Neuroendocrine Tumor of the Common Bile Duct: Case Report

Carcinoma of the extrahepatic biliary tract accounts for <2% of all cancers. Neuroendocrine tumor of the extrahepatic bile duct is very rare, and there are <200 cases reported since 1959. The preoperative diagnosis is infrequent (5.12%). The definite diagnosis relies on postoperative pathology which utilized immunohistochemistry study on many biomarkers to diagnose the histological subtypes of neuroendocrine neoplasms, such as chromogranin A, synaptophysin, and neuron-specific enolase. When the primary tumor has no metastases, radical removal of the lesion appears as curative treatment. The treatment of the carcinoid syndrome or other functioning syndrome is the first priority. We report a case of a 12-year-old Mexican woman with neuroendocrine tumor of the extrahepatic bile duct (common bile duct neuroendocrine tumor) seen in our hospital. Resection of the common bile duct, cholecystectomy, end to side Roux-en-y hepaticojejunostomy, and portal lymphadenectomy was performed. A review of the pertinent literature was performed. Given the rarity of the disease, treatment principles are based mainly on retrospective series and case reports. We present the eighth case in adolescence in the literature.

Discursos de ciencia, naturaleza, religión, historia y poder en los feminismos de La Mujer Mexicana (1904-1907)

El propósito de este trabajo es plantear las diversas maneras como las escritoras de la revista feminista La Mujer Mexicana (1904-1907) entendían la relación entre feminidad, naturaleza y búsqueda del conocimiento. En las páginas de esta publicación, distintas autoras expresaron ideas sobre ciencia, religión, historia y poder. A través de este ejercicio de análisis, no sólo se busca contribuir a la comprensión de los feminismos durante el porfiriato, sino hacer patentes las complejidades discursivas con que en la revista en cuestión, entre otras fuentes, se expresó una gama realmente amplia y plural de visiones sobre el papel que las mujeres de entonces debían desempeñar en la sociedad mexicana.Palabras clave: Discurso, Feminismo, Historiografía, Prensa femenina Discourses of science, nature, religion, history and power in the feminisms of La Mujer Mexicana (1904-1907)SummaryThe purpose of this work is to present the different ways in which the writers of the feminist magazine La Mujer Mexicana (The Mexican Woman) (1904-1907) understood the relationship between femininity, nature and the search for knowledge. In the pages of this publication, different female authors expressed ideas about science, religion, history and power. Through this exercise of analysis, it is not only sought to contribute to the understanding of feminisms during the Porfiriato, but to make patent the discursive complexities with which in the magazine in question, among other sources, a truly wide and plural range of views about the role that women of that time had to perform in Mexican society was expressed.Keywords: Speech, Feminism, Historiography, Women's press Discours de science, nature, religion, histoire et pouvoir chez les féminismes de La Mujer Mexicana (1904-1907)RésuméLe but de ce travail est celui d’exposer les diverses manières à travers lesquelles les écrivaines de la revue féministe La Mujer Mexicana (1904-1907) comprenaient la relation parmi féminité, nature et recherche de la connaissance. Dans les pages de cette publication, diverses auteures ont exprimé des idées sur science, religion, histoire et pouvoir. À travers cet exercice d’analyse, on ne cherche pas seulement à contribuer à la compréhension des féminismes pendant le Porfiriat, mais aussi contribuer au fait de mettre en évidence les complexités discursives avec lesquelles la revue mentionnée a exprimé, entre autres sources, une gamme vraiment grande et plurielle des visions sur le rôle que les femmes d’autrefois devraient jouer dans la société mexicaine.Mots clés : Discours, Féminisme, Historiographie, Presse féminine

Giant Benign Mammary Phyllodes Tumor: Report of a Case and Review of the Literature

Phyllodes tumor of the breast is an infrequently encountered fibroepithelial neoplasm, which accounts for 0.3–1% of all tumors. Few case reports have described the occurrence of giant phyllodes tumor. To our knowledge, about 20% of phyllodes tumors would be considered giant benign. Complete surgical excision is the standard of care for giant benign phyllodes tumors; axillary lymph node metastasis is rare, and dissection should be limited to patients with pathologic evidence of tumor in the lymph nodes. We report the case of a 40-year-old Mexican woman with giant mammary tumor who underwent a right total mastectomy. The pathology results showed a benign phyllodes tumor 4,857 g in weight and 40.2 × 36.3 × 15 cm in size. We do not suggest adjuvant radiation therapy for patients with benign phyllodes tumors that are widely excised. A review of the pertinent literature was performed.

Blanca Lydia Trejo: una mexicana en la guerra civil española

The Spanish Civil War (1936-39) aroused the solidarity of hundreds of thousands of foreigners who fought in the ranks of the Republican army and numerous intellectuals who travelled around the country and left written testimony of their experiences. This is the case of Blanca Lydia Trejo, a Mexican woman who, installed in Barcelona at the request of President Lázaro Cárdenas, participates in the rescue brigades organised by the anarcho-syndicalist women’s movement of Mujeres Libres. Deeply disillusioned by the frictions between the republican forces, especially by the performance of the communist leading cadres, her testimony, published in Mexico in 1940, is an interesting literary material because it is the witness to the author’s narrative alterity.

Dysphagia Management in Culturally-Linguistically Diverse Populations

Culturally competent management of adults with swallowing disorders involves more than simply including ethnically appropriate foods in dysphagia therapy. It requires an understanding of the client's health beliefs, challenges, and unique cultural perspective regarding all aspects of food to ensure unbiased and culturally appropriate services are provided. This chapter begins with an overview of dysphagia management followed by a closer look at cultural beliefs regarding food and ethical conflicts that may arise. The strategies for shared decision-making presented help create a culturally sensitive dynamic between the clinician and the patient/family that positively influence therapy outcomes. The chapter concludes with a case study that highlights the importance of ethnographic interviewing needed to establish understanding and trust between the clinician and an elderly Mexican woman and her family. The strategies and techniques presented here can be applied across all cultures to achieve successful management of dysphagia.

Aplicación de la historia de vida como técnica para la visibilización y abordaje de las múltiples pérdidas y duelos en casos de violencia

The main objective of this paper is to describe how the application of the life history technique serves to make visible, address, and treat the multiple losses and grief in contexts of violence. this is done through the analysis of the life history of a 62-year-old Mexican woman from the state of Guerrero. this is a qualitative study that takes up robert A. Neimeyer’s theory of multiple grief, who conceives grief as a situation triggered by the death of a close person, but also by a loss that is generally minimized and not well attended by society. This way, the life story technique has significant advantages for the treatment of multiple grief or losses in violent contexts. The narrative helps people to integrate thoughts and emotions about the losses they have suffered into a consistent and meaningful experience.

MOURNING IN THE DEAD MOTHER COMPLEX

ABSTRACT: We review the concept of mourning, first as conceived by Freud and Klein, and how it relates with the contemporary “clinic of the void” as described by André Green. The clinic of the void is part of a series of modern manifestation of psychic malaise called “new symptoms”. To illustrate, we present the case of Roxana, a Mexican woman whose psyche reflected the dynamic of the dead mother complex. Through an analysis of her interpersonal relationships and past experiences, and comparing with psychoanalytic literature, we conclude that the dead mother complex might become a common condition in our society.

Subterranean Detention and Sanctuary from below: Canada’s Carceral Geographies

This paper begins with an account of Lucía Vega Jimenez, a Mexican woman who lived and worked in Metro Vancouver, Coast Salish Territories (Canada) and who died while held in detention in British Columbia’s Immigration Holding Centre. This article argues that Lucía’s story exposes a number of critical aspects regarding the geographies and politics of migration in Canada today. First, Lucia’s story points to the ways in which Canada’s determination process invisibilises certain forms of violence and, as such, serves as a highly restrictive and exclusionary mechanism. Second, it shows how this exclusionary mechanism extends like ‘capillaries’ throughout urban space. In this context city services (like transit) increasingly become less spaces of refuge, and more privatized border checkpoints. Third, following Lucia’s story reveals how city checkpoints funnel people with precarious status into remote detention, akin to Foucault’s ‘carceral archipelago.’ While expanding on carceral literature, this paper departs from existing scholarship that tends to think about remoteness horizontally. The paper argues that it is below the surface where carceral regimes become particularly hostile and—as such—the paper calls for deepened engagement with questions of verticality. Finally, the article illustrates how subterranean carceral dimensions are being politicized, agonistically, through sanctuary practices.

A Systematic Approach to Spanish Neuropsychological Evaluation: Case Report with a Mexican Woman in an Outpatient Setting

Objective The following case will demonstrate a systematic approach to neuropsychological evaluation with Spanish-speaking individuals, which includes creating a suitable test battery, interpreting results with appropriate normative samples, and incorporating personal history. Case Description 61-year-old, right-handed, Mexican female with 2 years of formal education, and with a recent history of subarachnoid hemorrhage with hydrocephalus. She was referred by her social worker and primary care provider to discern whether the reported cognitive complaints were due to a neurocognitive condition or depression. Diagnostic Impressions and Outcomes The evaluation was administered entirely in Spanish and some exams were modified to accommodate her limited literacy skills. She exhibited deficits in executive functioning, verbal fluency, and memory. Emotional testing revealed moderate depression with anxious distress, which she attributed to significant changes in everyday life. Her family informed us that she was the “matriarch of the family” and worked as a farm field truck driver, with significant difficulties/lack of engagement in both of these roles. Therefore, diagnoses of probable major vascular neurocognitive disorder and major depressive disorder with anxious distress were assigned. With this information, her providers were able to connect the family with community resources. Discussion The Hispanic population continues to be the fastest growing demographic in the United States. As more clinicians will work with members of this ethnicity in outpatient settings, it is important that they incorporate culturally-relevant factors in their approach to testing and interpretation of results. Nonetheless, this case demonstrates the current challenges and limitations, including modification of exams, differences in educational system that underlie test construction, and patient’s history. Recommendations for future areas of study and practice will also be discussed.