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Births at Home: About 411 Cases Collected in the Township of Hiheatro in the Southern Part of Togo

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Open Journal of Obstetrics and Gynecology 2021年第10期11卷 1306-1316页

作者： Baguilane Douaguibe Akila Bassowa dede ajavon Bingo Kignomon M’Bortche Tina Ayoko Ketevi Francis Baramna-Bagou Komi Migbegna Abdoul Samadou Aboubakari Koffi Akpadza Department of Gynecology and Obstetrics Sylvanus Olympio University Hospital Center Lomé Togo Department of Gynecology and Obstetrics Campus University Hospital Center Lomé Togo Department of Gynecology and Obstetrics Kara University Hospital Center Lomé Togo

This was a cross-sectional and descriptive study conducted from January 2nd to march 30th 2019 in the township of Hihéatro in Togo. We included in the study, women who had given birth at least once at home and who accepted to undergo the survey. Data were collected, using a pre-planned and pre-tested survey sheet, by a team of four trained interviewers under the responsibility of a supervisor. Interviews were carried out in the homes of the respondents after obtaining their informed consent. The parameters studied were the number of births at home, socio-demographic characteristics, and reasons for births at home and maternal and fetal prognosis. 411 women gave birth at home in the township. The average number of births at home per woman was 2 with extremes of 1 and 7 births per woman. The average age of the women was 28.4 years with the extremes of 15 and 38 years. The 25 - 34 age group represented 67.1% of cases. The average parity of the patients was 2. Multiparas represented 59.8% of cases. The main reasons for giving births at home by the interviewees were insufficient financial means in 36% of cases and the lack of means of transport in 28% of cases. Maternal morbidity was marked by 14.1% perineal tear, 1.6% hysterectomy. Four hundred and eleven newborns were registered. Of these newborns, 4.4% were stillborn and 8.8% did not cry at birth. Free obstetric care and increased awareness on the importance of assisted deliveries will improve the maternal-fetal prognosis.

关键词： Childbirth Home Complications Togo

Neurological Sequelae in Cranioencephalic Trauma Patients at the National Hospital in Zinder (Niger)

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Open Journal of Modern Neurosurgery 2022年第2期12卷 104-115页

作者： Mahaman Sani Rabiou Abd-el Kader Moumouni Abiba Tamou Tabe Essosinam Kpelao Stackys Hounkpatin Moussa Taofik Abdoulaye Adamou Babana dede Regine Diane ajavon Aminata Kelani Soumaila Sanoussi Depetement of Neurosurgery Zinder Hospital Zinder Niger Department of Neurosurgery Kara University Hospital Center KaraTogo Depeartment of Radiology Kara Regional Hospital Center Kara Togo Department of Neurosurgery Syvanus Olympio University Hospital Center Lome Togo Depetement of Traumatology Zinder Hospital Zinder Niger Department of Neurosurgery Maradi Niger Reference Hospital Maradi Niger Faculty of Health Sciences University of Kara Kara Togo Depetement of Neurosurgery CHU Niamey Niamey Niger

Introduction: Cranioencephalic trauma is a frequent reason for admission to emergency departments and is a source of mild to severe neuropsychological defects that will persist over time. Their management remains difficult. Objectives: To evaluate the sequelae presented by patients suffering from cranioencephalic trauma. Methods: This was a retrospective, descriptive, cross-sectional study conducted at the National Hospital of Zinder. It will include all patients admitted and hospitalised in the emergency, intensive care and neurosurgery departments of Zinder National Hospital for head injury over a period of 28 months from 1 January 2016 to 30 April 2018. Brain scan, X-ray were the imaging tests used. Results: Out of a total of 974 admissions, 367 were retained, i.e. 37.6%, with a male predominance (82.6%). The average age was 26.5 years. MVAs were represented in 89.7% of cases. Moderate CTE accounted for 64% of cases. Altered consciousness was reported in 295 patients (80.38% of cases). Brain scans were used in 76.7% of cases and skull X-rays in 4.2% of cases. Medical management was performed in all patients. Treatment was operative in 78 patients (21.25%). Recovery without immediate sequelae was found in 187 patients (50.9%). Persistent headache represented 47.7% of the late sequelae observed in the patients, epileptic seizures represented 16.8% of the late sequelae, neurological deficit represented 14.7%. Conclusion: Cranioencephalic trauma represents a major public health issue. Although their in-hospital management remains a challenge, post-hospital management related to the appearance of sequelae remains another.

关键词： Cranioencephalic Trauma CT Scan X-Ray Sequelae Niger

Hospital Information Systems Shortage in Sub-Saharan African Hospitals: Opportunities and Challenges

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E-Health Telecommunication Systems and Networks 2022年第1期11卷 1-13页

作者： Abd El Kader Moumouni dede Regina ajavon Komlan Agbeko Doleagbenou Dabou Abiba Tamou Tabe Kodjo Mensah Hobli Ahanogbe Massaga Dagbe Akoete Simon Gbessena Komi Amagnga Desama-Esso Banawe Tchilabalo Bamazi Amona Department of Surgery CHU Kara Kara Togo Department of Gynaecology and Obstetrics CHR Tomde Kara Togo Department of Surgery CHU Sylnanus Olympio Lomé Togo Radilogy Department CHR Tomde Kara Togo Radilogy Department CHU Kara Kara Togo Department of Network and Computer Maintenance CHU Kara Kara Togo

The HIS is recognised as an essential tool for optimising the management of a health establishment in particular and the health system in general. But it is still very little implemented in hospitals in the South. Open source HIS software, available on the Internet, can be a solution for starting a (HIS) project in these hospitals. A search on the Internet for open source HIS software allowed us to choose MedBoard, the second most popular open source software out of 381, to start an HIS project called PERFORMANCE at the Kara University Hospital in northern Togo. A questionnaire allowed us to assess the level of knowledge of health actors on hospital information systems. The results of this evaluation allowed us to strengthen our proposal. The analysis of the current computer park of the CHU Kara does not allow whatever the functionalities of MedBoard to implement PERFORMANCE at the CHU Kara. Logistics are needed to make PERFORMANCE work. The real difficulty to start and perpetuate HIS project is linked to the human factor.

关键词： Free Software Hospital Information System Performance Chu Kara

Ovarian Dysgerminoma Associated with Pregnancy: A Case Report from the Sylvanus Olympio University Hospital Center

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Open Journal of Obstetrics and Gynecology 2021年第7期11卷 830-835页

作者： Baguilane Douaguibe Bingo K. M’Bortche Tina Ayoko Ketevi Akila Bassowa dede ajavon T. Dare Francis Baramna-Bagou Komi A. Migbegna Abdoul Samadou Aboubakari Koffi Akpadza Department of Gynecology and Obstetrics Sylvanus Olympio University Hospital Center Lomé Togo Togolese Association of Family Well-Being Planning Center (ATBEF) Lome Togo Department of Gynecology and Obstetrics Campus University Hospital Center Lomé Togo Department of Gynecology and Obstetrics University Hospital Center Kara Togo Department of Pathology University Teaching Hospital of Lomé Lomé Togo

Background: Dysgerminoma is a germ cell tumor of the ovary usually found in young women. It represents 1% to 2% of all ovarian cancers. The preoperative diagnosis is generally difficult. The surgery and the pathology study are therefore essential for the diagnosis, and optimal management. The incidence of pregnancy with dysgerminoma is extremely low. The treatment and management during pregnancy often jeopardize the materno-fetal prognosis. We report a case of ovarian dysgerminoma in an 18-year-old pregnant woman. Observation: Patient was an 18-year-old, female with no known past medical history, who presented to the emergency room at 29 weeks + 3 days pregnancy with dyspnea and a voluminous uterus (height 42 cm). An ultrasound showed an active pregnancy, and a large vascularized, finely echogenic, multi-partitioned, thick-walled liquid ovarian tumor. Ca125 was 231.5 IU/ml. Ovarian dysgerminoma was suspected. The surgery and the pathology study of the surgical specimen confirmed the suspected diagnosis. Patient died on postoperative day 8. Conclusion:

关键词： Dysgerminoma Young Pregnancy Adnexectomy