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Consolidation of a Femoral Neck Fracture in Sickle Cell Disease Patient after Surgical Abstention: A Beneficial and Favorable Outcome

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Surgical Science 2024年第7期15卷 438-443页

作者： Marc Leroy Guifo Albert Desiré Atangana Fouda Faustin Atemkeng Tsatedem Emini Ngono Mengale Ntang Ulrich Bisay Souhe ginette kalla Faculty of Medicine and Biomedical Sciences University of Yaound 1 Yaound Cameroon Faculty of Medicine and Pharmaceutical Sciences University of Dschang Dschang Cameroon Faculty of Medicine and Pharmaceutical Sciences University of Ebolowa Ebolowa Cameroon

Femoral neck fracture is classically a traumatic pathology in the elderly but it can also occur in young people during a road traffic accident or occasionally when the femoral neck has been weakened by a pathological process. In sickle cell patients, the hip is often subjected to aseptic necrosis. The authors report the case of the child NL, aged 5 years and 4 months in whom a fracture of the femoral neck classified Delbet 3 was found as well as his sickle cell status discovered and in whom treatment by surgical abstention was carried out with a favorable evolution. This association of factors of the femoral head necrosis or nonunion is unusual and confirms the osteogenetic potential of a child. However, monitoring is necessary because other anomalies may reveal themselves.

关键词： Sickle Cell Disease Fracture Femoral Neck Osteomyelitis

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Performance and Trends in Measles Case-Based Surveillance in the North West Region of Cameroon, 2009 to 2015

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Journal of Biosciences and Medicines 2022年第6期10卷 37-55页

作者： Wasu Chrispus Nchandone ginette Claude Mireille kalla Njamnshi Alfred Kongnyu Same Ekobo Albert Assob Nguedia Jules Clement Department of Public Health and Hygiene Faculty of Health Sciences University of Buea Buea Cameroon Regional Technical Group for the Expanded Programme on Immunization RTG-EPI Regional Delegation of Public Health for the North West Region of Cameroon Bamenda Cameroon Department of Paediatrics Faculty of Medicine and Biomedical Science University of Yaounde I Yaounde Cameroon Department of Neurology Central Hospital of Yaounde Yaounde Cameroon Faculty of Medicine and Biomedical Sciences University of Yaounde 1 Yaounde Cameroon Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon

Background: Measles is a highly contagious viral disease associated with high morbidity and mortality in developing countries. As an infection with no specific treatment, its control is most importantly through vaccination and adequate disease surveillance. National immunization coverage for the first dose of measles/rubella vaccine in 2019 was 71%. As a result, measles continues to rage with outbreaks not sparing the North West Region (NWR) of Cameroon, hence the need for proper surveillance. Objective: Assess performance of measles case-based surveillance in the NWR of Cameroon. Methods: This was a cross-sectional, descriptive study with retrospective collection of measles surveillance records carried out at the Regional Delegation of Public Health from 2009 to 2015. The data collected using a structured form were: number of persons suspected of measles;number of persons reported to district service;number of persons whose samples were collected and forwarded to the laboratory;number whose results reached the Expanded Programme on Immunization (EPI) Central unit and the time lapse between successive phases. Results: Although not all planned activities were carried out, a constant increase in planned and carried out monitoring activities was found. The average time taken from onset of signs and symptoms in a measles case to consultation at a health facility, from consultation to notification of case to district service, from notification to investigation, from investigation to receipt of biological sample at laboratory, from receipt of sample to provision of results to the EPI Central unit, and from collection of sample to reception of results at the Central EPI unit was 2.59 days, 1.5 days, 1.5 days, 2.6 days, 4 days and 6.6 days respectively. Conclusion: There was an overall rising trend in the performance of measles case-based surveillance, although the high priority site visits witnessed a stagnation during the period, a large scale measles epidemic occurred (2

关键词： Measles Case-Based Surveillance Performance Trends

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Pediatric Clinical Features of Covid-19 in Cameroon

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Open Journal of Pediatrics 2022年第1期12卷 231-237页

作者： Meguieze Claude-Audrey Nseme Etouckey Eric Mekone Nkwele Isabelle kalla ginette Claude Mireille Kamgaing Noubi Nelly Ngo Nyeki Adèle-Rose Onambele Paul Ntoukem Mbakop Carlin Koki Ndombo Paul Pediatric Department Faculty of Medicine and Biomedical Sciences University of Yaoundé I Yaounde Cameroon Department of Morphological Sciences and Anatomopathology Faculty of Medicine and Biomedical Sciences University of Yaoundé I Yaounde Cameroon Department of Ophthalmology-ENT Faculty of Medicine and Biomedical Sciences University of Yaoundé I Yaounde Cameroon Nkolndongo District Health Service Yaounde Cameroon

Introduction: The Covid-19 pandemic is a public health emergency characterized by severe acute respiratory distress syndrome. It has many clinical forms and affects all age groups. Despite the magnitude of this pandemic, data from pediatric cohorts in Cameroon remain sparse. Objective: The aim of this study was to describe the clinical presentation of Covid-19 in the pediatric population of the Nkolndongo health district. Materials and method: A cross-sectional study was conducted for a duration of 5 months from January to May 2021 and covered a period of 9 months (March to December 2020). All patients aged 0 to 19 years, suspected of having Covid-19, confirmed by real-time RT-PCR targeting the N and ORF1 ab viral genes and managed in the Nkolndongo health district were included. The results were analyzed using IBM SPSS.23.0 software and the data expressed as frequencies, percentages, and means. The threshold of statistical significance was set at 0.05. Results: This study revealed that 48 patients out of 154 suspected cases were tested positive. The most affected age group was adolescents aged 13 - 19 years (92.85%). The most frequent symptoms were cough (33%), fever (42%) and nasal discharge (25%). Infants were the least affected. 58% of patients were asymptomatic, 47.91% were in mild stage, 8.33% in moderate stage and 4.16% in severe stage. All the children tested positive survived. Patients with comorbidity were 20 times more likely to develop moderate to severe clinical forms, this being statistically significant. Conclusion: The clinical presentation reported mainly fever, cough and anterior nasal discharge. There was a significant association between the presence of comorbidity and the moderate to severe degrees of severity.

关键词： Covid-19 Children Clinical Presentation Cameroon Sub Saharan Africa

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