Introduction: Arterial dissection is well known as a potential cause of stroke in young patients. Vertebral artery dissection occurs most commonly in the setting of minor trauma but has been seen in cases of cervical manipulation. With advances in at-home therapeutic modalities for neck pain came the advent of handheld massage guns. These massage guns have gained considerable popularity in recent years, but their safety for use in the cervical region has not been well studied. Case report: In this case report, we discuss a 27-year-old female who presented with headache, neck pain, and dizziness who was found to have vertebral artery dissection after repetitive use of a handheld massage gun. Conclusion: In young patients presenting with headache, neck pain, and vague neurologic symptoms it is important to consider vertebral artery dissection as a cause of symptoms as it can lead to serious morbidity. When considering an inciting event such as minor trauma, it may also be important to assess whether there has been use of a handheld massage gun. Although causality is difficult to establish, with the increase in use of handheld massage guns we may find more frequent association between their use and vertebral artery dissection.
Genesis is gradually emerging as a rich source of psychology. However, some methods of studying this aspect are inadequate. The work of Eugen Drewermann is valuable but needs a broader horizon.
In Genesis 16, the beautiful barren Sarai finally releases what is inside her – a confused bitterness that strikes at God, Abram, and her slavegirl, Hagar. Her proposal that Abram impregnate Hagar causes tension between the two women and she drives the foreign slavegirl away. However, the Lord intervenes and brings back the foreign slavegirl, and she bears Abram a son, Ishmael. In Genesis 17, Ishmael is old enough to be circumcised; a circumcision linked to a covenant that includes foreigners (foreign slaves) and that promises new life for Sarai. Together, Genesis 16 and 17 give the concept of covenant a new depth and new inclusiveness. They also give Abram and Sarai new names – Abraham and Sarah.
In contrast with the documentary theory, which presumed that the sources of Genesis were lost, George Smith indicated in 1872 that source‐like material from Assyria concerning the flood story is still extant. Today it is possible to identify other extant materials that Genesis used in diverse ways. These materials include historiography, epic, prophetic books, and law.
Genesis is a literary unity, and is the foundation for the Pentateuch and for the entire Primary History (Genesis‐2 Kings). This unity is complex, like the human body with its many diverse parts. As with the body, no major part preexisted other parts; all came to birth simultaneously. Three features of Genesis are pivotal. (1) Genesis is encyclopedic, synthesizing literature, religion, the science of the time, and experience (2) Genesis is artistic literature. The many variations and apparent contradictions of the text reflect a unified artistic strategy. Above all, Genesis is like a series of two‐part paintings or diptychs – two accounts of creation, two of sin, two genealogies, and so on. Every piece fits, and the diverse parts set up a dialog. (3) Genesis illustrates intertextuality; its sources include extant documents, especially from Mesopotamia, from Judea (Isaiah, Jeremiah, and Ezekiel), and from western Asia (Homer's Odyssey). The documentary theory (JEDP) is unnecessary and misleading.
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