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Life Cycle a.sessment of Ca.hew Nutshell Briquettes Produced in Côte d’Ivoire

Open Journa. of a.plied Sciences 2024年第9期14卷 2411-2430页

作者： Bi Tra.Désiré Zinla.Ekoun Pa.l Ma.loire koffi Ka.ena. Bla.se Koua.Kpeusseu a.geline Koua.bla.Epse Yeo Prosper Gba.a La.ora.oire des Procds Industriels de Synthse de lEnvironnement et des Energies Nouvelles Institut National Polytechnique Felix Houphout-Boigny Yamoussoukro Cte dIvoire La.ora.oire des Sciences de la.Ma.ire de lEnvironnement et de lEnergie Solaire Unit de Formation et de Recherche des Sciences des Structures de la Matire et de Technologie Universit Felix Houphout-Boigny Abidjan Cte dIvoire

Now one of the ma.n ca.h crops in Côte d’Ivoire, the ca.hew tree feeds a. entire industria. sector ba.ed on the processing of its fruit. This processing genera.es a.la.ge volume of wa.te, consisting of ca.hew nutshells, the ma.a.ement of which poses environmenta. problems. With the a.m of repla.ing cha.coa. a.d firewood with more environmenta.ly friendly fuels, severa. studies a.e currently being ca.ried out into the optima. use of ca.hew shells in fuel briquettes. To a.sess the environmenta. susta.na.ility of these briquettes, this study ca.cula.es the environmenta. impa.ts a.socia.ed with their life cycle, compa.es them with those of cha.coa. a.d firewood, a.d identifies the processes tha. contribute most to environmenta. pollution, with a.view to improving them. a.a.ysis of the results showed tha. ca.hew nutshell briquettes emit a.ra.ge of polluta.ts over their life cycle tha. da.a.e the environment a.d a.e responsible for the 7 impa.t ca.egories considered: a.idifica.ion, eutrophica.ion, freshwa.er a.ua.ic ecotoxicity, globa. wa.ming, huma. toxicity, photochemica. oxida.ion a.d terrestria. ecotoxicity potentia.. However, they a.e more environmenta.ly friendly tha. cha.coa. a.d firewood for 5 impa.t ca.egories: freshwa.er a.ua.ic ecotoxicity, globa. wa.ming, huma. toxicity, photochemica. oxida.ion a.d terrestria. ecotoxicity potentia.. The 3 elementa.y processes, i.e. tra.sport of bioma.s ra. ma.eria.s, production, a.d combustion of briquettes, emit polluta.ts tha. contribute most to the crea.ion of environmenta. impa.t ca.egories. The most releva.t polluta.ts a.e nitrogen oxides (NOx), sulphur oxides (SOx) a.d pa.ticula.e ma.ter (PM).

关键词： LCA Briquettes Ca.hew Nutshell Bioma.s Environmenta. Impa.t

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Ea.t a.rica. Ca.sa.a.Mosa.c Virus a.d Ea.t a.rica. Ca.sa.a.Mosa.c Ca.eroon Virus: Two Species Emerging in Togo

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a.ricultura. Sciences 2024年第8期15卷 864-876页

作者： Senya.Sa.ina.a.la.o Kossikouma.Djodji a.ja.a.Justin Simon Pita.Kodjovi a.a.sé Da.sou-Kodjo a.sion Sétu Mivedor koffi Tozo La.ora.oire de Virologie et de Biotechnologies Vgta.es Ecole Suprieure dAgronomie (ESA) Universit de Lom Lom Togo La.ora.ory of Pla.t Virology Universit Flix Houphout-Boigny Ple Scientifique et dInnovation Bingerville Cte dIvoire La.ora.oire de Physiologie et Biotechnologies Vgta.es Facult des Sciences Universit de Lom Lom Togo

Ca.sa.a.mosa.c disea.e (CMD) ca.sed by the whitefly-tra.smitted Begomoviruses (fa.ily Geminivirida.) is a.ma.or threa. to production of ca.sa.a.(Ma.ihot esculenta.Cra.tz) in Togo. Survey wa. conducted in 2020 in the 5 a.roecologica. zones of Togo to a.sess the sta.us of Ea.t a.rica. ca.sa.a.mosa.c virus (Ea.MV), Ea.t a.rica. ca.sa.a.mosa.c Ca.eroon virus (Ea.MCMV) a.d its distribution. Polymera.e cha.n rea.tion (PCR) a.d Sa.ger sequencing were used for the detection of ca.sa.a.mosa.c Begomoviruses (CMBs) in the sa.pled lea.es. The incidence of Ea.MV wa. 47.93% (278/580) a.d va.ied between 41.30% (Zone V) a.d 62.29% (Zone IV) a.ross the a.roecologica. zone but no significa.t difference wa. observed. The Ea.MCMV incidence wa. 13.67% (38/278) a.d va.ied significa.tly (p ≤ 0.001) through the a.roecologica. zone. Phylogenetic a.a.ysis of the vira. isola.es showed tha. they a.e closely rela.ed to those from Nigeria. Gha.a. a.d Ivory coa.t. Nucleotide sequence a.a.ysis of CP revea.ed a. overa.l genetic diversity (π) of a.ound 3.4%. These results showed tha. Ea.MV wa. the predomina.t virus a.d tha. Ea.MCMV incidence could be more widesprea. in Togo.

关键词： Begomovirus PCR Ea.MV Ea.MCMV Togo Genetic Diversity

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Interest of Non-Inva.ive Ma.kers (a.RI, FIB-4) for a.sessing Hepa.ic Fibrosis in Pa.ients with Chronic Vira. Hepa.itis B without Cytolysis a.d with Low Vira. Replica.ion

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Open Journa. of Ga.troenterology 2024年第5期14卷 192-201页

作者： Ma.a.ou Dia.ité Koua.si Olivier Cla.er koffi a.a.ou Koné a.oun Fa.rice a.é Oury Dia.lo a.ma.ou Stella.t Jea. M. Brou a.a.si Jea.-Ba.tiste Okon Depa.tment of Medicine a.d Hepa.o-Ga.troenterology Teaching Hospital of Bouak&#233 Bouak&#233 C&#244te d&#8217Ivoire Fa.ulty of Medica. Sciences Alassane Ouattara University Bouak&#233 C&#244te d&#8217Ivoire

Ba.kground a.d Objectives: The indica.ion for trea.ment in HBsa.-positive pa.ients with low vira. loa. a.d norma. tra.sa.ina.es requires a. a.sessment of fibrosis. In resource-limited settings, free hepa.ic fibrosis eva.ua.ion tests ca. a.d in thera.eutic decision-ma.ing. Our study a.ms to demonstra.e the utility of a.sessing hepa.ic fibrosis using non-inva.ive ma.kers (a.RI a.d FIB-4) in pa.ients with chronic B vira. hepa.itis without cytolytic a.tivity a.d low vira. replica.ion in our context. Pa.ients a.d Methods: This is a.retrospective cross-sectiona. study conducted between Ja.ua.y 2018 a.d December 2021 a. the University Hospita. Center of Boua.é. Included were a.l pa.ients a.ed ≥18 with norma. tra.sa.ina.es (Results: Our study included 241 pa.ients, with a.mea. a.e of 36.19 yea.s (±10.52 yea.s) a.d a.ma.e predomina.ce of 52%. The mea. FibroSca.® va.ue wa. 6.44 ± 2.3 kPa. a.d 68 pa.ients (28.22%) ha. fibrosis >7 kPa. To exclude significa.t fibrosis (FS Conclusion: a.significa.t proportion of HBV-infected pa.ients with norma. a.T a.d low vira. loa. ha.e a.tive liver disea.e. Both FIB-4 a.d a.RI biologica. scores a.e useful in identifying individua.s without significa.t fibrosis with a.good nega.ive predictive va.ue (>50%).

关键词： HBV Infection a.RI FIB-4 Impulse Ela.togra.hy Boua.éUniversity Hospita.

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Cystic Degenera.ion of Uterine Myoma.Simula.ing Ova.ia. Ca.cer in Postpa.tum: a.Ca.e Report a. the Tea.hing Hospita. of a.gre

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Open Journa. of Obstetrics a.d Gynecology 2024年第9期14卷 1522-1528页

作者： Rola.d a.joby Ndrin Denis Effoh Soh Victor koffi Okoin Pa.l José Loba.Ngolo a.a.sa.e Soro Ya.o Priva. a.obé Ra.a.a.Koua.ou-Koura.go Michelle Ga.ji Obstetric Gynecology Depa.tment of a.gres Tea.hing Hospita. Abidjan Cte dIvoire

The tra.sforma.ion of uterine fibroids is common in rela.ion to their development. Gia.t forms of cystic degenera.ion a.e ra.e. They ra.se dia.nostic difficulties with other pelvic tumors, such a. ova.ia. tumors a.d leiomyosa.coma.. Ma.netic resona.ce ima.ing specifies the origina. orga., the volume a.d the ma.n rela.ionships of fibromyoma.with a.ja.ent structures. The dia.nosis of certa.nty is ba.ed on la.a.otomy coupled with histology. The a.thors illustra.e these difficulties by observing a.gia.t cystic degenera.ive fibroma.in a.26-yea.-old G1P1 woma. in the postpa.tum period.

关键词： Fibromyoma Uterine Neopla.ia Pelvic Tumor MRI

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Surgica. Site Infections in Tra.ma.a.d Orthopa.dics a. Boua.é Tea.hing Hospita. (Côte d’Ivoire)

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Open Journa. of Orthopedics 2024年第9期14卷 381-390页

作者： Loukou Bla.se Ya. koffi Léopold Kra. a.a.a.ela.de Na.a.ha.Koua.si Koua.é Innocent M’bra.Koua.é Jea.-Eric Koua.si Michel Kodo Depa.tment of Tra.ma.a.d Orthopa.dics Bouak Teaching Hospital Bouak Cte dIvoire

Ba.kground: Surgica. site infections a.e serious hea.thca.e problems. The a.m wa. to describe the epidemiologica., dia.nostic, thera.eutic, a.d prognostic a.pects of surgica. site infections in Tra.ma.a.d Orthopa.dics a. Boua.é Tea.hing Hospita.. Method: This retrospective, descriptive, a.d a.a.ytica. study wa. conducted from Ja.ua.y 2019 to December 31, 2021. The da.a.studied included preva.ence, initia. lesions, type of surgica. intervention, type of SSI, ba.teria.involved, trea.ment, a.d outcomes. Results: Forty-four (11%) of the 399 pa.ients included in the study developed a.surgica. site infection. The mea. a.e wa. 27 yea.s, with 36 ma.e a.d 8 fema.e. Initia. lesions were predomina.tly open fra.tures (n = 31;70%), with a.mea. dela. of 48 hours for surgica. ma.a.ement. Emergency interventions a.counted for 70% (n = 31) of ca.es. The NNISS infection risk score wa. 1 in 80% (n = 35) of ca.es. Superficia. infections (n = 34;77%) a.pea.ed ea.ly, on a.mea. 6 da.s postopera.ively. Ba.teriologica. a.a.ysis prima.ily identified Pseudomona. a.ruginosa.(n = 10;23%), sensitive to Imipenem a.d Chlora.phenicol but resista.t to a.oxicillin-cla.ula.ic a.id, Ceftria.one, Genta.icin, a.d Ciprofloxa.in. Multidrug-resista.t ba.teria.were found in 89% (n = 8) of ca.es, with a.l ba.teria.resista.t to Ceftria.one. Surgica. revision wa. performed in 10 pa.ients (23%), prima.ily involving debridement with ha.dwa.e retention (n = 7;70%). Chlora.phenicol wa. the most commonly used a.tibiotic post-a.tibiogra. (61%). Outcomes were fa.oura.le in 98% of ca.es. Identified risk fa.tors included the type of lesion a.cording to NRC cla.sifica.ion, the dela. in ma.a.ing open fra.tures, a.d the NNISS score. Conclusion: The preva.ence of surgica. site infection wa. 11%, fa.oured by the dela.ed opera.ion of open fra.tures.

关键词： Surgica. Site Infection Open Fra.tures Pseudomona. a.ruginosa Ceftria.one

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Impa.t of Pla.tic Wa.te on the Huma. Hea.th in Low-Income Countries: a.Systema.ic Review

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Journa. of Environmenta. Protection 2024年第5期15卷 572-595页

作者： Ra.de Wendkoa.henda.Sophie Gba.da.a.koffi Koua.e Pa.ome Ga.sore a.ina.a.Ca.a.a.Kelety Tolno Ba.thélemy a.sogba.a.ge Wencesla. Vincia.e Nia.e Bouba.a. Pa.rice Nga.gue Institute for Interdisciplina.y Tra.ning a.d Resea.ch in Hea.th Sciences a.d Educa.ion Ouagadougou Burkina Faso Regiona. Directora.e of Hea.th a.d Public Hygiene of South-Centra. Burkina.Fa.o Ministry of Health Ouagadougou Burkina Faso Depa.tment of Hea.th Promotion a.d Educa.ion Ministry of Health and Public Hygi&#232ne Ouagadougou Burkina Faso Depa.tment of Derma.ology-Venorology Treichville University Hospital F&#233lix Houphou&#235t-Boigny University Abidjan C&#244te d&#8217Ivoire Depa.tment of Infectious a.d Tropica. Disea.es Donka National Hospital Faculty of Health Sciences and Techniques Bamako Mali Na.iona. a.DS Control Progra. PNLS Ministry of Health and Public Hygiene Abidjan C&#244te d&#8217Ivoire Ma.keting a.d Consumer Welfa.e Resea.ch La.ora.ory Abomey-Calavi University Cotonou Benin Regiona. Hea.th Directora.e of the District of Ba.a.o Ministry of Health and Social Development Bamako Mali Depa.tment of Fa.ily Medicine Faculty of Medicine and Odonto Stomatology University of Sciences Techniques and Technologies of Bamako Bamako Mali Fa.ulty of Nursing Sciences Laval University Quebec Canada

Ba.kground: Pla.tic pollution is the a.cumula.ion of wa.te composed of pla.tic a.d its deriva.ives a.l over the environment. Whether in the form of visible ga.ba.e or micropa.ticles, a. it slowly degra.es, pla.tic pollution poses significa.t threa.s to terrestria. a.d a.ua.ic ha.ita.s a.d the wildlife tha. ca.l them home, whether through ingestion, enta.glement or exposure to the chemica.s conta.ned in the ma.eria.. Unfortuna.ely, there is a.la.k of documenta.ion on the impa.t of pla.tic wa.te on huma. hea.th in low- a.d middle-income countries (LMICs). Methods: We sea.ched five electronic da.a.a.es (PubMed, Emba.e, Globa. Hea.th, CINa.L a.d Web of Science) a.d gra. litera.ure, following the preferred reporting elements for systema.ic reviews a.d meta.a.a.yses (PRISMa., for the impa.t of pla.tic wa.te on huma. hea.th in developing countries. We included qua.tita.ive a.d qua.ita.ive studies written in English a.d French. We a.sessed the qua.ity of the included a.ticles using the Mixed Methods a.pra.sa. tool (MMa.). Results: a.tota. of 3779 a.ticles were initia.ly identified by sea.ching electronic da.a.a.es. a.ter elimina.ing duplica.es, 3167 a.ticles were reviewed ba.ed on title a.d a.stra.t, a.d 26 were selected for full-text review. Only three a.ticles were reta.ned. The three a.ticles dea.t with pra.tices likely to lea. to ora. exposure to pla.tic chemica.s in huma. hea.th, a. well a. the level of a.a.eness of pa.ticipa.ts concerning the possible impa.t of pla.tic on huma. hea.th, na.ely, the use of pla.tic ba.y bottles, the use of microwa.es to cook food a.d rehea. precooked food, the use of pla.tic bottles to store wa.er in the refrigera.or, wa.er purifier conta.ners with pla.tic bodies a.d pla.tic lunch boxes, the reuse of pla.tic ba.s a.d the ina.equa.y of trea.ment fa.ilities. Conclusion: Pla.tic wa.te poses different risks to huma. hea.th a. every sta.e of its life cycle. Hence, stra.egies must be a.opted to ra.se public a.a.eness of the da.gers of pla.tic

关键词： Huma. Popula.ion Pla.tic Wa.te Hea.th Impa.t Low-Income-Countries (Huma.s Ia.rogenic Disea.e Pla.tics Policy Recycling Wa.te Ma.a.ement)

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Epidemiology a.d Prognosis of Hepa.ocellula. Ca.cinoma.(HCC) in the Interna. Medicine Depa.tment of the Boua.e University Hospita. (Côte d’Ivoire)

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Open Journa. of Ga.troenterology 2024年第9期14卷 289-299页

作者： Nguessa. Michel Kona. Stépha.e Ya.a.La.ret Koua.si Tiépé Rokia.Oua.ta.a.Ka.idia.a.Touré Fia.re a.bé Georges Stépha.e koffi Bourha.ma.Oua.ta.a Depa.tment of Interna. Medicine Treichville Teaching Hospital Abidjan Cte dIvoire Medica. Sciences Tra.ning a.d Resea.ch Unit Flix Houphouet Boigny University Abidjan Cte dIvoire Depa.tment of Interna. Medicine Teaching Hospital of Bouake Bouake Cte dIvoire Medica. Sciences Tra.ning a.d Resea.ch Unit Alassane Ouattara University Bouake Cte dIvoire

Ba.kground a.d Objective: Hepa.ocellula. ca.cinoma.(HCC) is a.public hea.th problem due to its high incidence a.d high morta.ity ra.e. The epidemiology a.d prognosis of this disea.e is poorly documented in Boua.e. The a.m of the study wa. to describe the epidemiologica. a.pects a.d identify the predictors of dea.h in pa.ients hospita.ized for HCC in the Interna. Medicine Depa.tment of the Boua.e University Hospita. in order to improve pa.ient ma.a.ement. Ma.eria. a.d Methods: We conducted a.cross-sectiona. study from 1 Ja.ua.y 2020 to 31 December 2022 in the Interna. Medicine Depa.tment of Boua.e University Hospita., involving 160 pa.ients. Results: The preva.ence of HCC wa. 3.6%, the mea. a.e wa. 48.86 ± 14.5 yea.s with extremes of 14 a.d 90 yea.s a.d the sex ra.io wa. 2.90. Vira. hepa.itis B wa. observed in 81% of pa.ients, with HBs a. positivity in 71.2%. The performa.ce sta.us of WHO wa. ≥ 2 in 93.2% of ca.es. HCC wa. discovered a. a.va.ced sta.e respectively in 51% for BCLC C a.d 47.8% for BCLC D sta.e. The nodules were multiple (89.3%), a.d superior to 3 cm. The hospita. morta.ity wa. 20% a.d BCLC D sta.e of HCC wa. significa.tly a.socia.ed with dea.h (p = 0.04) in the univa.ia.e a.a.ysis. The BCLC D sta.e of HCC wa. significa.tly a.socia.ed with dea.h. Length of sta. inferior to 5 da.s (OR = 0.77;CI 95: 0.61 - 0.96) a.d hepa.ic encepha.opa.hy (OR = 1.39;CI 95: 1.10 - 1.77), were the two independent predictors of morta.ity. Conclusion: HCC ma.nly a.fected young men infected with chronic vira. hepa.itis B. Short length of sta. a.d hepa.ic encepha.opa.hy were independent predictors of morta.ity.

关键词： Liver Ca.cer Vira. Hepa.itis Dea.h West a.rica

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Respira.ory Distress in Neona.es a. the Tea.hing Hospita.s of Lomé, Togo

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Open Journa. of Pedia.rics 2024年第3期14卷 657-668页

作者： Ma.outo Fia.oo Ma.a.i Hemou Foli a.béko Nouffou Fa.ssa.e Ga.ina.a.Mensa.a.bla.so Ma.a.e Ka.a.a.koffi Edem Dja.ou a.a.a.Dodji Gba.oe Na.iedjoa.Kokou Douti Depa.tment of Pedia.rics Faculty of Health Sciences University of Lom&#233 Lom&#233 Togo

Introduction: Respira.ory distress in neona.es is a.neona.a. emergency tha. ca. lea. to serious complica.ions if not trea.ed a.propria.ely. The a.m of this study wa. to describe the epidemiology, the dia.nostic, a.d the outcomes of neona.a. respira.ory distress. Methods: This wa. a.cross-sectiona. study ca.ried out in the pedia.ric wa.ds of Lomé Tea.hing Hospita.s (CHU Sylva.us Olympio a.d CHU Ca.pus), including neona.es trea.ed for respira.ory distress (dyspnea.a.socia.ed with the use of a.cessory muscles of respira.ion, noisy brea.hing a.d with or without cya.osis) from Ja.ua.y 1, 2021 to December 31, 2021. Da.a.were entered using Epi Da.a.3.1 a.d SPSS softwa.e version 12.0. Results: The tota. number of neona.es hospita.ized for respira.ory distress wa. 353, with a.frequency of 12.5% a.d a.sex ra.io of 1.5. The mea. a.e wa. 0.82 ± 3.20 da.s;the 0 - 6-da. a.e group a.counted for 92.4% of ca.es. Neona.es ha. been resuscita.ed a. birth in 46.7% of ca.es. Dyspnea.wa. ta.hypnea.in 94% of ca.es a.d bra.ypnea.in 6%. Dyspnea.wa. a.socia.ed with cya.osis in 21.5% of ca.es. The severity of the respira.ory distress wa. modera.e in 64.9% of ca.es. Perina.a. a.phyxia.(49.1%), inha.a.ion pneumonitis (17.1%) a.d neona.a. ba.teria. infection (14.1%) were the ma.n etiologies. The morta.ity ra.e wa. 20.4%. a.e grea.er tha. or equa. to seven da.s, no neona.a. resuscita.ion were protective fa.tors a.a.nst dea.h. Prema.urity, no a.tena.a. consulta.ions follow up, neona.a. resuscita.ion, severe respira.ory distress were risk fa.tors of dea.h. Conclusion: Neona.a. respira.ory distress wa. common in the ea.ly neona.a. period a.d its morta.ity wa. high.

关键词： Respira.ory Distress Neona.es Silverma. a.d a.dersen Score Togo

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Hema.ologica. Ma.igna.cies in Sickle Cell Disea.e Pa.ients: Report of Four Ca.es in Togo a.d Litera.ure Review

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Open Journa. of Blood Disea.es 2024年第1期14卷 31-41页

作者： Pa.a.o Essoha.a.Guedenon M. koffi Ma.na.g Hèzouwè Womey M. C. Kodzovi La.ibo Ya. Ka.a.ssi Ma.dja.a.a.a.a.e R. Pikiliwè Depa.tment of Hema.ology Campus Teaching Hospital University of Lomé Lomé Togo Depa.tment of Pedia.rics Sylvanus Olympio Teaching Hospital University of Lomé Lomé Togo Na.iona. Center of Resea.ch a.d Trea.ement of Sickle Cell Disea.e Pa.ients (CNRSD) Lomé Togo Depa.tment of Hema.ology Sylvanus Olympio Teaching Hospital University of Lomé Lomé Togo

Ba.kground: Hemopa.hies were ra.ely observed in ma.or sickle cell disea.e pa.ients some thirty yea.s a.o, proba.ly due to the high morta.ity ra.e a.ong the la.ter a. a.result of progressive complica.ions. Tha.ks to a.va.ces in the ma.a.ement of sickle cell disea.e, pa.ients' life expecta.cy ha. increa.ed considera.ly, exposing them more frequently to neopla.ia. including hema.ologica. ma.igna.cies. The increa.ed risk of leukemogenesis is multifa.toria. a.d linked to the pa.hophysiologica. mecha.isms of the clinica. ma.ifesta.ions of sickle cell disea.e. Study Setting: The clinica. ha.ma.ology depa.tment of ca.pus tea.hing hospita. a.d the pa.dia.ric onco-ha.ma.ology unit of Sylva.us Olympio tea.hing hospita. in Lomé were used a. study settings. Observa.ions: Four hema.ologic ma.igna.cies were collected in a.cohort of 5847 ma.or sickle cell syndromes. The media. a.e of the pa.ients wa. 31.25 yea.s (extremes: 14 a.d 58 yea.s) a.d they were predomina.tly fema.e (sex ra.io M/F = 0.25). Two were on ba.kground thera.y with hydroxyurea. a.ong the four pa.ients, there were two ca.es of a.ute lymphocytic leukemia. including a.L3 in a.58-yea.-old SS woma. a.d T-a.L2 in a.12-yea.-old SC. Then, a.ca.e of lymphocytic lymphoma.in a.20-yea.-old SS ma. wa. reported a.d fina.ly a.ca.e of chronic myelocytic leukemia.in a.33-yea.-old woma. of Sβ+ tha.a.sa.mia.phenotype. Conclusion: To further report this coexistence, it is therefore essentia. to systema.ica.ly consider hema.ologica. ma.igna.cies during ma.or sickle cell syndromes even if there a.e simila.ities in the symptoma.ology of these two serious pa.hologica. situa.ions.

关键词： Hema.ologica. Ma.igna.cies Sickle Cell Disea.e Lomé-Togo

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Sponta.eous Infection of a.cites Fluid a. the Na.iona. a.d University Hospita. Hubert Koutoukou Ma.a.in Cotonou: Preva.ence a.d a.socia.ed Fa.tors

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Open Journa. of Ga.troenterology 2024年第1期14卷 1-10页

作者： a.oudou Ra.mi Kpossou Comla. N’dehougbèa.Ma.tin Sokpon Chloé a.dréa.Obeka.don Opè Ma.outon Ja.ques Tovizounkou Ka.ia.ou Dia.lo Rodolph koffi Vignon Jea. Séhonou University Clinic of Hepa.o-Ga.troenterology National and University Hospital Hubert Koutoukou Maga (CNHU-HKM) Cotonou Benin University Clinic of Interna. Medicine CNHU-HKM Cotonou Benin Depa.tment of Interna. Medicine Donka National Hospital Conakry Guinea

Ba.kground: Sponta.eous a.cites fluid infection (Sa.I) is a. extremely serious a.d frequently encountered complica.ion in cirrhotic pa.ients. We a.med to determine the preva.ence of Sa.I a.d the fa.tors a.socia.ed with it in the la.gest hospita. in Cotonou. Methods: This wa. a.retrospective descriptive a.d a.a.ytica. study conducted from Ja.ua.y 2013 to July 2019, a. the Na.iona. a.d University Hospita. Hubert Koutoukou Ma.a.(CNHU-HKM) in Cotonou, Benin. a.l pa.ients followed in the University Clinic of Hepa.o-Ga.troenterology a.d dia.nosed with Sa.I were included. Results: Eighty-two pa.ients were included, predomina.tly ma.es (69.5%), with a.mea. a.e of 51.5 ± 14.5 yea.s. a.ong them, 32 ha. Sa.I, i.e., a.preva.ence of 39%. Of the 32 ca.es of Sa.I, the culture of a.cites fluid wa. positive in 6 ca.es (18.7%). The most frequent germ found in Sa.I wa. Escherichia.coli (5 pa.ients, 83.3%). The fa.tors a.socia.ed with Sa.I in this study were: a.domina. pa.n (p = 0.004), increa.ed bilirubinemia.(p = 0.009), decrea.ed prothrombin level 20 (p = 0.001). Conclusion: Sa.I wa. common in cirrhotic pa.ients in the depa.tment. Certa.n clinica. a.d pa.a.linica. fa.tors were a.socia.ed with it, a. wa. the severity of cirrhosis. Ea.ly dia.nosis a.d a.tiologica. ma.a.ement of cirrhosis could reduce its frequency.

关键词： a.cites Infection Cirrhosis Cotonou

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