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Premature Puberty Revealing an Ovarian Tumor in a Five-Year-Old Girl

Open Journal of Pediatrics 2023年第2期13卷 153-157页

作者： Senkaye-Lagom Aimée Kissou Yacouba traoré Oumar Ganamé aïda traoré/tankoano Mariane Kabré Emile Bandré Departement of Pediatrics CHU Sourô SANOU (CHUSS) Bobo-Dioulasso Burkina Faso Higher Institute of Health Sciences (INSSA) Nazi Boni University (UNB) Bobo-Dioulasso Burkina Faso Pediatric Surgery Service CHUSS Bobo-Dioulasso Burkina Faso Medical Imaging Service CHUSS Bobo-Dioulasso Burkina Faso Anatomical Pathology Service CHU-YO Bobo-Dioulasso Burkina Faso

Background: Ovarian tumors in the girl child are sometimes revealed by the development of secondary sexual characteristics. The authors report the case of a five-year-old girl in whom the disease was revealed by early puberty. Case presentation: A five-year-old girl with an enlarged abdomen for about four months. The onset of pain and the sensation of a mass prompted the consultation. The development of secondary sexual characteristics (SSC) noted by the family had not been mentioned. The patient was classified as pubertal stage 2 according to the Tanner classification. An abdominal ultrasound and a CT scan showed a large left ovarian mass, an enlarged uterus for the patient’s age and a normal right ovary. The hormonal workup was not contributive. The treatment consisted only of a left salpingo-ovarectomy, without complementary chemotherapy. Anatomic pathological examination of the surgical specimen concluded to a juvenile tumor of the granulosa. The evolution was good with a beginning of regression of the HSC one month after the ovarectomy. Discussion: Granulosa tumors are sometimes secretory cancers, generally with a low potential for malignancy and therefore a very good prognosis. Surgery based on total adnexectomy is the first-line treatment. The large size of the tumor, the presence of ascites and capsular rupture are factors of poor prognosis, hence the importance of early diagnosis. Conclusion: Routine comprehensive physical examination should be de rigueur for abdominal masses in girls, especially in the context of various beliefs that may impede early referral to care.

关键词： Ovarian Tumor Juvenile Granulosa Tumor Early Puberty Early Diagnosis Surgery

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Assessment of Physicochemical and Nutritional Characteristics of Sclerocarya birrea A. Almonds and Oil from Burkina Faso

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Open Journal of Applied Sciences 2024年第10期14卷 2850-2862页

作者： Mamadou Sanou Mah Alima Esther traoré Hyacinthe Kanté-traoré Korotimi traoré Abel tankoano Charles Parkouda Institute for Research in Applied Sciences and Technologies (IRSAT) National Center for Scientific and Technological Research (CNRST) Ouagadougou Burkina Faso

Sclerocarya birrea fruits and almonds are used in human nutrition and are a source of income for the rural population of Burkina Faso. The aim of this study was to evaluate the physico-chemical and nutritional characteristics of Sclerocarya birrea A. rich (Anacardiaceae) almonds from Burkina Faso. Fresh ripe fruits of Sclerocarya birrea were collected in three regions of Burkina Faso: the North, the Mouhoun loop and the Hauts-Bassins. The physicochemical parameters of almonds and oil extracted from almonds were determined using AOAC methods. Amino acids were measured by HPLC and minerals by atomic absorption spectrometry. The results show that Sclerocarya birrea almonds have a moisture of 4.16% ± 0.40% with 4.47% ± 0.20% total ash;28.89% ± 2.08% protein;56.46% ± 2.36% total fat and 10.18% ± 2.14% carbohydrates. Amino acid profile showed that almonds contain all the essential amino acids, with high levels of histidine and phenylalanine. Total ash analyzed consists mainly of calcium (192.85 ± 169.17 mg/100g), potassium (806.71 ± 324.48 mg/100g), magnesium (386.57 ± 176.03 mg/100g) and sodium (28.68 ± 20.55 mg/100g), with a Na/K ratio of 0.03 ± 0.01. Almonds also contain iron (3.33 ± 1.50 mg/100g) and zinc (6.46 ± 3.06 mg/100g). Sclerocarya birrea oil has a refractive index at 20˚C of 1.46 ± 0.00, an iodine value of 25.40 ± 3.18 g I2/100g and a saponification value of 190.29 ± 10.25 mg KOH/g. S. birrea almonds of Burkina Faso are a source of protein, lipids, carbohydrates, minerals and essential amino acids for the diet and deserve to be developed.

关键词： Sclerocarya birrea Nutritional Composition Physico-Chemical Parameters Burkina Faso

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Isolation and Characterization of Lactic Acid Bacteria Producing Bacteriocin like Inhibitory Substance (BLIS) from “Gappal”, a dairy Product from Burkina Faso

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Advances in Microbiology 2019年第4期9卷 343-358页

作者： Abel tankoano Michel Bakar Diop Hagrétou Sawadogo-Lingani Malick Mbengue Donatien Kaboré Yves traoré Aly Savadogo Laboratoire de Biochimie et Immunologie Appliquée (LaBIA) Université Ouaga I Professeur Joseph Ki-Zerbo UFR/SVT Ouagadougou Burkina Faso Département Technologie Alimentaire Centre National de la Recherche Scientifique et Technologique IRSAT Ouagadougou Burkina Faso Section de Technologies Agroalimentaires (T2A) Université Gaston Berger UFR S2ATA Saint-Louis Sénégal Laboratoire de Microbiologie Appliquée et Génie Industriel Université Cheikh Anta Diop Ecole Supérieure Polytechnique Dakar-Fann Sénégal

Indigenous fermented foods are known for their nutritional and functional properties but they are often spoiled by pathogenic bacteria that can constitute a food safety problem. “Gappal” is a no-thermal treat food based on millet dough and milk and its production conditions can constitute a food safety problem. The aim of this study was to screen and identify LAB producing Bacteriocin-like inhibitory substances using a matrix similar to “Gappal”. The detection of potential BLIS was first performed using overlaid method after enrichment of samples in whey and millet dough. The isolates demonstrating inhibiting area were preselected, purified and tested for the presence of antibacterial properties using their neutralized cell-free culture supernatant and subsequently treated with catalase in combination with protease, pepsin or trypsin. The antimicrobial effect of two isolates (Gbf48 and Gbf50) after growth on MRS broth over 12 h at 30?C were active against E. faecalis ATCC 19433, M. luteus ATCC 49732, S. aureus ATCC 2523, L. monocytogenes, B. megaterium, B. sphaericus and B. cereus with an activity of 2560 AU/mL. The 16S RNA gene sequencing identification indicated that these isolates are Pediococcus acidilactici. Gbf 48 and Gbf 50 could be used to improve preservative factors for a controlled fermentation of non thermal treatment fermented food for their potential of acidification adds to BLIS production.

关键词： Bacteriocin Lactic Acid Bacteria Pediococcus acidilactici “Gappal” Burkina Faso

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Chest Radiography: General Practitioners’ Compliance with Recommendations

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Open Journal of Medical Imaging 2024年第2期14卷 56-63页

作者： Milckisédek Judicaël Marouruana Some Aïda Ida tankoano Pakisba Ali Ouedraogo Bassirou Kindo Nina-Astrid Ouedraogo Mohammed Ali Harchaoui Department of Medical Imaging The Ouahigouya Regional University Hospital University of Ouahigouya Ouahigouya Burkina Faso Department of Medical Imaging Souro Sanou University Hospital Nazi Boni University Bobo Dioulasso Burkina Faso Department of Medical Imaging Bogodogo University Hospital Joseph Ki Zerbo University Ouagadougou Burkina Faso Private Radiologist Lille France

Introduction: Chest radiography is the most frequently prescribed imaging test in general practice in France. We aimed to assess the extent to which general practitioners follow the recommendations of the French National Authority for Health in prescribing chest radiography. Methodology: We conducted a retrospective analysis study, in two radiology centers belonging to the same group in Saint-Omer and Aire-sur-la-Lys, of requests for chest radiography sent by general practitioners over the winter period between December 22, 2013, and March 21, 2014, for patients aged over 18 years. Results: One hundred and seventy-seven requests for chest X-rays were analyzed, 71.75% of which complied with recommendations. The most frequent reason was the search for bronchopulmonary infection, accounting for 70.08% of prescriptions, followed by 11.2% for requests to rule out pulmonary neoplasia, whereas the latter reason did not comply with recommendations. Chest X-rays contributed to a positive diagnosis in 28.81% of cases. The positive diagnosis was given by 36.22% of the recommended chest X-rays, versus 10% for those not recommended. Conclusion: In most cases, general practitioners follow HAS recommendations for prescribing chest X-rays. Non-recommended chest X-rays do not appear to make a major contribution to diagnosis or patient management, confirming the value of following the recommendations of the French National Authority for Health.

关键词： Chest X-Ray Recommendations General Practitioners Prescription

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Ultrasound of the Rotator Cuff in Non-Fractured Shoulder Trauma: 30 Cases at the Yalgado Ouedraogo University Hospital of Ouagadougou (Burkina Faso)

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Open Journal of Medical Imaging 2024年第2期14卷 64-71页

作者： Milckisédek Judicaël Marouruana Some Aïda Ida tankoano Pakisba Ali Ouedraogo Ladouon Sylvie Simboro Bassirou Kindo Siaka Ben Aziz dao Rabiou Cisse Department of Medical Imaging The Ouahigouya Regional University Hospital University of Ouahigouya Ouahigouya Burkina Faso Department of Medical Imaging Souro Sanou University Hospital Nazi Boni University Bobo Dioulasso Burkina Faso Department of Medical Imaging Workers Health Office Ouagadougou Burkina Faso Department of Medical Imaging Yalgado Oudraogo University Hospital Joseph Ki Zerbo University Ouagadougou Burkina Faso

Introduction: Ultrasound is the imaging technique of choice for the study of rotator cuff lesions. However, in the case of shoulder trauma, it is rarely requested in our context. This study aimed to show ultrasound lesions of the rotator cuff in cases of non-fracture shoulder trauma at the CHUYO in Ouagadougou. Methodology: This was a prospective descriptive cross-sectional study running from August 1 to November 30, 2017, in the medical imaging department of CHUYO. The study population consisted of patients received in the department for ultrasound in the context of non-fracture shoulder trauma. Results: We collected 20 cases (66.67%) of rotator cuff lesions out of 30 non-fracture shoulder injuries. The mean age of the patients was 27.6 years. Road traffic accidents accounted for 60% of injuries, sports accidents for 30%, and domestic accidents for 10%. Ultrasound lesions were mainly tendon ruptures (36.67%) and tendinitis (23.33%). Ruptures were non-transfixing in 90.90% of cases. The supraspinatus was the most affected (81.81%). Conclusion: Ultrasound can help diagnose rotator cuff injuries, particularly in non-fractured shoulder trauma.

关键词： Traumatic Shoulder Rotator Cuff Ultrasound

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Evaluation of Medical Prescribers’ Theoretical Knowledge on Medical Imaging in the Northern Region of Burkina Faso

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Open Journal of Radiology 2024年第2期14卷 33-41页

作者： Some Milckisédek Judicaël Marouruana Ouedraogo Pakisba Ali tankoano Aïda Ida Savadogo Habibou Kindo Bassirou Ouedraogo Nina-Astrid Bamouni Yomboé Abel Diallo Ousseini Department of Medical Imaging Ouahigouya Regional University Hospital University of Ouahigouya Ouahigouya Burkina Faso Department of Medical Imaging Souro Sanou University Hospital Nazi Boni University Bobo Dioulasso Burkina Faso Department of Medical Imaging Bogodogo University Hospital Joseph Ki Zerbo University Ouagadougou Burkina Faso Workers Health Office Joseph Ki Zerbo University Ouagadougou Burkina Faso Department of Medical Imaging Yalgado Oudraogo University Hospital Joseph Ki Zerbo University Ouagadougou Burkina Faso

Introduction: Medical imaging is a medical specialty that involves producing images of the human body and interpreting them for diagnostic, therapeutic purposes, and for monitoring the progress of pathologies. We aimed to assess the theoretical knowledge of doctors and interns in medical imaging in the northern region of Burkina Faso. Methodology: This was a descriptive cross-sectional survey based on a self-administered questionnaire. Prescribers knowledge was estimated based on scores derived from questionnaire responses. Results: We collected 106 questionnaires out of 163, i.e. a participation rate of 65.03%. The average knowledge score was 81.71% for the contribution of medical imaging to patient management. It was 60.02% for the indications/counter-indications of radiological examinations and 72.56% for the risks associated with exposure to radiation during these examinations. The score was 59.83% for the methods used to select the appropriate radiological examination. As regards the completeness of the clinical and biological information on the forms requesting imaging examinations, the score was 96.65%. Specialist doctors had the highest overall level of knowledge (74.68%). Conclusion: Improved technical facilities, good initial and in-service training, and interdisciplinary collaboration will help to ensure that imaging tests are properly prescribed, leading to better patient care.

关键词： Theoretical Knowledge Medical Imaging Northern Region Burkina Faso

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Atlas of Elbow Soft Tissue Pathologies Using Magnetic Resonance Imaging at the Saint Camille Hospital in Ouagadougou and the Polyclinique Notre dame de la Paix (Burkina Faso)

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Open Journal of Medical Imaging 2024年第2期14卷 43-55页

作者： Milckisédek Judicaël Marouruana Some Pakisba Ali Ouedraogo Aïda Ida tankoano Wendiwoumyan Judicaël Congo Bassirou Kindo Bénilde Marie Ange Kambou Rabiou Cisse Department of Medical Imaging The Ouahigouya Regional University Hospital University of Ouahigouya Burkina Faso Department of Medical Imaging Souro Sanou University Hospital Nazi Boni University Bobo Dioulasso Burkina Faso Department of Medical Imaging Bogodogo University Hospital Joseph Ki Zerbo University Ouagadougou Burkina Faso Department of Medical Imaging Yalgado Oudraogo University Hospital Joseph Ki Zerbo University Ouagadougou Burkina Faso

Introduction: The elbow is a superficial joint, particularly exposed to direct impact, forced movement, and overstrain. Our work aimed to study magnetic resonance imaging (MRI) pathologies of the soft tissues of the elbow through illustrative cases. Methodology: This was a retrospective and prospective cross-sectional study covering a period of one year, from June 2020 to June 2021, at the Saint Camille Hospital in Ouagadougou and the Polyclinique Notre dame de la Paix. Results: In general, this study found that the pathologies diagnosed on MRI were lateral epicondylitis, subcutaneous type V elbow lipoma and liposarcoma, anteromedial cortical fracture of the radial cup, cortical detachment fracture of the lateral epicondylitis, medial epicondylitis, villonodular articular synovitis, simple dermo-hypodermatitis, sequellar fibrosis of the ulnar nerve, Workman's syndrome (median and ulnar nerves) and osteoarthritis of the elbow. Lateral epicondylitis was the most frequent pathology, and most patients consulted for elbow pain predominantly associated with pressure on the epicondyle, with relative functional impotence and, occasionally, elbow swelling. Conclusion: MRI, as a complement to ultrasound and radiography, remains the most informative examination for exploring soft-tissue pathologies of the elbow.

关键词： Magnetic Resonance Imaging Soft Tissue Elbow

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Contribution of Computed Tomography to the Diagnosis of Urinary Lithiasis in a West African University Hospital

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Open Journal of Radiology 2024年第2期14卷 25-32页

作者： Some Milckisédek Judicaël Marouruana tankoano Aïda Ida Ouedraogo Pakisba Ali Tonde Kouka François dassis Kindo Bassirou Zanga Soré Moussa Ouedraogo Nina-Astrid Bamouni Yomboé Abel Department of Medical Imaging Ouahigouya Regional University Hospital University of Ouahigouya Ouahigouya Burkina Faso Department of Medical Imaging Souro Sanou University Hospital Nazi Boni University Bobo Dioulasso Burkina Faso Department of Medical Imaging Charles de Gaulle University Paediatric Hospital Joseph Ki Zerbo University Ouagadougou Burkina Faso Department of Medical Imaging Bogodogo University Hospital Joseph Ki Zerbo University Ouagadougou Burkina Faso Workers Health Office Joseph Ki Zerbo University Ouagadougou Burkina Faso

Introduction: Urinary lithiasis is defining as a condition characterized by the formation of concretions in the kidneys or urinary excretory tract. We aimed to study professional practice in CT urinary lithiasis at CHUYO. Materials and method: This was a descriptive cross-sectional study with retrospective data collection covering 3 years from January 2017 to December 2019. Results: In general, it was noted that CT scans in our environment provide all the elements needed by urologists to diagnose urinary lithiasis and its impact on the urinary system. However, there are shortcomings, particularly in terms of the accuracy of the shape and density of the stones in the CT scan reports, which does not make it easier for urologists to decide on treatment. Conclusion: Computed tomography plays a major role in the diagnosis and therapeutic management of urinary lithiasis, and its use needs to be improved in our context.

关键词： Computed Tomography Urinary Lithiasis Diagnosis CHUYO

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Hepatic Metastatic GIST:Diagnostic and Therapeutic Difficulties in Souro Sanou Teaching Hospital in Bobo Dioulasso,Burkina Faso

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Open Journal of Gastroenterology 2018年第12期8卷 455-462页

作者： Ollo Roland Some Ida Aida tankoano Mali Koura Valentin Konségré damien Konkobo Jérome Koulidiaty Institut Supérieur des Sciences de la Sante of Nazi Boni University Bobo-DioulassoBurkina Faso Universite Cheick Anta Diop Hospital Aristide Le DantecDakarSénégal Universite Ouaga 1 Joseph Ki Zerbo OuagadougouBurkina Faso

Introduction: Gastrointestinal stromal tumor (GIST) is the most common non-epithelial, mesenchymal tumor of the digestive tract. Targeted therapy has improved the prognosis but the diagnosis must be accurate before using the existing drugs. Aim: To report the diagnostic difficulty in our context through the clinical polymorphism and define the position of targeted therapy in the management of GIST metastatic stomach. Casuistry: We report 3 cases of gastric GIST with liver metastasis in different circumstances of discovery. Patients were 21, 45, and 73 years old. Discovery circumstances were respectively digestive hemorrhage, severe clinical anemia, abdominal tumor and gastric tumor. There was hepatic metastasis in the three cases. The three patients received Imatinib treatment, adjuvant treatment for the first two cases, and neo-adjuvant treatment for the third case, with a very good clinical response and CT response on metastases. Conclusion: Because of their rarity, GISTs are often difficult to diagnose, and necessarily require immunohistochemistry which is not available in our work context. The effectiveness of targeted therapy even on metastasis needs a rigorous diagnostic approach to improve patient survival.

关键词： Gastric Stromal Tumors Metastases Imatinib Surgery Bobo Dioulasso

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Proteus Syndrome: About Two Paediatrics Cases

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Open Journal of Pediatrics 2018年第1期8卷 42-49页

作者： Senkaye-Lagom Aimee Kissou Aida tankoano Ollo Roland Some Amina Nomtondo Ouedraogo Patrick Wendpouire Hamed dakoure Zakary Nikiema Boubacar Nacro Department of Pediatrics Souro Sanou University Teaching Hospital(CHUSS)Bobo-DioulassoBurkina Faso Medical Imaging Department Souro Sanou University Teaching Hospital(CHUSS)Bobo-DioulassoBurkina Faso Department of Surgery Souro Sanou University Teaching Hospital(CHUSS)Bobo-DioulassoBurkina Faso Department of Dermatology Yalgado Ouedraogo University Teaching HospitalOuagadougouBurkina Faso

Proteus syndrome (PS) is a rare pathology characterized by mosaic and progressive hypertrophies, that can affect any organ or tissue of the body. A genetic mutation in the embryo is at the origin of the disease. Bones, fat, skin and connective tissue are the tissues most typically involved. The extent and severity of the abnormalities vary, giving different clinical presentations. The authors report two cases in two boys aged three and eight years respectively. In both, segmental and organ growth abnormalities, skin abnormalities and lipomas were present. The youngest patient was admitted for the management of severe malnutrition. He presented a major excrescence in the gluteal region, which required surgical management mainly because of its functional impact. In the second patient who was hospitalized following a viral meningoencephalitis, important vascular abnormalities were demonstrated, particularly at the cerebral and abdominal level. The clinical presentation was more severe in the latter, with the installation of an extended coma and a comitial state. PS is a pathology which could be incapacitating. It exposes to a high risk of benign tumours and deep venous thrombosis. The variability of abnormalities and the risks incurred required multidisciplinary management.

关键词： Proteus Growth Abnormalities Cutaneous Signs Vascular Abnormalities

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