scholarly journals Emphysematous cholecystitis following routine colonoscopy

2020 ◽  
Vol 2020 (4) ◽  
Author(s):  
Cassidy Campbell ◽  
Edward A Cooper ◽  
Philip Kennedy
Keyword(s):  
Elderly Patient ◽  
Abdominal Pain ◽  
Diagnostic Procedure ◽  
Health Impact ◽  
Quadrant Pain ◽  
Potential Health ◽  
Emphysematous Cholecystitis ◽  
Subtotal Cholecystectomy ◽  
The Relationship

Abstract Cholecystitis is a rare sequela of colonoscopy, the relationship between which has not yet been defined. This case study reviews a rural elderly patient who developed right upper quadrant pain following routine colonoscopy. He developed emphysematous cholecystitis, which required laparoscopy with conversion to open via Kocher’s incision and underwent a subtotal cholecystectomy due to the severity of necrosis and inflammation. He had an uncomplicated recovery. Colonoscopy is an important diagnostic procedure, the most common complications of which are haemorrhage and perforation. There are less than 10 cases of associated cholecystitis and no reports of emphysematous cholecystitis. The hypothesized pathogenesis is dehydration and lithogenesis associated with traumatic translocation of organisms, however, no definitive correlation has been determined. Due to the potential health impact, cholecystitis cannot be excluded regarding post-colonoscopy abdominal pain, however, the correlation between procedure and pathology remains unclear.

scholarly journals Subhepatic appendix: an ectopic topography not to be disregarded: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Abdoul Kadir Ibrahim Mamadou ◽  
Souleymane Mounkaila ◽  
Nouhou Hama Aghali ◽  
Mahaman Laouali Harouna Amadou ◽  
Ousseini Adakal
Keyword(s):  
Elderly Patient ◽  
Peptic Ulcer ◽  
Abdominal Pain ◽  
Case Report ◽  
Surgical Intervention ◽  
Quadrant Pain ◽  
Case Presentation ◽  
Perforated Appendix ◽  
History Of ◽  
The Right

Abstract Introduction Subhepatic appendix is most often due to an anomaly of rotation of the primary intestine occurring during embryogenesis. This ectopic topography associated with advanced age can be a serious diagnosis problem at the stage of appendicitis or appendicular peritonitis. Case presentation We report the case of a 60-year-old melanoderm man, with a history of urinary pathology and peptic ulcer, referred from a health district for abdominal pain of the right hypochondrium evolving for about 5 days, secondarily generalized, in whom we suspected peritonitis, the etiology of which remains to be determined. During the surgical intervention, after preoperative resuscitations measures, a phlegmonous perforated appendix was found under the liver. No postoperative complication was noted, and he was discharged home 8 days after his operation. Conclusion Subhepatic appendicular peritonitis occurring in an elderly patient poses enormous diagnostic problems. When faced with right upper quadrant pain, considering acute ectopic appendicitis would significantly reduce complications.

scholarly journals Analysis of Mould Growth Causes in Higher Education Library Indoor Environment

2018 ◽  
pp. 1180-1185
Author(s):  
Suriani Ngah Abdul Wahab ◽  
Julaida Kaliwon ◽  
Md Yusof Hamid
Keyword(s):  
Higher Education ◽  
Best Practices ◽  
Indoor Environment ◽  
Education Institution ◽  
Health Impact ◽  
Indoor Environmental Quality ◽  
Mould Growth ◽  
Library Management ◽  
The Relationship

This paper presents an analysis of mould growth causes that be found in an indoor library environment. The visual inspection had been conducted to identify visible mould in the indoor library environment. Three higher education institution libraries in Malaysia were selected as a case study. The identified mould species on the site were analysed using mould growth germination factors and possible causes that related to the growth. The result confirmed mould species such as Aspergillus, Penicillium, Stachybotrys’s identified as a common mould growth found in the three library buildings. The analysis of mould growth causes is important for this study as is to confirm the relationship with the mould found in this building which may result in adverse health impact, environment, material and archive in the library. The result also can become guidelines and best practices for library management regarding good indoor environmental quality.

Kämpfe um Bergbau und die Möglichkeiten demokratischer Transformation

2017 ◽  
Vol 47 (189) ◽  
Author(s):  
Kristina Dietz
Keyword(s):  
Direct Democracy ◽  
Social Power ◽  
Political Agenda ◽  
The Political ◽  
Liberal Democratic ◽  
Political Effects ◽  
Mining Project ◽  
National Governments ◽  
The Relationship

The article explores the political effects of popular consultations as a means of direct democracy in struggles over mining. Building on concepts from participatory and materialist democracy theory, it shows the transformative potentials of processes of direct democracy towards democratization and emancipation under, and beyond, capitalist and liberal democratic conditions. Empirically the analysis is based on a case study on the protests against the La Colosa gold mining project in Colombia. The analysis reveals that although processes of direct democracy in conflicts over mining cannot transform existing class inequalities and social power relations fundamentally, they can nevertheless alter elements thereof. These are for example the relationship between local and national governments, changes of the political agenda of mining and the opening of new spaces for political participation, where previously there were none. It is here where it’s emancipatory potential can be found.

Interactive acculturation of Turkish-Belgian parents and children in Flanders: A case study of Beringen

2019 ◽  
Vol 16 (3) ◽  
pp. 417-428
Author(s):  
Özgün Ünver ◽  
Ides Nicaise
Keyword(s):  
Early Childhood ◽  
Maternal Employment ◽  
Domain Specificity ◽  
Specific Context ◽  
Childhood Education ◽  
Parents And Children ◽  
Education And Care ◽  
The Relationship ◽  
The Town

This article tackles the relationship between Turkish-Belgian families with the Flemish society, within the specific context of their experiences with early childhood education and care (ECEC) system in Flanders. Our findings are based on a focus group with mothers in the town of Beringen. The intercultural dimension of the relationships between these families and ECEC services is discussed using the Interactive Acculturation Model (IAM). The acculturation patterns are discussed under three main headlines: language acquisition, social interaction and maternal employment. Within the context of IAM, our findings point to some degree of separationism of Turkish-Belgian families, while they perceive the Flemish majority to have an assimilationist attitude. This combination suggests a conflictual type of interaction. However, both parties also display some traits of integrationism, which points to the domain-specificity of interactive acculturation.

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