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Milk of calcium bile or limy bile is a rare condition in which the gallbladder is filled with a thick, pastelike, radiopaque material. It is almost entirely composed of calcium carbonate. The mechanism by which bile turns into limy bile is not well understood, Hewever, complete cystic duct obstruction by gallstones is believed to be a prerequisite for the development of limy bile. Hourglass gallbladder is a deformity of the gallbladder with a constriction or midtransverse septum between the infundibulum and body. Stasis proximal to the constriction probably contributes to calculous formation and may provoke cancerous alternations. This is the account of a case of Hourglass gallbladder associated with limy bile at the fundal compartment in a 43-year-old man who had vague abdominal pain in the right upper quadrant and indigestion for two years. The literature on this subject is briefly reviewed.
Zora Neale Hurston’s Their Eyes Were Watching God is an African American woman’s story of her search for selfhood. It is the story of a spiritual journey of Hurston’s female protagonist whose name is Janie Mac Crawford, who initiates her marriage to Logan Killicks. Even Logan is a farmer who has achieved material success and can provide financial security to her, Janie’s first marriage which was arranged by her grandmother is failed. Through their married life, Hurston portrays their concerns in different ways. For Janie, passion is a her dream. However, Logan’s concern is to work hard in order to be a successful farmer. So Janie does not love the prospect of a life of toilsome farm work that Logan seeks. This causes Janie to turn to Joe Starks. Janie runs off with Joe because he speaks on what she is dreaming about. During her second marriage, however, she is controlled by Joe’s economic power and class status. Janie has recognized that she has an inner self which is separate from him. Thus, Janie chooses Tea Cake Woods because he has the ability to express his feelings more intensely than the other men in her life. In her marriage with Tea Cake, Janie flourishes in love and experiences the respect of an equal that she so desired in her earlier marriage. After his death, Janie returns to her hometown with nothing. However, she gets her story and finds fulfillment which represents an alternative source of meaning for the African American female.
저자들은 간경병증으로 입원 중인 47세 남자 환자에서 해산물을 생식한 후 발열, 설사, 복통이 발생하고 혈액 배양에서 non -O1 V. cholerae가 분리되었고 조기의 적절한 항생제 투여로 회복되었던 환자 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Non-O1 Vibrio cholerae(V. cholerae) stains represent a diverse group of organisms which are morphologically and biochemically identical to V. cholerae, but do not agglutinate in V. cholerae O-group 1 antiserum. These strains cause a wider range of infections than the other typical cholera vibrio, including watery diarrhea, dysentery, would infection, ear infection, and septicemia. These strains have been isolated from several extraintestinal sites, including bile, gallbladder, blood, wound, ear drainage, sputum, and cerebrospinal fluid. Frequently, patients infected at these sites are afflicted wlth an underlying disease, such as liver cirrhosis, malignancy, diabetes, or any condition resulting in achlorhydria. Since the non-O1 V. cholerae gastroenteritis is self-limited, antibiotics are not recommended. However, septicemia, wound infection, and deep organ infection should be treated with appropriate antibiotics. These strains were susceptible to cephalothin, tetracycline, amikacin, gentamicin, kanamycin, and tobramycin. We report a case of non-O1 V. cholerae septicemia in a patient with liver cirrhosis. A 47-year-old male with liver cirrhosis complained of fever, diarrhea, abdominal pain upon admission. The day before the onset of symptoms, he had Sushi. Two blood cultures yieled non-O1 V. cholerae. He recovered by antibiotics, cefazolin and gentamicin.
In Native American Literature, words and stories have powerful healing ability. The stories heal the listeners by bringing them into the community. By hearing stories about others in situations similar to one`s own, the listener becomes one with a larger group. This thesis discusses how symbols of interconnectedness and spirituality of all life manifest in Native Americans and how the healing theme is created and incorporated in Louise Erdrich`s Love Medicine. The characters in the novel struggle to find a balance between the forces of change brought by Euro-American society, while trying to maintain the integrity and power of Native American`s traditional way of life. Futhermore, They heal themselves by continually trying to return to the community and by forgiving each other through hearing the stories of their own in others` voices. In this sense, not only Erdrich`s Love Medicine shows the typical problems of Native American, but also gives light to the possible solutions for those problems that Native Americans face today.
In Gloria Naylor’s The Women of Brewster Place, the author offers reflections of her political concerns regarding questions of race and gender in America. The novel is the story of seven African American women who live in a decaying apartment building in the suburbs of a northern city in America. The white supremacy mechanisms in American society force these women face ongoing social discrimination. Naylor reveals the crisis of her character's collective pain as they struggle with life in the ghetto. Living in a world of frustration and confusion are major themes resulting from the harsh reality of race, class, and gender problems the women face. In time, they come to realize that forming a sisterhood consisting of all African American women could offer support and allow them to resolve the issues of the deferred dreams of black America. Mattie’s healing process illustrates how black women can survive in an oppressive world. Mattie is not destroyed by harmful the society in which she lives. She develops a plan to create meaningful change for herself and others victimized by the difficult social structure. (Gyeonggi College of Science and Technology)
Gayl Jones poses questions about the issue of the controlling power of slavery related to contemporary conditions for African American women. Throughout the work, she tries to clarify the ways in which slavery has conditioned the project of black cultural reconstruction. She treats the body of black woman as a product of historical victim as well as a cultural productivity in the novel. In the slavery system, the black woman`s body never belongs to her. Her body is possessed by the slave owner as a commodity of the white society. Thus, Jones describes how the black woman`s body was victimized by the force of slavery`s ideology. As agents of historical preservation, the black women perform the crucial task of remembering the past and transmitting it to the future in Corregidora. In order to make a history for themselves, therefore, the Corregidora women use memory as the medium of historical preservation. Jones also focuses on the blues as an oral mode of the African cultural tradition in the novel. The blues carries the characters` senses of shared suffering. Jones` protagonist in Corregidora, Ursa, thus sings to express a black woman`s identity that can contain and transcend the history of slavery.