Issue 1 Articles

Clinical Characteristics and Antimicrobial Resistance among Aeromonas Species in Hepatic Hospital: A 22 Years Retrospective Study

1. Abstract 1.1. Background: Aeromonas is becoming an increasing pathogen in immunocompromised persons, especially in persons with chronic hepatic disease. However, rare studies have clarified their clinical characteristics and antimicrobial resistance (AMR) patterns. This study aimed to elucidate the distribution of Aeromonas and compare AMR patterns of Aeromonas species from various specimen sources.

Tapping into Ascites: Service Evaluation of Elective Day-Case Paracentesis

1. Abstract 1.1. Background: Ascites is the most common complication of liver cirrhosis. Large-volume paracentesis necessitates hospital admissions. Elective day-case paracentesis was introduced into Sandwell and West Birmingham NHS Trust in July 2019 to reduce inpatient bed occupancy. It was established under the condition of regular service review to ensure ongoing safety and cost savings. …

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Synchronous Gastric Adenocarcinoma and Pancreatic Ductal Adenocarcinoma: A Case Report

1. Abstract Pancreatic ductal adenocarcinoma is the most common type of pancreatic cancer, often diagnosed at advanced stages with a very poor prognosis. While the synchronous occurrence of pancreatic and gastric cancer is rare, we present a case of an elderly male who underwent investigation for a 3-kilogram weight loss in a month and was …

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An Adolescent with Vomiting and Weight Loss

1. Abstract Pediatric Achalasia is a rare condition in children, often presents with common symptoms of vomiting and weight loss. We present a case of a 15-year-old female with persistent vomiting and weight loss who was initially diagnosed with eosinophilic esophagitis (EoE) due to endoscopic findings and elevated eosinophils on esophageal histology