Disorders of the gastrointestinal system can affect any part from the esophagus to the pancreas. Some common conditions include:
1. Esophageal diseases like achalasia cause difficulty swallowing while Barrett's esophagus increases cancer risk.
2. Stomach issues involve gastritis, ulcers from H. pylori infection, and tumors.
3. Inflammatory bowel diseases affect the small and large intestines, causing pain, bleeding, and diarrhea.
4. Liver diseases include viral hepatitis, fatty liver disease, and cancer.
5. Gallstones may cause pain while pancreatitis arises from gallstones or alcohol abuse.
Diarrhea & Constipation by dr Mohammed Hussien.
Ass. Lecturer of Gastroenterology & Hepatology
Kafrelsheik University
Membership at American Collage of Gastroenterology (ACG)
Membership at Egyptian association for Research and training in Hepatogastroentrology
Foodborne diseases, also called foodborne illness, is an illness caused by eating contaminated food. Infectious organisms including; bacteria, viruses and parasites or their toxins are the most common causes of food poisoning
Diarrhea & Constipation by dr Mohammed Hussien.
Ass. Lecturer of Gastroenterology & Hepatology
Kafrelsheik University
Membership at American Collage of Gastroenterology (ACG)
Membership at Egyptian association for Research and training in Hepatogastroentrology
Foodborne diseases, also called foodborne illness, is an illness caused by eating contaminated food. Infectious organisms including; bacteria, viruses and parasites or their toxins are the most common causes of food poisoning
"Understanding the Carbon Cycle: Processes, Human Impacts, and Strategies for...MMariSelvam4
The carbon cycle is a critical component of Earth's environmental system, governing the movement and transformation of carbon through various reservoirs, including the atmosphere, oceans, soil, and living organisms. This complex cycle involves several key processes such as photosynthesis, respiration, decomposition, and carbon sequestration, each contributing to the regulation of carbon levels on the planet.
Human activities, particularly fossil fuel combustion and deforestation, have significantly altered the natural carbon cycle, leading to increased atmospheric carbon dioxide concentrations and driving climate change. Understanding the intricacies of the carbon cycle is essential for assessing the impacts of these changes and developing effective mitigation strategies.
By studying the carbon cycle, scientists can identify carbon sources and sinks, measure carbon fluxes, and predict future trends. This knowledge is crucial for crafting policies aimed at reducing carbon emissions, enhancing carbon storage, and promoting sustainable practices. The carbon cycle's interplay with climate systems, ecosystems, and human activities underscores its importance in maintaining a stable and healthy planet.
In-depth exploration of the carbon cycle reveals the delicate balance required to sustain life and the urgent need to address anthropogenic influences. Through research, education, and policy, we can work towards restoring equilibrium in the carbon cycle and ensuring a sustainable future for generations to come.
UNDERSTANDING WHAT GREEN WASHING IS!.pdfJulietMogola
Many companies today use green washing to lure the public into thinking they are conserving the environment but in real sense they are doing more harm. There have been such several cases from very big companies here in Kenya and also globally. This ranges from various sectors from manufacturing and goes to consumer products. Educating people on greenwashing will enable people to make better choices based on their analysis and not on what they see on marketing sites.
Artificial Reefs by Kuddle Life Foundation - May 2024punit537210
Situated in Pondicherry, India, Kuddle Life Foundation is a charitable, non-profit and non-governmental organization (NGO) dedicated to improving the living standards of coastal communities and simultaneously placing a strong emphasis on the protection of marine ecosystems.
One of the key areas we work in is Artificial Reefs. This presentation captures our journey so far and our learnings. We hope you get as excited about marine conservation and artificial reefs as we are.
Please visit our website: https://kuddlelife.org
Our Instagram channel:
@kuddlelifefoundation
Our Linkedin Page:
https://www.linkedin.com/company/kuddlelifefoundation/
and write to us if you have any questions:
info@kuddlelife.org
Characterization and the Kinetics of drying at the drying oven and with micro...Open Access Research Paper
The objective of this work is to contribute to valorization de Nephelium lappaceum by the characterization of kinetics of drying of seeds of Nephelium lappaceum. The seeds were dehydrated until a constant mass respectively in a drying oven and a microwawe oven. The temperatures and the powers of drying are respectively: 50, 60 and 70°C and 140, 280 and 420 W. The results show that the curves of drying of seeds of Nephelium lappaceum do not present a phase of constant kinetics. The coefficients of diffusion vary between 2.09.10-8 to 2.98. 10-8m-2/s in the interval of 50°C at 70°C and between 4.83×10-07 at 9.04×10-07 m-8/s for the powers going of 140 W with 420 W the relation between Arrhenius and a value of energy of activation of 16.49 kJ. mol-1 expressed the effect of the temperature on effective diffusivity.
WRI’s brand new “Food Service Playbook for Promoting Sustainable Food Choices” gives food service operators the very latest strategies for creating dining environments that empower consumers to choose sustainable, plant-rich dishes. This research builds off our first guide for food service, now with industry experience and insights from nearly 350 academic trials.
Natural farming @ Dr. Siddhartha S. Jena.pptxsidjena70
A brief about organic farming/ Natural farming/ Zero budget natural farming/ Subash Palekar Natural farming which keeps us and environment safe and healthy. Next gen Agricultural practices of chemical free farming.
Willie Nelson Net Worth: A Journey Through Music, Movies, and Business Venturesgreendigital
Willie Nelson is a name that resonates within the world of music and entertainment. Known for his unique voice, and masterful guitar skills. and an extraordinary career spanning several decades. Nelson has become a legend in the country music scene. But, his influence extends far beyond the realm of music. with ventures in acting, writing, activism, and business. This comprehensive article delves into Willie Nelson net worth. exploring the various facets of his career that have contributed to his large fortune.
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Introduction
Willie Nelson net worth is a testament to his enduring influence and success in many fields. Born on April 29, 1933, in Abbott, Texas. Nelson's journey from a humble beginning to becoming one of the most iconic figures in American music is nothing short of inspirational. His net worth, which estimated to be around $25 million as of 2024. reflects a career that is as diverse as it is prolific.
Early Life and Musical Beginnings
Humble Origins
Willie Hugh Nelson was born during the Great Depression. a time of significant economic hardship in the United States. Raised by his grandparents. Nelson found solace and inspiration in music from an early age. His grandmother taught him to play the guitar. setting the stage for what would become an illustrious career.
First Steps in Music
Nelson's initial foray into the music industry was fraught with challenges. He moved to Nashville, Tennessee, to pursue his dreams, but success did not come . Working as a songwriter, Nelson penned hits for other artists. which helped him gain a foothold in the competitive music scene. His songwriting skills contributed to his early earnings. laying the foundation for his net worth.
Rise to Stardom
Breakthrough Albums
The 1970s marked a turning point in Willie Nelson's career. His albums "Shotgun Willie" (1973), "Red Headed Stranger" (1975). and "Stardust" (1978) received critical acclaim and commercial success. These albums not only solidified his position in the country music genre. but also introduced his music to a broader audience. The success of these albums played a crucial role in boosting Willie Nelson net worth.
Iconic Songs
Willie Nelson net worth is also attributed to his extensive catalog of hit songs. Tracks like "Blue Eyes Crying in the Rain," "On the Road Again," and "Always on My Mind" have become timeless classics. These songs have not only earned Nelson large royalties but have also ensured his continued relevance in the music industry.
Acting and Film Career
Hollywood Ventures
In addition to his music career, Willie Nelson has also made a mark in Hollywood. His distinctive personality and on-screen presence have landed him roles in several films and television shows. Notable appearances include roles in "The Electric Horseman" (1979), "Honeysuckle Rose" (1980), and "Barbarosa" (1982). These acting gigs have added a significant amount to Willie Nelson net worth.
Television Appearances
Nelson's char
3. Diseases of Esophagus:
1- Esophageal Diverticula:
• A diverticulum of the esophagus is an outpouching of the esophageal wall
caused by a weakness of the muscularis layer or motility problems
• Treatment: Surgery is the optimal for persons with severe symptoms or
pulmonary complications.
2- Esophageal lacerations:
• Longitudinal tears at the gastroesophageal junction
• Clinical setting: chronic alcoholics after a severe vomiting
• Tear may be superficial or deep affecting all layers
• Clinical picture: Pain, bleeding, superimposed infection.
4. 3-Achalasia (failure to relax)
Def: Achalasia is an incomplete relaxation of the lower esophageal sphincter
during swallowing.
Clinical picture
1-Dysphagia
2-Regurgitation
3-Chest pain
4-Heart burn / Cough/Recurrent Chest Infection/ Weight loss.
4-Esophagitis:
Esophagitis is inflammation that may damage tissues of the esophagus
Esophagitis can cause painful, difficult swallowing and chest pain. Causes
of esophagitis include stomach acids backing up into the esophagus,
infection, oral medications and allergies.
5. 5- Barrett esophagus:
• A complication of long standing reflux esophagitis
• Replacement of squamous epithelium by columnar epithelium with goblet cells
• 30- to 40-fold greater risk to develop adenocarcinoma
6-Esophageal varices:
• Etiology: portal hypertension secondary to liver cirrhosis
• Asymptomatic until they rupture leading to massive hemorrhage
• 50% subsides spontaneously
• 20-30% die during the first attack
• Rebleeding occurs in 70% of cases within one year
6. 7- Cancer of the Esophagus:
Cancer of the esophagus is a relatively uncommon form of cancer that is
commonly linked to gastroesophageal reflux and Barrett esophagus
(adenocarcinoma) or alcohol and tobacco use (squamous cell carcinoma).
Squamous cell carcinoma
◦ More prevalent worldwide
◦ Risk factors: long-standing
esophagitis, achalasia,
smoking, alcohol, genetics
◦ 50% in middle 1/3
Adenocarcinoma
More common
Occurs on top of Barrett
esophagus
More in distal 1/3
7. Stomach
It secret acid ( to breakdown of food) , intrinsic factors (binds
vitamin B12) , release food to duodenum.
Pathological conditions
1) Obstruction
2) Gastritis
3) Ulcer
4) Gastroparesis
5) Tumors
6) Pernicious anemia
8. 1-OBSTRUCTION
It may be due to obstruction of pyloric , from inside by:
1-presence of foreign body.
2-Gastric polyp.
Or from outside by: 1-pressure from pancreatic tumor.
Symptoms
-Vomiting is the chief complaint with abdominal distension.
2-GASTRITIS:
• Def:Inflammation of the gastric mucosa. Classified into
• Acute gastritis: It may be infectious (viral, fungal or bacterial infection ) or chemical,
irritant food, or alcohol.
• CHRONIC GASTRITIS:
It characterized by infiltration of gastric mucosa with chronic inflammatory cells mostly
lymphocytes associated with mucosal atrophy
There are two main types of chronic gastritis:
Type A , with an autoimmune etiology.
Type B , caused by Helicobacter pylori infection.
Pyloric stenosis
9. 3-PEPTIC ULCER DISEASE:
Def. It is a defect in the mucosal surface of the stomach or duodenum.
Peptic ulcers can occurs in the stomach “ gastric ulcer” or in the duodenum “ duodenal
ulcer”
Causes
I. Decreased mucosal protection
II. Increased acid production
Symptoms of peptic ulcer:
Pain.
Vomiting of blood.
Nausea.
Tarry stools “ melena” i.e. blood in the stool which becomes black in color.
Peptic ulcer.
10. 4-GASTROPARESIS:
• Def. It is paralysis of stomach usually due to nerve damage or dysfunction.
• Some drugs as acetylcholine blocker cause decrease in gastric motility which may
result in gatroparesis.
5-GASTRIC CANCER:
• Helicobacter pylori infection is most common predisposing factor for gastric cancer.
• Adenocarcinoma is the common type of gastric cancer.
• Carcinoma of the stomach may appears as fungating tumor has a cauliflower-like
appearance , or ulcerated tumor which appears as irregularly shaped ulcerated area
“ similar to gastric ulcer”
• Symptoms: Nausea & GIT bleeding
• 6- PERNICIOUS ANEMIA:
• The cells of stomach produce intrinsic factors which binds Vitamin B12 facilitating its
absorption.
• Therefore absence of intrinsic factors interfere with vitamin B12 absorption which
leads to pernicious anemia
11. Its functions are related to digestion & absorption
Pathological conditions
1) Obstruction
2) Mal-absorption
3) Tumors
1-OBSTRUCTION:
It is blockage of the intestinal tract . As other parts of GIT, intestinal obstruction may be
due to pressure from tumor, gall stones, inflammatory changes causing adhesions such
as occur after surgery. Other causes of mechanical obstruction include e.g Volvulus,
which is twisting of the bowel on itself
12. 2-MALABSORPTION SYNDROMES:
Malabsorption is due to failed absorption of nutrients by the small intestines.
Defective intraluminal digestion:
1-pancreatic insufficiency
2-Defective bile secretion
3-Failure of stomach acid secretion.
Clinical features of malabsorption syndromes
Hematopoietic system:
Anemia: iron, folate and B12 deficiency
Bleeding: vitamin K deficiency
Musculoskeletal system:
Osteopenia: calcium and vitamin D deficiency
Skin:
Purpura: vitamin K deficiency
Dermatitis: vitamin A deficiency
Nervous system:
Peripheral neuropathy: folate and B12 deficiency.
13. 3-SMALL BOWEL TUMOR
• Benign neoplasms include adenoma, lipoma , leiomyoma
• Malignant neoplasms include adenocarcinoma , lymphomas and
sarcomas.
• Small bowel tumors may cause obstruction and /or bleeding.
• Symptoms
• Vomiting
• Abdominal pain
• Weight loss
• GI bleeding
14. It reabsorbs water and passage of undigested foods as stool
Pathological conditions:
1) Diverticula
2) Colitis
3) Tumors
4) Inflammatory Bowel Disease (IBD)
15. 1-DIVERTICULA
• Def. Diverticula are outpouchings of the intestinal mucosa through weakened
muscularis propria
• Low fiber diet leads to formation of hard stools which create extra squeezing
work for large intestine, with time, the wall becomes week and leads to
diverticula.
Symptoms
• Abdominal pain
• Lower GI bleeding
2-COLITIS
• Inflammation of colon.
• It may be due to infection or drugs e.g. antibiotics .
Symptoms:
• Abdominal pain
• Lower GI bleeding
Diverticula of intestine
16. 3-COLON CANCER
• Adenocarcinoma is one of the most common cancer.
Symptoms:
• Intestinal obstruction
• Abdominal pain
• Lower GI bleeding
• Weight loss
4-INFLAMMATORY BOWEL DISEASE (IBD)
• It includes two closely related conditions “Ulcerative colitis and Crohn’s disease”.
• Ulcerative colitis a disease of the large intestine, that includes characteristic ulcers in
the colon.
• The main symptom is usually constant diarrhea mixed with blood
• Crohn’s disease nearly similar to ulcerative colitis but it can affect any portion of
gastrointestinal tract
17. Hepatic diseases:
They include:
1- Hepatic abscesses
2- Hepatic steatosis i.e. Fatty change of liver
3- Hemochromatosis
4- Viral hepatitis
5- hepatic neoplasm
• Any liver diseases can lead to cirrhosis which increase risk of hepatic
cancer
18. LIVER PATHOLOGY:
JAUNDICE:
Bile produced in the liver and then drains through intrahepatic biliary system into
extrahepatic biliary system.
Jaundice occurs due to increase in either unconjugated or conjugated bilirubin in
the circulation
Types of Jaundice:
1- Pre-hepatic jaundice
The pathology is occurring prior to the liver e.g. excessive hemolysis of RBCs as in
Hemolytic diseases
2- Hepatic jaundice
The pathology is located within the liver due to Hepatocellular damage e.g. acute
hepatitis.
3- Post-hepatic jaundice
The pathology is located after the conjugation of bilirubin in liver as in obstruction of
flow of bile e.g. stones in bile duct
19. 1- BACTERIAL HEPATIC ABSCESS
The main pathogenic bacteria are E. coli and Staphylococcus aureus
Clinical manifestations
• High fever
• Pain in hepatic area
• Hepatomegaly
• Jaundice
• Elevation of WBC counts
2- HEPATIC STEATOSIS (FATTY LIVER)
• It occurs secondary to alcohol abuse ( alcoholic liver disease)
• It cause mild elevation in AST and ALT levels
• It may associated with obesity, diabetes and malnutrition
• The severely affected liver become enlarged and yellowish in colour.
20. 3- VIRAL HEPATITIS
HEPATITIS A
• Transmission:
• Contaminated food (fecal oral transmission)
• Spreads rapidly → Acute viral hepatitis → Jaundice
• Painful enlarged liver
• Never become chronic
HEPATITIS B
• Transmission:
• Sexual transmission & Blood transfusion & Across placenta
• Lead to
• 1-Acute hepatitis (90%) with rapid destruction of liver
• 2- Chronic hepatitis (10% ) usually asymptomatic
• Complication
• Cirrhosis & Primary hepatocellular carcinoma
21. HEPATITIS C:
• Transmission
• Sexual & Blood transfusion &Across placenta
• Lead to:
• 1-Acute hepatitis
• 2-Most cases (50%) go to chronic hepatitis, asymptomatic and 20% develop to cirrhosis
• Complication
• Increased risk of hepatocellular carcinoma
HEPATITIS D:
• Transmission
• Sexual & Blood transfusion & Across placenta
• Complication
• Cirrhosis
HEPATITIS E:
• Transmission
• Similar to hepatitis A & Spreads rapidly Contaminated food
Lead to →Acute viral hepatitis → Jaundice
22. 4- HEMOCHROMATOSIS
Abnormal high amount of iron in the blood leads to accumulation of iron in
parenchymal cells resulting in side effects, including heart failure, diabetes mellitus
and hepatic pigmented cirrhosis.
• Hemochromatosis can be acquired or hereditary.
5- HEPATIC NEOPLASM
• It may be benign or malignant. Malignant ones may be primary or secondary
• Benign hepatoma
• It is more common in female and often secondary to oral contraceptives uses
• Hepatocellular carcinoma
Etiology : 1- Viral hepatitis 2- Liver cirrhosis 3- Aflatoxin produced by
fungus aspergillus 4- Other chemical carcinogens e.g. nitrosamine
Diagnostic methods
AFP (-fetoprotein ) & ultrasound, CT, MRI
23. GALL STONE
The two main components necessary for bile synthesis are
i. Pigment from bilirubin
ii. Cholesterol
Causes
1-Excess of these component can lead to gall stones
formation(excess pigments may occurs due to excessive
haemolysis of RBCs).
2-Stasis in the gall bladder is predisposing for gall stones
formation.
3-Chronic cholecystitis (inflammation of the gallbladder ) can
increase the risk of gall stones.
24. Clinical manifestation
• It may be without symptom which is called asymptomatic gallstones
• It may cause biliary colic(upper abdominal discomfort after meals,
especially fatty meals).
• Clinical findings:
• High WBC count.
• Elevation of alkaline phosphate and bilirubin
Complications:
1-The stone can pass into common bile duct and obstruct it lead to
jaundice
2-The stones may pass into duodenum cause obstruction of
pancreatic duct leads to pancreatitis
25. PANCREAS
Function of pancreas
• The pancreas has 2 main function
• Endocrine:
Regulates blood glucose
Via Insulin, glucagon.
• Exocrine (acini & duct)
Production and release of digestive Enzymes (acini) chymotrypsin,
trypsin, lipase , amylase
Bicarbonate (ducts)
Secretions to duodenum via duct.
26. ACUTE PANCREATITIS
• Acute inflammation of the pancreas
Causes :
• Gallstones:60%
• Alcohol:4%
• Drugs
• Infectious agents
Clinical findings
Elevation of serum amylase and lipase levels
CHRONIC PANCREATITIS
• chronic inflammation of pancreas characterized by repeated inflammation
and replacement of pancreatic acinar tissue by fibrous tissue
Causes
• Alcohol
• Obstructive pancreatitis
27. TUMORS OF PANCREAS :
• Pancreatic carcinoma
• Arise from acinar or duct cells
• Main symptom
• Obstructive jaundice
• Distended gallbladder
• Abdominal pain
• Diabetes
INSULINOMA:
• Pancreatic endocrine neoplasm arise from B cell
• Symptoms:
• Spontaneous hypoglycemia
• Relief of symptoms by oral or intravenous administration of glucose