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evaluation of Viral Hepatitis B Treatment in Pointe-noire in 2016

International Journal of Clinical Medicine 2018年第6期9卷 513-519页

作者： F. Bossali G. ndziessi C. L. Ahoui-Apendi G. Deby M. J. F. Mimiesse J. W. Ombila B. I. atipo-ibara J. R. ibara Department of Gastroenterology Loandjili General Hospital Pointe-Noire Congo-Brazzaville Faculty of Health Sciences Department of Public Health Marien Ngouabi University Brazzaville Congo Department of Gastroenterology University Hospital of Brazzaville Brazzaville Congo

Prevalence of hepatitis B in Pointe-noire is 23%. The objective of this study was to evaluate the level of therapeutic management of patients with hepatitis B in Pointe-noire. Methods: A retrospective, cross-sectional, descriptive and analytical study. Results: 302 patients included: 217 (72%) men and 85 (28%) women of median age 40 years. The viral load was measured in 140 (46%) patients and in 162 (54%), the viral load was not measured. Their distribution according to the viremia was as follows: 0 - 1 log = 1 (0.7%) patients;1.5 to 2 log = 23 (16%) patients;2.5 to 3 log = 49 (35%) patients;>3log = 55 (39%) patients. Of the 302 patients included, 36 (11%) patients were treated with antivirals and 253 (83%) patients were not. Conclusion: The number of patients treated for chronic viral hepatitis B was low. Our results show interest for improved preventive and curative management of hepatitis B in Congo in order to reduce the existing high prevalence.

关键词： Access Congo Hepatitis B Pointe-noire Treatment

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Split Hand/Foot Malformation about Two Family Cases

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Open Journal of Pediatrics 2023年第1期13卷 63-68页

作者： neli Yvette ngakengni Bredel Djeri Djor Mabika Gauthier J. Buambo irene L. P. Ondima Lucie C. Ollandzobo atipo-ibara Lynda Gamo Tchidjo Landes C. Togho Abessou Samia M. Oya Angouma Benedicte M. Foueta Moukouba Flora nombo Mavoungou Corinne Akouango Gnessou nuptia C. Obengui Dhalia Y. ngonya Mbongo Rachelle Dusabimana Bowassa ekouya Gaston Aurore Mbika Cardorelle Faculty of Health Sciences Marien Ngouabi University of Brazzaville (Congo) Brazzaville Congo neonatology Department University Hospital of Brazzaville (Congo) Brazzaville Congo Stomatology Department University Hospital of Brazzaville (Congo) Brazzaville Congo Obstetrics and Gynecology Department University Hospital of Brazzaville (Congo) Brazzaville Congo Surgery Pediatric Department University Hospital of Brazzaville (Congo) Brazzaville Congo Pediatric Departments University Ce Hospital of Brazzaville (Congo) Brazzaville Congo

Split hand/foot malformation (SHFM), formerly known as ectrodactyly is a rare congénital anomaly, its incidence varies from 1/8.500 to 1/25.000 live birth. It mainly affects the development of the limbs, its clinical variability is standard, can present as an isolated feature or as a syndrome associated with other congenital anomalies. Our objective was to present the two cases of SHFM, and to review the literature on the clinical aspects and discuss a probable origin. The father went to school and is a driver because the malformations concerned only the fingers, were less severe, and did not prevent the realization of certain simple gestures of the daily life. On the other hand, the malformations of the fingers of the newborn were severe and the absence of the thumbs compromised the later prehension function. Also the association of a microglossia and a cleft palate contributed to a weight loss that justified hospitalization. The clinical presentation of split hands and feet is variable and the prognosis depends on the type of anomaly. Familial cases suggest a probable genetic origin. Genetic testing is necessary to establish genetic counseling.

关键词： Split Hand/Foot Malformation Isolated Form Syndromique Form Family

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