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Severe Pelvic Endometriosis Involving the Rectum with Near Complete Bowel Obstruction: A Case Report
Get PDFEndometriosis is a common gynecological disease among reproductive-age women that can result in chronic pain, severely decreased quality of life, and infertility. We present a case of a 44-year-old female with a known history of endometriosis who presented with constipation, decreased appetite, iron deficiency anemia, and unintentional weight loss for 6 months. Investigation with colonoscopy discovered a partially-obstructing mass in her proximal rectum and no evidence of malignancy on biopsy. The mass was subsequently removed during a combined robotic-assisted total hysterectomy with bilateral salpingo-ophorectomy and low anterior resection with reanastomosis. Surgical pathology determined that the mass was consistent with endometriosis and no malignancy was identified. This case calls attention to a unique manifestation of endometriosis and highlights the importance of maintaining a broad differential diagnosis while utilizing a multidisciplinary team in the management of a rectal mass in reproductive-age women
B-Cell Non-Hodgkin’s Lymphoma: viewing an aggressive neck mass in an older adult from a primary care perspective
Get PDFAbstract
Patients with neck masses typically present to primary care providers, but most are unfamiliar with the management of aggressively expanding neck masses. With so many varied structures in the cervical region, a rapidly growing neck mass can be a diagnostic dilemma. The broad initial differential includes infectious, inflammatory, vascular, and malignant causes. When the clinical course points to an aggressive malignancy, the location of the mass helps provide the clues to the likely etiology. Potential sites of involvement include the musculature, bone, larynx, trachea, esophagus, lymph tissue and thyroid tissue. Anterior neck masses at the level the thyroid should prompt a differential of primary thyroid lymphomas. Diffuse large B-cell lymphoma is most common, followed by mucosa-associated lymphoid tissue lymphoma, follicular lymphoma, and small lymphocytic lymphoma. Anaplastic thyroid carcinoma should be considered as well. A history of Hashimoto’s thyroiditis should lead the clinician toward the large B-cell lymphoma.Prompt diagnosis via fine-needle aspiration biopsy is essential, because compressive symptoms and airway collapse may rapidly ensue. A correct clinical and histopathologic diagnosis is essential. Primary thyroid lymphoma can often be treated with chemoimmunotherapy and radiation has a mean overall survival of 9.0 years. Anaplastic thyroid carcinoma is often locally aggressive with advanced metastatic disease at presentation, and treatment options are more limited. Primary care physicians need to be familiar with these relatively rare etiologies for an aggressively expanding neck mass in order to recognize and rapidly coordinate diagnostic and treatment options in a timely fashion
Diversity when rebuilding Appalachian housing: Lessons from historical subsistence homesteads
Get PDFDesign a blueprint for the renewal of neighborhoods in an Appalachian town. Use diverse histories as a way to frame the discussion. Oral histories as a way to record stories and provide themes for further exploration
A Review of Anthony J. Viola\u27s All Lies begin with Truth
Get PDFThe Appalachian and Pennyroyal Plateau localities that Anthony J. Viola’s ecofiction inhabits are spaces that I have grown up in and have lived in my entire life. All Lies Begin With Truth, Viola’s second novel, takes place in the fictional town of West York, Kentucky
October 26th Letter from Don Yeager to Yeager Family
Get PDFLetter from Don Yeager to his family in which he says he\u27ll be stationed along the Cambodia and Vietnam border.https://mds.marshall.edu/yeager/1214/thumbnail.jp
First report of regeneration in the genus \u3cem\u3eMesobuthus\u3c/em\u3e (Scorpiones: Buthidae)
Get PDFA new example of scorpion leg regeneration is reported in an adult male Mesobuthus mesopotamicus (Penther, 1912). A claw (pretarsus) was observed to regenerate at the distal end of the tibia of the left leg II. The regeneration case is described and illustrated
Undated letter from Don Yeager to Glennis and Chuck Yeager
Get PDFUndated letter from Don Yeager to Chuck and Glennis in which he describes the difficulty of his military training, and the likelihood of him going to Vietnam after. Letter is undated, but he was drafted in 1967, so that is likely the year.https://mds.marshall.edu/yeager/1168/thumbnail.jp
Two new species of the remarkable scorpion genus \u3cem\u3eMegacormus\u3c/em\u3e Karsch, 1881 (Scorpiones: Euscorpiidae)
Get PDFTwo new species of the very interesting euscorpiid scorpion genus Megacormus Karsch, 1881, are herein described from eastern Mexico. Both had been previously misidentified in the published literature, one as Megacormus segmentatus Pocock, 1900, the other as Megacormus granosus (Gervais, 1844), but the direct comparison of adults of both sexes to adult topotypes from all members of the genus currently accepted as valid taxa, revealed solid morphological characters that warrant their recognition as distinct taxa. Both new species seem also to be endemics with a small distribution area, but apparently not restricted to a single locality. This addition raises the known composition of the genus to eight species, all of them exclusively from mountain sites of eastern Mexico
Aural and Oral Culture
Get PDFRobert Ellison and Larry Sheret were invited to present at “Off the Grid: Folk Culture and Digital Humanities,” a conference held at the College of William & Mary on June 24, 2023. Prof. Sheret began with a discussion of the scholarly research and publication cycle; an introduction to Marshall Digital Scholar (MDS), the Marshall University’s institutional repository; and an overview of the various ways Dr. Ellison has contributed to MDS. In his part of the presentation, entitled “Orality, Aurality, and The Library of Appalachian Preaching,” Ellison mentioned his previous work in orality-literacy theory and sermon studies, followed by a “deep dive” into the Library, his ongoing digital humanities project