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"Benign recurrent intrahepatic cholestasis (BRIC) or idiopathic recurrent intrahepatic cholestasis is a rare case. It is familial and autosomal recessive. The etiology of BRIC is still unknown. We report the case of of patient with BRIC who suffered recurrent jaundice 7 times in 7 years that occurred for 1-3 months with spontaneous resolution. This patient received ursodeoxycholic acid, cholestiramine and prednisone. And within 2 months, the jaundice resolved together with other complaints."

"PURPOSE: Familial adenomatous polyposis (FAP)-associated desmoid tumor (DT) is sometimes life threatening. However, the optimal treatment for DTs has not been established. The aim of this study was to analyze the outcomes of surgical and pharmacological treatments for DT in Japanese FAP patients.METHODS: We retrospectively reviewed the data of 303 patients who underwent colectomy for FAP between 2000 and 2012. We analyzed 41 patients with DTs in which the location was apparent. The selection of treatment for intra-abdominal DTs was also evaluated according to Churchs classification.RESULTS: Surgery was frequently used to treat extraabdominal DTs. Multimodal treatments, including surgery, and the administration of non-steroidal antiinflammatory drugs, hormonal therapy, and chemotherapy were widely used for intra-abdominal DTs. The most effective pharmacological treatment was cytotoxic chemotherapy, which was associated with a response rate of 45.5% and a disease control rate of 72.7%. After a median follow-up period of 53.0 months, the 5-year DT-specific survival rate in patients with stage IV disease was 71.4%; in contrast, the rate in patients with other stages was 100%. Four-stage IV patients died of DT due to uncontrollable rapid progression. No cytotoxic chemotherapy was administered; however, incomplete resection was performed in three cases.CONCLUSION: Our findings will provide clues that may help physicians in selecting the optimal strategy for this rare disease."

"Makalah ini berisi refleksi saya ketika melakukan kegiatan magang di Synchronize Radio dalam menghadapi tantangan dan penyesuaian diri di lingkungan kerja kompleks. Saya memberikan analisis pribadi mengenai nilai kekeluargaan yang dipegang oleh Synchronize Radio, yang memberikan pandangan baru mengenai iklim pekerjaan yang tidak hanya transaksional, namun kekeluargaan. Dalam pengalamannya, penulis menemukan bahwa hubungan antar karyawan berjalan secara organik dan erat. Konsep kekeluargaan dalam konteks pekerjaan mengaburkan batasan profesionalitas dan mempengaruhi hubungan kerja. Melalui makalah ini, saya juga menyoroti adanya budaya maskulin yang mendominasi lingkungan kerja. Pada prosesnya, terdapat perubahan yang dirasakan untuk penyesuaian diri dalam lingkungan baru. Metode yang digunakan dalam penulisan makalah ini adalah auto- etnografi dan refleksi pengalaman diri penulis sehingga sangat mungkin terdapat keterbatasan data di dalamnya.

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This paper contains my reflection on my internship at Synchronize Radio, faced challenges and adapted to a complex work environment. I provide a personal analysis of the value of ‘familial bond’ held by Synchronize Radio, which offers a new perspective on the work climate that is not only transactional but also familian. In my experience, i also found that the relationships among employees were organic and intimate. The concept of familial bonds, in the work context, blurs the boundaries of professionalism and influences work relationships. Through this paper, I also highlight the presence of a masculine culture that dominates the work environment. Throughout the process, there were perceived changes in adapting to the new environment. The methodology used in writing this paper is autoethnography and reflection of the author’s own experience, so there may be data limitations."