Introduction

This introductory chapter provides an overview of the portrayals of Middle America. How can such a beating-heart section of the country, the very cradle of regionalism, psychically ground and spiritually anchor a nation while simultaneously serving as its ultimate cautionary tale? Those who chose to leave Middle America sometimes hear in its portrayals a chilling message: Middle America is a place to avoid getting stuck in, a place whose fatalistic machinations the monied and mobile do well to escape. Many regionalists present Middle Americans as a Gothic people, from cradle to grave as mindful of death and dying as of living and thriving. Their stories and canvases illuminate an almost funereal-life-art practiced with fidelity in the heartland, where fictional characters and real-life citizens alike undertake the difficult task of living passionately and purposefully against a backdrop of finite and sometimes tragic limits. For true regionalists, however, the homegrown Gothic amounts to much more than mere pessimism or fatalism; it is an homage to Death, Life's less heralded twin, an animating force no less instructive and no less worthy of its own pages.

Infective endocarditis as a result of obstetric and gynecological sepsis

The special place taken the problem of infectious failure of endocardial structures in obstetric-gynecologic practice. In this article given the analyses of the results of leading research and treatment of women patients with infectious endocarditic in puerperal period. The actuality of this problem is determined by the increasing of women with infectious endocarditic, being developed in the period of after childbirth and abortion, because of the late diagnostic and consequence, high mortality. The question of developing endocarditic at women in the period after childbirth and abortion, as in our, so in modem literature is partly shown and there are only descriptions of some cases of appearing the disease or findings failured endocarditic at autopsy of women, died because of sepsis. The researches shown, that infectious endocarditic of puerperal period has itsown distinctive features: the first endocarditic with often localization of infection in the right heart section; the leading among the stimulyses IE is golden staphylococcus, taking the first place in etiology of pus-septic infections in obstetric-gynecologic practice; long and sub acute course of disease till the moment of stating the final diagnoses, and late beginning of adequate treatment and consequence, high mortality. The questions of developing IE after childbirth and abortion demand the further researching with the aim of prophylaxis, early diagnostic and choice of early adequate complex treatment as surgical, so therapeutic.