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Search results for: diarrhea predominant Irritable Bowel Syndrome
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class="card"> <div class="card-body"><strong>Paper Count:</strong> 1435</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: diarrhea predominant Irritable Bowel Syndrome</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1375</span> Pres Syndrome in Pregnancy: A Case Series of Five Cases</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Vaibhavi%20Birle">Vaibhavi Birle</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Posterior reversible encephalopathy syndrome is a rare clinic-radiological syndrome associated with acute changes in blood pressure during pregnancy. It is characterized symptomatically by headache, seizures, altered mental status, and visual blurring with radiological changes of white matter (vasogenic oedema) affecting the posterior occipital and parietal lobes of the brain. It is being increasingly recognized due to increased institutional deliveries and advances in imaging particularly magnetic resonance imaging (MRI). In spite of the increasing diagnosis the prediction of PRES and patient factors affecting susceptibility is still not clear. Hence, we conducted the retrospective study to analyse the factors associated with PRES at our tertiary centre. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=pres%20syndrome" title="pres syndrome">pres syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=eclampsia" title=" eclampsia"> eclampsia</a>, <a href="https://publications.waset.org/abstracts/search?q=maternal%20outcome" title=" maternal outcome"> maternal outcome</a>, <a href="https://publications.waset.org/abstracts/search?q=fetal%20outcome" title=" fetal outcome"> fetal outcome</a> </p> <a href="https://publications.waset.org/abstracts/144313/pres-syndrome-in-pregnancy-a-case-series-of-five-cases" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/144313.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">150</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1374</span> Incidence and Prevalence of Dry Eye Syndrome in Different Occupational Sector of Society</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Vergeena%20Varghese">Vergeena Varghese</a>, <a href="https://publications.waset.org/abstracts/search?q=G.%20Gajalakshmi"> G. Gajalakshmi</a>, <a href="https://publications.waset.org/abstracts/search?q=Jayarajini%20Vasanth"> Jayarajini Vasanth</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The present study deals with the indication of prevalence of dry eye and evaluates environmental risk factors attributed to dry eye in different occupational sectors. 240 subjects above 20 years and below 45 years of age were screened for dry eye. Mcmonnies dry eye questionnaire based history and Schirmer’s test were used to diagnose dry eye. For Schirmer’s test Whatman strip and paracaine drop used as an anesthetic. Subject’s demographics include age, sex, smoking, alcoholism, occupation history and working environment. Out of a total of 240 subjects, 52 subjects were positive for dry eye syndrome (21.7%). The highest prevalence of dry eye syndrome in software sector was 14subjects (26.9%) out of a total of 40 subjects. In the construction sector, the prevalence of dry eye syndrome had 12 subjects (23.1%) out of 40 subjects and 9 subjects (17.3%) out of 40 subjects in agriculture sector. 7 subjects (13.5%) who had dry eye out of 40 subjects in the transport sector and in industrial 6 subjects (11.5%). In a normal sector, this was taken as control group had dry eye in 4 subjects (7.7%) out of 40 subjects. We also found the prevalence of dry eye in OS was higher than OD. Dry eye is a most common ocular condition. The highest prevalence of dry eye syndrome in software sector was 14 members than other sector. There was a significant correlation between environmental and occupational factors to cause dry eye. Excessive exposure to sunlight, wind, high temperature, and air pollution, electromagnetic radiation are the factors affect the tear film and ocular surface causing the dry eye syndrome. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=DES%20%E2%80%93%20dry%20eye%20syndrome" title="DES – dry eye syndrome">DES – dry eye syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=Mcmonnies%20dry%20eye%20questionnaire" title=" Mcmonnies dry eye questionnaire"> Mcmonnies dry eye questionnaire</a>, <a href="https://publications.waset.org/abstracts/search?q=schirmer%E2%80%99s%20test" title=" schirmer’s test"> schirmer’s test</a>, <a href="https://publications.waset.org/abstracts/search?q=whatman%20vstrip" title=" whatman vstrip"> whatman vstrip</a> </p> <a href="https://publications.waset.org/abstracts/42159/incidence-and-prevalence-of-dry-eye-syndrome-in-different-occupational-sector-of-society" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/42159.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">468</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1373</span> Exploring Research Trends and Topics in Intervention on Metabolic Syndrome Using Network Analysis</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Lee%20Soo-Kyoung">Lee Soo-Kyoung</a>, <a href="https://publications.waset.org/abstracts/search?q=Kim%20Young-Su"> Kim Young-Su</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This study established a network related to metabolic syndrome intervention by conducting a social network analysis of titles, keywords, and abstracts, and it identified emerging topics of research. It visualized an interconnection between critical keywords and investigated their frequency of appearance to construe the trends in metabolic syndrome intervention measures used in studies conducted over 38 years (1979–2017). It examined a collection of keywords from 8,285 studies using text rank analyzer, NetMiner 4.0. The analysis revealed 5 groups of newly emerging keywords in the research. By examining the relationship between keywords with reference to their betweenness centrality, the following clusters were identified. Thus if new researchers refer to existing trends to establish the subject of their study and the direction of the development of future research on metabolic syndrome intervention can be predicted. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=intervention" title="intervention">intervention</a>, <a href="https://publications.waset.org/abstracts/search?q=metabolic%20syndrome" title=" metabolic syndrome"> metabolic syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=network%20analysis" title=" network analysis"> network analysis</a>, <a href="https://publications.waset.org/abstracts/search?q=research" title=" research"> research</a>, <a href="https://publications.waset.org/abstracts/search?q=the%20trend" title=" the trend"> the trend</a> </p> <a href="https://publications.waset.org/abstracts/92248/exploring-research-trends-and-topics-in-intervention-on-metabolic-syndrome-using-network-analysis" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/92248.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">201</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1372</span> Molecular Evolutionary Relationships Between O-Antigens of Enteric Bacteria</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Yuriy%20A.%20Knirel">Yuriy A. Knirel</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Enteric bacteria Escherichia coli is the predominant facultative anaerobe of the colonic flora, and some specific serotypes are associated with enteritis, hemorrhagic colitis, and hemolytic uremic syndrome. Shigella spp. are human pathogens that cause diarrhea and bacillary dysentery (shigellosis). They are in effect E. coli with a specific mode of pathogenicity. Strains of Salmonella enterica are responsible for a food-borne infection (salmonellosis), and specific serotypes cause typhoid fever and paratyphoid fever. All these bacteria are closely related in respect to structure and genetics of the lipopolysaccharide, including the O-polysaccharide part (O‑antigen). Being exposed to the bacterial cell surface, the O antigen is subject to intense selection by the host immune system and bacteriophages giving rise to diverse O‑antigen forms and providing the basis for typing of bacteria. The O-antigen forms of many bacteria are unique, but some are structurally and genetically related to others. The sequenced O-antigen gene clusters between conserved galF and gnd genes were analyzed taking into account the O-antigen structures established by us and others for all S. enterica and Shigella and most E. coli O-serogroups. Multiple genetic mechanisms of diversification of the O-antigen forms, such as lateral gene transfer and mutations, were elucidated and are summarized in the present paper. They include acquisition or inactivation of genes for sugar synthesis or transfer or recombination of O-antigen gene clusters or their parts. The data obtained contribute to our understanding of the origins of the O‑antigen diversity, shed light on molecular evolutionary relationships between the O-antigens of enteric bacteria, and open a way for studies of the role of gene polymorphism in pathogenicity. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=enteric%20bacteria" title="enteric bacteria">enteric bacteria</a>, <a href="https://publications.waset.org/abstracts/search?q=O-antigen%20gene%20cluster" title=" O-antigen gene cluster"> O-antigen gene cluster</a>, <a href="https://publications.waset.org/abstracts/search?q=polysaccharide%20biosynthesis" title=" polysaccharide biosynthesis"> polysaccharide biosynthesis</a>, <a href="https://publications.waset.org/abstracts/search?q=polysaccharide%20structure" title=" polysaccharide structure"> polysaccharide structure</a> </p> <a href="https://publications.waset.org/abstracts/93781/molecular-evolutionary-relationships-between-o-antigens-of-enteric-bacteria" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/93781.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">142</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1371</span> Klippel Feil Syndrome: A Case Report and Review of Literature</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Rim%20Frikha">Rim Frikha</a>, <a href="https://publications.waset.org/abstracts/search?q=Nouha%20Bouayed%20Abdelmoula"> Nouha Bouayed Abdelmoula</a>, <a href="https://publications.waset.org/abstracts/search?q=Afifa%20Sellami"> Afifa Sellami</a>, <a href="https://publications.waset.org/abstracts/search?q=Salima%20Daoud"> Salima Daoud</a>, <a href="https://publications.waset.org/abstracts/search?q=Tarek%20Rebai"> Tarek Rebai</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Klippel-Feil Syndrome (KFS) is characterized by congenital vertebral fusion of the cervical spine resulting from faulty segmentation along the embryo's developing axis. A wide spectrum of associated anomalies may be present. This heterogeneity has complicated elucidation of the genetic etiology and management of the syndrome. We report a case of an isolated Klippel-Feil Syndrome with C5-C6 fusion on the cervical spine. It‘s the rarest form of congenital fused cervical vertebrae which is predisposed to the risk of spinal cord injury and neurologic problems. The aim of this paper was to review clinical heterogeneity; radiographic abnormalities and genetic etiology in Klippel-Feil Syndrome. We insist in comprehensive evaluation and delineation of diagnostic and prognostic classes. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Klippel%E2%80%93Feil%20anomaly" title="Klippel–Feil anomaly">Klippel–Feil anomaly</a>, <a href="https://publications.waset.org/abstracts/search?q=genetic" title=" genetic"> genetic</a>, <a href="https://publications.waset.org/abstracts/search?q=clinical%20heterogeneity" title=" clinical heterogeneity"> clinical heterogeneity</a>, <a href="https://publications.waset.org/abstracts/search?q=radiographic%20abnormalities" title=" radiographic abnormalities"> radiographic abnormalities</a> </p> <a href="https://publications.waset.org/abstracts/18316/klippel-feil-syndrome-a-case-report-and-review-of-literature" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/18316.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">484</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1370</span> Observational Study: The Impact of Neurotypical Peer Interactions on Social and Academic Success in Kindergarteners with down Syndrome in Public Schools</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Brenda%20Rodriguez">Brenda Rodriguez</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In this observational study, we investigate a neurotypical peer's impact on both the social and academic success of a child with Down Syndrome in a kindergarten setting. The child with Down Syndrome experiences difficulty articulating words clearly and is paired with a classmate in various academic and social contexts over three weeks. Utilizing both qualitative and quantitative data, we aim to document any classroom interactions that may occur. The findings of this study will contribute to understanding how peer relationships facilitate academic achievement and will advance research on inclusive classroom practices. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=academic%20and%20social%20success" title="academic and social success">academic and social success</a>, <a href="https://publications.waset.org/abstracts/search?q=down%20syndrome" title=" down syndrome"> down syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=inclusive%20classrooms" title=" inclusive classrooms"> inclusive classrooms</a>, <a href="https://publications.waset.org/abstracts/search?q=peer%20interaction" title=" peer interaction"> peer interaction</a> </p> <a href="https://publications.waset.org/abstracts/193328/observational-study-the-impact-of-neurotypical-peer-interactions-on-social-and-academic-success-in-kindergarteners-with-down-syndrome-in-public-schools" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/193328.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">17</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1369</span> Autoimmune Diseases Associated with Celiac Disease in Adults</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Soumaya%20Mrabet">Soumaya Mrabet</a>, <a href="https://publications.waset.org/abstracts/search?q=Taieb%20Ach"> Taieb Ach</a>, <a href="https://publications.waset.org/abstracts/search?q=Imen%20Akkari"> Imen Akkari</a>, <a href="https://publications.waset.org/abstracts/search?q=Amira%20Atig"> Amira Atig</a>, <a href="https://publications.waset.org/abstracts/search?q=Neirouz%20Ghannouchi"> Neirouz Ghannouchi</a>, <a href="https://publications.waset.org/abstracts/search?q=Koussay%20Ach"> Koussay Ach</a>, <a href="https://publications.waset.org/abstracts/search?q=Elhem%20Ben%20Jazia"> Elhem Ben Jazia</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Celiac disease (CD) is an immune-mediated small intestinal disorder that occurs in genetically susceptible people. It is significantly associated with other autoimmune disorders represented mainly by type 1 diabetes and autoimmune dysthyroidism. The aim of our study is to determine the prevalence and the type of the various autoimmune diseases associated with CD in adult patients. Material and methods: This is a retrospective study including patients diagnosed with CD, explored in Internal Medicine, Gastroenterology and Endocrinology and Diabetology Departments of the Farhat Hached University Hospital, between January 2005 and January 2016. The diagnosis of CD was confirmed by serological tests and duodenal biopsy. The screening of autoimmune diseases was based on physical examination, biological and serological tests. Results: Sixty five patients with a female predominance were included, 48women (73.8%) and 17 men (26.2%). The mean age was 31.8 years (17-75). A family history of CD or other autoimmune diseases was present in 5 and 10 patients respectively. Clinical presentation of CD was made by recurrent abdominal pain in 49 cases, diarrhea in 29 cases, bloating in 17 cases, constipation in 25 cases and vomiting in 8 cases. Autoimmune diseases associated with CD were found in 30 cases (46.1%): type 1 diabetes in 15 patients attested by the positivity of anti-GAD antibodies in 11 cases and anti-IA2 in 4 cases, Hashimoto thyroiditis in 8 cases confirmed by the positivity of anti-TPO antibodies, Addison's disease in 2 patients, Anemia of Biermer in 2 patients, autoimmune hepatitis, Systemic erythematosus lupus, Gougerot Sjögren syndrome, rheumatoid arthritis, Vitiligo and antiphospholipid syndrome in one patient each. CD was associated with more than one autoimmune disease defining multiple autoimmune syndrome in 2 female patients. The first patient had Basedow disease, Addison disease and type 1 diabetes. The second patient had systemic erythematosus lupus and Gougerot Sjögren syndrome. Conclusion: In our study autoimmune diseases were associated with CD in 46.1% of cases and were dominated by diabetes and dysthroidism. After establishing the diagnosis of CD the search of associated autoimmune diseases is necessary in order to avoid any therapeutic delay which can alter the prognosis of the patient. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=association" title="association">association</a>, <a href="https://publications.waset.org/abstracts/search?q=autoimmune%20thyroiditis" title=" autoimmune thyroiditis"> autoimmune thyroiditis</a>, <a href="https://publications.waset.org/abstracts/search?q=celiac%20disease" title=" celiac disease"> celiac disease</a>, <a href="https://publications.waset.org/abstracts/search?q=diabetes" title=" diabetes"> diabetes</a> </p> <a href="https://publications.waset.org/abstracts/66034/autoimmune-diseases-associated-with-celiac-disease-in-adults" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/66034.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">283</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1368</span> Determination of Some Etiologic Agents in Calves with Diarrhea</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Nermin%20Isik">Nermin Isik</a>, <a href="https://publications.waset.org/abstracts/search?q=Ozlem%20Derinbay%20Ekici"> Ozlem Derinbay Ekici</a>, <a href="https://publications.waset.org/abstracts/search?q=Oguzhan%20Avci"> Oguzhan Avci</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The aim of this study was to determination of role infection in neonatal calves in Central Anatolian, Turkey. A total 300 fecal samples were collected from diarrheic neonatal calves, aged between 0–90 days from Konya, Karaman, and Aksaray from January to April 2014. Fecal specimens from calves with clinically diarrheic symptoms were examined for the presence of Bovine Coronavirus, Bovine Rotavirus, Cryptosporidium sp., and E. coli by commercially available capture direct enzyme linked immunosorbent assay (ELISA) kit and Modified Ziehl Neelsen method (MZN). Calves were grouped according to their age as follows: 1-14, 15-29, and 30-90 days. Cryptosporidium sp. infection was detected in 52.8%, 58.8%, and 39.2% by ELISA and 33.9%, 47%, 26.7% by MZN in the respective age groups. The seroprevalance of Rotavirus (12.5 %, 40 %, 12.5 %), Coronavirus (2.5%, 0%, 3.5%) and E. coli (5%, 4.7%, 8.9%) infections were determined according to the age groups respectively. Cryptosporidium sp. was the most detected enteropathogen (52 %) of calves and coronavirus was the least detected (2 %). The detection rate of the mixed enfection was 12.3%. In conclusion, it must be evaluated by mix infections in calves with diarrhea. These results will provide an important contribution against the factors that cause diarrhea <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cryptosporidium%20sp." title="cryptosporidium sp.">cryptosporidium sp.</a>, <a href="https://publications.waset.org/abstracts/search?q=bovine%20coronavirus" title=" bovine coronavirus"> bovine coronavirus</a>, <a href="https://publications.waset.org/abstracts/search?q=bovine%20rotavirus" title=" bovine rotavirus"> bovine rotavirus</a>, <a href="https://publications.waset.org/abstracts/search?q=E.coli" title=" E.coli"> E.coli</a>, <a href="https://publications.waset.org/abstracts/search?q=calve" title=" calve"> calve</a>, <a href="https://publications.waset.org/abstracts/search?q=ELISA" title=" ELISA"> ELISA</a> </p> <a href="https://publications.waset.org/abstracts/27516/determination-of-some-etiologic-agents-in-calves-with-diarrhea" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/27516.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">552</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1367</span> Factors Associated to Down Syndrome Causes in Patients of Cytogenetics Laboratory, Faculty of Medicine, Universitas Padjadjaran in 2014─2015</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Bremmy%20Laksono">Bremmy Laksono</a>, <a href="https://publications.waset.org/abstracts/search?q=Nurul%20Qomarilla"> Nurul Qomarilla</a>, <a href="https://publications.waset.org/abstracts/search?q=Riksa%20Parikrama"> Riksa Parikrama</a>, <a href="https://publications.waset.org/abstracts/search?q=Dyan%20K.%20Nugrahaeni"> Dyan K. Nugrahaeni</a>, <a href="https://publications.waset.org/abstracts/search?q=Willyanti%20Soewondo"> Willyanti Soewondo</a>, <a href="https://publications.waset.org/abstracts/search?q=Dadang%20S.%20H.%20Effendi"> Dadang S. H. Effendi</a>, <a href="https://publications.waset.org/abstracts/search?q=Eriska%20Rianti"> Eriska Rianti</a>, <a href="https://publications.waset.org/abstracts/search?q=Arlette%20S.%20Setiawan"> Arlette S. Setiawan</a>, <a href="https://publications.waset.org/abstracts/search?q=Ine%20Sasmita"> Ine Sasmita</a>, <a href="https://publications.waset.org/abstracts/search?q=Risti%20S.%20Primanti"> Risti S. Primanti</a>, <a href="https://publications.waset.org/abstracts/search?q=Erna%20Kurnikasari"> Erna Kurnikasari</a>, <a href="https://publications.waset.org/abstracts/search?q=Yunia%20Sribudiani"> Yunia Sribudiani</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Down syndrome is a chromosomal abnormality of chromosome 21 which can appear in man or woman. Maternal age and paternal age, history of radiation are the common risk factors. This study was conducted to observe risk factors which related as causes of Down syndrome. In this case control study using purposive sampling technique, 84 respondents were chosen from Cell Culture and Cytogenetics Laboratory patients in Faculty of Medicine, Universitas Padjadjaran, Indonesia. They were used as study samples and divided into 42 Down syndrome cases and 42 control respondents. This study used univariate and bivariate analysis (chi-square). Samples population were West Java residents, the biggest province in Indonesia in number of population. The results showed maternal age, paternal age, history of radiation exposure and family history were not significantly related to Down syndrome baby. Moreover, all of those factors also did not contribute to the risk of having a child with Down syndrome in patients at Cell Culture and Cytogenetics Laboratory, Faculty of Medicine, Universitas Padjadjaran. Therefore, we should investigate other risk factors of Down syndrome in West Java population. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=down%20syndrome" title="down syndrome">down syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=family%20history" title=" family history"> family history</a>, <a href="https://publications.waset.org/abstracts/search?q=maternal%20age" title=" maternal age"> maternal age</a>, <a href="https://publications.waset.org/abstracts/search?q=paternal%20age" title=" paternal age"> paternal age</a>, <a href="https://publications.waset.org/abstracts/search?q=risk%20factor" title=" risk factor"> risk factor</a> </p> <a href="https://publications.waset.org/abstracts/58441/factors-associated-to-down-syndrome-causes-in-patients-of-cytogenetics-laboratory-faculty-of-medicine-universitas-padjadjaran-in-20142015" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/58441.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">405</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1366</span> Understanding the Prevalence and Expression of Virulence Factors Harbored by Enterotoxigenic Escherichia Coli </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Debjyoti%20Bhakat">Debjyoti Bhakat</a>, <a href="https://publications.waset.org/abstracts/search?q=Indranil%20Mondal"> Indranil Mondal</a>, <a href="https://publications.waset.org/abstracts/search?q=Asish%20K.%20Mukhopadayay"> Asish K. Mukhopadayay</a>, <a href="https://publications.waset.org/abstracts/search?q=Nabendu%20S.%20Chatterjee"> Nabendu S. Chatterjee</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Enterotoxigenic Escherichia coli is one of the leading causes of diarrhea in infants and travelers in developing countries. Colonization factors play an important role in pathogenesis and are one of the main targets for Enterotoxigenic Escherichia coli (ETEC) vaccine development. However, ETEC vaccines had poorly performed in the past, as the prevalence of colonization factors is region-dependent. There are more than 25 classical colonization factors presently known to be expressed by ETEC, although all are not expressed together. Further, there are other multiple non-classical virulence factors that are also identified. Here the presence and expression of common classical and non-classical virulence factors were studied. Further studies were done on the expression of prevalent colonization factors in different strains. For the prevalence determination, multiplex polymerase chain reaction (PCR) was employed, which was confirmed by simplex PCR. Quantitative RT-PCR was done to study the RNA expression of these virulence factors. Strains negative for colonization factors expression were confirmed by SDS-PAGE. Among the clinical isolates, the most prevalent toxin was est+elt, followed by est and elt, while the pattern was reversed in the control strains. There were 29% and 40% strains negative for any classical colonization factors (CF) or non-classical virulence factors (NCVF) among the clinical and control strains, respectively. Among CF positive ETEC strains, CS6 and CS21 were the prevalent ones in the clinical strains, whereas in control strains, CS6 was the predominant one. For NCVF genes, eatA was the most prevalent among the clinical isolates and etpA for control. CS6 was the most expressed CF, and eatA was the predominantly expressed NCVF for both clinical and controlled ETEC isolates. CS6 expression was more in strains having CS6 alone. Different strains express CS6 at different levels. Not all strains expressed their respective virulence factors. Understanding the prevalent colonization factor, CS6, and its nature of expression will contribute to designing an effective vaccine against ETEC in this region of the globe. The expression pattern of CS6 also will help in examining the relatedness between the ETEC subtypes. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=classical%20virulence%20factors" title="classical virulence factors">classical virulence factors</a>, <a href="https://publications.waset.org/abstracts/search?q=CS6" title=" CS6"> CS6</a>, <a href="https://publications.waset.org/abstracts/search?q=diarrhea" title=" diarrhea"> diarrhea</a>, <a href="https://publications.waset.org/abstracts/search?q=enterotoxigenic%20escherichia%20coli" title=" enterotoxigenic escherichia coli"> enterotoxigenic escherichia coli</a>, <a href="https://publications.waset.org/abstracts/search?q=expression" title=" expression"> expression</a>, <a href="https://publications.waset.org/abstracts/search?q=non-classical%20virulence%20factors" title=" non-classical virulence factors"> non-classical virulence factors</a> </p> <a href="https://publications.waset.org/abstracts/112917/understanding-the-prevalence-and-expression-of-virulence-factors-harbored-by-enterotoxigenic-escherichia-coli" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/112917.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">156</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1365</span> Case Report and Discussion of Natural History of Bouveret Syndrome</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Parul%20Garg">Parul Garg</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Bouveret Syndrome is a rare presentation described as Gastric Outlet Obstruction secondary to Gallstone Ileus. Here we describe the 3-year progression of disease from cholelithiasis to gallstone ileus with relevant imaging findings. The patient was treated under an Upper Gastrointestinal Surgery service with surgical intervention in the form of a laparoscopic assisted procedure with midline laparotomy. She recovered well and was discharged 1 week post operatively. No complications occurred. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Cholelithiasis" title="Cholelithiasis">Cholelithiasis</a>, <a href="https://publications.waset.org/abstracts/search?q=Bouveret%20syndrome" title=" Bouveret syndrome"> Bouveret syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=Gallstone%20Ileus" title=" Gallstone Ileus"> Gallstone Ileus</a>, <a href="https://publications.waset.org/abstracts/search?q=gastric%20outlet%20obstruction" title=" gastric outlet obstruction"> gastric outlet obstruction</a> </p> <a href="https://publications.waset.org/abstracts/127831/case-report-and-discussion-of-natural-history-of-bouveret-syndrome" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/127831.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">120</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1364</span> Prevalence and Risk Factors of Metabolic Syndrome in Adults of Terai Region of Nepal</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Birendra%20Kumar%20Jha">Birendra Kumar Jha</a>, <a href="https://publications.waset.org/abstracts/search?q=Mingma%20L.%20Sherpa"> Mingma L. Sherpa</a>, <a href="https://publications.waset.org/abstracts/search?q=Binod%20Kumar%20Dahal"> Binod Kumar Dahal</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: The metabolic syndrome is emerging as a major public health concern in the world. Urbanization, surplus energy uptake, compounded by decreased physical activities, and increasing obesity are the major factors contributing to the epidemic of metabolic syndrome worldwide. However, prevalence of metabolic syndrome and its risk factors are little studied in Terai region of Nepal. The objectives of this research were to estimate the prevalence and to identify the risk factors of metabolic syndrome among adults in Terai region of Nepal. Method: We used a community based cross sectional study design. A total of 225 adults (age: 18 to 80 years) were selected from three district of Terai region of Nepal using cluster sampling by camp approach. IDF criteria (central obesity with any two of following four factors: triglycerides ≥ 150 mg/dl or specific treatment for lipid abnormality, reduced HDL, raised blood pressure and raised fasting plasma glucose or previously diagnosed type 2 diabetes) were used to assess metabolic syndrome. Interview, physical and clinical examination, measurement of fasting blood glucose and lipid profile were conducted for all participants. Chi-square test and multivariable logistic regression were employed to explore the risk factors of metabolic syndrome. Result: The overall prevalence of metabolic syndrome was 70.7%. Hypertension, increased fasting blood sugar, increased triglycerides and decreased HDL were observed in 50.7%, 32.4%, 41.8% and 79.1% of the subjects respectively. Socio-economic and behavioral risk factors significantly associated with metabolic syndrome were gender male (OR=2.56, 955 CI: 1.42-4.63; p=0.002), in service or retired from service (OR=3.72, 95% CI: 1.72-8.03; p=0.001) and smoking (OR= 4.10, 95% CI: 1.19-14.07; p=0.016). Conclusion: Higher prevalence of Metabolic syndrome along with presence of behavioral risk factors in Terai region of Nepal likely suggest lack of awareness and health promotion activities for metabolic syndrome and indicate the need to promote public health programs in this region to maintain quality of life. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=metabolic%20syndrome" title="metabolic syndrome">metabolic syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=Nepal" title=" Nepal"> Nepal</a>, <a href="https://publications.waset.org/abstracts/search?q=prevalence" title=" prevalence"> prevalence</a>, <a href="https://publications.waset.org/abstracts/search?q=risk%20factors" title=" risk factors"> risk factors</a>, <a href="https://publications.waset.org/abstracts/search?q=Terai" title=" Terai"> Terai</a> </p> <a href="https://publications.waset.org/abstracts/118584/prevalence-and-risk-factors-of-metabolic-syndrome-in-adults-of-terai-region-of-nepal" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/118584.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">149</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1363</span> Gluten Intolerance, Celiac Disease, and Neuropsychiatric Disorders: A Translational Perspective</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jessica%20A.%20Hellings">Jessica A. Hellings</a>, <a href="https://publications.waset.org/abstracts/search?q=Piyushkumar%20Jani"> Piyushkumar Jani</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Systemic autoimmune disorders are increasingly implicated in neuropsychiatric illness, especially in the setting of treatment resistance in individuals of all ages. Gluten allergy in fullest extent results in celiac disease, affecting multiple organs including central nervous system (CNS). Clinicians often lack awareness of the association between neuropsychiatric illness and gluten allergy, partly since many such research studies are published in immunology and gastroenterology journals. Methods: Following a Pubmed literature search and online searches on celiac disease websites, 40 articles are critically reviewed in detail. This work reviews celiac disease, gluten intolerance and current evidence of their relationship to neuropsychiatric and systemic illnesses. The review also covers current work-up and diagnosis, as well as dietary interventions, gluten restriction outcomes, and future research directions. Results: Gluten allergy in susceptible individuals damages the small intestine, producing a leaky gut and malabsorption state, as well as allowing antibodies into the bloodstream, which attack major organs. Lack of amino acid precursors for neurotransmitter synthesis together with antibody-associated brain changes and hypoperfusion may result in neuropsychiatric illness. This is well documented; however, studies in neuropsychiatry are often small. In the large CATIE trial, subjects with schizophrenia had significantly increased antibodies to tissue transglutaminase (TTG), and antigliadin antibodies, both significantly greater gluten antibodies than in control subjects. On later follow up, TTG-6 antibodies were identified in these subjects’ brains but not in their intestines. Significant evidence mostly from small studies also exists for gluten allergy and celiac-related depression, anxiety disorders, attention-deficit/hyperactivity disorder, autism spectrum disorders, ataxia, and epilepsy. Dietary restriction of gluten resulted in remission in several published cases, including for treatment-resistant schizophrenia. Conclusions: Ongoing and larger studies are needed of the diagnosis and treatment efficacy of the gluten-free diet in neuropsychiatric illness. Clinicians should ask about the patient history of anemia, hypothyroidism, irritable bowel syndrome and family history of benefit from the gluten-free diet, not limited to but especially in cases of treatment resistance. Obtaining gluten antibodies by a simple blood test, and referral for gastrointestinal work-up in positive cases should be considered. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=celiac" title="celiac">celiac</a>, <a href="https://publications.waset.org/abstracts/search?q=gluten" title=" gluten"> gluten</a>, <a href="https://publications.waset.org/abstracts/search?q=neuropsychiatric" title=" neuropsychiatric"> neuropsychiatric</a>, <a href="https://publications.waset.org/abstracts/search?q=translational" title=" translational"> translational</a> </p> <a href="https://publications.waset.org/abstracts/87052/gluten-intolerance-celiac-disease-and-neuropsychiatric-disorders-a-translational-perspective" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/87052.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">161</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1362</span> Literature Review of the Management of Parry Romberg Syndrome with Fillers</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sana%20Ilyas">Sana Ilyas</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Parry-Romberg syndrome is a rare condition clinically defined by slowly progressive atrophy of the skin and soft tissues. This usually effects one side of the face, although a few cases have been documented of bilateral presentation. It is more prevalent in females and usually affects the left side of the face. The syndrome can also be accompanied by neurological abnormalities. It usually occurs in the first two decades of life with a variable rate of progression. The aetiology is unknown, and the disease eventually stabilises. The treatment options usually involve surgical management. The least invasive of these options is the management of facial asymmetry, associated with Parry Romberg syndrome, through the use of tissue fillers. This paper will review the existing literature on the management of Parry Romberg syndrome with tissue filler. Aim: The aim of the study is to explore the current published literature for the management of Parry Romberg syndrome with fillers. It is to assess the development that has been made in this method of management, its benefits and limitations, and its effectiveness for the management of Parry Romberg syndrome. Methodology: There was a thorough assessment of the current literature published on this topic. PubMed database was used for search of the published literature on this method of the management. Papers were analysed and compared with one another to assess the success and limitation of the management of Parry Romberg with dermal fillers Results and Conclusion: Case reports of the use of tissue fillers discuss the varying degrees of success with the treatment. However, this procedure has it’s limitation, which are discussed in the paper in detail. However, it is still the least invasive of all the surgical options for the management of Parry Romberg Syndrome, and therefore, it is important to explore this option with patients, as they may be more comfortable with pursuingtreatment that is less invasive and can still improve their facial asymmetry <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=dermal%20fillers" title="dermal fillers">dermal fillers</a>, <a href="https://publications.waset.org/abstracts/search?q=facial%20asymmetry" title=" facial asymmetry"> facial asymmetry</a>, <a href="https://publications.waset.org/abstracts/search?q=parry%20romberg%20syndrome" title=" parry romberg syndrome"> parry romberg syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=tissue%20fillers" title=" tissue fillers"> tissue fillers</a> </p> <a href="https://publications.waset.org/abstracts/158432/literature-review-of-the-management-of-parry-romberg-syndrome-with-fillers" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/158432.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">87</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1361</span> Meta-Analysis of Exercise Interventions for Children and Adolescents Diagnosed with Pediatric Metabolic Syndrome</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=James%20M.%20Geidner">James M. Geidner</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective: The purpose of this meta-analysis was to examine the evidence for the effectiveness of exercise interventions on reducing metabolic components in children and/or adolescents diagnosed with Paediatric Metabolic Syndrome. Methods: A computerized search was made from four databases: PubMed, PsycInfo, SPORTDiscus, Cochrane Central Register. The analysis was restricted to children and adolescents with metabolic syndrome examining the effect of exercise interventions on metabolic components. Effect size and 95% confidence interval were calculated and the heterogeneity of the studies was estimated using Cochran’s Q-statistic and I2. Bias was assessed using multiple tools and statistical analyses. Results: Thirteen studies, consisting of 19 separate trials, were selected for the meta-analysis as they fulfilled the inclusion criteria (n=908). Exercise interventions resulted in decreased waist circumference, systolic blood pressure, diastolic blood pressure, fasting glucose, insulin resistance, triglycerides, and High-Density Lipoprotein Cholesterol (HDL-C). Conclusions: This meta-analysis provides insights into the effectiveness of exercise interventions on markers of Paediatric Metabolic Syndrome in children and adolescents. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=metabolic%20syndrome" title="metabolic syndrome">metabolic syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=syndrome%20x" title=" syndrome x"> syndrome x</a>, <a href="https://publications.waset.org/abstracts/search?q=pediatric" title=" pediatric"> pediatric</a>, <a href="https://publications.waset.org/abstracts/search?q=meta-analysis" title=" meta-analysis"> meta-analysis</a> </p> <a href="https://publications.waset.org/abstracts/146425/meta-analysis-of-exercise-interventions-for-children-and-adolescents-diagnosed-with-pediatric-metabolic-syndrome" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/146425.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">172</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1360</span> Effect of Probiotic (RE3) Supplement on Growth Performance, Diarrhea Incidence and Blood Parameters of N'dama Calves</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Y.%20Abdul%20Aziz">Y. Abdul Aziz</a>, <a href="https://publications.waset.org/abstracts/search?q=E.%20L.%20K.%20Osafo"> E. L. K. Osafo</a>, <a href="https://publications.waset.org/abstracts/search?q=S.%20O.%20Apori"> S. O. Apori</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Osman"> A. Osman</a> </p> <p class="card-text"><strong>Abstract:</strong></p> A sixteen week trial was conducted at the Research Farm (Technology Village) of the Department of Animal Science, School of Agriculture, University of Cape Coast, Cape Coast, Ghana. This study sought to investigate the effects of Probiotic (RE3) on growth performance, diarrhea incidence and blood parameters of N’dama calves. Sixteen N’dama calves aged 3 months of an average initial weight of 44.2 kg were randomly assigned to one of four dietary treatments according to their body weight, age, and sex. Treatment 1 (T1) serve as a control animal (No RE3 supplementation). Treatment 2 (T2) receives 0.03 ml RE3 per kg body weight. Treatment 3 (T3) receives 0.06 ml RE3 per kg body weight, and Treatment 4 (T4) also receives 0.09 ml RE3 per kg body weight in a Completely Randomize Design (CRD). There were 4 replicates per treatment. The calves were allowed access to feed and water ad libitum. The body weight of the calves was recorded at the start of the experiment and thereafter regularly at two weeks interval. Weighing was done early morning before the calves are allowed to access feed and water and were also observed in their pens for occurrence of diarrhea and faecal scores recorded. Blood samples were obtained from each calf at the end of the study through jugular vein puncture. Supplementation of RE3 to calves had showed a beneficial effect by reducing the incidence of diarrhea. The highest faecal score was recorded in T1 and the least faecal score was recorded in T3. There was significant difference (P < 0.05) in the faecal score between the treatment group and the control after two weeks of the experiment. There was no significant difference (P > 0.05) in the average daily gain of the animals. Hematological and biochemical indices of calves were all within the normal range except in treatments (1, 3 and 4) which recorded high White Blood Cell (WBC) count with no significant difference (P > 0.05). <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=probiotics%20%28RE3%29" title="probiotics (RE3)">probiotics (RE3)</a>, <a href="https://publications.waset.org/abstracts/search?q=diarrhea%20incidence" title=" diarrhea incidence"> diarrhea incidence</a>, <a href="https://publications.waset.org/abstracts/search?q=blood%20parameters" title=" blood parameters"> blood parameters</a>, <a href="https://publications.waset.org/abstracts/search?q=N%E2%80%99dama%20calves" title=" N’dama calves"> N’dama calves</a> </p> <a href="https://publications.waset.org/abstracts/91757/effect-of-probiotic-re3-supplement-on-growth-performance-diarrhea-incidence-and-blood-parameters-of-ndama-calves" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/91757.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">170</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1359</span> Enteropathogenic Viruses Associated with Acute Gastroenteritis among Under 5-Years Children in Africa: A Systematic Review and Meta-Analysis</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Cornelius%20Arome%20Omatola">Cornelius Arome Omatola</a>, <a href="https://publications.waset.org/abstracts/search?q=Ropo%20Ebenezer%20Ogunsakin"> Ropo Ebenezer Ogunsakin</a>, <a href="https://publications.waset.org/abstracts/search?q=Anyebe%20Bernard%20Onoja"> Anyebe Bernard Onoja</a>, <a href="https://publications.waset.org/abstracts/search?q=Martin-Luther%20Oseni%20Okolo"> Martin-Luther Oseni Okolo</a>, <a href="https://publications.waset.org/abstracts/search?q=Joseph%20Abraham-Oyiguh"> Joseph Abraham-Oyiguh</a>, <a href="https://publications.waset.org/abstracts/search?q=Kehinde%20Charles%20Mofolorunso"> Kehinde Charles Mofolorunso</a>, <a href="https://publications.waset.org/abstracts/search?q=Phoebe%20Queen%20Akoh"> Phoebe Queen Akoh</a>, <a href="https://publications.waset.org/abstracts/search?q=Omebije%20Patience%20Adejo"> Omebije Patience Adejo</a>, <a href="https://publications.waset.org/abstracts/search?q=Joshua%20Idakwo"> Joshua Idakwo</a>, <a href="https://publications.waset.org/abstracts/search?q=Therisa%20Ojomideju%20Okeme"> Therisa Ojomideju Okeme</a>, <a href="https://publications.waset.org/abstracts/search?q=Danjuma%20Muhammed"> Danjuma Muhammed</a>, <a href="https://publications.waset.org/abstracts/search?q=David%20Moses%20Adaji"> David Moses Adaji</a>, <a href="https://publications.waset.org/abstracts/search?q=Sunday%20Ocholi%20Samson"> Sunday Ocholi Samson</a>, <a href="https://publications.waset.org/abstracts/search?q=Ruth%20Aminu"> Ruth Aminu</a>, <a href="https://publications.waset.org/abstracts/search?q=Monday%20Eneojo%20Akor"> Monday Eneojo Akor</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Gastroenteritis viruses are the leading etiologic agents of diarrhea in children worldwide. We present data from thirty-three (33) eligible studies published between 2003 and 2023 from African countries bearing the brunt of the virus-associated diarrheal mortality. Random effects meta-analysis with proportion, subgroups, and meta-regression analyses were employed. Overall, rotavirus with estimated pooled prevalence of 31.0% (95% CI 24.0–39.0) predominated in all primary care visits and hospitalizations, followed by norovirus, adenovirus, sapovirus, astrovirus, and aichivirus with pooled prevalence estimated at 15.0% (95% CI 12.0–20.0), 10% (95% CI 6-15), 4.0% (95% CI 2.0–6.0), 4% (95% CI 3-6), and 2.3% (95% CI 1-3), respectively. Predominant rotavirus genotype was G1P[8] (38%), followed by G3P[8] (11.7%), G9P[8] (8.7%), and G2P[4] (7.1%); although, unusual genotypes were also observed, including G3P[6] (2.7%), G8P[6] (1.7%), G1P[6] (1.5%), G10P[8] (0.9%), G8P[4] (0.5%), and G4P[8] (0.4%). The genogroup II norovirus predominated over the genogroup I-associated infections (84.6%, 613/725 vs 14.9%, 108/725), with the GII.4 (79.3%) being the most prevalent circulating genotype. In conclusion, this review showed that rotavirus remains the leading driver of viral diarrhea requiring health care visits and hospitalization among under-five years children in Africa. Thus, improved rotavirus vaccination in the region and surveillance to determine the residual burden of rotavirus and the evolving trend of other enteric viruses are needed for effective control and management of cases. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=enteric%20viruses" title="enteric viruses">enteric viruses</a>, <a href="https://publications.waset.org/abstracts/search?q=rotavirus" title=" rotavirus"> rotavirus</a>, <a href="https://publications.waset.org/abstracts/search?q=norovirus" title=" norovirus"> norovirus</a>, <a href="https://publications.waset.org/abstracts/search?q=adenovirus" title=" adenovirus"> adenovirus</a>, <a href="https://publications.waset.org/abstracts/search?q=astrovirus" title=" astrovirus"> astrovirus</a>, <a href="https://publications.waset.org/abstracts/search?q=gastroenteritis" title=" gastroenteritis"> gastroenteritis</a> </p> <a href="https://publications.waset.org/abstracts/171255/enteropathogenic-viruses-associated-with-acute-gastroenteritis-among-under-5-years-children-in-africa-a-systematic-review-and-meta-analysis" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/171255.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">94</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1358</span> Prevalence of Metabolic Syndrome among Adult Obese Type 2 Diabetic Subjects</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mehwish%20Azam">Mehwish Azam</a>, <a href="https://publications.waset.org/abstracts/search?q=Muhammad%20Imran"> Muhammad Imran</a>, <a href="https://publications.waset.org/abstracts/search?q=Humaira%20Jabeen"> Humaira Jabeen</a>, <a href="https://publications.waset.org/abstracts/search?q=Sumreen%20Begum"> Sumreen Begum</a>, <a href="https://publications.waset.org/abstracts/search?q=Rashida%20Qasim"> Rashida Qasim</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Metabolic syndrome is a cluster of metabolic risk factors including obesity, glucose intolerance, insulin resistance, dyslipidemia and hypertension. Metabolic syndrome in obese and type 2 diabetic subjects increases the risk of cardiovascular diseases (CVD). Globally, the prevalence of metabolic syndrome ranges from 10%-50% and in Pakistan ranges from 18%-46%. The objective of the present study is to estimate the prevalence of metabolic syndrome (MS) in obese type 2 diabetic subjects by using International Diabetes Federation (IDF) and National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III) definitions. Methods: Obese type 2 diabetic subjects and normal healthy subjects of both genders were selected from diabetic clinics and hospitals of various localities of Karachi, Pakistan. The frequency of metabolic syndrome was estimated by the proposed definitions of IDF and NCEP-ATP III. Results: The prevalence of metabolic syndrome using International Diabetes Federation (IDF) definition in obese type 2 diabetic subjects was 85.7%. It is significantly higher (p<0.05) in females (47.1%) as compared to males (38.6%). While, using National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III) definition the overall prevalence of metabolic syndrome in obese type 2 diabetic subjects was 75.7%, the prevalence is significantly higher (p<0.05) in females (45.7%) than males (30.0%). Conclusion: It is concluded that, the overall prevalence of metabolic syndrome is increasing significantly in obese type 2 diabetic subjects by using IDF and NCEP–ATP III definitions. Therefore, it is need to initiate the preventive measures by arranging public awareness programmes to highlight the significance of a healthy lifestyle and emphasis should be given to reduce weight, increase physical activity, and increase intake of healthy low-glycemic-index foods. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=metabolic%20syndrome" title="metabolic syndrome">metabolic syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=diabetes%20mellitus" title=" diabetes mellitus"> diabetes mellitus</a>, <a href="https://publications.waset.org/abstracts/search?q=obesity" title=" obesity"> obesity</a>, <a href="https://publications.waset.org/abstracts/search?q=IDF" title=" IDF"> IDF</a>, <a href="https://publications.waset.org/abstracts/search?q=NCEP-ATP%20III" title=" NCEP-ATP III "> NCEP-ATP III </a> </p> <a href="https://publications.waset.org/abstracts/18705/prevalence-of-metabolic-syndrome-among-adult-obese-type-2-diabetic-subjects" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/18705.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">572</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1357</span> A Rare Case of Taenia solium Induced Ileo-Cecal Intussusception in an Adult</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Naraporn%20Taemaitree">Naraporn Taemaitree</a>, <a href="https://publications.waset.org/abstracts/search?q=Pruet%20Areesawangvong"> Pruet Areesawangvong</a>, <a href="https://publications.waset.org/abstracts/search?q=Satchachon%20Changthom"> Satchachon Changthom</a>, <a href="https://publications.waset.org/abstracts/search?q=Tanin%20Titipungul"> Tanin Titipungul</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Adult intussusception, unlike childhood intussusception, is rare. Approximately 5-15% of cases are idiopathic without a lead point lesion. Secondary intussusception is caused by pathological conditions such as inflammatory bowel disease, postoperative adhesions, Meckel’s diverticulum, benign and malignant lesions, metastatic neoplasms, or even iatrogenically due to the presence of intestinal tubes, jejunostomy feeding tubes or after gastric surgery. Diagnosis can be delayed because of its longstanding, intermittent, and non-specific symptoms. Computed tomography is the most sensitive diagnostic modality and can help distinguish between intussusceptions with and without a lead point and lesion localization. This report presents the case of a 49-year-old man presented with increasing abdominal pain over the past three days, loss of appetite, constipation, and frequent vomiting. Computed tomography revealed distal small bowel obstruction at the right lower quadrant with thickened outer wall and internal non-dilated small bowel loop. Emergency exploratory laparotomy was performed to clear the obstruction, which upon inspection was caused by extremely long Taenia solium parasites. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=intussusception" title="intussusception">intussusception</a>, <a href="https://publications.waset.org/abstracts/search?q=tape%20worm" title=" tape worm"> tape worm</a>, <a href="https://publications.waset.org/abstracts/search?q=Taenia%20solium" title=" Taenia solium"> Taenia solium</a>, <a href="https://publications.waset.org/abstracts/search?q=abdominal%20pain" title=" abdominal pain"> abdominal pain</a> </p> <a href="https://publications.waset.org/abstracts/112721/a-rare-case-of-taenia-solium-induced-ileo-cecal-intussusception-in-an-adult" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/112721.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">133</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1356</span> Improving Neonatal Abstinence Syndrome Assessments</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Nancy%20Wilson">Nancy Wilson</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In utero, fetal drug exposure is prevalent amongst birthing facilities. Assessment tools for neonatal abstinence syndrome (NAS) are often cumbersome and ill-fitting, harboring immense subjectivity. This paradox often leads the clinical assessor to be hypervigilant when assessing the newborn for subtle symptoms of NAS, often mistaken for normal newborn behaviors. As a quality improvement initiative, this project led to a more adaptable NAS tool termed eat, sleep, console (ESC). This function-based NAS assessment scores the infant based on the ability to accomplish three basic newborn necessities- to sleep, to eat, and to be consoled. Literature supports that ESC methodology improves patient and family outcomes while providing more cost-effective care. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=neonatal%20abstinence%20syndrome" title="neonatal abstinence syndrome">neonatal abstinence syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=neonatal%20opioid%20withdrawal" title=" neonatal opioid withdrawal"> neonatal opioid withdrawal</a>, <a href="https://publications.waset.org/abstracts/search?q=maternal%20substance%20abuse" title=" maternal substance abuse"> maternal substance abuse</a>, <a href="https://publications.waset.org/abstracts/search?q=pregnancy" title=" pregnancy"> pregnancy</a>, <a href="https://publications.waset.org/abstracts/search?q=and%20addiction" title=" and addiction"> and addiction</a>, <a href="https://publications.waset.org/abstracts/search?q=Finnegan%20neonatal%20abstinence%20syndrome%20tool" title=" Finnegan neonatal abstinence syndrome tool"> Finnegan neonatal abstinence syndrome tool</a>, <a href="https://publications.waset.org/abstracts/search?q=eat" title=" eat"> eat</a>, <a href="https://publications.waset.org/abstracts/search?q=sleep" title=" sleep"> sleep</a>, <a href="https://publications.waset.org/abstracts/search?q=console" title=" console"> console</a> </p> <a href="https://publications.waset.org/abstracts/136221/improving-neonatal-abstinence-syndrome-assessments" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/136221.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">152</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1355</span> Association of Lipoprotein Lipase Gene (HindIII rs320) Polymorphisms with Moderate Hypertriglyceridemia Secondary to Metabolic Syndrome</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Meryem%20Abi-Ayad">Meryem Abi-Ayad</a>, <a href="https://publications.waset.org/abstracts/search?q=Biagio%20Arcidiacono"> Biagio Arcidiacono</a>, <a href="https://publications.waset.org/abstracts/search?q=Eusebio%20Chiefari"> Eusebio Chiefari</a>, <a href="https://publications.waset.org/abstracts/search?q=Daniela%20Foti"> Daniela Foti</a>, <a href="https://publications.waset.org/abstracts/search?q=Mohamed%20Benyoucef"> Mohamed Benyoucef</a>, <a href="https://publications.waset.org/abstracts/search?q=Antonio%20Brunetti"> Antonio Brunetti</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Lipoprotein Lipase (LPL) is a key enzyme for lipid metabolism; its genetic polymorphism can be a candidate for modulating lipids parameters in metabolic syndrome. The objective of the present study was to determine whether lipoproteins lipase polymorphisMetS (LPL-HindIII) could be associated with moderate hypertriglyceridemia (secondary to metabolism syndrome). The polymorphism Hind III (rs320) was assessed by PCR-RFLP in 51 MetS patients and 17 healthy controls from the hospital in Tlemcen. The logistic regression analyses showed no significant association with Hind III genotype and hypertriglyceridemia (TG ≥ 1,5g/l or TG lower treatment) (P=0,455), metabolic syndrome (P=0,455), hypertension (P=0,802) and type 2 diabetes (P=0,144). In terms of plasma biomarkers, although not statistically significant, there was a difference in TG levels (P > 0,05), which was lowest among carriers of the homogenous mutant allele (H-). In this study, there was no association between the rare allele (H-) and disease protection, and between the frequent allele (H+) and disease prevalence (hypertriglyceridemia, metabolic syndrome, hypertension, type 2 diabetes). <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=moderate%20secondary%20hypertriglyceridemia" title="moderate secondary hypertriglyceridemia">moderate secondary hypertriglyceridemia</a>, <a href="https://publications.waset.org/abstracts/search?q=metabolic%20syndrome" title=" metabolic syndrome"> metabolic syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=lipids" title=" lipids"> lipids</a>, <a href="https://publications.waset.org/abstracts/search?q=polymorphism%20lipoprotein%20lipase" title=" polymorphism lipoprotein lipase"> polymorphism lipoprotein lipase</a>, <a href="https://publications.waset.org/abstracts/search?q=HindIII%28rs320%29" title=" HindIII(rs320)"> HindIII(rs320)</a> </p> <a href="https://publications.waset.org/abstracts/73036/association-of-lipoprotein-lipase-gene-hindiii-rs320-polymorphisms-with-moderate-hypertriglyceridemia-secondary-to-metabolic-syndrome" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/73036.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">321</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1354</span> Detecting Potential Biomarkers for Ulcerative Colitis Using Hybrid Feature Selection</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mustafa%20Alshawaqfeh%03">Mustafa Alshawaqfeh</a>, <a href="https://publications.waset.org/abstracts/search?q=Bilal%20Wajidy"> Bilal Wajidy</a>, <a href="https://publications.waset.org/abstracts/search?q=Echin%20Serpedin"> Echin Serpedin</a>, <a href="https://publications.waset.org/abstracts/search?q=Jan%20Suchodolski"> Jan Suchodolski</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Inflammatory Bowel disease (IBD) is a disease of the colon with characteristic inflammation. Clinically IBD is detected using laboratory tests (blood and stool), radiology tests (imaging using CT, MRI), capsule endoscopy and endoscopy. There are two variants of IBD referred to as Ulcerative Colitis (UC) and Crohn’s disease. This study employs a hybrid feature selection method that combines a correlation-based variable ranking approach with exhaustive search wrapper methods in order to find potential biomarkers for UC. The proposed biomarkers presented accurate discriminatory power thereby identifying themselves to be possible ingredients to UC therapeutics. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=ulcerative%20colitis" title="ulcerative colitis">ulcerative colitis</a>, <a href="https://publications.waset.org/abstracts/search?q=biomarker%20detection" title=" biomarker detection"> biomarker detection</a>, <a href="https://publications.waset.org/abstracts/search?q=feature%20selection" title=" feature selection"> feature selection</a>, <a href="https://publications.waset.org/abstracts/search?q=inflammatory%20bowel%20disease%20%28IBD%29" title=" inflammatory bowel disease (IBD)"> inflammatory bowel disease (IBD)</a> </p> <a href="https://publications.waset.org/abstracts/40941/detecting-potential-biomarkers-for-ulcerative-colitis-using-hybrid-feature-selection" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/40941.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">402</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1353</span> Metabolic Syndrome and Mental Health in Post Traumatic Stress Disorder Patient</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hassan%20Shahmiri%20Barzoki">Hassan Shahmiri Barzoki</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Posttraumatic stress disorder (PTSD) is an abnormal physiologic and psychological reaction in person with severe traumatic history. In recent studies, the relationship between PTSD and some other disease apparently unrelated to psychological situations, such as cardiovascular diseases, diabetes, and metabolic syndrome, has been revealed. Thus, the aim of this study was to survey the prevalence of metabolic syndrome and mental health in PTSD patients. Methods: The research design was retrospective cohort study. Subjects were consisted of 142 Iran-Iraq war veterans with PTSD (age: 40-60 years), and the control group was consisted of 153 veterans without PTSD. Data was collected using questionnaires, physical exams and laboratory tests. Results: Prevalence of metabolic syndrome was 45.1%in PTSD group and 17% in control group. In addition, blood pressure, triglyceride and fasting blood sugar in PTSD group were significantly higher than control group (p<0.05). Also, PTSD patients had significant high rates of psychiatric disorders. Conclusion: PTSD patients are more prone to metabolic syndrome and psychiatric disorders than control group. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=mental%20health" title="mental health">mental health</a>, <a href="https://publications.waset.org/abstracts/search?q=metabolic%20syndrome" title=" metabolic syndrome"> metabolic syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=post%20traumatic%20stress%20disorder" title=" post traumatic stress disorder"> post traumatic stress disorder</a>, <a href="https://publications.waset.org/abstracts/search?q=patient" title=" patient"> patient</a> </p> <a href="https://publications.waset.org/abstracts/165873/metabolic-syndrome-and-mental-health-in-post-traumatic-stress-disorder-patient" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/165873.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">93</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1352</span> Colorectal Resection in Endometriosis: A Study on Conservative Vascular Approach</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=A.%20Zecchin">A. Zecchin</a>, <a href="https://publications.waset.org/abstracts/search?q=E.%20Vallicella"> E. Vallicella</a>, <a href="https://publications.waset.org/abstracts/search?q=I.%20Alberi"> I. Alberi</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Dalle%20Carbonare"> A. Dalle Carbonare</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Festi"> A. Festi</a>, <a href="https://publications.waset.org/abstracts/search?q=F.%20Galeone"> F. Galeone</a>, <a href="https://publications.waset.org/abstracts/search?q=S.%20Garzon"> S. Garzon</a>, <a href="https://publications.waset.org/abstracts/search?q=R.%20Raffaelli"> R. Raffaelli</a>, <a href="https://publications.waset.org/abstracts/search?q=P.%20Pomini"> P. Pomini</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20Franchi"> M. Franchi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Severe endometriosis is a multiorgan disease, that involves bowel in 31% of cases. Disabling symptoms and deep infiltration can lead to bowel obstruction: surgical bowel treatment may be needed. In these cases, colorectal segment resection is usually performed by inferior mesenteric artery ligature, as radically as for oncological surgery. This study was made on surgery based on intestinal vascular axis’ preservation. It was assessed postoperative complications risks (mainly rate of dehiscence of intestinal anastomoses), and results were compared with the ones found in literature about classical colorectal resection. Materials and methods: This was a retrospective study based on 62 patients with deep infiltrating endometriosis of the bowel, which undergo segmental resection with intestinal vascular axis preservation, between 2013 and 2016. It was assessed complications related to the intervention both during hospitalization and 30-60 days after resection. Particular attention was paid to the presence of anastomotic dehiscence. 52 patients were finally telephonically interviewed in order to investigate the presence or absence of intestinal constipation. Results and Conclusion: Segmental intestinal resection performed in this study ensured a more conservative vascular approach, with lower rate of anastomotic dehiscence (1.6%) compared to classical literature data (10.0% to 11.4% ). No complications were observed regarding spontaneous recovery of intestinal motility and bladder emptying. Constipation in some patients, even after years of intervention, is not assessable in the absence of a preoperative constipation state assessment. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=anastomotic%20dehiscence" title="anastomotic dehiscence">anastomotic dehiscence</a>, <a href="https://publications.waset.org/abstracts/search?q=deep%20infiltrating%20endometriosis" title=" deep infiltrating endometriosis"> deep infiltrating endometriosis</a>, <a href="https://publications.waset.org/abstracts/search?q=colorectal%20resection" title=" colorectal resection"> colorectal resection</a>, <a href="https://publications.waset.org/abstracts/search?q=vascular%20axis%20preservation" title=" vascular axis preservation"> vascular axis preservation</a> </p> <a href="https://publications.waset.org/abstracts/82244/colorectal-resection-in-endometriosis-a-study-on-conservative-vascular-approach" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/82244.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">204</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1351</span> Bacteremia Caused by Nontoxigenic Vibrio cholerae in an Immunocompromised Patient in Istanbul, Turkey</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Fatma%20Koksal%20%C3%87akirlar">Fatma Koksal Çakirlar</a>, <a href="https://publications.waset.org/abstracts/search?q=Si%CC%87nem%20Ozdemir"> Si̇nem Ozdemir</a>, <a href="https://publications.waset.org/abstracts/search?q=Selcan%20Akyol"> Selcan Akyol</a>, <a href="https://publications.waset.org/abstracts/search?q=Revazi%CC%87ye%20Gulesen"> Revazi̇ye Gulesen</a>, <a href="https://publications.waset.org/abstracts/search?q=Murat%20Gunaydin"> Murat Gunaydin</a>, <a href="https://publications.waset.org/abstracts/search?q=Nevri%CC%87ye%20Gonullu"> Nevri̇ye Gonullu</a>, <a href="https://publications.waset.org/abstracts/search?q=Belkis%20Levent"> Belkis Levent</a>, <a href="https://publications.waset.org/abstracts/search?q=Nuri%CC%87%20Kiraz"> Nuri̇ Kiraz</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Vibrio cholerae O1 and O139 are the causative agent of epidemic or pandemic cholera. V. cholerae O1 is generally accepted as a non-invasive enterotoxigenic organism causing gastroenteritis of various severities. Non-O1 V. cholerae can cause small outbreaks of diarrhea due to consumption of contaminated food and water. Particularly, the patients with achlorydria have a risk for vibrio infections. There are numerous case reports of bacteremia caused by vibrio in patients with predisposing conditions like cirrhosis, nephrotic syndrome, diabetes, hematologic malignancy, gastrectomy, and AIDS. We described in this study the first case of nontoxigenic, non-01/non-O139 V. cholerae isolated from the blood culture of a 77-year-old female patient with hipertension, diabetes, coronary artery disease, gout and about 9 years ago migrated breast cancer history. The patient with complaints of shortness of breath, fever and malaise admitted to our emergency clinic were evaluated. There was no diarrhea or abdominal symptoms in the patient. No growth in her urine culture, but blood culture (BACTEC 9120 system, Becton Dickinson, USA) was positive for non-01/non-O139 V. cholerae that was identified by conventional methods and Phoenix automated system (BD Diagnostic Systems, Sparks, MD). It does not secrete the cholera toxin. The agglutination test was negative with polyvalent O1 antisera and O139 antiserum. Empirically ceftriaxone was administered to the patient and she was discharged with improvement in general condition. In this study we report bacteremia by non-01/non-O139 V. cholerae that is rare in the worldwide and first in Turkey. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bacteremia" title="bacteremia">bacteremia</a>, <a href="https://publications.waset.org/abstracts/search?q=blood%20culture" title=" blood culture"> blood culture</a>, <a href="https://publications.waset.org/abstracts/search?q=immunocompromised%20patient" title=" immunocompromised patient"> immunocompromised patient</a>, <a href="https://publications.waset.org/abstracts/search?q=Non-O1%20vibrio%20cholerae" title=" Non-O1 vibrio cholerae "> Non-O1 vibrio cholerae </a> </p> <a href="https://publications.waset.org/abstracts/40506/bacteremia-caused-by-nontoxigenic-vibrio-cholerae-in-an-immunocompromised-patient-in-istanbul-turkey" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/40506.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">219</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1350</span> Signal Transduction in a Myenteric Ganglion</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=I.%20M.%20Salama">I. M. Salama</a>, <a href="https://publications.waset.org/abstracts/search?q=R.%20N.%20Miftahof"> R. N. Miftahof</a> </p> <p class="card-text"><strong>Abstract:</strong></p> A functional element of the myenteric nervous plexus is a morphologically distinct ganglion. Composed of sensory, inter- and motor neurons and arranged via synapses in neuronal circuits, their task is to decipher and integrate spike coded information within the plexus into regulatory output signals. The stability of signal processing in response to a wide range of internal/external perturbations depends on the plasticity of individual neurons. Any aberrations in this inherent property may lead to instability with the development of a dynamics chaos and can be manifested as pathological conditions, such as intestinal dysrhythmia, irritable bowel syndrome. The aim of this study is to investigate patterns of signal transduction within a two-neuronal chain - a ganglion - under normal physiological and structurally altered states. The ganglion contains the primary sensory (AH-type) and motor (S-type) neurons linked through a cholinergic dendro somatic synapse. The neurons have distinguished electrophysiological characteristics including levels of the resting and threshold membrane potentials and spiking activity. These are results of ionic channel dynamics namely: Na+, K+, Ca++- activated K+, Ca++ and Cl-. Mechanical stretches of various intensities and frequencies are applied at the receptive field of the AH-neuron generate a cascade of electrochemical events along the chain. At low frequencies, ν < 0.3 Hz, neurons demonstrate strong connectivity and coherent firing. The AH-neuron shows phasic bursting with spike frequency adaptation while the S-neuron responds with tonic bursts. At high frequency, ν > 0.5 Hz, the pattern of electrical activity changes to rebound and mixed mode bursting, respectively, indicating ganglionic loss of plasticity and adaptability. A simultaneous increase in neuronal conductivity for Na+, K+ and Ca++ ions results in tonic mixed spiking of the sensory neuron and class 2 excitability of the motor neuron. Although the signal transduction along the chain remains stable the synchrony in firing pattern is not maintained and the number of discharges of the S-type neuron is significantly reduced. A concomitant increase in Ca++- activated K+ and a decrease in K+ in conductivities re-establishes weak connectivity between the two neurons and converts their firing pattern to a bistable mode. It is thus demonstrated that neuronal plasticity and adaptability have a stabilizing effect on the dynamics of signal processing in the ganglion. Functional modulations of neuronal ion channel permeability, achieved in vivo and in vitro pharmacologically, can improve connectivity between neurons. These findings are consistent with experimental electrophysiological recordings from myenteric ganglia in intestinal dysrhythmia and suggest possible pathophysiological mechanisms. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=neuronal%20chain" title="neuronal chain">neuronal chain</a>, <a href="https://publications.waset.org/abstracts/search?q=signal%20transduction" title=" signal transduction"> signal transduction</a>, <a href="https://publications.waset.org/abstracts/search?q=plasticity" title=" plasticity"> plasticity</a>, <a href="https://publications.waset.org/abstracts/search?q=stability" title=" stability "> stability </a> </p> <a href="https://publications.waset.org/abstracts/34306/signal-transduction-in-a-myenteric-ganglion" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/34306.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">392</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1349</span> Brain Stem Posterior Reversible Encephalopathy Syndrome in Nephrotic Syndrome</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=S.%20H.%20Jang">S. H. Jang</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Posterior reversible encephalopathy syndrome (PRES) is characterized by acute neurologic symptoms (visual loss, headache, altered mentality and seizures) and by typical imaging findings (bilateral subcortical and cortical edema with predominatly posterior distribution). Nephrotic syndrome is a syndrome comprising signs of proteinuria, hypoalbuminemia, and edema. It is well known that hypertension predispose patient with nephrotic syndrome to PRES. A 45-year old male was referred for suddenly developed vertigo, disequilibrium. He had previous history of nephrotic syndrome. His medical history included diabetes controlled with medication. He was hospitalized because of generalized edema a few days ago. His vital signs were stable. On neurologic examination, his mental state was alert. Horizontal nystagmus to right side on return to primary position was observed. He showed good grade motor weakness and ataxia in right upper and lower limbs without other sensory abnormality. Brain MRI showed increased signal intensity in FLAIR image, decreased signal intensity in T1 image and focal enhanced lesion in T1 contrast image at whole midbrain, pons and cerebellar peduncle symmetrically, which was compatible with vasogenic edema. Laboratory findings showed severe proteinuria and hypoalbuminemia. He was given intravenous dexamethasone and diuretics to reduce vasogenic edema and raise the intra-vascular osmotic pressure. Nystagmus, motor weakness and limb ataxia improved gradually over 2 weeks; He recovered without any neurologic symptom and sign. Follow-up MRI showed decreased vasogenic edema fairly. We report a case of brain stem PRES in normotensive, nephrotic syndrome patient. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=posterior%20reversible%20encephalopathy%20syndrome" title="posterior reversible encephalopathy syndrome">posterior reversible encephalopathy syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=MRI" title=" MRI"> MRI</a>, <a href="https://publications.waset.org/abstracts/search?q=nephrotic%20syndrome" title=" nephrotic syndrome"> nephrotic syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=vasogenic%20brain%20edema" title=" vasogenic brain edema"> vasogenic brain edema</a> </p> <a href="https://publications.waset.org/abstracts/61226/brain-stem-posterior-reversible-encephalopathy-syndrome-in-nephrotic-syndrome" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/61226.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">276</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1348</span> Anomalous Course of Left Ovarian Vein Associated with Pelvic Congestion Syndrome</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Viyango%20Pandian">Viyango Pandian</a>, <a href="https://publications.waset.org/abstracts/search?q=Kumaresh%20Athiyappan"> Kumaresh Athiyappan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Pelvic congestion Syndrome (PCS) is usually seen in multiparous women who give history of chronic dull-aching pelvic pain. We report a case of a 17 year old unmarried female, who presented with acute onset of chronic dull-aching abdominal pain in the left iliac fossa, which particularly increased during menstruation and was finally diagnosed to be pelvic congestion syndrome. On ultrasonography, multiple tortuous and dilated veins were observed in the left adnexa. Both ovaries appeared normal in size, volume and echotexture. Computed tomography (CT) angiography was performed to precisely delineate the venous pathway and to assess any associated abnormality; which showed a dilated and tortuous left ovarian vein with an anomalous course around the left kidney and draining into the left renal vein. Clinical parameters and hormonal levels were within normal limits. This is a rare case of anomalous course of left ovarian vein associated with pelvic congestion syndrome. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=anomalous%20course%20of%20ovarian%20vein" title="anomalous course of ovarian vein">anomalous course of ovarian vein</a>, <a href="https://publications.waset.org/abstracts/search?q=computed%20tomography" title=" computed tomography"> computed tomography</a>, <a href="https://publications.waset.org/abstracts/search?q=pelvic%20congestion%20syndrome" title=" pelvic congestion syndrome"> pelvic congestion syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=ultrasonography" title=" ultrasonography"> ultrasonography</a> </p> <a href="https://publications.waset.org/abstracts/70992/anomalous-course-of-left-ovarian-vein-associated-with-pelvic-congestion-syndrome" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/70992.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">418</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1347</span> Prevalence and Factors Associated With Concurrent Use of Herbal Medicine and Anti-retroviral Therapy Among HIV/Aids Patients Attending Selected HIV Clinics in Wakiso District</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Nanteza%20Rachel">Nanteza Rachel</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Worldwide, there were 36.7 million people living with Human Immunodeficiency Virus (HIV) in 2015, up from 35 million at the end of 2013. Wakiso district is one of the hotspots for the Human Immunodeficiency Virus (HIV)/ Acquired Immune Deficiency Syndrome (AIDS) infection in Uganda, with the prevalence of 8.1 %. Herbal medicine has gained popularity among Human Immunodeficiency Virus (HIV)/ Acquired Immune Deficiency Syndrome (AIDS) patients as adjuvant therapy to reduce the adverse effects of ART. Regardless of the subsidized and physical availability of the Anti-Retroviral Therapy (ART), majority of Africans living with Human Immunodeficiency Virus (HIV)/ Acquired Immune Deficiency Syndrome (AIDS) resort to adding to their ART traditional medicine. Result found out from a pilot observation made by the PI that indicate 13 out of 30 People Living with AIDS(PLWA) who are attending Human Immunodeficiency Virus (HIV) clinics in Wakiso district reported to be using herbal preparations despite the fact that they were taking Anti Retro Viral (ARVs) this prompted this study to be done. Purpose of the study: To determine the prevalence and factors associated with concurrent use of herbal medicine and anti-retroviral therapy among HIV/AIDS patients attending selected HIV clinics in Wakiso district. Methodology: This was a cross sectional study with both quantitative data collection (use of a questionnaire) and qualitative data collection (key informants’ interviews). A mixed method of sampling was used, that is, purposive and random sampling. Purposive sampling was based on the location in the district and used to select 7 health facilities basing on the 7 health sub districts from Wakiso. Simple random sampling was used to select one HIV clinic from each of the 7 health sub districts. Furthermore, the study units were enrolled in to the study as they entered into the HIV clinics, and 105 respondents were interviewed. Both manual and computer packages (SPSS) were used to analyze the data Results: The prevalence of concurrent use of herbal medicine and ART was 38 (36.2%). Commonly HIV symptom treated with herbs was fever 27(71.1%), diarrhea 3(7.9%) and cough 2(5.3%). Commonly used herbs for fever (Omululuza (Vernonica amydalina), Ekigagi (Aloe sp), Nalongo (Justicia betonica Linn) while for diarrhea was Ntwatwa. The side effects also included; too much pain, itchy pain of HIV, aneamia,felt sick, loss/gain appetite, joint pain and bad dreams. Herbs used to sooth the side effects were; for aneamia was avocado leaves Parea Americana mill The significant factors associated with concurrent use of herbal medicine were being familiar with herbs and conventional medicine for management HIV symptoms being expensive. The other significant factor was exhibiting hostility to patients by health personnel providing HIV care. Conclusion: Herbal medicine is widely used by clients in HIV/AIDS care. Patients being familiar with herbs and conventional medicine being expensive were associated with concurrent use of herbal medicine and ART. The exhibition of hostility to the HIV/AIDS patients by the health care providers was also associated with concurrent use of herbal medicine and ART among HIV/AIDS patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=HIV%20patients" title="HIV patients">HIV patients</a>, <a href="https://publications.waset.org/abstracts/search?q=herbal%20medicine" title=" herbal medicine"> herbal medicine</a>, <a href="https://publications.waset.org/abstracts/search?q=antiretroviral%20therapy" title=" antiretroviral therapy"> antiretroviral therapy</a>, <a href="https://publications.waset.org/abstracts/search?q=factors%20associated" title=" factors associated"> factors associated</a> </p> <a href="https://publications.waset.org/abstracts/169804/prevalence-and-factors-associated-with-concurrent-use-of-herbal-medicine-and-anti-retroviral-therapy-among-hivaids-patients-attending-selected-hiv-clinics-in-wakiso-district" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/169804.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">97</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1346</span> In vivo Antidiarrheal and ex-vivo Spasmolytic Activities of the Aqueous Extract of the Roots of Echinops kebericho Mesfin in Rodents and Isolated Guinea-Pig Ileum</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Fisseha%20%20Shiferie%20%28Bpharm">Fisseha Shiferie (Bpharm</a>, <a href="https://publications.waset.org/abstracts/search?q=Mpharm%29"> Mpharm)</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Diarrhea is a common gastrointestinal disorder characterized by an increase in stool frequency and a change in stool consistency. Inspite of the availability of many drugs as antidiarrheal agents, the search for a drug with affordable cost and better efficacy is essential to overcome diarrheal problems. The root extract of Echinops kebericho, is used by traditional practitioners for the treatment of diarrhea. However, the scientific basis for this usage has not been yet established. The purpose of the present study was to evaluate the antidiarrheal and spasmolytic activities of the aqueous extract of the roots of E. kebericho in rodents and isolated guinea-pig ileum preparations. In the castor oil induced intestinal transit test, E. kebericho produced a significant (p < 0.01) dose dependent decrease in propulsion with peristaltic index values of 45.05±3.3, 42.71±2.25 and 33.17±3.3%, respectively at doses of 100, 200 and 400 mg/kg compared with 63.43±7.3% for control. In the castor oil-induced diarrhea test, the mean defecation was reduced from 1.81±0.18 to 0.99 ± 0.21 compared with 2.59 ±0.81 for control. The extract (at doses stated above) significantly decreased the volume of intestinal fluid secretion induced by castor oil (2.31±0.1 to 2.01±0.2) in relation to 3.28±0.3 for control. When tested on a guinea-pig ileum, root extract of Echinops kebericho exhibited a dose dependent spasmolytic effect, 23.07 % being its highest inhibitory effect. The results obtained in this study give some scientific support to the use of Echinops kebericho as an antidiarrheal agent due to its inhibitory effects on the different diarrheal parameters used in this study. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=antidiarrheal%20activity" title="antidiarrheal activity">antidiarrheal activity</a>, <a href="https://publications.waset.org/abstracts/search?q=E.%20kebericho" title=" E. kebericho"> E. kebericho</a>, <a href="https://publications.waset.org/abstracts/search?q=traditional%20medicine" title=" traditional medicine"> traditional medicine</a>, <a href="https://publications.waset.org/abstracts/search?q=diarrhea" title=" diarrhea"> diarrhea</a>, <a href="https://publications.waset.org/abstracts/search?q=enteropooling" title=" enteropooling"> enteropooling</a>, <a href="https://publications.waset.org/abstracts/search?q=and%20intestinal%20transit" title=" and intestinal transit"> and intestinal transit</a> </p> <a href="https://publications.waset.org/abstracts/15265/in-vivo-antidiarrheal-and-ex-vivo-spasmolytic-activities-of-the-aqueous-extract-of-the-roots-of-echinops-kebericho-mesfin-in-rodents-and-isolated-guinea-pig-ileum" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/15265.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">319</span> </span> </div> </div> <ul class="pagination"> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=diarrhea%20predominant%20Irritable%20Bowel%20Syndrome&page=2" rel="prev">‹</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=diarrhea%20predominant%20Irritable%20Bowel%20Syndrome&page=1">1</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=diarrhea%20predominant%20Irritable%20Bowel%20Syndrome&page=2">2</a></li> <li class="page-item active"><span class="page-link">3</span></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=diarrhea%20predominant%20Irritable%20Bowel%20Syndrome&page=4">4</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=diarrhea%20predominant%20Irritable%20Bowel%20Syndrome&page=5">5</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=diarrhea%20predominant%20Irritable%20Bowel%20Syndrome&page=6">6</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=diarrhea%20predominant%20Irritable%20Bowel%20Syndrome&page=7">7</a></li> <li class="page-item"><a class="page-link" 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