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Epidemiological and Histological Aspects of Women Genital Cancers in Cote d’Ivoire

Open Journal of Obstetrics and Gynecology 2014年第9期4卷 516-523页

作者： kouamé Justin N’Dah Brahima Doukoure Emile Troh N’Guessan Alphonse Aman Kouakou Emmanuel Koffi arthur didier kouamé Ahoua Benjamin Effi Ahoua Francois de Salès D’Horpock Mohénou Isidore Jean-Marie Diomande Laboratory of Pathology University Hospital of CocodyAbidjanCôte d’Ivoire Department of Pathology Saint-Louis HospitalParisFrance Laboratory of Pathology University Hospital of BouakeBouakeCôte d’Ivoire Laboratory of Pathology University Hospital of TreichvilleAbidjanCôte d’Ivoire Department of Obstetrical Gynecology University Hospital of CocodyAbidjanCôte d’Ivoire

Genital cancers in women play an important role in cancer pathology in the developing countries. Objectives: This study aimed at clarifying the epidemiological and histopathological aspects of woman genital cancers in C?te d’Ivoire. Materials and Methods: This was a retrospective and descriptive study conducted in the anatomical pathology laboratories of the university hospitals in Abidjan. The study was carried out over a period of twenty-four years (1984-2007). The variables studied were: frequency, age, histological type and prognosis. Results: Genital cancers in women accounted for 41.28% (n = 2491) of cancer in women and 21% of cancers. The average age of patients was 46.65 years (range 2 - 88 years). The cervix (82.85%) was the main location followed by the ovary (8.6%). Histologically, carcinomas (92.93%) were the most common types of sarcomas. Cervical cancers were diagnosed at an average age of 47.36 years (range 2 to 88 years). Carcinomas were the predominant histological type (92.88%) with 57.4% (n = 450) diagnosed at pT2N0M0 stage. The average age of patients bearing ovarian cancer was 39.13 years (range 8 to 82 years).Common malignant epithelial tumours were the most common histological type (57.48%) (n = 123) followed by non-Hodgkin lymphoma (14.95%). Conclusion: Genital cancers in women are common and poorly prognosed in Cote d’Ivoire. The adoption of a policy of routine screening is needed to improve the prognosis of these tumours.

关键词： Cancer Genital Women Epidemiology-Histology-C?te d’Ivoire

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Outcomes of Hemodialysis Patients in Public Centres in Abidjan from September 2018 to October 2021: Data from the Renal Registry of Cote d’Ivoire

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Open Journal of Nephrology 2024年第3期14卷 413-426页

作者： Sery Patrick Diopoh arthur Kanganga Serge didier Konan Kolo Claude Ouattara Marie-Dominique Kouadio Mohamed Alex Moudachirou kouamé Hubert Yao Department of Medicine and Medical Specialties University Flix Houphout-Boigny Abidjan Cote dIvoire National Centre for Prevention and Treatment of Renal Failure Abidjan Cte dIvoire

Background: Hemodialysis is the most widely used renal replacement therapy in developing countries such as Cote d’Ivoire. Objective: To study the outcome of chronic hemodialysis patients in public centres in Abidjan using data from the Renal Registry of Cote d’Ivoire (2RCI). Method: This was a prospective analytical cohort study of End Stage Kidney Disease (ESKD) patients undergoing iterative hemodialysis in the network of public hemodialysis centres in Abidjan and who had been registered in the 2RCI register by September 2018. Results: Our study involved 363 cases out of 379 patients registered in the 2RCI registry database in 2018. The mean age of the patients was 47.3 ± 12.1 years, with a male predominance (sex ratio 1.97). In 70.24% of cases, they had no health insurance. The average duration of dialysis for our patients was 6.94 ± 4.1 years, with extremes of 2 and 28 years. This duration was less than 5 years in 44.3% of cases, between 6 and 10 years in 42.9% and more than 10 years in 12.6% of cases. The comorbidities found were hypertension in 95.6% of cases, diabetes in 7.8% and HIV in 4.6%. Anemia was found in 68% of cases and stroke in 8.6%. During the study period, 161 deaths were observed, representing a mortality rate of 44.35%. Acute lung oedema (29.8%), stroke (6.8%) and other cardiovascular diseases (19.3%) were the main causes of death. In multivariate analysis, factors such as age ≥ 65 years (HR = 3.66;CI 95% = 1.55 - 8.67;p = 0.003), “married/coupled” status (HR = 2.02;CI 95% = 1.24 - 3.31;p = 0.005) and normal weight at the start of dialysis (OR = 9.59, CI95% = 4.19 - 21.95;p = 0.001) were associated with the risk of death. Conclusion: Hemodialysis is performed in Abidjan on young patients. The mortality rate after three years of dialysis is very high. Hence the need to pursue the policy of decentralizing public centres and optimizing access to dialysis in terms of quality and quantity in order to improve patient survival.

关键词： Chronic Hemodialysis Death Renal Registry Cote d’Ivoire

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Description of Post-Stroke Cognitive Disorders at Abidjan University Hospitals, Côte d’Ivoire

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Neuroscience & Medicine 2024年第2期15卷 92-105页

作者： N’guessan N’cho arthur Kouassi kouamé Léonard Ouattara Niemtiah Tako Neme Antoine Biology and Health Laboratory Felix Houphout-Boigny University Abidjan Cte dIvoire Department of Neurology CHU Yopougon Felix Houphout-Boigny University Abidjan Cte dIvoire

Stroke patients often experience motor deficits and cognitive problems after a stroke. Objective: To improve our understanding of the cognitive consequences of stroke. Method: a descriptive and analytical cross-sectional study was conducted over 12-month period in the neurology departments of the Cocody and Treichville Hospitals in Côte d’Ivoire. Results: Out of 724 patients admitted to the neurology department, 415 (57.32%) were stroke patients, of which 145 (34.94%) were screened. The frequency of global cognitive functioning impairment was 86.21%, significantly higher than the frequency of patients without impairment, which was 13.79%. The study focused on detailing the cognitive status of stroke patients in neurology departments, assessing several cognitive functions during the subacute phase of stroke. These functions included global cognitive functioning, executive functions, language and memory. The frequency of post-stroke cognitive impairment is high among stroke patients in Abidjan. This frequency is comparable to figures found in Subsaharian stroke populations. Demographic and clinical characteristics studied included age, gender, education level, employment status, vascular diseases and cerebral affected area. Among these characteristics, only the education level and the cerebral affected area have been found significant. Conclusion: The incidence of cognitive impairment after a stroke is significantly high among stroke patients in Abidjan.

关键词： Cognitive Disorders Subacute Stroke Related Risk Factors

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Investigating the Damaging Effects of the Cyclic Discharge in the Uni-Axial Compression of <i>Raphia vinifera</i>L. Arecacea

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World Journal of Engineering and Technology 2021年第1期9卷 15-25页

作者： Brice Poumegne kouam didier Fokwa Dieunedort Ndapeu Médard Fogue Research Unit of Mechanics and Physical Systems Modeling of (UR2MSP) Department of Physics Faculty of Science Uni-versity of Dschang Dschang Cameroon Research Unit of Engineering of Industrial Systems and Environment (URISIE) IUT/FV Bandjoun Department of Physics Faculty of Science University of Dschang Dschang Cameroon Laboratory of Mechanics (LM) Department of Civil Engineering Advanced Teacher’s Training College for Technical Educa-tion University of Douala Douala Cameroon Laboratory of Mechanics and Appropriate Materials (LAMMA) Department of Civil Engineering Advanced Teacher’s Training College for Technical Education University of Douala Douala Cameroon

The bamboo stem, when mature 5 to 6 years, serves as a building material for modest houses and its marrow as packaging purposes. One of the strains related to the uses of bamboo stem is most often the compression towards the axial direction. The phenomenon of damage is very often observed during such loading. The present study on raffia aims to analyze this phenomenon through cyclical stresses as usual. From the results obtained, it was observed in the stress-strain plane, that the area of the hysteresis loops and the residual strain evolve with two parameters: the number of cycles and the stress peaks. The study of energy dissipation has shown that it evolves according to an exponential law as a function of the number of cycles. The distribution of the energy rate along a stem shows that the samples from the zone close to the base store twice (0.0412 MJ/m3) more energy than the samples taken from the top of the foliage (0.019 MJ/m3).

关键词： Bamboo Raphia Cyclic Compression Energy Dissipation

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Evolution of a Disseminated Peritoneal Leiomyomatosis: About a Case

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Open Journal of Obstetrics and Gynecology 2017年第7期7卷 742-747页

作者： kouamé arthur didier Adjoby Cassou Roland Koffi Achille Konan K. Joachin Alla Christian Hervé kouamé N’Da Justin I. S. Baldé Kouakou Firmin Obstetrics and Gynecology Department University Hospital of Cocody Abidjan C&ocirc te D’Ivoire Laboratory of Pathology University Hospital of Cocody Abidjan C&ocirc te d’Ivoire Obstetrics and Gynecology Department of Ignace Deen Hospital of Conakry Conakry Guinea

Disseminated peritoneal leiomyomatosis (DPL) is a benign tumor of smooth muscle tissue. It is rare and is characterized by the development of multiple peritoneal nodules simulating peritoneal carcinosis. Less than 200 cases have been reported in the literature so far. We are reporting a case of DPL detected during a Caesarean section 6 years ago in a 41-year-old female patient, G5P2. The patient underwent an elective iterative caesarean section at 38 weeks of amenorrhea for a fetus in breech presentation. During laparotomy, there was a marked regression of the peritoneal nodules varying in size from 0.1 to 0.5 cm. Histological examination showed a proliferation of smooth muscle fibers without mitosis, atypia or necrosis. DPL is a benign, confusing condition that simulates peritoneal carcinomatosis, which must be recognized as such in order to avoid a dilapidated and unnecessary surgical procedure.

关键词： Disseminated Peritoneal Leiomyomatosis Uterine Leiomyoma Caesarean Section

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How Referred Patients Influence Cesarean Sections Rate Pattern: Analysis according to the Robson Classification

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Open Journal of Obstetrics and Gynecology 2017年第11期7卷 1132-1140页

作者： Koffi Achille kouamé arthur didier Kakou Charles Adjoby Cassou Roland Diomande Fatoumata Alice Kimou Anicet N’Guessan Koffi Léon Pacome Obstetrics-Gynecology Department of the University Hospital Center of Cocody Abidjan Cote d’Ivoire

Objective: To improve the practice of cesarean section by analyzing the cesarean section according to Robson’s classification. Methodology: This was a cross-sectional and descriptive study carried out at the University Hospital of Cocody. It covered the Cesarean sections performed during the year 2015 and ranked according to the 10 groups of Robson. Results: The overall Cesarean section rate in 2015 was 42.8% (3100 cesarean sections for 7229 deliveries). Group 1 was the largest contributor to overall Cesarean section with a rate of 20.5% followed by Group 3 (18.6%), Group 5 (16.4%) and Group 10 (12.2%), unlike other data in the literature where groups were in descending order Groups 5, 1, 3. This difference was driven by medical evacuations and our working conditions. Conclusion: The Cesarean section rate is constantly increasing in our department. Referred patients played a huge role in the distribution of C-section along the Robson’s 10 groups classification.

关键词： Cesarean Section Robson Classification Evacuation Referred Patients

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Land Use Dynamics in the Department of Séguéla, Northwestern Côte D’Ivoire

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Advances in Remote Sensing 2022年第3期12卷 63-79页

作者： arthur Brice Konan-Waidhet Kouakou Hervé Kouassi kouamé Elyass Kanga Laboratory of Science and Technology of Environment Jean Lorougnon Guédé University Daloa C&#244 te d’Ivoire

Land use monitoring occupies a very important place in the analysis of the dynamics of the earth system. It helps to understand the organization and helps to provide relevant elements for the establishment of diagnoses and the development of environmental forecasts. The objective of this study is to follow the evolution of the agricultural landscape in the department of Séguéla from 1988 to 2020 and to make a prediction for 2050, in order to manage the spaces reasonably. The methodology adopted is based on the one hand on the processing of satellite images for the analysis of land cover and on the other hand on predictive modeling (LCM model) by 2050. The results obtained show that the land use maps produced after processing the satellite images made it possible to highlight the dynamics of the agricultural landscape in this part of the Worodougou region. During the period 1988 to 2020, we witness an increase in the area of cultivated territory as well as a slight reduction in wooded savannas which are largely made up of perennial crops (cashew trees, cocoa trees, coffee trees, etc.). These two aforementioned classes have respective annual rates of change of 2.42% and −0.44%. A scenario modeling land cover changes in 2050 with an overall accuracy of 80.35% revealed a continued growth of crops and fallows to the detriment of natural forests and wooded savannas.

关键词： Satellite Images Land Use LCM Model Land Cover Change Séguéla

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Rupture of a Rudimentary Uterine Horn: A Case Report

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Open Journal of Obstetrics and Gynecology 2017年第7期7卷 748-752页

作者： kouamé arthur didier Adjoby Cassou Roland Konan Joachim Effoh N’Drin Dénis Kakou Charles Diomandé Fatoumata Alice Koffi Soh Victor Kouakou Firmin Obstetrics and Gynaecology Department of the University Hospital of Cocody-Abidjan Abidjan C&ocirc te D’Ivoire

Pregnancy in an abnormal uterus is a high-risk situation in obstetrics. Uterus bicornis unicollis with a rudimentary horn is often discovered incidentally. The aim of this report is to warn obstetricians about recurrent abdominal pain in the second trimester of pregnancy without any cause identified. Pregnancy can proceed in the rudimentary horn. We presented a case of a rupture of the rudimentary horn which occurred at 25 weeks of amenorrhea in an unmarried 19-year-old primigravida. The rudimentary horn was removed after performing an emergency laparotomy for an intraperitoneal hemorrhage with signs of shock. This abnormality is often revealed by uterine rupture, which usually occurs in the second trimester of pregnancy. Conclusion: We emphasize the importance of early diagnosis of this uterine abnormality, before pregnancy if possible. Undiagnosed, this condition evolves towards uterine rupture during pregnancy and requires emergency surgery with excision of the rudimentary horn.

关键词： Uterine Rupture Abdominal Pregnancy Uterus Bicornis Rudimentary Uterine Horn

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First Emergency Hemodialysis Session at the Nephrology Department of the Teaching Hospital of Yopougon: About 146 Cases

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Open Journal of Nephrology 2020年第4期10卷 338-347页

作者： Konan Serge didier Kissou Pegdebamba François Guei Monlet Cyr Diopoh Sery Patrick Aka Jean Astrid Yao kouamé Hubert Nephrology-Internal Medicine Department D CHU Treichville Abidjan Ivory Coast Department of Nephrology CHU Yopougon Abidjan Ivory Coast

Context: Due to the late referral of the pads to the nephrologist and the lack of medical follow-up, many patients are admitted with complications from kidney disease requiring the urgent start of hemodialysis sessions. Purpose: Study the profile of emergency hemodialysis patients in order to ease their management. Methods: This was a retrospective, descriptive and analytical study carried out at the Nephrology Department of the Teaching Hospital of Yopougon from January 1st to December 31st, 2016. This study included all patients who had received a first session of hemodialysis in an emergency context. Results: We collected 146 patients with an average age of 39.80 ± 14.55 years and a sex ratio of 0.6 for men. Before admission, patients were known as hypertensives (63.9%), followed by CKD (23.9%) and HIV-infected (8.2%). The main clinical signs were hypertension (64.3%), edema (44.5%) and coma (30.1%). Anemia was observed in 97.2% of cases and it was less than 8 g/dl in 57.5%. Kidney failure was chronic in 75.3% and acute in 24.6%. Chronic nephropathies were glomerular (54.1%), vascular (20.5%). The main indications for hemodialysis were encephalopathy (33.5%), severe uremia (28%), acute pulmonary edema (19.8%), persistent anuria (11.6%) and hyperkalemia (5.4%). The vascular approach was a catheter in 97.2% (femoral site in 53.4% and jugular in 43.8% and arteriovenous fistula in 2.7%). Death was observed in 17.8%. In univariate analysis, age > 65 years (p = 0.04), coma (p = 0.004) and acute kidney failure (p = 0.02) were associated with the risk of death, and in multivariate analysis, only coma (p = 0.024, OR = 5.88) seemed to be associated with mortality risk for our patients. Conclusion: Hemodialysis in an emergency situation is a common practice in the Teaching Hospital of Yopougon and mainly concerns patients with CKD.

关键词： Kidney Failure Hemodialysis Emergency

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Evolution of Proteinuria and Renal Function in Women with Pre-Eclampsia at the Gynecology Department of the Teaching Hospital of Cocody

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Open Journal of Nephrology 2023年第4期13卷 405-419页

作者： Ouattara Kolo Claude Meudje Youmbi Chimène Diopoh Sery Patrick Konan Serge didier Kouadio Marie Dominique Gnamon Ophélia Aka Marie Josiane Yao kouamé Hubert Nephrology-Internal Medicine Department D CHU Treichville Université Felix Houphouet Boigny Abidjan C&ocircte d’Ivoire

Background: Pre-eclampsia has long been considered as a disease that disappears after the removal of the placenta. It has now been shown that its symptoms can persist for months after giving birth. Objectives: To study the evolution of proteinuria and renal function in women with pre-eclampsia. Patients and Methods: An analytical prospective study was carried out in the Hospitalization Unit of the Gynecology Department of the Teaching Hospital of Cocody (Abidjan) from May 3, 2021 to November 15, 2021. It focused on the follow-up of proteinuria and renal function in 50 women who had pre-eclampsia during their pregnancy, in the three months following their delivery. Results: The average age of the patients was 30.38 ± 6 years (range 18 and 40 years). Thirty-two percent were nulliparous and 62% had no risk factors for pre-eclampsia. The diagnosis of pre-eclampsia was made in 52% of cases before 37 weeks of amenorrhea. Sixty-two percent had Grade 3 arte-rial hypertension. The average proteinuria/creatininuria ratio was 3592.08 ± 7009.57 mg/g and 32% of women had glomerular grade proteinuria. The mean serum creatinine was 13.61 ± 12.62 mg/l. AKI (Acute Renal Failure) was present in 30% of women. All patients had received a central antihypertensive drug of which 88% were a calcium channel blocker. For the delivery mode, a Caesarean section was performed in 88% of cases. In the three months postpartum, 40% of women had persistent hypertension, 58% had persistent proteinuria and 6% had persistent impaired renal function. Prematurity (p = 0.0091), IUGR (intrauterine growth restriction) (p = 0.0012) and IUFD (intrauterine fetal death) (p = 0.0012) were associated with the persistence of proteinuria at M3 postpartum. Conclusion: Symptoms of pre-eclampsia do not automatically disappear after the delivery. Proteinuria and renal failure can persist beyond three months after the delivery and require treatment by a nephrologist.

关键词： Proteinuria Pre-Eclampsia Renal Function

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