between Old-Indian Sanskrit, Greek, and Latin. Since then, the emerging Indo-European philology has thrown much light on the early history of mankind in Eurasia. During the past two hundred years, many suggestions were also made in regard to relationships of Indo-European to other languages such as Semitic, Altaic, Austronesian, Korean etc., but Indo-Europeanists commonly rejected such attempts for want of convincing evidence. As to Chinese, Joseph Edkins was the first to advance the thesis of its proximity to Indo-European. In his work China's Place in Philology. An Attempt to show that the Language of Europe and Asia have a Common Origin (1871) he presented a number of Chinese words similar to those of Indo-European. In his time, Edkins' thesis seemed bold and extravagant. But today, more than a hundred years later, we are in a much better position to carry out a comprehensive and well-founded comparative study. Since the end of the nineteenth century, many Sinologists have been engaged in reconstruction of the mediaeval and archaic readings of Chinese characters. Among them, Karlgren (1889-1978) was the most successful, and in 1940 he published a comprehensive phonological and etymological dictionary entitled Grammata Serica. In the meantime, the Indo-Europeanists Alois Walde (1869-1924) and Julius Pokorny (1887-1970) were devoting themselves to the compilation of a useful etymological dictionary. The result was the Indogermanisches Etymologisches Wörterbuch by Pokorny (1959) which provides a solid basis for our lexical comparisons. Soon thereafter, some Sinologists made use of the two dictionaries by Karlgren and Pokorny to compare Chinese and Indo-European words. In 1967, an unaffiliated German scholar, Jan Ulenbrook, published an article "Einige Übereinstirnrnungen zwischen dem Chinesischen und dem Indogermanischen", in which he claimed that 57 words are related. Shortly afterwards, Tor Ulving of the University of Goteborg, Sweden, wrote a review of this article framing the title as a question: "Indo-European elements in Chinese?" While working on his thesis on word families in Chinese, Ulving compiled for his own use two dictionaries: "Archaic Chinese - English" and "English - Archaic Chinese", and discovered thereby 238 Chinese words similar to Indo-European roots. In spite of this considerable number of word equivalents, however, Mr. Ulving became discouraged and, as he told me in his letter of April, 1986, has given up his researches in this field. The skepticism, common among Indo-Europeanists in regard to comparative studies with other languages, is largely based on the dogmatic opinion that only morphology is relevant but not vocabulary. Since the typology of Chinese seems to preclude a cognate relation to Indo-European, they are inclined to discard any lexical correspondences as merely accidental or onomatopoetic. Besides, prehistorical contacts and mixtures between these languages seem not conceivable, as the Indo-Europeans are supposed to have originated in Northern Europe or at best in the Central Asian steppe, thousands of miles away from East Asia. Hence, any research into a relationship between Old Chinese and Indo-European languages would be but futile from the outset. Yet there are also opposing views among Indo-Europeanists. Investigations into Germanic languages and the oldest Indo-European language, Hittite, led some of them to a critical revision of the prevailing conception about a Proto-Indo-European. Hermann Hirt (1934) for instance states: "Inflexion of Indo-European languages is due to a relatively late development, and its correct comprehension can be achieved only by proceeding from the time of non-inflexion." And Carl Karstien (1936) holds the opinion that "Chinese corresponds most ideally to the hypothetic prototype of Indo-European." Regarding vocabulary, there are striking similarities in the monosyllabic structure of the basic words. In modern German and English, all the words of everyday speech are monosyllabic and their stereotypical structure is: initial consonant(s) + vowel(s) + final consonant(s). The same word structure is valid for Chinese as well. It is fundamentally different from the disyllabic structure of Altaic words and from the triconsonantal-disyllabic structure of Semitic words. Characteristic of the monosyllabic word structure is, besides, the complexity of the syllable nucleus, which consists of different vowels and vowel clusters in contrast to the monophthongal vocalism of polysyllabic words. Another objection raised to comparisons between Chinese and Indo-European is the existence of tonal accents in Chinese. Since most modern Indo-European languages have only expiratory accents, Chinese is considered to be a highly exotic language. Yet, even in Chinese, the use of tonal accents as a means of lexical differentiation is a result of comparatively recent development in the long history of Chinese language, the earliest monuments of which date back to 1300 B.C. (cf. Chang 1970, p.21). Unknown to Old Chinese, the existence of tonal accents was for the first time mentioned in the 5th century by Shen Yüeh (441-513). In Middle Chinese (Mch.) there were four tone categories: A P'ing-sheng 平 a level tone (which developed into Mandarin tone 1 or 2). B Shang-sheng 上 a rising tone (Mandarin tone 3). C Ch'u-sheng 去 a vanishing, i.e. falling tone (Mandarin tone 4). D Ju-sheng 入 an entering tone with a staccato effect, the word being abruptly stopped by a final consonant -p, -t, -k. (In Early Mandarin the words of this tone lost their final consonant and were distributed among the tones 2, 3 and 4, respectively according to the phonation of initials). In Middle Chinese, words of the entering tone were the only group which still preserved the final stops and therefore a close syllabic structure. So they are most appropriate for convincing comparisons with monosyllabic Indo-European word stems. The final stops -p, -t, -k of the entering tone are nowadays still extant in daily speech of several dialects in South China as well as in Chinese borrowings in Japanese, Vietnamese and Korean. As a speaker of a Taiwan dialect of Minnan origin, I could immediately identify some Indo-European stems with corresponding Chinese words. Besides, the command of Japanese and German was also a great help for this study. In the following lists I have chosen a number of Indo-European stems which are phonetically and semantically equivalent to Chinese words. Correspondences in initial and final consonants refer to the points of articulation, thus we have equations: IE labials = Old Chinese labials, IE dentals = dentals, IE l, r = dentals (cf. p. 31); Ø, i (final and medial) IE velars = velars and laryngeals, and occasionally (the so-called "satem"-forms) IE velars = dental sibilants and affricates. Regarding the manner of articulation, there are no regular correspondences between Indo-European and Chinese consonants like Grimm's law which is valid among Indo-European dialects to a certain extent. But this is not astonishing, since in Old Chinese the alternation of initials in voicing was a conventional means of creating new words from one basic form. The rules of vocalic correpondences among Indo-European dialects are quite complex. Vowels permanently change their qualities from one language to another, and from time to time within one language also, as is well known from the history of English pronunciations. Generally, the vocalism of Old Greek is taken as the standard for Proto-Indo-European. Old Chinese vowels corresponds nearly (cf. p. 30), but the details about the reconstruction of Middle and Old Chinese vocalism will be treated later (pp. 26-30). For the moment, it is necessary to notice in advance that the stem of ablauting Germanic verbs is the form of preterite or noun, rather than that of infinitive as assumed hitherto. Therefore, in some cases I must slightly modify the basic vowel of verbal stems given in Pokorny, in order to get better basis for comparison. As Old Chinese verbs were non-flexional, they might probably have preserved the original vowel the best
Treatment Strategies and Challenges in the Co-Management of Type 2 Diabetes and Tuberculosis
No full textDespite rapid advances in the healthcare field, diabetes mellitus (DM) and tuberculosis (TB) continues to be a global burden that affects millions of people every year. The association between DM and TB has been known for an extended period. The last 15 years, however, have seen an increased number of studies showing that diabetes (both type 1 and type 2) increases the risk of tuberculosis because of impaired immune defences and likewise, TB may induce hyperglycemia and therefore increase the risk of DM. When DM and TB co-exist as dual diseases, it complicates management strategies as treatment outcomes are affected. In developing countries where the epidemic of DM and TB is rapidly growing, the presence of a concomitant disease becomes a challenge to the affected nation and could also impact DM and TB control on a global scale. This review brings together information on what is currently known about T2DM and TB as a double epidemic, the recommended treatment strategies, and the challenges involved in disease management. Furthermore, we address the future perspectives of the co-management of T2DM and TB and what can be done to overcome the shortcomings of currently available guidelines
A systematic scoping review of undergraduate medical ethics education programs from 1990 to 2020
No full text10.1080/0142159X.2021.1970729Medical Teacher442167-18
A systematic scoping review of undergraduate medical ethics education programs from 1990 to 2020
No full textEnsuring medical students are equipped with essential knowledge and portable skills to face complex ethical issues underlines the need for ethics education in medical school. Yet such training remains variable amidst evolving contextual, sociocultural, legal and financial considerations that inform training across different healthcare systems. This review aims to map how undergraduate medical schools teach and assess ethics. Guided by the Systematic Evidence-Based Approach (SEBA), two concurrent systematic scoping reviews were carried out, one on ethics teaching and another on their assessment. Searches were conducted on PubMed, Embase, PsycINFO and ERIC between 1 January 1990 and 31 December 2020. Data was independently analysed using thematic and content analysis. Upon scrutinising the two sets of full-text articles, we identified 141 articles on ethics teaching and 102 articles on their assessments. 83 overlapped resulting in 160 distinct articles. Similar themes and categories were identified, these include teaching modalities, curriculum content, enablers and barriers to teaching, assessment methods, and their pros and cons. This review reveals the importance of adopting an interactive, multimodal and interdisciplinary team-teaching approach to ethics education, involving community resource partners and faculty trained in ethics, law, communication, professionalism, and other intertwining healthcare professions. Conscientious effort should also be put into vertically and horizontally integrating ethics into formal medical curricula to ensure contextualisation and application of ethics knowledge, skills and attitudes, as well as protected time and adequate resources. A stage-based multimodal assessment approach should be used to appropriately evaluate knowledge acquisition, application and reflection across various practice settings. To scaffold personalised development plans and remediation efforts, multisource evaluations may be stored in a centralised portfolio. Whilst standardisation of curricula content ensures cross-speciality ethical proficiency, deliberative curriculum inquiry performed by faculty members using a Delphi approach may help to facilitate the narrowing of relevant topics.</p
Postgraduate ethics training programs: a systematic scoping review
No full textAbstract Background Molding competent clinicians capable of applying ethics principles in their practice is a challenging task, compounded by wide variations in the teaching and assessment of ethics in the postgraduate setting. Despite these differences, ethics training programs should recognise that the transition from medical students to healthcare professionals entails a longitudinal process where ethics knowledge, skills and identity continue to build and deepen over time with clinical exposure. A systematic scoping review is proposed to analyse current postgraduate medical ethics training and assessment programs in peer-reviewed literature to guide the development of a local physician training curriculum. Methods With a constructivist perspective and relativist lens, this systematic scoping review on postgraduate medical ethics training and assessment will adopt the Systematic Evidence Based Approach (SEBA) to create a transparent and reproducible review. Results The first search involving the teaching of ethics yielded 7669 abstracts with 573 full text articles evaluated and 66 articles included. The second search involving the assessment of ethics identified 9919 abstracts with 333 full text articles reviewed and 29 articles included. The themes identified from the two searches were the goals and objectives, content, pedagogy, enabling and limiting factors of teaching ethics and assessment modalities used. Despite inherent disparities in ethics training programs, they provide a platform for learners to apply knowledge, translating it to skill and eventually becoming part of the identity of the learner. Illustrating the longitudinal nature of ethics training, the spiral curriculum seamlessly integrates and fortifies prevailing ethical knowledge acquired in medical school with the layering of new specialty, clinical and research specific content in professional practice. Various assessment methods are employed with special mention of portfolios as a longitudinal assessment modality that showcase the impact of ethics training on the development of professional identity formation (PIF). Conclusions Our systematic scoping review has elicited key learning points in the teaching and assessment of ethics in the postgraduate setting. However, more research needs to be done on establishing Entrustable Professional Activities (EPA)s in ethics, with further exploration of the use of portfolios and key factors influencing its design, implementation and assessment of PIF and micro-credentialling in ethics practice
The molecular genetics of bipolar affective disorder : South African populations, endophenotypes, and environmental influence
No full textIncludes bibliographical references.The identification of the genetic variants underpinning bipolar disorder (BPD) has been impeded by a complex pattern of inheritance that may include by genetic heterogeneity, genetic epistasis, gene-environment interactions, incomplete penetrance and variable expressivity. In this thesis three strategies were employed to ameliorate these confounding factors. The first strategy was to focus on a theoretically genetically-homogeneous population with BPD. A unique South African sample including 190 individuals of the relativity reproductively-isolated Afrikaner population yielded promising evidence of linkage to chromosome 1 q31-32 and weaker peaks at lOq23 and 13q32, regions previously implicated in the disorder. A family-based analysis suggested that the 3' variable number tandem repeat (VNTR) variant of the dopamine transporter gene (DAT) is associated with bipolar-spectrum illness in the 132-strong sample of British ancestry. The second strategy was to carry out genetic linkage and association analyses using quantitative traits (elldophenotypes) that were closely associated with BPD. As part of this process a variety of personality traits were evaluated in the cohort, and anxiety related, novelty-seeking, hyperthymic, and cyclothymic personality traits were found to aggregate in participants with BPD and to a lesser extent repeated unipolar illness (MDE-R). These traits were therefore used as quantitative markers or endophenotypes of BPD. The quantitative linkage analysis indicated that a variant in the region of 13q32 may influence the development of novelty-seeking-related traits in the largest Afrikaner pedigree, while the personality trait, ""Stability"", was weakly linked to 4p16 in the total sample. The catechol-o-methytransferase (COM1) Va1l58Mct and the Brain Derived Neurotrophic Factor (BDNF) Va1l66Met polymorphisms were associated with mood-labile-cyclothymic and hyperthymic·-novelty-seeking traits, respectively. the DA T VNTR and the Notch4 exonic repeat variants were associated with a broad range of ""pathological"" personality traits in the sa11lples of British and Afrikaner origin, respectively. The sample was also evaluated with a battery of neuropsychological tasks and the BPD 1 and MDE-R groups displayed both verbal and visual memory recall deficits while the BPD 1 sample also suffered from recognition memory deficits. The neurocognitive trait, ""Memory"" was therefore used as a second endophenotype generating potential linkage signals on IOq23 and 22q 11. The exonic 48bp VNTR polymorphism in the dopamine 4 receptor (DRD4) gene was associated with '""Memory"" performance. As a third strategy, a potentially important aetiological factor, childhood trauma, was measured, and used to test for gene-environment interactions between the various candidate genes and bipolar-illness or BPD-related endophenotypes in the cohort. BPD and M DE-R individuals displayed significantly higher levels of emotional and physical abuse, and the former variable was also associated with the development of anxiety-related and unstable personality traits. A functional variant of the COM1 gene was found to interact with abuse to predispose to anxiety-related, unstable cyclothymic and novelty-seeking related personality traits. The combination of childhood abuse and possession of low-activity MAO-A gene variants was also associated the development of more anxious and unstable personality traits. All interaction between sexual abuse and the B])NF gene modulated performance on verbal and visual memory tasks. A similar interaction between the ApoE gene and sexual abuse was observed. Although a number of theoretical obstacles remain to be resolved, the analyses of isolated populations coupled with the use of endophenotypes and the testing or gene environment interactions, holds out great promise for the eventual elucidation of the genetic basis of hi polar affective disorder
