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Prevalence of Giardia duodenalis among dogs seized by the Center for Control of Zoonoses (CCZ) of the city of Lages, Santa Catarina, Brazil

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Health 2013年第1期5卷 119-124页

作者： Rosileia Marinho Quadros Paulo Henrique Exterckotter Weiss Geison Willian Ezequiel Renato Batista Tamanho Geanice Lepo Marcio Rodrigues da Silva Carlos Roberto Joao da Silva Junior flavio antonio pacheco de araujo Luiz Claudio Miletti Universidade do Estado de Santa Catarina LagesBrazil

The knowledge of the epidemiology of parasitic infections in stray and domestic animals, especially of its incidence and prevalence, is fundamental to adopting effective prophylactic measures. Stray dogs play an important role in environmental contamination favoring the transmission cycle of zoonotic agents. Among the parasitic infections that affect humans, Giardia duodenalis is the most common intestinal protozoa and was designated as a re-emerging infectious disease. This study aimed to determine the prevalence of G. duodenalis in dogs siezed by the Center for Control of Zoonoses (CCZ) of the city of Lages, Santa Catarina, Brazil using two diagnostic techniques. In 357 stool samples analysed, the prevalence of G. duodenalis cysts was 5.3% (19/357) and 4.8% (17/357) detected by floatation and sedimentation techniques, respecttively. No correspondence between gender and age was found among the methods used for analyzing the infected dogs in this study. Our data suggested that two diagnostic techniques should be used in a complementary way to ensure that false negatives are not neglected.

关键词： Giardia Duodenalis Dogs Zoonoses Brazil

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Inguinal Hernia Repair with Local Anesthesia in the Outpatient—10 Year Experience

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International Journal of Clinical Medicine 2014年第12期5卷 644-649页

作者： flavio antonio de Sa Ribeiro Baltazar de araujo Fernandes Joao Pedro de araujo Simoes Correa Surgery of UNIFESO TeresopolisBrazil Hospital Federal de Bonsucesso Rio de JaneiroBrazil General Surgery Service Hospital Geral de BonsucessoRio de JaneiroBrazil

Objective: To demonstrate the feasibility of inguinal hernia repair with local anesthesia in an out-patient regime, with safety, efficacy and short learning curve. Methods: We prospectively evaluated 1186 patients undergoing inguinal hernia repair under local anesthesia on an outpatient basis between November 2004 and March 2014. Of the total number of hernias surgically treated in this period, 755 were operated on the right, 394 on the left and 37 bilateral. We used clinical, surgical and psychosocial criteria for inclusion in the procedure. The parameters for exclusion were complex, irreducible or recurrent hernia, obesity (BMI greater than 30 kg/m2), patient’s refusal and psychiatric disorder. All patients underwent elective surgery and were analyzed regarding surgical outcome, complications and hospital stay. Results: All operations were completed successfully. In no case there was a need to change the anesthetic method. Surgical time was similar to that conducted with other methods of anesthesia and there were no cases of adverse effects of local anesthetics. Intra-operative complications amounted to approximately 2.64%. There was no need for hospital admissions greater than 24 hours. Conclusion: The procedure is feasible and causes no perioperative significant pain, is safe, can be performed by residents under supervision, has satisfactory patient acceptance and complications similar to those observed in a conventional herniorrhaphy, allowing lower time and cost of hospitalization and faster access to treatment.

关键词： Inguinal Hernia/Surgery Local Anesthesia Ambulatory Surgical Procedures

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