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Sample records for ancylostomiasis

  1. Dyspeptic disorders and eosinophilia due to ancylostomiasis:a case report

    Institute of Scientific and Technical Information of China (English)

    Yann A.Meunier

    2009-01-01

    We present the case of a 41-year old man who consulted for dyspeptic disorders and presented with eosinophilia after a trip to Senegal.The diagnosis of ancylostomiasis was made by a parasitological stool examination.The treatment by fluoromebendazole was successful.

  2. Report on 17 Cases of Small Intestine Heavy ancylostomiasis Diagnosed by Capsule Endoscopy%胶囊内镜诊断小肠重度钩虫感染的临床价值

    Institute of Scientific and Technical Information of China (English)

    甘涛; 朱林林; 杨丽

    2015-01-01

    目的:探讨胶囊内镜对小肠重度钩虫病的检查指征及诊断价值。方法回顾分析四川大学华西医院2006年6月-2013年10月通过胶囊内镜诊断的17例小肠钩虫重度感染患者,进行统计学分析。结果17例患者都有反复消化道出血和中重度贫血,粪检3例虫卵阳性,3例嗜酸粒细胞百分比增高。所有患者均经胶囊内镜明确诊断为重度钩虫感染,镜下可见多条白色透明或暗红色线状寄生虫广泛分布于小肠肠腔内,以空肠段为主,部分钩虫聚集成团,多条虫体头端钩附与小肠粘膜,造成黏膜广泛损伤、糜烂和出血。结论尽管胶囊内镜是诊断小肠钩虫病的的最佳检查手段,但因检查费用高昂,应严格掌握检查指征。%Objective To appraise the diagnostic value and examination indication of capsule endoscopy for small in-testine heavy ancylostomiasis.Methods A retrospective study was carried out to analyze the clinical data and image from capsule endoscope in 17 patients with small intestine heavy ancylostomiasis in the hospital from June 2006 to Oc-tober 2013.Results All patients were diagnosed by capsule endoscopy.Of these patients,all manifested as recurrent gastrointestinal bleeding,had heavy iron deficiency anemia.Hookworm eggs were found in stool specimens of 3 cases, only 3 cases showed peripheral eosinophilia.The hookworms were hoar or kermesinus,and about 5-10 mm in length, mainly located in jejunum.Some gathered into a mass and hooked the intestinal wall,caused erosion and injury of intes-tinal mucosa.Conclusion Though capsule endoscopy is the best diagnostic technique for intestinal ancylostomiasis,the indication should be strictly controlled due to the expensive fees.

  3. SALMONELLA FOOD POISONING IN A PATIENT WITH ASCA RIASIS & ANCYLOSTOMIASIS : BUGS AND WORMS TOGETHER

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    Anupriya

    2015-07-01

    Full Text Available INTRODUCTION: This is an unusual case presentation of a patient with symptoms of food poisoning along with two parasitic infections, both mode of infection being entirely different, with ascariasis due to ingestion of food contaminated with eggs of Ascaris lumbricoides and Ancylostoma duo denale due to hookworm penetration through skin ( B are - foot walking. CASE REPORT: A 48 year old female patient came with complaints of fever and loose stools for three days. Patient was an agriculturist by occupation with poor personal hygiene with a histo ry of consumption of meat two days prior to the symptoms. Laboratory test showed leukocytosis ( T otal count - 13,000 cu.mm with both neutrophilic and eosinophilic predominance and anaemia. Microscopic examination of stool revealed the presence of plenty of p us cells and the presence of eggs of Ascaris lumbricoides and eggs of Ancylostoma duodenale. Also Salmonella typhimurium was isolated in the stool culture and confirmed at National Reference Centre. CONCLUSION: Food poisoning is a serious health problem. I t can cause severe illness and even death. Soil transmitted helminths are common among agriculturist. Washing hands with warm water and soap before handling foods, eating and after using toilets is mandatory to prevent food borne illness and parasitic infe ctions.

  4. Overview of some biomedical research projects in tropical medicine conducted at the Instituto Venezolano de Investigaciones Cientificas.

    Science.gov (United States)

    Romano, E; Cesari, I; Escalante, A; Liprandi, F; O'Daly, J A; Perez, H; Takiff, H

    2000-01-01

    The Instituto Venezolano de Investigaciones Cientificas (IVIC) is a government-funded multidisciplinary academic institution dedicated to research, development and technology in many areas of knowledge. Biomedical projects and publications comprise about 40% of the total at IVIC. In this article, we present an overview of some selected research and development projects conducted at IVIC which we believe contain new and important aspects related to malaria, ancylostomiasis, dengue fever, leishmaniasis and tuberculosis. Other projects considered of interest in the general area of tropical medicine are briefly described. This article was prepared as a small contribution to honor and commemorate the centenary of the Instituto Oswaldo Cruz.

  5. Overview of some biomedical research projects in tropical medicine conducted at the Instituto Venezolano de Investigaciones Cientificas

    Directory of Open Access Journals (Sweden)

    Romano Egidio

    2000-01-01

    Full Text Available The Instituto Venezolano de Investigaciones Cientificas (IVIC is a government-funded multidisciplinary academic institution dedicated to research, development and technology in many areas of knowledge. Biomedical projects and publications comprise about 40% of the total at IVIC. In this article, we present an overview of some selected research and development projects conducted at IVIC which we believe contain new and important aspects related to malaria, ancylostomiasis, dengue fever, leishmaniasis and tuberculosis. Other projects considered of interest in the general area of tropical medicine are briefly described. This article was prepared as a small contribution to honor and commemorate the centenary of the Instituto Oswaldo Cruz.

  6. PENGOBATAN INFEKSI CACING USUS YANG DITULARKAN DENGAN PERANTARAAN TANAH (SOIL TRANSMITTED HELMINTHS, DENGAN PYRANTEL PAMOATE, DI YOGYAKARTA

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    Noerhajati S.

    2012-09-01

    Full Text Available The use of pyrantel pamoate in controlling soil transmitted helminthic infection has been studied in a sample of population on low socio-economic level, consisting of workers of the Madukismo Suger Estate and their families. Pyrantel pamoate proved to be more effective to Ascaris lumbricoides and hookworm than to Trichuris trichiura infection. The cure rates found were 90.2%, 57.5% and 3.7% for A. lumbricoides, hookworm and T. trichiura respectively, while in the hookworm infection the drug was more effective to Ancylostomiasis duodenale than to Necator americanus. The result of the study showed, that 6 months after treatment was still found a reduction of the prevalence of A. lumbricoides infection to 27.2% (from 74.4% to 47.2% and a reduction of the egg count from 6352 to 3348 per gram of stool. After one year the prevalence rate and the intensity of Ascaris infection reached almost the same level as that before treatment. As regards the hookworm infection, it seemed that the treatment was still effective after a period of one year. Prior to the treatment the prevalence rate was 36.3% and the egg count was J37 per gram of stool, while one year after treatment they were still reduced to 23.97c and 39 respectively.

  7. Importância da reabsorção do ferro da hemorragia intestinal provocada pela ação dos vermes na progressão da anemia The importance of iron reabsorption in intestinal hemorrhage caused by worms in the course of anemia

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    Victorio Maspes

    1979-12-01

    Full Text Available Foram estudados 10 doentes, portadores de anemia ancilostomótica e de grande parasitose. Foram determinados alguns parâmetros hematológicos como dosagem de hemoglobina, contagem de hemácias, hematócrito, volume corpuscular médio, hemoglobina corpuscular média, ferro sérico e siderofilina. Foram estudados o volume da perda de sangue intestinal, o ferro perdido nesta hemorragia e eliminado nas fezes, e o ferro reaborvido da hemorragia intestinal. Conclui-se que a reabsorção do ferro da hemoglobina por dia no tubo digestivo é de suma importância no retardamento da instalação da anemia ferropriva, causada pela parasitose ancilostomótica.Ten patients presenting ancylostomotic anemia and a high rate of parasitosis were submitted to several hematologic determinations: hemoglobin level, erythrocyte count, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, serum iron level, and transferrin. In addition, measurements were made of the blood volume lost by intestinal bleeding, of iron loss through hemorrhage and in feus, and of iron reabsorption from intestinal bleeding. The main reason for the late appearance of iron deficiency anemia in ancylostomiasis is the high degree of dally iron absorption in the digestive tract, originating from hemoglobin breakdown.

  8. Periodic Deworming With Pyrantel For Roundworm And Hookworm Infections In A Farming Village Community.

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    Guar S.D

    1988-01-01

    Full Text Available A farming village community of 512 completed one year of periodic deworming with a single 10 mg/kg oral dose of pyrantel every 3 months. Stool examination by Kato’s thick smear method showed that the prevalence of roundworm infection (ascariasis in the community decreased from 76% to 0%, and that of hookworm infection (ancylostomiasis from 60% to 0%. During the same period the mean hemoglobin increased by 2.3 +/- 0.1 g/dl and the mean body mass index (BMI increased by 0.90 +/- 0.04(P 0.01 for both the drug was tolerated very well as side effects occurred following only 6% of doses (130/2048, and only 1% of these required symptomatic treatment. Quarterly deworming with a single dose of pyrantel is an effective and acceptable method of controlling roundworm and hookworm infections in farming village community having a high prevalence of these worms, and it helps improve the general health of the population to significant degree.

  9. "EVALUATION OF THE EFFECT OF OXANTEL – PYRANTEL ON VARIOUS SOIL TRANSMITTED HELMINTHS IN IRAN "

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    E. Farahmandian

    1977-08-01

    Full Text Available The effect of a combination of Oxantel- Pyrantel with a single dose of 10 mg/ kg body weight on Trichuris trichiura, Ascaris, Trichostrongylus spp. and Ancylostoma duodenale has been evaluated among the population of two rural areas in Khuzestan, Southwest Iran (41 persons and Isfahan, Central (30 persons. All patients were infected with Trichuris trichiura and some simultaneously with one or more other helminthes. In addition to stool examinations, to elucidate the possible side- effects, several blood and urine tests were conducted before and after treatment. A cure rate of 83% has been found among Trichuris cases treated in both areas. Cure rates observes for ascariasis and trichostrongyliasis were 93. 3% and 23% in Khuzestan, as well as 90% and 50% in Isfahan, respectively. Cure rate for ancylostomiasis was 86% in Khuzestan.Significant reduction in the mean number of egg.gr of faeces has been observed.Side- effects encountered were mild and transient. The promisisng effect of this drug on soil – transmitted helminthes, particulary Trichuris trichiura has been proven.

  10. Evaluation of an enzyme-linked immunoelectrotransfer blot test for the confirmatory serodiagnosis of human toxocariasis

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    William H Roldán

    2009-05-01

    Full Text Available To improve the serodiagnosis of human toxocariasis, a sensitive and specific enzyme-linked immunoelectrotransfer blot (EITB-IgG test was developed and evaluated using Toxocara canislarvae excretory-secretory antigens for detecting anti-Toxocara IgG antibodies. The EITB-IgG profile of toxocariasis was characterized by comparing 27 sera from patients with toxocariasis, 110 sera from healthy subjects and 186 sera from patients with other helminth diseases (ascariasis, ancylostomiasis, trichuriasis, enterobiasis, strongyloidiasis, hymenolepiasis, diphyllobothriasis, taeniasis, cysticercosis, hydatidosis and fascioliasis. Antigenic bands of 24, 28, 30, 35, 56, 117, 136 and 152 kDa were predominantly recognized in sera from all patients with toxocariasis. However, only bands of 24-35 kDa were highly specific for Toxocara infection (98.3%, whereas other antigenic bands observed displayed cross-reactivity. Additionally, when the results of the EITB-IgG test were compared to those of the ELISA-IgG test, a 100% concordance was observed for positive results in human toxocariasis cases. The concordance for negative results between the two tests for healthy subjects and patients with other helminth diseases were 96.3% and 53.7%, respectively, showing that the EITB-IgG test has a higher specificity than ELISA. In conclusion, the EITB-IgG test is a very useful tool to confirm the serological diagnosis of human toxocariasis.

  11. Evaluation of an enzyme-linked immunoelectrotransfer blot test for the confirmatory serodiagnosis of human toxocariasis.

    Science.gov (United States)

    Roldán, William H; Espinoza, Yrma A

    2009-05-01

    To improve the serodiagnosis of human toxocariasis, a sensitive and specific enzyme-linked immunoelectrotransfer blot (EITB-IgG) test was developed and evaluated using Toxocara canislarvae excretory-secretory antigens for detecting anti-Toxocara IgG antibodies. The EITB-IgG profile of toxocariasis was characterized by comparing 27 sera from patients with toxocariasis, 110 sera from healthy subjects and 186 sera from patients with other helminth diseases (ascariasis, ancylostomiasis, trichuriasis, enterobiasis, strongyloidiasis, hymenolepiasis, diphyllobothriasis, taeniasis, cysticercosis, hydatidosis and fascioliasis). Antigenic bands of 24, 28, 30, 35, 56, 117, 136 and 152 kDa were predominantly recognized in sera from all patients with toxocariasis. However, only bands of 24-35 kDa were highly specific for Toxocara infection (98.3%), whereas other antigenic bands observed displayed cross-reactivity. Additionally, when the results of the EITB-IgG test were compared to those of the ELISA-IgG test, a 100% concordance was observed for positive results in human toxocariasis cases. The concordance for negative results between the two tests for healthy subjects and patients with other helminth diseases were 96.3% and 53.7%, respectively, showing that the EITB-IgG test has a higher specificity than ELISA. In conclusion, the EITB-IgG test is a very useful tool to confirm the serological diagnosis of human toxocariasis.

  12. Hemoglobinometria e nivel de vida das populações; I - região do nordeste (Ceará, Rio Grande do Norte, Paraíba e Pernambuco Hemoglobinometry and living standards of populations: I - Northeastern zone: Ceará, Rio Grande do Norte, Paraíba and Pernambuco

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    W. O. Cruz

    1939-01-01

    not been searched for; we have only discussed the meaning of the method as a test to determine the hematic conditions of a certain territory. Incidentally it was again ascertained that ancylostomiasis anemia may only develop among people of low economic status.

  13. Surveillance results of soil-transmitted nematode disease in Lingbi County from 2011 to 2013%2011~2013年安徽灵璧县土源性线虫病监测结果分析

    Institute of Scientific and Technical Information of China (English)

    马超; 金伟; 尚军; 刘云章

    2015-01-01

    Objective To investigate the prevalence and severity of soil-transmitted nematode infec⁃tions in Lingbi County as well as endemic patterns and influencing factors for supplying scientific strategies with prevention and management of this infection. Methods Modified Kato-Katz thick smear technique was used to determine Ascaris lumbricoides, Trichuris trichiura and hookworms from the stool samples(one stool specimen-three slides) collected from 1 000 local villagers of Lingbi County in yearly manner. Other parasite species, if detected, were registered as well. Another 15 soil samples were collected for microscopic examina⁃tion on the presence of tapeworms. Results A total of 3 000 persons were subjected to stool detection from 2011 to 2013. The average infection rate in the 3 years was 13.3%, 7.0%and 6.8%respectively. The infectiosi⁃ty was mild in general, and the infection was primarily involved in ancylostomiasis. The major species found in the soil was Ancylostoma duodenale. Conclusion Lingbi County falls into class 2 endemic area, and the infec⁃tiosity for infected people is generally mild.%目的:了解灵璧县土源性寄生虫病流行现状和感染程度,探索流行规律及影响因素,科学制订防治策略和防治措施。方法每年采用改良加藤厚涂片法(一送三检)对1000名居民的蛔虫、鞭虫和钩虫感染情况进行调查,调查中若发现其它寄生虫感染也一并记录。每年采用镜检方法对15份土壤样本中的钩蚴污染情况进行调查。结果从2011到2013年共调查3000人,3年的感染率分别为13.3%、7.0%和6.8%。感染者主要集中在轻度感染中,且以钩虫感染为主。土壤钩蚴污染以十二指肠钩蚴为主。结论灵璧县属Ⅱ类流行区,感染度以轻度为主。

  14. Diagnostic value of double balloon enteroscopy for intestinal diseases%双气囊内镜在小肠疾病诊断中的应用价值研究

    Institute of Scientific and Technical Information of China (English)

    付雪琼; 晏霞; 丁一娟; 赵炳超; 于皆平; 于红刚

    2010-01-01

    目的 评价双气囊内镜对小肠疾病的诊断价值.方法 2007年7月至2009年11月,对141例拟诊或需排除小肠疾病的患者在静脉麻醉下进行小肠镜检查,59例单纯经口进镜,46例单纯经肛门进镜,36例经口和肛门两次进镜.结果 141例患者中发现小肠疾病105例,检出率为74.5%.其中良恶性肿瘤32例,克罗恩病14例,小肠非特异性炎症17例,小肠息肉15例,小肠憩室16例,小肠血管病变9例,肠结核3例,小肠钩虫病1例.检查过程中有1例并发胰腺炎,余未发生明显并发症.结论 双气囊内镜能安全快速地检查全小肠,并能准确地诊断各种小肠疾病.%Objective To assess the diagnostic value of double balloon enteroscopy (DBE) for sus-pected intestinal diseases. Methods The data of 141 patients with suspected intestinal diseases, who un-derwent DBE with intravenous sedation from July 2007 to November 2009, were retrospectively analyzed. Oral and anal routes DBE were performed in 59 and 46 patients, respectively, while 36 patients underwent a com-bination of both approaches. Results The overall diagnostic yield of DBE was 74.5% (105/141), with benign and malignant tumors in 32, Crohn's disease in 14, non-specific enteric inflammation in 17, polyp in 15, diverticulosis in 16, vascular lesions in 9, intestinal tuberculosis in 3 and intestinal ancylostomiasis in 1. Acute pancreatitis was complicated in 1 patient. Conclusion DBE is a safe and effective method in di-agnosis of suspected intestinal diseases.

  15. Parasites, pets, and people.

    Science.gov (United States)

    Marx, M B

    1991-03-01

    It is important for the family physician to understand that patients' relationships with their pets play an important role in helping maintain mental and physical health yet provide the potential for causing illness in the patient. Toxocara canis (dog roundworm) and Toxocara cati (cat roundworm) are the ascarids most commonly responsible for VLM and ocular larva migrans in humans. These roundworms live in their adult stage in the small intestine of the dog and cat where their eggs are passed in the feces. The eggs containing the infective larva are very sticky, thus an infant crawling around on the floor can easily pick these up on fingers that almost invariably end up in the mouth. Infections are usually mild and asymptomatic but with a persistent eosinophilia. Ocular larva migrans is the form usually occurring in older children and adults. Some public health veterinarians recommend that a puppy or kitten should not be obtained as a companion for a child who is not old enough to read, thus bypassing the crawling and toddler stages. Hookworm eggs, shed in the feces of infected dogs or cats, develop into the infective second stage within a week. Humans are usually infected when bare areas of skin such as bare feet or the torso come in contact with soil contaminated with the larvae. The second-stage larvae are able to penetrate the intact skin of humans and the foot pads of dogs and cats. In the United States, the common dog hookworm, A. caninum, is a widespread parasite. Human intestinal ancylostomiasis caused by this species is rare, with only six cases recorded in the literature. Infection in humans or animals by the common tapeworm of dogs and cats (Dipylidium caninum) requires ingestion of the intermediate host, the dog or cat flea containing the larva (cysticercoids) of the agent. Many cases in humans are asymptomatic. Dipylidiasis affects mainly infants and young children who may swallow a flea that hops up while the infant is crawling on the floor or fondling

  16. 136例缺铁性贫血病因分析%136 Cases of Iron Deficiency Anemia Cause Analysis

    Institute of Scientific and Technical Information of China (English)

    邓凤珠; 黄雁

    2009-01-01

    目的 分析总结缺铁性贫血的主要病因.方法 回顾分析台山市第二人民医院2003年1月至2008年12月门诊及住院的136例缺铁性贫血患者的临床资料.结果 男性病例中,胃肠道疾病是引起缺铁性贫血的主要病因,其中最为常见的是消化性溃疡、慢性胃炎,占46%,痔疮占10%;其次是钩虫病,占10%.女性病例中,月经过多是最主要的病因,占39%;其次是消化性溃疡、慢性胃炎,占21%;再次是妊娠、哺乳,占8%.结论 除月经过多、妊娠、哺乳等女性特殊生理时期外,从总体上看,消化性溃疡、慢性胃炎等胃肠道疾病是引起15岁以上人群缺铁性贫血的主要原因占31%应引起重视.%Objective To analyze and summarize the main reason for iron deficiency anemia. Methods The clinical data of 136 cases with iron deficiency anemia in hospital out-patient clinics of our hospital from January 2003 to December 2008 was reviewed and analyzed. Results In male cases, The major cause of gastrointestinal tract disease is caused by iron deficiency anemia, and the most common of gastrointestinal tract disease is peptic ulcer and chronic gastritis(46%), hemorrhoids and ancylostomiasis(10%). In female cases, The major cause of gasrointesinal tract disease is caused by menorrhagia(39%); and peptic ulcer and chronic gastritis (21%), the pregnancy and breast-feeding(8%).Results On the whole, in addition to menorrhagia,pregnancy,breast-feeding women and other special physiological periods, pepticulcer,chronic gastritis and other gastrointestinal diseases are caused by people over the age of 15 the main reason for iron deficiency anemia (31%), we should pay attention to this disease.

  17. 十二指肠钩虫症89例内镜诊断治疗的临床体会%Clinical Experience Endoscopic Diagnosis and Treatment 89 Cases of Duodenal Hookworm Disease

    Institute of Scientific and Technical Information of China (English)

    黄庆斌

    2013-01-01

    目的:探讨内镜在诊断治疗十二指肠钩虫症中的临床应用价值.方法:对经我院电子胃镜检查确诊为十二指肠钩虫病的89例患者的临床资料进行回顾分析,并探讨电子胃镜在诊断治疗十二指肠钩虫症中的临床应用价值.结果:经临床电子胃镜内镜检查100例患者中89例确诊为十二指肠钩虫症,主要表现为镜下可见长约10-15mm×0.7-0.5mm长的虫体,呈红色、乳白色,活体为半透明,吸附于肠壁粘膜,多集中于肠降段与肠球部,呈蛇样盘曲及蚯蚓样蠕动.结论:经确诊后,主要以驱虫治疗为主,同时结合对贫血症的纠正治疗,经治疗后复诊89例十二指肠钩虫病患者均为出现钩虫,且黏膜溃疡不同程度的愈合,无损伤性出血出现,患者均治愈.%Objective: To investigate the clinical application value endoscopic diagnosis and treatment of duodenal hookworm disease. Method: After our electronic gastroscopy diagnosis of duodenal ancylostomi-asis 89 patients were retrospectively analyzed, and discussed electronic gastroscope in diagnosis and treatment of duodenal hookworm disease. Result: The clinical electronic gastroscope endoscopic check 100 patients, 89 diagnosed with duodenal hookworm disease, main show is microscopically about 10-15mmx0.7-0.5mm long insect body with red, ivory, living for translucent, adsorption to the bowel wall mucosa, more focus on intestinal drop segment and intestinal bulb, show the snake sample tortuous and earthworm sample peristalsis. Conclusion: The after diagnosis, mainly insect repellent treatment is given priority to, at the same time with the correct treatment of anemia, after therapy, return visit 89 duodenal hookworm disease patients are appear hookworm, and mucosa ulcer different degree of healing, no damage hemorrhage appear, patients were cured.

  18. 胶囊内镜的临床护理%Capsuleendoscopy in clinical nursing

    Institute of Scientific and Technical Information of China (English)

    付文惠; 章静; 刘玲; 许宏; 邓莉

    2011-01-01

    Objective To summarize the nursing for OMOM capsule endoscopy made in China. Methods Of my Division in September 2006 to August 2008 found 78 cases of capsule endoscopy were carried out with care, to analyze its clinical data. Results Cleanliness of the patients' intestinal is good. Patients and their families had no fear in the check, reaching the rate of 100 percent and there was non-medical dispute. 78 cases' image are all of good quality. 77 cases arriving at the Ileocecal. The whole 78 cases of capsule endoscopy examination were successfully completed at one-time inspection process without any complications and equipment signal interruption situation. 69 cases of disease were found, containing 58 cases of small bowel disease, 3 cases of vascular malformation, 11 cases of polyps, 4 cases of Crohn's disease, 11 cases of non-specific inflammation, 3 cases of intestinal roundworm, 1 case of small colorectal, 1 case of ancylostomiasis. The capsules were excreted within 72 hours in 76 cases,an average of 31 hours in the intestinal tract, no cases of obstruction and one capsule complications such as impaction is occurred in our examination. Conclusion Inspection before and after the conclusion of appropriate care and good bowel preparation can be of great importance in the check, meanwhile it can reduce the incidence of complications.%目的 总结国产OMOM胶囊内镜检查的护理措施.方法 对我科2007年9月~2009年8月78例受捡者胶囊内镜检查进行护理配合,分析其临床资料.结果 患者肠道清洁度良好.患者及家属无恐惧感,配合率达到100%,无医疗纠纷发生.78例图像质量良好.77例到达回盲部.78例胶囊内镜检查中,都一次性顺利完成检查,检查过程中未出现任何并发症和仪器信号中断现象.发现病变69例,其中小肠病变58例、血管畸形3例、息肉11例、克罗恩病4例、非特异性炎症11例、小肠蛔虫3例、小肠癌1例、钩虫病1例.77例72h内

  19. Capsule endoscopy in elderly patients with obscure small intestine bleeding%胶囊内镜在老年患者疑诊小肠出血性疾病的应用探讨(附18例分析)

    Institute of Scientific and Technical Information of China (English)

    李舒丹; 张啸; 张筱凤

    2011-01-01

    目的 评估胶囊内镜对老年患者疑诊小肠出血性疾病的诊断价值,并探讨老年患者行胶囊内镜检查相应注意事项.方法 对18例行胶囊内镜检查的疑诊小肠出血性疾病的老年患者的资料进行回顾性分析.结果 共纳入老年患者18例,成功17例,14例见小肠病变.其中,血管病变10例,小肠钩虫病1例,小肠淋巴管扩张症1例,小肠疑似占位2例.其中,3位患者胶囊内镜滞留于食管下段,1例失败,另2例用胃镜将其推入胃内,检查成功.所有患者胶囊均在检查后3d内自行排出体外.结论 胶囊内镜检查方法安全,对老年患者消化道出血的诊断,特别是考虑小肠出血性疾病的患者有很好的诊断价值,但由于老年患者自身的特殊性,易发生胶囊滞留于食管或胃腔等情况.%[Objective]To evaluate the diagnostic value of capsule endoscopy(CE)in elderly patients with obscure small intestine bleeding, and analyze the special announcements of capsule endoscopy in elderly patient population.[Methods]Included in the present study were 18 elderly patients with obscure small intestine bleeding referred to our hospital for CE.[Results]18 cases were referred to this study.Examinations were completed in 17 cases, 14 of which with various intestinal disorders.The most common findings were vascular lesions(10 cases), 1 case was found with ancylostomiasis of small intestine.1 case was found with intestinal lymphangiectasia.2 cases were found with small intestine neoformation.Among these cases, capsule retentions in inferior segment esophagus were happened in 3 cases.1 case failed.In other two cases, capsules were pushed to stomach with gastroscope.All capsules were excreted in 3 days.[Conclusion]CE is a safe and effective procedure for elderly patients with small intestine bleeding.But capsule retentions in esophagus and stomach are possibly easily happened in elderly patients.

  20. Relação entre os níveis de vitamina A e os marcadores bioquímicos do estado nutricional de ferro em crianças e adolescentes Relationship between vitamin A and biochemical markers of iron status in children and adolescents

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    Rita de Cássia Ribeiro Silva

    2008-06-01

    positive and statistically significant association was found between the levels of serum retinol and hemoglobin (p=0.007, serum iron (p=0.010 and iron-saturated tranferrin (p=0.027. These findings remained unchanged after adjusting the models for demographic variables, parasitic infections (Schistosoma mansoni, Trichiura trichuris, Ascaris lumbricoides and ancylostomiasis, consumption of bioavailable dietary iron and environmental and home conditions. CONCLUSION: Vitamin A seems to contribute to the increase of organic iron of the population, especially in areas were deficiency of vitamin A and iron-deficiency anemia coexist.

  1. Investigation and analysis of soil-transmitted nematodes infection in Xinning, Hunan, 2006-2011%湖南省新宁县2006-2011年土源性线虫感染调查分析

    Institute of Scientific and Technical Information of China (English)

    李正祥; 陈培厚; 龙晓蕾; 段绩辉; 王郭清

    2012-01-01

    目的 了解湖南省新宁县土源性线虫病流行规律,为湖南地区的土源性线虫病防治提供科学依据.方法 2006-2011年,每年9-11月在新宁县高桥栗叶村进行调查,应用改良加藤厚涂片法查土源性线虫卵,透明胶纸肛拭法查儿童蛲虫卵;土壤监测采用改良饱和硝酸钠漂浮法,分别对虫卵进行检测与计算,调查污染情况.结果 2006-2010年共监测5021人,蛔虫的感染率由2006年的6.78%降至2010年的0.70%;钩虫的感染率由2006年的2.29%降至2010年的0.30%;鞭虫的感染率在2006、2008、2009年均为0;蛲虫的感染率2006、2007年为0.70%、0.60%,2008、2009、2010年均为0.结论 新宁县2006-2011年人群土源性线虫感染率呈下降趋势.%Objective To find the trend of soil-transmitted nematodes infection in Xinning,in order to provide scientific basis for controling the disease.Methods The investigation was carried out annually in Liye Village,Gaoqiao Town,Xinning County from September to November,2006 to 2011.The number of soil-transmitted nematodes eggs were checked with Kato-Katz,Enterobius vermicularis eggs in child were examined with cellophane tape anal swab method.Results A total of 5021 residents were examined from 2006 to 2010.The infection rate of ascariasis decreased to 0.70% in 2010 from 6.78% in 2006,the infection rate of ancylostomiasis decreased to 0.30% in 2010 from 2.29% in 2006,trichuriasis was not detected in 2006,2008and 2009,the infection rate of enterobiasis was 0.70%,0.60% in 2006 and 2007,but not detected in 2008,2009 and 2010.Conclusion The infection rate of soil-transmitted nematodes in Xinning County declined from 2006 to 2011.

  2. Value of double-balloon enteroscopy for diagnosis and management of suspected small intestinal bleeding%双气囊内镜用于可疑小肠出血性疾病诊断和治疗的临床价值研究

    Institute of Scientific and Technical Information of China (English)

    岳辉; 周殿元

    2009-01-01

    Objective To evaluate the value of DBE in the diagnosis and selective treatment for suspected small intestinal bleeding and to study possible etiology of small intestinal bleeding. Methods Enteroscopy, using the double-balloon method,were performed in 212 patients with suspected intestinal diseases and 126 patients with suspected small intestinal bleeding from June 2003 and August 2007 at Guangdong No.2 Provincial People's Hospital and Nanfangmedical University Hospital. Results The bleeding lesions of small intestine were found in 101 out of 126 patients with suspected intestinal diseases(80.2%), including 42 cases of small intestinal ulcers(including Crohn's diseases),25 cases of diverticulum (including Micheal's diverticulosis), 19 cases of intestinal neoplasms, IO cases of vascular deformity,2 cases of stero-pronematodiasis and 3 cases of ancylostomiasis; the bleeding lesions of Non-small intestine (includingbleeding lesions from stomach,esophagus and large intestine) in 16 out of 176 patients with suspected intestinal diseases(12.7%);9 cases of essentially normality. There were no serious adverse reactions and complications in all patients received enteroscopy. Conclusion DBE has higher diagnosis rate for small intestinal bleeding,and can be regarded as the first choice for suspected intestinal bleeding patients. The main reason of small intestinal bleeding are benign ulcers including Crohn's disease, intestine diverticulum and intestinal neoplasms as well as vascular deformity and Parasitosis infection are the rare cause.%目的 探讨双气囊内镜(DBE)对小肠出血性疾病病因诊断和治疗选择的作用.方法 2003年6月至2007年8月在广东省第二人民医院和广州南方医院将临床可疑小肠疾病212例,其中疑有小肠出血患者126例,进行DBE检查,发现出血病灶或相关病变进行标记或活检,并与部分手术结果对照.结果 可疑小肠出血患者中DBE检查发现小肠出血病变,检出阳性率为80

  3. Value of Capsule Endoscopy in Diagnosing Obscure Gastrointestinal Bleeding%国产胶囊内镜对不明原因消化道出血的诊断价值

    Institute of Scientific and Technical Information of China (English)

    王云; 易小敏; 王毅; 莫乐君

    2011-01-01

    目的 分析评价国产胶囊内镜对不明原因消化道出血的诊断价值.方法 对13例曾进行胃镜及结肠镜检查未能明确诊断的不明原因消化道出血患者的胶囊内镜检查结果进行统计分析.结果 13例患者进行了14次胶囊内镜检查,除1例患者外,其他12例患者成功检查13次,成功率为92.86%(13/14),无穿孔、过敏等不良反应发生.11例检出病变,检出率为91.67%(11/l2),其中小肠多发性溃疡4例,小肠多发性糜烂伴蛔虫及钩虫感染1例,小肠紫癜1例,小肠多发性憩室伴蛔虫感染1例,小肠糜烂2例,小肠黏膜呈节段性炎症性、增生性改变2例;1例未发现异常.结论 胶囊内镜检查因其安全、患者无痛苦、检查阳性率高,可作为不明原因消化道出血的首选检查手段.%Objective To assess the value of capsule endoscope (made in china) in the diagnosis of obscure gastrointestinal bleeding.Methods The capsule endoscopy was performed in 13 patients with obscure gastrointestinal bleeding that the pathogeny was not found by gastroscopy and intestinal endoscopy.Results In all 14 times of capsule endoscopy, 13 times of examinations in 12 patients were successful(92.86% ) and no complications such as perforation and allergy occurred.The total detection rate of pathological changes was 91.67% (11/12 ).There were 4 cases with small intestinal multiple ulcers; 1 case with small intestinal multiple erosion,ancylostomiasis and ascariasis; 1 case with small intestinal purpura;l case with small intestinal multiple diverticulums and ascariasis ;2 cases with small intestinal erosion ,2 cases with small intestinal segmental inflammation and hyperplasia.One case was normal.Conclusion Capsule endoscopy has the advantage of higher safety,freedom of injury and higher diagnosis rate, and can be recommended as the primary diagnosis method for the obscure gastrointestinal bleeding.

  4. Association between geohelminth infections and physical growth in schoolchildren Associação entre infecções geohelminticas e crescimento físico de escolares

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    Rita de Cássia Ribeiro Silva

    2008-08-01

    Full Text Available OBJECTIVE: This study aims to assess the association between geohelminth infections and the physical growth of schoolchildren. METHODS: This is a cross-sectional study with the participation of 1861 children aging from 7 to 14 years who live in a municipality in the Southern region (Recôncavo of the State of Bahia. The participants were submitted to anthropometric assessment and stool tests. Multiple logistic regression analysis was used as the statistical means to determine the association of interest. RESULTS: The risks of stunting were greater among boys with Ascaris lumbricoides (Odds ratio=1.79; confidence interval 95%: 1.07-3.01, Trichuris trichiura (Odds ratio=2.26; confidence interval 95%: 1.33-3.84 and ancylostomiasis (Odds ratio=2.18; confidence interval 95%: 1.28-3.73 when compared with non-infected children. These results remained unchanged after adjustments for the location of the school, children's ages and other geohelminth infections. CONCLUSION: These infections did not compromise girls´ growth. These results emphasize the association between geohelminth infection and linear physical growth, indicating the need to implement preventive and curative measures that allow the quality of life of the children to improve since the repercussion that these parasites have on the nutritional status and health of this population is severe.OBJETIVO: Este estudo visa a avaliar a associação entre infecções geohelminticas e o crescimento físico de escolares. MÉTODOS: Trata-se de um estudo de corte transversal em que participaram 1851 indivíduos com idades entre 7 e 14 anos, residentes em um município do Recôncavo Sul do Estado da Bahia. Os indivíduos foram submetidos a avaliação antropométrica e a exame parasitológico de fezes. Utilizou-se a análise de regressão logística múltipla como técnica estatística para avaliar a associação de interesse. RESULTADOS: Os riscos de déficit do crescimento linear foram mais

  5. Teatro na educação de crianças e adolescentes participantes de ensaio clínico Teatro en la educación de niños y adolescentes participantes de ensayo clínico Theater in the education of children and teenagers participating in a clinical trial

    Directory of Open Access Journals (Sweden)

    Maria Flávia Gazzinelli

    2012-12-01

    envueltos en la prueba de una vacuna contra anquilostomiasis. La muestra por conveniencia estaba constituida por 13 estudiantes de diez a 17 años, de ambos sexos, de la Escuela Municipal de Maranhao, MG, Brasil, 2009. Se utilizó un cuestionario estructurado aplicado pre y post intervención. El dispositivo pedagógico fue el Teatro del Oprimido. Las variables dependientes fueron el conocimiento específico y global sobre la investigación clínica y sobre helmintiasis; la variable independiente fue la participación en la intervención educativa. RESULTADOS: Hubo aumento del conocimiento sobre señales y síntomas, susceptibilidad a la reinfección y modo de contagio de la helmintiasis posterior a la intervención educativa. Aumentaron los aciertos relativos a la duración de la investigación clínica, a los procedimientos previstos, a la posibilidad de desistencia de la participación y de ocurrencia de eventos adversos. Permaneció la noción de que el propósito primario de la investigación es terapéutico, a pesar de que hubo reducción en el porcentaje de participantes que asociaron la investigación al tratamiento médico. El Teatro del Oprimido posibilitó que las discusiones sobre helmintiasis y de la investigación clínica fueran contextualizadas y materializadas. Los individuos pudieron despojarse o reducir sus representaciones previas. CONCLUSIONES: La participación de niños y adolescentes en ensayos clínicos debe ser precedida por intervención educativa, ya que individuos de ese grupo etario no pudieron siquiera reconocer que tienen derecho a decidir por sí mismos.OBJECTIVE: To analyze the effects of a pedagogical intervention on the learning of children and teenagers participating in a clinical research. METHODS: Quantitative, quasi-experimental and longitudinal study, part of a group of studies conducted to test a vaccine against ancylostomiasis. Convenience sample with 133 students aged 10-17 years, of both sexes, from the school Escola Municipal de

  6. Analysis on the epidemiological situation of soil-transmitted nematode infections at the monitoring spot of Chongqing from 2006 to 2010%重庆市2006—2010年土源性线虫病国家级监测点监测分析

    Institute of Scientific and Technical Information of China (English)

    谢君; 吴成果; 罗飞; 蒋诗国; 李珊珊

    2013-01-01

    Objective To understand infection status and epidemic law of soil-transmitted nematode infections in Chongqing.Methods The stool samples of the residents at monitoring spot of Chongqing were collected and examined for Ascaris lumbricoides,Trichuris trichiura and hookworms with modified Kato-Katz thick smear "one stool specimen-three slides" from September to November during 2006-2010,and adhesive cellophane anal swab method was applied additionally for examining the eggs of Enterobius vermicularis in children aged 3-12.Ten soil samples were collected for microscopic examination on fertilized or unfertilized Ascaris eggs and the living ability of fertilized Ascaris eggs was determined.Results The total of 5 071 persons were investigated from 2006 to 2010 and the annual infection rates were 5.79%,13.52%,16.63%,8.62%and 2.81% showing a declined tendency (x2=3.65,P < 0.01).The infection rates of females were higher than males in 2007 and 2008 (x2=4.66,P < 0.05;x2 =25.29,P < 0.01).The infection rate of 5-year-old was in the highest level in 2006 and 2010.In 2010 the infection rate of 50-year-old was in the highest level.The ancylostomiasis and Ascaris were the major soil transmitted nematode diseases.The infection rates of Enterobius vermicularis were not significantly different between boys and girls.It showed a declined tendency in pinworm infection in girls(x2=16.36,P < 0.01)while it showed no difference in boys(x2=8.45,P > 0.05).The positive rates of Ascaris eggs in soil samples were 52.5%,37.5%,17.5%,30.0% and 20.0% showing a declined tendency (x2 =16.36,P < 0.01).Conclusion According to the 5 years monitoring,the infection rate of soil-transmitted nematodes was declined,but health education and mass chemotherapy should be enhanced continuously.%目的 掌握重庆市土源性线虫病流行动态和流行规律.方法 2006-2010年,每年9-12月在重庆市监测点采集年龄3周岁以上的全体常驻居民粪便,采用改良加

  7. 安徽省2006-2010年土源性线虫病国家级监测点监测分析%Analysis on the epidemiological situation of soil-transmitted nematode infections at the national monitoring spots of Anhui Province, 2006-2010

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    郭见多; 金伟; 朱磊; 方国仁; 姚光秀; 尹晓梅; 周莉; 罗俊平; 李启扬

    2012-01-01

    pattern comparing the infection rates between males and females.The infection rate rapidly decreased in teenagers especially in the age group between 15 to 19 years and decreased from 20.59% to 0 in this age group during the 5 years.However,the infection rate maintained a higher level in age group above 50-year-old.Ancylostomiasis was the major soil transmitted nematode disease.The detection rates of Ascaris eggs in the soil correlated with the infection rates.Conclusion According to the 5 years monitoring,the infection rate of soil-transmitted nematodes was declining indicating the necessity of continuous monitoring.

  8. 245例双气囊电子小肠镜检查应用分析%Applied analysis of double-balloon enteroscopy in 245cases

    Institute of Scientific and Technical Information of China (English)

    李邦库; 谢惠君; 胡乃中; 许建明; 杨桂芳; 方加旭

    2011-01-01

    -specific enteric inflammation 36 cases, vascular deformity 24 cases, polyps 21 cases, Crhon□s disease 18 cases, adenocarcinoma 17 cases, small bowel diverticulosis 22 cases( Michael diverticulosis with ulcer 3 case ), erosive and haemorrhagic ileitis 2 cases, duodenal ulcer 2 cases,entro-mesenchymoma 21 case,marginal ulcer 1 case, phytobezoars in jejunal 1 case, allergic purpura 1 case ,ancylostomiasis 13 case.Most of patients were fairly tolerate to the procedure. No procedure-related complications were observed in all cases. Conclusion Doubleballoon enteroscopy was safe, reliable diagnostic modality of high clinical value for small intestinal diseases.

  9. 广州管圆线虫单抗结合抗原定位分布及在免疫诊断上的应用%Study on distribution of cohere antigen of 12D5 and 21B7 monoclonal antibodies of Angiostrongylus cantonensis and its application of immnodiagnosis

    Institute of Scientific and Technical Information of China (English)

    张仁利; 陈木新; 耿艺介; 黄达娜; 吴双; 高世同; 李晓恒; 朱兴全

    2011-01-01

    Objective To detect infection of Angiostrongylus cantonensis and examine effection of treatment to prepare monoclonal antibodies(McAbs). Methods Six-week-old BALB/c mice were imrnunized by the intraperitoneal injection of e/s antigens of Angiostrongylus cantonensis. Fusion of splecn cells from immunized mice with prepared SP2/0-Ag14 myeloma cells was performed in RPMI 1640. Fused cells were suspended in RPMI 1640 containing 1% HAT and 20% fetal calf serum and dispensed into 96-well cell culture plates. The supernatants of clones were screened by ELISA with sera of patients of angiostrongyliasis.Distribution of cohere antigen of 12D5 and 21B7 monoclonal antibodies was analyzed with immunohistochemistry. Two McAbs ( 12D5 and 21B7) were applied to detect the circulating antigen (CAg) in the sera of rats infected with A. cantonensis and angiostrongyliasis patients respectively by double antibody sandwich ELISA.Results 12D5 McAb was identified as IgG1 and 21 B7 McAb was IgM. Western blot result showed two McAbs could used to identified 55 × 103 protein of adult worms of A. cantonensis. Cohere antigen of 12D5 and 21B7 monoclonal antibodies were distributed on intestine surface of A. cantonensis. The detection rates of CAg in the sera of infected rats 100% (48/48), the detection rates of CAg in the sera of angiostrongyliasis patients was 100% (32/32). No cross-reaction to sera of patients with other infection of parasites, such as clonochiasis, fasiolopsiasis, ancylostomiasis, trichinosis, anisakiasis as well as schsitosomiasis, and health srea did not reacted with 12D5 and 21B7 McAbs,and detaction rate of antibody of angiostrongyliasis patients only reached 75% (24/32) with antigen of A. cantonensis. Conclusion Cohere antigen of 12D5 and 21B7monoclonal antibodies were antigens of enteric epithelium. Sandwich ELISA with 12D5 and 21B7 McAbs showed high specificity act as detecting CAg of A. cantonensis in sera of infection animal and patients. It is apparent that Sandwich

  10. Double-balloon endoscopy and capsule endoscopy for small intestinal bleeding%双气囊内镜和胶囊内镜诊断小肠出血的临床评价

    Institute of Scientific and Technical Information of China (English)

    张以洋; 韩树堂; 周晓白; 肖君; 史伟

    2010-01-01

    目的 评价双气囊内镜和胶囊内镜对小肠出血的临床诊断价值.方法 比较双气囊内镜、胶囊内镜及全消化道造影对小肠出血病灶的总体检出率;通过自身对照,比较双气囊内镜和胶囊内镜对小肠出血诊断率;分析胶囊内镜对1次双气囊内镜检查明确诊断率的影响.结果 105例小肠出血患者中,双气囊内镜检出克罗恩病24例,腺癌15例,慢性非特异性炎症12例,不明原因小肠溃疡10例,小肠间质肿瘤8例,小肠息肉8例,小肠血管畸形出血6例,钩虫病5例,麦克尔憩室及多发憩室5例,小肠淋巴瘤3例,无明显异常9例,阳性率91.4%(96/105).其中40例进行胶囊内镜检查,病变检出率75.0%(30/40);75例患者全消化道造影检查,病变检出率33.3%(25/75).根据胶囊内镜结果1次双气囊内镜检查明确诊断率90.0%(36/40),而根据临床特征及消化道造影结果1次双气囊内镜检查明确诊断率69.2%(45/65).结论 小肠疾病的主要病因是小肠良性溃疡(包括克罗恩病)、肿瘤、慢性炎症,其次是息肉、血管畸形、寄生虫感染、麦克尔憩室及淋巴瘤等.双气囊内镜对小肠出血诊断率高于胶囊内镜,胶囊内镜能提高1次双气囊内镜明确诊断率.%Objective To study the diagnostic value of double-balloon endoscopy (DBE) and capsule endoscopy (CE) for small intestinal bleeding. Methods Overall detection rates of small intestinal bleeding with DBE, CE and the whole alimentary tract barium meal were compared. Positive rates of bleeding detection with DBE and CE were compared within the same patients. Influence of CE on one-procedure rate of DBE was analyzed. Results In 105 cases of small intestine bleeding, DBE detected 24 cases of Crohn's disease, 15 adenocarcinoma, 12 chronic nonspecific inflammation, 10 small intestinal ulcer of unknown reason, 8 entero-mesenchymoma, 8 polypus, 6 vascular deformation hemorrhage, 5 ancylostomiasis, 5 Mechel's diverticula ( including