Pub Date : 2022-06-30DOI: 10.47363/jghr/2022(3)131
Tadesse Tilahun Feyisa
A cross sectional study was carried out in West Shoa Zone of Oromia regioninal state in Gindeberet woreda from june 20/,2017 to October 2017, .Sheep are the most important farm animal in our country, special dominant livestock, providing skin or wool and cash income in addition to food subsistence value obtained from livestock production. However due to the ectoparasite there is loss of skin value, income and wool due to poor management problem. The purpose of this study was to identify major ectoparasites of sheep and to determine their prevalence in the study area and to assess the magnitudes of these parasites in relation to sex, age and body condition. Out of 200 sheep examined 133 (66.5%) sheep were infested with the major ectoparasite. The major ectoparasite identified were ticks 31%, followed by lice 15.5%, fleas 12.5%, Melophagus ovinus 7% and Mange mites 0.5%. The overall infestation with ectoparasites was higher in females (37.5%) than males (29%). The overall prevalence in association with age categories was higher in adult (34%) than in the young (32.5%). The prevalence of major ectoparasite based on the BCS was found to be higher in poor (33.5%) than the (21.5%) medium and the good (11.5%) from in the overall occurrence of ectoparasites. The higher prevalence of ticks, lice, fleas, M.ovinus, and mangemites were observed in female and males. The highest prevalence of tick infestation (n=62) were observed in the area, among ectoparasite ticks were the most prevalent parasites (n=62) with the prevalence of 31% in the area, while the prevalence of mangemites was 0.5 %( n=1). Based on age classification the prevalence of Ticks (17.5%), lice (9%), fleas (7.5%), Melophagus ovinus (or sheep ked) (4%), and mange mite (0.5%) were highly prevalent in the adults than young’s (13.5%), (6.5%), (5%) and (3%) respectively. From the result of this study it is possible to conclude that ectoparasite infestation has affected drawback in the production of sheep at the study area.
{"title":"Abundances of Ectoparasite of Sheep around West Shoa Zone Gindeberet Woreda","authors":"Tadesse Tilahun Feyisa","doi":"10.47363/jghr/2022(3)131","DOIUrl":"https://doi.org/10.47363/jghr/2022(3)131","url":null,"abstract":"A cross sectional study was carried out in West Shoa Zone of Oromia regioninal state in Gindeberet woreda from june 20/,2017 to October 2017, .Sheep are the most important farm animal in our country, special dominant livestock, providing skin or wool and cash income in addition to food subsistence value obtained from livestock production. However due to the ectoparasite there is loss of skin value, income and wool due to poor management problem. The purpose of this study was to identify major ectoparasites of sheep and to determine their prevalence in the study area and to assess the magnitudes of these parasites in relation to sex, age and body condition. Out of 200 sheep examined 133 (66.5%) sheep were infested with the major ectoparasite. The major ectoparasite identified were ticks 31%, followed by lice 15.5%, fleas 12.5%, Melophagus ovinus 7% and Mange mites 0.5%. The overall infestation with ectoparasites was higher in females (37.5%) than males (29%). The overall prevalence in association with age categories was higher in adult (34%) than in the young (32.5%). The prevalence of major ectoparasite based on the BCS was found to be higher in poor (33.5%) than the (21.5%) medium and the good (11.5%) from in the overall occurrence of ectoparasites. The higher prevalence of ticks, lice, fleas, M.ovinus, and mangemites were observed in female and males. The highest prevalence of tick infestation (n=62) were observed in the area, among ectoparasite ticks were the most prevalent parasites (n=62) with the prevalence of 31% in the area, while the prevalence of mangemites was 0.5 %( n=1). Based on age classification the prevalence of Ticks (17.5%), lice (9%), fleas (7.5%), Melophagus ovinus (or sheep ked) (4%), and mange mite (0.5%) were highly prevalent in the adults than young’s (13.5%), (6.5%), (5%) and (3%) respectively. From the result of this study it is possible to conclude that ectoparasite infestation has affected drawback in the production of sheep at the study area.","PeriodicalId":166372,"journal":{"name":"Journal of Gastroenterology & Hepatology Reports","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128592177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.47363/jghr/2022(3)134
Lyndie Wilkins Parker DO, Yamine Saddouk MD DO
Wernicke’s encephalopathy is an acute, potentially fatal syndrome attributable to thiamine deficiency. Prompt identification and treatment is essential to prevent the development of Korsakoff syndrome, an irreversible memory disorder associated with both retrograde and anterograde amnesia. Here, we present a case of a 39-year-old woman admitted to the ICU with a diagnosis of alcohol withdrawal and severe malnutrition. On admission, the patient was noted to have horizontal nystagmus and underwent aggressive thiamine repletion resulting in resolution of her symptoms.
{"title":"Wernicke’s Encephalopathy in the Setting of Severe Malnutrition and Alcohol Abuse","authors":"Lyndie Wilkins Parker DO, Yamine Saddouk MD DO","doi":"10.47363/jghr/2022(3)134","DOIUrl":"https://doi.org/10.47363/jghr/2022(3)134","url":null,"abstract":"Wernicke’s encephalopathy is an acute, potentially fatal syndrome attributable to thiamine deficiency. Prompt identification and treatment is essential to prevent the development of Korsakoff syndrome, an irreversible memory disorder associated with both retrograde and anterograde amnesia. Here, we present a case of a 39-year-old woman admitted to the ICU with a diagnosis of alcohol withdrawal and severe malnutrition. On admission, the patient was noted to have horizontal nystagmus and underwent aggressive thiamine repletion resulting in resolution of her symptoms.","PeriodicalId":166372,"journal":{"name":"Journal of Gastroenterology & Hepatology Reports","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117167692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.47363/jghr/2022(3)139
Kleber de Almeida Gentile
Introduction: Merkel cell carcinoma (MCC) is characterized as a malignant trabecular neoplasm of the skin. The most common sites of lesions are areas frequently exposed to the sun, thus regions such as head, neck and upper limbs. The aim of this study is to report the clinical case of a female patient assisted in a Teaching Hospital in the State of São Paulo, with a lesion in the left gluteal region, unusual to what is found in the literature. Case Report: An 87-year-old female patient, who underwent excisional biopsy of a lesion on her left buttock, with an anatomopathological (AP) diagnosis of MCC, was also submitted to a control image, which showed a new lesion in the lymph node chain, and underwent a new surgical procedure, which was unsuccessful.
{"title":"Merkel Cell Carcinoma: Case Report and Bibliographic Review","authors":"Kleber de Almeida Gentile","doi":"10.47363/jghr/2022(3)139","DOIUrl":"https://doi.org/10.47363/jghr/2022(3)139","url":null,"abstract":"Introduction: Merkel cell carcinoma (MCC) is characterized as a malignant trabecular neoplasm of the skin. The most common sites of lesions are areas frequently exposed to the sun, thus regions such as head, neck and upper limbs. The aim of this study is to report the clinical case of a female patient assisted in a Teaching Hospital in the State of São Paulo, with a lesion in the left gluteal region, unusual to what is found in the literature. Case Report: An 87-year-old female patient, who underwent excisional biopsy of a lesion on her left buttock, with an anatomopathological (AP) diagnosis of MCC, was also submitted to a control image, which showed a new lesion in the lymph node chain, and underwent a new surgical procedure, which was unsuccessful.","PeriodicalId":166372,"journal":{"name":"Journal of Gastroenterology & Hepatology Reports","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117288863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.47363/jghr/2022(3)136
Inês Ângelo
Autonomic dysfunction (AD) can manifest in Chronic liver disease (CLD), whose pathophysiological mechanism remains somewhat misunderstood. The following case reports a 57-year-old patient, hospitalized because of his decompensated CLD-ethanolic etiology-who started with an acrocyanosis condition in the lower limbs, after positional change to orthostatism. With other causes excluded, his blood pressure (BP) variation and his heart rate (HR) were analyzed. The latter allowed a diagnosis of Orthostatic Hypotension (OH) and Postural Orthostatic Tachycardia Syndrome (POTS), which can be frequently considered as manifestations of AD. There is a high percentage of CLD of ethanolic etiology patients that suffer from alterations in the autonomous nervous system caused by decreased function of baroreceptors to positional variations. This clinical case aims to exhibit an atypical presentation of two entities that characterize AD and may be present in these patients.
{"title":"Acrocyanosis A Manifestation of Autonomic Dysfunction in Chronic Liver Disease-Case Report","authors":"Inês Ângelo","doi":"10.47363/jghr/2022(3)136","DOIUrl":"https://doi.org/10.47363/jghr/2022(3)136","url":null,"abstract":"Autonomic dysfunction (AD) can manifest in Chronic liver disease (CLD), whose pathophysiological mechanism remains somewhat misunderstood. The following case reports a 57-year-old patient, hospitalized because of his decompensated CLD-ethanolic etiology-who started with an acrocyanosis condition in the lower limbs, after positional change to orthostatism. With other causes excluded, his blood pressure (BP) variation and his heart rate (HR) were analyzed. The latter allowed a diagnosis of Orthostatic Hypotension (OH) and Postural Orthostatic Tachycardia Syndrome (POTS), which can be frequently considered as manifestations of AD. There is a high percentage of CLD of ethanolic etiology patients that suffer from alterations in the autonomous nervous system caused by decreased function of baroreceptors to positional variations. This clinical case aims to exhibit an atypical presentation of two entities that characterize AD and may be present in these patients.","PeriodicalId":166372,"journal":{"name":"Journal of Gastroenterology & Hepatology Reports","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116835372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.47363/jghr/2022(3)138
H. Lei
{"title":"Experience of Laparoscopic Duodenum Preserving Pancreatic Head Resection","authors":"H. Lei","doi":"10.47363/jghr/2022(3)138","DOIUrl":"https://doi.org/10.47363/jghr/2022(3)138","url":null,"abstract":"","PeriodicalId":166372,"journal":{"name":"Journal of Gastroenterology & Hepatology Reports","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123248551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-31DOI: 10.47363/jghr/2022(3)132
João Kleber de Almeida Gentile, Giovanna Caldeira Sala, Laís de Campos Bento
Calculous cholelithiasis represents about 90% of acute cholecystitis. The high incidence of the disease demonstrates the importance of knowing its clinical manifestations such as pain in the right hypochondrium, anorexia, nausea, vomiting and jaundice, in addition to its serious complications such as liver abscess and intrahepatic perforation. In the case described, we report a 72-year-old male patient who had asthenia about two months ago in association with anorexia and weight loss, with choledocholithiasis as a complication with gallbladder perforation and liver abscess. The study will present the pathogenesis of these complications and will correlate to the importance of a fast and effective care.
{"title":"Surgical Management of Cholecystitis with Chronic Perforation and Liver Abscess Associated with Choledocholithiasis","authors":"João Kleber de Almeida Gentile, Giovanna Caldeira Sala, Laís de Campos Bento","doi":"10.47363/jghr/2022(3)132","DOIUrl":"https://doi.org/10.47363/jghr/2022(3)132","url":null,"abstract":"Calculous cholelithiasis represents about 90% of acute cholecystitis. The high incidence of the disease demonstrates the importance of knowing its clinical manifestations such as pain in the right hypochondrium, anorexia, nausea, vomiting and jaundice, in addition to its serious complications such as liver abscess and intrahepatic perforation. In the case described, we report a 72-year-old male patient who had asthenia about two months ago in association with anorexia and weight loss, with choledocholithiasis as a complication with gallbladder perforation and liver abscess. The study will present the pathogenesis of these complications and will correlate to the importance of a fast and effective care.","PeriodicalId":166372,"journal":{"name":"Journal of Gastroenterology & Hepatology Reports","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125381666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-30DOI: 10.47363/jghr/2022(3)135
Hotayt Bilal, Alkhatib Amani
Superior mesenteric artery (SMA) or Wilkie’s syndrome is a rare clinical entity of partial or complete duodenal obstruction. The lack of awareness for this phenomenon often results in a delayed diagnosis, yet it can predispose to potentially life-threatening complications. Our case of young female presented for recurrent vomiting and weight loss, the CT scan showed narrow aortomesenteric angle resulting in external compression of the duodenum, other workup including laboratory test and endoscopy were negative. SMA syndrome should be always in the differential diagnosis of unexplained vomiting and weight loss, mainly in the young age group
{"title":"Case Report: Superior Mesenteric Artery Syndrome in a Healthy Adolescent","authors":"Hotayt Bilal, Alkhatib Amani","doi":"10.47363/jghr/2022(3)135","DOIUrl":"https://doi.org/10.47363/jghr/2022(3)135","url":null,"abstract":"Superior mesenteric artery (SMA) or Wilkie’s syndrome is a rare clinical entity of partial or complete duodenal obstruction. The lack of awareness for this phenomenon often results in a delayed diagnosis, yet it can predispose to potentially life-threatening complications. Our case of young female presented for recurrent vomiting and weight loss, the CT scan showed narrow aortomesenteric angle resulting in external compression of the duodenum, other workup including laboratory test and endoscopy were negative. SMA syndrome should be always in the differential diagnosis of unexplained vomiting and weight loss, mainly in the young age group","PeriodicalId":166372,"journal":{"name":"Journal of Gastroenterology & Hepatology Reports","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121659250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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