Depression: causes, symptoms, and treatment approaches
Few issues in society transcend all economic, educational, ethnic, gender, intellectual, occupational, political, religious, sexual, and social boundaries. Depression and teen violence are two such issues, impacting…
19-Year-Old Caucasian Female With Panic Attack
Case of a 19 year old Caucasian female who presents to the university health center with complaints of chest pain, racing pulse, anxiety, and breathlessness. The patient's symptoms are discussed, differential diagnoses ruled out, examination and diagnosis are discussed. The patient is diagnosed with panic attack but further psychiatric evaluation is required.
Pancreatic cancer overview and clinical aspects
Article about pancreatic cancer: etiology, pathology, treatment, and outcome.
The most common cause of pancreatic cancer is smoking which accounts for 25–30% of cases (Surveillance, Epidemiology and End Results Program). Other factors include hereditary pancreatic cancers, adults with diabetes of minimum duration two years, hereditary pancreatic, and a history of other family cancers (GUT. Guidelines for the management of patients with pancreatic cancer periampullary and ampullary carcinomas). The Consensus Guidelines of the International Association of Pancreatology advises that patients with a genetic history of pancreatic cancer should be referred to specialist centers where they can receive diagnosis of pancreatic diseases, genetic counseling, and advice on secondary screening (Ulrich
Joy Kogawa's Obasan: themes and significance
The dance between the silent stone and the language stream is performed throughout Naomi's narrative in the text. Naomi experiences "water and stone dancing" in her dreams and in her life reality, but the barriers to reconciliation remain unless and until the silence is broken (Kogawa 1981, 247). Naomi was able to surmount the hidden barriers and move beyond her fragmented understanding to find a cohesive element "that joins water and stone, speech and silence, memory and forgetfulness in a ‘quiet ballet, soundless as breath' (Kogawa 1981, 296, as cited in Goellnict 1989, 297). Naomi comes to believe that silence does not always stand as a barrier to understanding and in this way is able to validate in her own mind the silence of her mother. With her mother dead, no prospect for communication between mother and children exists—except in the silence that remains (Goellnict 1989). And for Naomi, though the communication between them can never be complete, it is a communication of understanding that Naomi accepts as sufficient (Goellnict 1989).