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Endoscopic Management of Secondary Sclerosis of the Bladder Neck in Bouaké: Our Experience with 23 Cases

Open Journal of Urology 2023年第7期13卷 251-258页

作者： Kouassi Patrice Avion N’diamoi Akassimadou Brice Aguia freddy Zouan Venance Alloka Sadia Kamara Koffi Dje Urology Department Bouaké University Hospital (CHU) Bouake Ivory Coast

Background: Secondary sclerosis of the bladder neck is a rare but serious late complication that occurs after open or endoscopic prostatic adenomectomy. Objective: The aim of this study was to report the results of endoscopic management of secondary sclerosis of the bladder neck in a series of 23 cases. Patients and Methods: Cross-sectional study of 23 patients presenting with secondary sclerosis of the bladder neck following adenomectomy and treated by endoscopic resection of the bladder neck in a private facility in Bouaké (Ivory Coast) over the period from 1 January 2021 to 1 December 2022, i.e. 2 years. The mean age of the patients was 61, 7 years with extremes from 53 to 76 years. The diagnosis of secondary sclerosis of the cervix was based on clinical and radiological data (retrograde uretrocystography). The parameters studied were the reason for consultation, time to onset of signs after adenomectomy, clinical data, results of retrograde uretrocystography (RUC), results of urine cytobacteriological examination (UCT), complications, endoscopic procedure, duration of operation, duration of postoperative urinary drainage, duration of hospitalization, postoperative follow-up and operative morbidity and mortality. Results: 23 patients with secondary sclerosis of the bladder neck were treated by endoscopic neck resection. The mean age of the patients was 61.7 years (5 - 76 years). Dysuria was the most frequent reason for consultation, accounting for 73.9% (n = 17). Retrograde uretrocystography (RUC) was used to make the diagnosis in all patients. It found a steam jet image in 69.6% (n = 16) and tight stenosis of the bladder neck in 30.4% (n = 7). Secondary stenosis of the bladder neck was complicated by uretrohydronephrosis in 47.8% (n = 11). 73.9% of patients had a post-micturition residual of more than 150 ml. The urine cytobacteriological examination (UCE) found four urinary tract infections (17.4%) treated with antibiotics over 14 days, which sterilised the uri

关键词： Secondary Sclerosis of the Bladder Neck Adenomectomy TURP

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一份说明书

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初中生 2022年第3期 48-50页

作者： Leonard Judge freddy(译) 不详

在主人公眼里,去农场种小树苗是一份简单的工作:远离城市,晒着太阳,呼吸着新鲜空气,甚至还有些惬意。然而,在工作的第一天,他与哥哥便度过了人生中最悲惨的一天。究竟发生了什么?有一年夏天,我和哥哥打算去农场种树。这份工作报酬很高,... 详细信息

在主人公眼里,去农场种小树苗是一份简单的工作:远离城市,晒着太阳,呼吸着新鲜空气,甚至还有些惬意。然而,在工作的第一天,他与哥哥便度过了人生中最悲惨的一天。究竟发生了什么?有一年夏天,我和哥哥打算去农场种树。这份工作报酬很高,看起来也很有趣。

关键词：工作报酬小树苗说明书农场有趣

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Characterisation of Human-Wildlife Conflicts around the Kahuzi-Biega National Park, Eastern Democratic Republic of Congo

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Journal of Environmental Protection 2024年第3期15卷 343-356页

作者： Basubi Muke Matthieu Vwima Stany Ayagirwe Basengere Rodrigue Mushagalusa freddy Benjamin-Fink Nicole Bobo Kadiri Serge Faculty of Agricultural and Environmental Sciences Evangelical University in Africa Bukavu Congo Wildlife and Protected Areas Laboratory Forestry and Wood Technology Department of Forestry University of Dschang Dschang Cameroon Faculty of Economics and Management Sciences Evangelical University in Africa Bukavu Congo Conservation beyond Borders Organization Minnetonka USA

The history of mankind contains so many illustrations of well-classified and violent struggles against various animals over crop production in agricultural fields, attacks on human life or competition in order to have access to certain natural resources. The aim of this study is to characterise the human-wildlife conflicts that occur around the KBNP, especially with regard to primates. Surveys were carried out in 260 households selected using the snowball method. The results showed that human-wildlife conflicts around the KBNP are characterised by the destruction of crops in riparian fields by monkeys, chimpanzees and gorillas, the destruction of houses, physical attacks and zoonoses. Despite the conservation and protection measures for wildlife and local populations put in place by the Park’s managers, conflicts between local populations and the Park’s wild animals are still visible. These conflicts lead to the detention of wild animals by local people roaming in the villages and to poaching on the Park’s boundaries. The weakness of the community management policy on the part of the park managers and the resentment of the indigenous peoples towards the restriction of their access to natural resources are the major constraints on the sustainable management of conflicts between the local populations and the wild animals in the KBNP. The strategies for the sustainable resolution of human-wildlife conflicts around the KBNP must be geared towards and integrated into a community conservation approach.

关键词： Community Conservation Human-Wildlife Conflict Kahuzi-Biega National Park

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Practice of Endo-Urology in the Centre of Ivory Coast: Overview and Results

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Open Journal of Urology 2023年第10期13卷 407-417页

作者： Kouassi Patrice Avion N’diamoi Akassimadou Brice Aguia freddy Zouan Venance Alloka Sadia Kamara Koffi Dje Urology Department Bouaké University Hospital (CHU) Bouaké Ivory Coast

Background: Endoscopic exploration and treatment of urinary tract disorders, whether by retrograde, percutaneous or endoscopic approach, defines endo urology. Objective: To report the results of endo urology practice in Bouaké during the two practice sessions. Patients and Methods: Cross-sectional and descriptive study of patients followed up and had benefited from exploration and/or endoscopic surgery in Bouaké. Our study was carried out in a facility in Bouaké, for two years, from January 2021 to December 2022. The parameters of interest were clinical, diagnostic, endoscopic procedure and results. Results: During the study period, 157 patients underwent endoscopic exploration and/or intervention. The mean age was 58.9 years (range 28 - 90 years). Males predominated with 95.5% (n = 150). Acute urinary retention was the most frequent reason for consultation (55.41%). Benign prostatic hyperplasia (BPH) was the most frequent pathology at 22.92% (n = 36). Urethrocystoscopy was performed in 52 cases (33.12%), Transurethral resection of the prostate (TURP) in 36 cases (22.92%), Endoscopic resection of secondary cervical sclerosis in 23 cases (14.64%), Endoscopic internal urethrotomy (EUI) in 15 cases (9.55%) and Transurethral resection of the bladder (TURB) in 10 cases (6.36%). Post-operative management was straightforward in 93.63% of cases (n = 147). Operative times of between 21 and 35 minutes were more frequent in 55.41% of cases (n = 87). Urinary tract infections accounted for 3.8% (n = 6) of surgical morbidity. The germ responsible for the infections was essentially Escherichia coli (E. coli). The mean duration of post-operative urinary drainage was 5.5 days (range: 4 - 6 days) for patients who underwent TURP, TURB and endoscopic resection of secondary sclerosis of the bladder neck. The mean duration of drainage after endoscopic internal ureterotomy was 21.6 days (range 14 - 30 days). Of the 157 endoscopies performed, 154 patients (98.08%) had a favourable outcome,

关键词： Endo Urology Uretrocystoscopy TURP EIU TURB

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高分辨电感耦合等离子体质谱法测定大气气溶胶中铅同位素比值

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质谱学报 2004年第B10期25卷 179-180页

作者：李冰刘成德董树屏 VeerleVanLierde FrankVanhaecke freddy.C.Adams 国家地质实验测试中心，北京100037 中国环境科学研究院，北京100012 国家环境分析测试中心，北京100029 LaboratoryofAnalyticalChemistry GhentUniversityInstituteforNuclearSciencesProeftuinstraat86B-9000GhentBelgium UniversityofAntwerp UIAB-2610Wilrijk-AntwerpenBelgium

采用高分辨电感耦合等离子体质谱技术(HR—ICP—MS)分析了48个不同季节大气气溶胶颗粒样品中铅同位素比值，为中国城市铅污染源研究提供数据。样品采至中国北京和长岛地区(2002年～2003年期间)。^205Pb／^207Pb和^208Pb／^207Pb的10次... 详细信息

采用高分辨电感耦合等离子体质谱技术(HR—ICP—MS)分析了48个不同季节大气气溶胶颗粒样品中铅同位素比值，为中国城市铅污染源研究提供数据。样品采至中国北京和长岛地区(2002年～2003年期间)。^205Pb／^207Pb和^208Pb／^207Pb的10次测定标准偏差为0．05％～0．19％。

关键词：高分辨电感耦合等离子体质谱大气气溶胶铅同位素比值污染源

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麦田圈密码

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作者：弗雷迪·席尔瓦(freddy Silva)

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Neutralization of Omicron BA.1,BA.5.1.6,BQ.1.3 and XBB1.1 induced by heterologous vaccination Ad5-nCoV and mRNA-1273

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Signal Transduction and Targeted Therapy 2023年第5期8卷 2085-2087页

作者： Jesús Hernández freddy Dehesa-Canseco Alma B.Vázquez-López Mónica Reséndiz-Sandoval Graciela Caire-Juvera Mario Solís-Hernández Olivia Valenzuela Bruno Gómez-Gil Verónica Mata-Haro Centro de Investigación en Alimentación y Desarrollo A.C.HermosilloSonora83304Mexico Comisión México-Estados Unidos para la Prevención de la Fiebre Aftosa y otras Enfermedades Exóticas de los Animales(CPA) SENASICASADERCiudad de México05010Mexico Departamento de Ciencias Químico Biológicas Universidad de SonoraHermosilloSonora83000Mexico

Dear Editor,The emergence of Omicron subvariants has required additional boosters to induce a highly neutralizing antibody response.1 However,the new Omicron subvariants BQ.1 and XBB,evade the humoral response induced by multiple mRNA vaccinations and infections.2,3 CansinoBio(Ad5-nCoV)is a single-dose adenovirus vector-based vaccine with high protection against severe disease4 but lower efficacy and antibody response than mRNA ***,hybrid immunity induced by infection plus vaccine or heterologous vaccines has produced a robust neutralizing antibody response.

关键词： vaccination vaccine immunity

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李安的惊喜

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初中生 2022年第6期 48-50页

作者： Scott Paterson freddy(编译) 不详

治病导致的脱发让小女孩李安失去踏入校园的勇气。她的同学们想出了一个可以帮她的好办法。不久前,我们班一个叫李安的女孩生了一场病。大家都很担心她。医生说,她很快就会康复。唯一的问题是,她即将接受的治疗会在一段时间内让她所有... 详细信息

治病导致的脱发让小女孩李安失去踏入校园的勇气。她的同学们想出了一个可以帮她的好办法。不久前,我们班一个叫李安的女孩生了一场病。大家都很担心她。医生说,她很快就会康复。唯一的问题是,她即将接受的治疗会在一段时间内让她所有的头发脱落。不过,头发还是会长回来的。对此,李安感到非常沮丧。可她又能怎么办呢?只有接受治疗,她才会恢复健康.

关键词：头发脱落李安接受

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Clinical Characteristics and Difficulties in the Management of Cancer of the Penis

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Open Journal of Urology 2021年第11期11卷 436-442页

作者： Kimassoum Rimtebaye Mahamat Ali Mahamat freddy Rimtebaye Kimassoum Frederic Meurde Nemia Antoinette Djekoundade Valentin Andjeffa Valentin Vadandi Koldjimadje Mingue Urology Department University Hospital of National Reference N’Djamena Chad Anatomopathology Department University Hospital of National Reference N’Djamena Chad Dermatology Department University Hospital of National Reference N’Djamena Chad Traumatology-Orthopedics Department University Hospital of National Reference N’Djamena Chad University Hospital Center Abéché Chad

Introduction: Penile cancer is a rare primary malignancy that occurs in patients in their 60s and 70s. The aim of the study was to describe the anatomical aspects of penile cancer and to report the difficulties of its management. Materials and Methods: This was a retrospective descriptive study of patients with penile tumors from January 2007 to December 2019. Patients of sexual age with an ulcerated lesion of the penis, who came to our department and whose clinical and paraclinical workup led to the diagnosis of penile cancer, were included. The variables studied were clinical, paraclinical and therapeutic. Results: In 12 years, we diagnosed and managed 8 patients with penile cancer, an incidence of 0.7 per year. The reason for consultation was the chronic ulcerating wound of the penis with a “cauliflower” aspect. The first medical consultation was late (n = 8) after a long latency period lost to traditional healers. The lesion was located in the glans penis (n = 6) and/or in the corpus cavernosum (n = 2). Histological analysis of the cores concluded to a squamous cell carcinoma. Patients were classified as T2N+M+ (n = 3) and T2N0M0 (n = 5). One patient had accepted partial amputation of the penis. Conclusion: Penile cancer is a rare tumor. Partial amputation of the penis is the only alternative in our practice context, an alternative often refuted.

关键词： Glans Penis Ulcerating Penis Squamous Cell Carcinoma Metastasis Brachytherapy

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Prostatic Adenomectomy by High Approach versus Millin: Our Results on a Series of 15 Cases

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Open Journal of Urology 2023年第8期13卷 317-325页

作者： Kouassi Patrice Avion Nykan Anne Felicite Kramo N’Diamoi Akassimadou freddy Zouan Venance Alloka Sadia Kamara Koffi Dje Urology Department Bouaké University Hospital (CHU) Bouaké Ivory Coast Urology Department Ccody University Hospital (CHU) Abidjan Ivory Coast

Background: In 2023, conventional surgery for benign prostatic hyperplasia (BPH) is still used despite the introduction of minimally invasive techniques in the therapeutic arsenal. Objective: To present our results of Millin prostatic adenomectomy in a preliminary series of 15 cases. Patients and Methods: Cross-sectional study conducted at the Urology Department of the Bouaké University Hospital from January 2022 to January 2023. It involved 15 patients with benign prostatic hyperplasia (BPH) who had undergone high adenomectomy using the Millin technique. Results: During the study period, 15 cases of benign prostatic hyperplasia were treated surgically by high adenomectomy using the Millin technique. The mean age of the patients was 63.6 years, ranging from 53 to 78 years. Nine (9) patients were consulted for progressive complications of benign prostatic hyperplasia (BPH), i.e. 60% (n = 9). The mean IPSS score was 28 (20 to 35), and seven (7) patients had a comorbidity (46.44%). The digital rectal examination (DRE) was in favour of benign prostatic hypertrophy in all patients, and the mean weight of the prostate at DRE was 75 g, ranging from 55 g to 100 g. From a paraclinical point of view, prostatic ultrasound revealed a mean BPH weight of 82.7 g with extremes of 55 to 100 g. Post-micturition residue was greater than 150 ml in 60% (n = 9). The mean prostate-specific antigen (PSA) level was 3.8 ng/ml, ranging from 1.4 to 15 ng/ml. There was one case of severe anaemia with a haemoglobin level of 6 g/dl on haemogram, treated by blood transfusion. The cytobacteriological examination of the urine (ECBU) revealed five cases of E. coli infection, i.e. 33.33% (n = 5). Millin prostatic adenomectomy was performed under antibiotic prophylaxis at induction. All patients underwent locoregional anaesthesia. The mean weight of the adenoma was 80 g with extremes of 55 to 155 g. Blood loss was minimal at less than 100 ml, i.e. 86.6% (n = 13). The average operating time was 56.9 min

关键词： Benign Prostatic Hypertrophy Adenomectomy Millin Technique

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