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Skin Damage and Aesthetic Disadvantage Observed in Women in the Hand Craft Shelling Chain of Cashew Nuts in a Factory to Bobo-Dioulasso, Burkina Faso

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Journal of Cosmetics, Dermatological Sciences and Applications 2017年第3期7卷 211-220页

作者： Jean-Baptiste Andonaba Sandrine Sanou Lompo Vincent ouédraogo flore ouédraogo Muriel S. ouédraogo Issouf Konaté Boukary Diallo Adama Traoré INSSA Université Nazi Boni de Bobo-Dioulasso Bobo-Dioulasso Burkina Faso UFR/SDS Université Joseph Ki-Zerbo de Ouagadougou Ouagadougou Burkina Faso

Introduction: Occupational dermatitis has long been an unforeseen consequence of industrial progress. Today, most occupational diseases are dermatosis throughout the world. The morbidity and the various prejudices concern different actors, especially those of the cashew industry in Bobo-Dioulasso to Burkina Faso. We considered it appropriate to conduct this study in women who handle cashew nuts in the cashew nut shelling station at a factory. The aim is to contribute to the search for preventive and curative solutions adapted to this health risk. Methods: This was a prospective cross-sectional study with a descriptive purpose in May 2016. The study involved 112 women present in the factory in the shelling unit and having given their approval during our visit. This station is occupied by 118 women. Results: The prevalence of all dermatosis and dermatitis was estimated respectively at 98.21% and 88.39%. The manual shelling station with a shearing machine was exclusively occupied by illiterate women (72.3%) without personal protective equipment, with an average age of 33.74 ± 8.49 years. Among the clinical forms of contact dermatitis, the erythematous contact dermatitis was most observed (86.4%), followed by palmar keratoderma (70.9%), nail disorders (33.6%) and chemical burns (30%). The implication of Cashew Nut Shell Liquid (CNSL) was established with identified promoting factors. Aesthetic damage related to hand injuries had a significant psychosocial impact in 97.32% of cases. Discussion: Few studies exist on dermatitis and the health impacts in the reality of cashew because they reach vulnerable subjects without social welfare and health protection. The cashew nuts shell contains a highly irritating brown oily liquid. Dermatitis occurs during contact with this oily juice. The international literature reports this corrosive effect throughout the history of the chain. Human factors, technical factors and work environment aggravate the situation and compromize workwo

关键词： Dermatitis Aesthetic Shelling Unit Cashew Anacardic Acid Burkina Faso

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Thoracic Aortic Aneurysm Revealed by Haemoptysis on a 10-Year-Old Girl at Paediatrics Department of Yalgado ouedraogo University Hospital

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Open Journal of Pediatrics 2017年第1期7卷 13-17页

作者： Chantal Zoungrana ouattara Caroline Yonaba Angèle Kalmogho flore ouédraogo Chantal Bouda ousseini Diallo Ludovic Kam Departement de Pédiatrie Centre Hospitalier Universitaire Yalgado Ouédraogo Ouagadougou Burkina-Faso Departement d’imagerie Médicale et Radiodiagnostic Centre Hospitalier Universitaire Yalgado Ouédraogo Ouagadougou Burkina-Faso

Thoracic aortic aneurysm is a rather rare disorder in children and difficult to diagnose. It is generally linked to congenital heart defects or connective-tissue diseases. our case is a 10-year-old girl admitted in the pediatric emergency care unit on January 19th, 2015 for massive haemoptysis and severe anaemia. Examination revealed severe anemia and a silent left lung. The Chest X-Ray revealed an abnormal mass on the upper left side of the mediastinum, and left lower lobe consolidation. The thoracic CT scan highlighted a 64 mm aneurysm of the subisthmic aorta with a thin 5 mm hole. It also showed pseudocoarctation of the aorta. Treatment in intensive care consisted of blood transfusion and iron supplement. She was due to travel abroad for cardio vascular surgery, but died on November 2016. Thoracic Aortic Aneurysm in our setting was discovered incidentally. In spite the fact that it is an extreme surgical emergency, in Burkina Faso, treatment can only be possible abroad upon medical evacuation.

关键词： Aorta Aneurysm Haemoptysis Coarctation Burkina Faso

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Ulcerative Colitis in Infant: A Case Report at the University Hospital Yalgado ouedraogo, ouagadougou in Burkina Faso

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Open Journal of Pediatrics 2016年第3期6卷 252-255页

作者： Angèle Kalmogho Abdoulaye ouattara Chantal Zoungrana Caroline Yonaba flore ouédraogo Léonce Ilboudo Laure Toguyeni Ludovic Kam Département de Pédiatrie Centre Hospitalier Universitaire Yalgado Ouédraogo Ouagadougou Burkina Faso Service de Hépato Gastro Entérologie Centre Hospitalier Universitaire Yalgado Ouédraogo Ouagadougou Burkina Faso Service de Pédiatrie Médicale du Centre Hospitalier Universitaire Pédiatrique Charles de Gaulle Ouagadougou Burkina Faso

Ulcerative colitis (UC) is a chronic inflammatory bowel disease (IBD), characterized by acute exacerbations and remissions. We report the clinical case of an infant, an 8 months female baby. The time between disease onset and diagnosis of the disease was 6 months. It was from an unknown etiology. The main clinical picture was weight stagnation, mucoid bloody diarrhea, and rectal bleeding. The macroscopic aspect in anorectoscopy was an erythematous mucosa with healthy beaches intervals. The mucosa was bleeding easily on contact. Pathological examination realized within the various lesions of the association was highly suggestive. The suggested treatment was made of symptomatic, corticosteroids and immunosuppressant’s therapy. Conclusion: Ulcerative colitis is rare in infants and difficult to manage in our tropical context.

关键词： Ulcerative Colitis Infant Pediatric Burkina Faso

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Ocular Manifestations among HIV Infected Children in ouagadougou, Burkina Faso

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Open Journal of Pediatrics 2016年第2期6卷 185-190页

作者： Caroline Yonaba Angèle Kalmogho Kongnimissom Apoline Sondo Madi Nacoulma Kigocha Okengo flore ouédraogo Chantal Zoungrana Aissata Kabore Fla Koueta Ludovic Kam Département de Pédiatrie Centre Hospitalier Universitaire Yalgado Ouédraogo Ouagadougou Burkina Faso Service des Maladies Infectieuses Centre Hospitalier Universitaire Yalgado Ouédraogo Ouagadougou Burkina Faso Neurology Service Muhimbili National Hospital Dar es Salaam Tanzania Service de Pédiatrie Médicale Centre Hospitalier Universitaire Pédiatrique Charles de Gaulle Ouagadougou Burkina Faso

Ocular manifestations among HIV infected children are diverse and global incidence varies from 7% to 75%. At this age, eye lesions are often unnoticed because of the incapacity to express eye discomfort. The purpose of this study is to describe ocular manifestations among HIV-infected children and hence associated factors in the Department of Paediatrics at the Yalgado ouédraogo Teaching Hospital. This was a cross-sectional descriptive and analytical study conducted between July 2014 and December 2014. A complete ophthalmic examination was systematically done to all HIV-positive children attending the clinic, as part of their routine medical visit. The most recent socio-demographic, clinical, biological and treatment data were registered. Seventy-nine children had an ocular examination and among them 92.4% were on ARV treatment. The incidence of ocular manifestations was 46.7%. Median age was 8 years old (interquartile 6 - 12 years old). Sex ratio was 1.3. The risk of ocular manifestations involvement among boys was twice than that of girls. More than half (59.5%) of children who had ocular problems had not expressed ocular discomfort. Ocular adnexal lesions were more common (35.4%) compared to eye segments (8.9%) lesions. Anterior segment and posterior segment lesions were statistically associated with immune system depression (p = 0.003 and 0.001). However, this relationship was not statistically significant (p = 0.15). Five out of seven children who had eye fundus lesions had CD4 count 3. Ocular manifestations were very common among HIV infected children in our context. Ophthalmic examination should be systematic at admission and regularly repeated during follow-up.

关键词： Paediatric HIV Ocular Manifestations ouagadougou

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The Destombes-Rosai-Dorfman Disease or Sinus Histiocytosis with Massive Lymphadenopathy: A Rare Case Described in the Paediatrics Department of Yalgado ouedraogo University Hospital

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Open Journal of Pediatrics 2017年第4期7卷 345-352页

作者： Chantal Zoungrana-ouattara flore ouédraogo Laure Toguyéni Angèle Kalmogho Caroline Yonaba Chantal Gabrielle Bouda Rolande Kaboré Fla Kouéta Département de pédiatrie du CHU Yalgado ouédraogo de ouagadougou Ouagadougou Burkina Faso Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS) Université de Ouagadougou Ouagadougou Burkina Faso Service de pédiatrie médicale du CHU Charles de Gaulle de ouagadougou Ouagadougou Burkina Faso

Destombes-Rosai-Dorfman’ disease (DRD) is an inflammatory non-langerhansian histiocytosis with adenomegaly. It is a rare histiocytic disorder worldwide, less than 1000 reported cases. It is of unknown etiology and is characterized in its classical form by multiple adenomegalia, especially localized at cervical area, but also at mediastinal, axillary and inguinal areas. It is a benign condition, even if it is deforming, with spontaneously resolving evolution. We report a case of DRD disease in a 13-year-old girl, hospitalized in the Department of Pediatrics of the Yalgado ouédraogo University Hospital Center in ouagadougou, in March 2015. She was admitted for a voluminous bilateral painless cervical swelling, with no sign of local compression, having been operating for about a year. Biological tests showed signs of chronic inflammation;the imagery specified the benign character of these formations: adenomegalia. Confirmation of the diagnosis was made by pathological examination, describing the aspect of emperipolesis to histology and, immunohistochemistry, polytypic plasmacytosis and PS100 positive/CD1a histiocytosis negative. The treatment could not be properly carried out, in view of the early discharge, against medical advice from the patient. The evolution would have been marked, according to the parents, by a slight involution of swelling.

关键词： Destombes-Rosai-Dorfman Disease Emperipolesis Immunohistochemistry Yalgado ouedraogo University Hospital

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Dietary Calcium Intake and Associated Factors among Pregnant Women in Southern Benin in 2014

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Food and Nutrition Sciences 2015年第11期6卷 945-954页

作者： Victoire Damienne Agueh Madeleine flore Tugoué Charles Sossa Clémence Métonnou Colette Azandjemè Noel Moussiliou Paraiso Marius-Edgard ouendo Laurent T. ouédraogo Michel Makoutodé Regional Institute of Public Health (IRSP) of ouidah Ouidah Benin Ministry of Health Yaoundé Cameroon

Hypertensive and its complications during pregnancy are closely linked to maternal mortality and morbidity. Sufficient calcium intake during pregnancy reduces the risk of hypertensive disorders. The objective is to determine dietary calcium intake and associated factors in pregnant women in southern Benin. This cross-sectional study included 176 pregnant women selected by random cluster sampling. Calcium intake was determined from two non-consecutive 24 hours dietary recalls. Demographic and socioeconomic factors were collected from individual interviews. Multivariate logistic regression model was used to identify factors associated with calcium intake controlling for energy intake. The mean daily calcium intake was 561.69 ± 183.02 mg and the median intake was 560.74 mg per day. The percentage of pregnant women with low calcium intake was 94.60%. The women in the lower economic status tercile (OR = 0.520 95% CI 0.415 - 0.653) were less likely to have calcium intakes above the median compared to the upper tercile of economic status. Women with secondary or more education level (OR = 1.961 95% CI 1.505 - 2.555) showed a higher odd ratio to have dietary calcium intake above the median value compared to those with no schooling. Low calcium intake was widespread among pregnant women. Calcium supplements and interventions to promote optimal nutrition in pregnant women are needed to protect them from low calcium intake consequences.

关键词： Calcium Dietary Intake Pregnancy Benin

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