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

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

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Technique of Granulation Tissue Genesis from Diploe

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Modern Plastic Surgery 2018年第2期8卷 9-14页

作者： Essossinam Kpelao Moumouni Abd El Kader Beketi Kadanga Anthony Amouzou Alain doleagbenou agbeko Ahanogbe Hobli Egu Komi Bakonde Essolim Abalo Anani Department of Neurosurgery Sylvanus Olympio University Hospital Lomé Togo Department of Plastic and Reconstructive Surgery Sylvanus Olympio University Hospital Lomé Togo Department of Traumatology and Orthopedics Sylvanus Olympio University Hospital Lomé Togo

Introduction: Many techniques are used in surgery for importing scalp losses. Microsurgery reinsertion dominates these techniques. When reinsertion is not possible, other alternatives are available. Among these is the production of the granulation tissue by diploic perforation. Many authors have reported this technic without explaining the physiological mechanisms that contribute to the genesis of this granulation tissue from the diploe. We intend to recall them. Patients and Methods: This was a series of 3 cases supported for significant loss of the scalp. The technic consisted in making trepan drill holes and carrying the outer table to the diploe by using a Doyen drill. Then fat dressings were applied every other day until the formation of granulation tissue over the entire loss of tissue surface. Observations: Three patients benefited from this technique, 2 traumatic and the other one iatrogenic after a scalp tumor excision. The missing area of traumatic wounds was estimated at 18 and 25 cm2 respectively. The third patient had a loss of scalp after surgical removal of an ulcerous-budding tumor of the scalp without any impacting the skull. Granulation tissue was obtained in all cases after an average of 30 days. There was no infection. Two patients were grafted with favorable progress and one patient went under indirect wound healing. Conclusion: The ability of the diploe to generate granulation tissue is due to its intrinsic anatomical and functional potentialities. This is a technic of last resort when conventional reconstructive surgery is contraindicated for several reasons.

关键词： Granulation Tissue Diploe

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Primitive Bilateral Ocular Melanoma in a Black Patient

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Open Journal of Ophthalmology 2017年第4期7卷 256-261页

作者： Essossinam Kpelao Nidain Maneh Harrefegena Bissa Koffi Amegbor Kadanga Anthony Beketi Abdel Kader Moumouni agbeko doleagbenou Thierry Alihounou Julienne Noudé Teclessou Komi Patrice Balo Department of Neurosurgery University of Lome Lome Togo Department of Ophthalmology University of Lome Lome Togo Department of Maxillofacial Surgery and Stomatology University of Lome Lome Togo Department of Pathology University of Lome Lome Togo Department of Surgery Oueme and Plateau Teaching Hospital Porto-Novo Benin Department of Dermatology University of Lome Lome Togo

Introduction: Ocular melanoma develops at the expense of eyes’ melanocytes which give to the eyes their color. It is the first primitive intraocular tumor in the White race. It is rare, as that of the skin in black people. The bilateral cases are exceptional even in the white race, estimated at 0.2%. We present the case of bilateral ocular melanoma with bad prognosis in a black patient. Patient and observation: A 56-year-old black male patient, who had benefited 4 years earlier from an enucleation of the right eye for ocular melanoma, and admitted for bilateral exophthalmos which evolved for three months in a context of bilateral blindness. The cerebral Scanning had allowed to objectify a bilateral lateral-conical mass which evoked an inflammatory pseudo tumor. The failure of the medical treatment led to the exeresis of a conical, juxta-orbital and mid-muscular blackish mass, to the later apex respecting the surrounding structures. The histological examination ends again in a melanoma. No additional therapy was undertaken. The evolution 2 years later was marked by a local recurrence, multiple hepatic metastases and patient death. Conclusion: Bilateral ocular melanoma is exceptional in Black people. The etiologic factors as well as bilateralism mechanisms are still hypothetic. Its most effective treatment is local and the prognosis, bad in case of metastases due to the absence of an effective chemotherapy.

关键词： Bilateral Ocular Melanoma Black Patient

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Pre-Hospital Management of Craniocerebral Trauma in South Saharan Africa: Cotonou Experience

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Open Journal of Modern Neurosurgery 2019年第3期9卷 221-226页

作者： Abd El Kader Moumouni Essossinam Kpelao Holden Olatoundji Fadigba agbeko Achille doleagbenou Ibrahima Berete Dabou Abiba Tamou Tabe Emile Mensah Martin Chobli CHU KARA Kara Togo SAMU Benin Cotonou Benin CHU Sylvanus Olympio Lomé Togo University of Parakou Borgou Benin Universite Gamal de Conakry Conakry Guinee HIA Parakou Parakou Benin SAMU Benin of Parakou Borgou Benin

The management of craniocerebral trauma begins at the site of the accident. This is one of the diseases for which pre-hospital care is well codified. The objective of this study is to report the experience of the Emergency Aid Medical Service (EMAS) of BENIN in the pre-hospital management of craniocerebral trauma. 146 head injuries were cared for. 116 were male. The mean age was 32 years with extremes ranging from 2 to 77 years. Etiology in 68% of patients was a public road accident. And the request for the use of the EMAS was made by highway users for 41% of the injuries. About 5.5% were severe cranio-brain injuries, more than 75% of which had died in intensive care. In 77% of the EMAS interventions, there was an intensive care physician in the team. 34 wounded had been transported in a vacuum mattress. The rigid cervical collar was used in 8 major traumas. All the wounded were transported by ambulance. The duration of hospitalization varied from a few hours in the emergency department to 90 days in the hospital ward. 9 patients died. One of them, who died in an ambulance, was a woman. The prehospital medical care of head trauma in BENIN is still progressing.

关键词： Emergency Craniocerebral Africa South-Sahara Pre Hospital Management

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