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Risk factors for schistosomiasis in an urban area in northern Cote d’Ivoire

Infectious Diseases of Poverty 2018年第1期7卷 460-471页

作者： Richard K.M’Bra Brama Kone Yapi G.Yapi Kigbafori D.Silue ibrahima sy Danielle Vienneau Nagnin Soro Gueladio Cisse Jurg Utzinger Unitede Formation et de Recherche des Sciences de la Terre et des Ressources Minieres Universite Felix Houphouet-Boigny01 BP V 34Abidjan 01Cpte d’Ivoire Centre Suisse de Recherches Scientifiques en Cpte d’Ivoire 01 BP 1303Abidjan 01Cote d’Ivoire Swiss Tropical and Public Health Institute P.O.BoxCH-4002BaselSwitzerland University of Basel P.O.BoxCH-4003BaselSwitzerland Institut de Gestion Agropastorale UniversitéPéléforo Gon CoulibalyBP 1328KorhogoCote d’Ivoire Centre d’Entomologie Medicale et Veterinaire Universite Alassane Ouattara27 BP 529Abidjan 27Cote d’Ivoire Unitede Formation et de Recherche Biosciences Universite Felix Houphouet-Boigny22 BP 522Abidjan 22Cote d’Ivoire Centre de Suivi Ecologique BP 15532DakarSenegal.

Background:Schistosomiasis is a water-based disease transmitted by trematodes belonging to the genus *** aim of this study was to assess the relationship between the prevalence of schistosomiasis and access to water,sanitation and hygiene(WASH)and environmental and socioeconomic factors in the city of Korhogo,northern Côte d'***:A cross-sectional study including 728 randomly selected households was conducted in Korhogo in March *** heads of the households were interviewed about access to WASH and environmental and socioeconomic *** children abed between 5 and 15 years living in the households were selected to provide stool and urine samples for parasitological diagnosis of Schistosoma mansoni and Schistosoma haematobium *** relationship between infection with *** and potential risk factors was analysed by a mixed logistic regression model with‘household’as a random *** ratio tests were used to identify factors that were significantly associated with a Schistosoma ***:The overall prevalence of schistosomiasis among school-aged children in Korhogo was 1.9%(45/2341)composed of 0.3%(3/1248)*** and 3.5%(42/1202)*** to the low prevalence of *** infection,risk factor analysis was limited to *** were 7.8 times more likely to be infected with *** than *** between 10 and 15 years of age were 3.8 times more likely to be infected than their younger counterparts aged 5-10 ***,living in a house further away from a water access point(odds ratio[OR]=0.29,95%confidence interval[CI]:0.13-0.70)and abstaining from swimming in open freshwater bodies(OR=0.16,95%CI:0.04-0.56)were significantly associated with decreased odds of *** *** socioeconomic status did not appear to influence the prevalence of ***:A strategy to reduce the incidence of schistosomiasis should focus on health education to change the b

关键词： Cote d’Ivoire Schistosomiasis School-aged children Urban agriculture Vulnerability index Water Sanitation and Hygiene(WASH)

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Prevalence of diarrhoea and risk factors among children under five years old in Mbour,Senegal:a cross-sectional study

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Infectious Diseases of Poverty 2017年第1期6卷 976-987页

作者： Sokhna Thiam Aminata N.Diene Samuel Fuhrimann Mirko S.Winkler ibrahima sy Jacques A.Ndione Christian Schindler Penelope Vounatsou Jurg Utzinger Ousmane Faye Gueladio Cisse Swiss Tropical and Public Health Institute P.O.BoxCH-4002 BaselSwitzerland University of Basel P.O.BoxCH-4003 BaselSwitzerland Departement de Geographie UniversiteCheikh Anta Diop de DakarBP 5005 DakarSenegal Centre de Suivi Ecologique BP 15532 Dakar-FannSenegal Departement de Biologie Animale UniversiteCheikh Anta Diop de DakarBP 5005 DakarSenegal

Background:Diarrhoeal diseases remain an important cause of mortality and morbidity among children,particularly in low-and middle-income *** Senegal,diarrhoea is responsible for 15%of all deaths in children under the age of five and is the third leading cause of childhood *** targeted planning and implementation of prevention strategies,a context-specific understanding of the determinants of diarrhoeal diseases is *** aim of this study was to identify risk factors of diarrhoeal diseases in children under the age of five in Mbour,***:Between February and March 2014,a cross-sectional survey was conducted in four zones of Mbour to estimate the burden of diarrhoeal diseases(*** episodes in the 2 weeks preceding the survey)and associated risk *** zones covered urban central,peri-central,north peripheral and south peripheral ***,596 households were surveyed by a questionnaire,yielding information on sociodemographic,environmental and hygiene behavioural *** and multivariable logistic regression analyses were used to identify risk factors associated with the occurrence of ***:The reported prevalence of diarrhoea among children under the age of five during the 2 weeks preceding the survey was 26%.Without adjustment,the highest diarrhoea prevalence rates were observed in the peri-central(44.8%)and urban central zones(36.3%).Multivariable regression revealed significant associations between diarrhoeal diseases and unemployment of mothers(adjusted odds ratio[aOR]=1.62,95%confidence interval[CI]:1.18-2.23),use of open bags for storing household waste(aOR=1.75,95%CI:1.00-3.02),evacuation of household waste in public streets(aOR=2.07,95%CI:1.20-3.55),no treatment of stored drinking water(aOR=1.69,95%CI:1.11-2.56)and use of shared toilets(aOR=1.69,95%CI:1.11-2.56).Conclusion:We found a high prevalence of diarrhoea in children under the age of five in Mbour,with the highest prevalence occur

关键词： Children under five year-old Cross-sectional survey Diarrhoea Multivariable logistic regression Risk factor Senegal

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Obstetric Emergencies: Frequency, Socio-Demographic Aspects and Risk Factors at the Labe Regional Hospital Maternity Unit (Guinea)

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Open Journal of Obstetrics and Gynecology 2023年第11期13卷 1849-1858页

作者： ibrahima Conté ibrahima sylla Ousmane Baldé Aboubacar Fodé Momo Soumah Abdourahamane Baldé Oumou Hawa Bah ibrahima Sory Baldé Abdoulaye Bademba Diallo Telly sy Department of Obstetrics and Gynaecology Ignace Deen National Hospital University Hospital Centre Conakry Guinea Department of Obstetrics and Gynaecology Donka National Hospital University Hospital Centre Conakry Guinea Department of Obstetrics and Gynaecology Labé Regional Hospital Labé Guinea

Introduction: Obstetric emergencies are clinical situations of a serious nature, often dangerous, which develop unexpectedly, threatening the vital prognosis of the mother and/or foetus in the short term. The aim of this study was to contribute to a review of obstetric emergencies at the Labé Regional Hospital maternity unit. Methods: This was a prospective descriptive and analytical study conducted over a period of 6 months in the maternity unit of the Labé Regional Hospital. It concerned all patients admitted to the department for obstetric emergencies. Results: Obstetric emergencies accounted for 20% of obstetric admissions. The mean age of the patients was 25.12 ± 7.15 years, with extremes of 14 and 45 years. The patients were housewives (42.52%), 42.86% did not attend school and 77.41% were from urban areas. The poor were the most numerous (43.52%). The ambulance was the means of transport in only 9% of cases. Acute foetal distress, pre-eclampsia, bony dystocia and post-partum haemorrhage were the most common types of emergency in our series, with frequencies of 27.57%, 22.59%, 17.94% and 10.63% respectively. The risk factors identified were age, origin, gestational age and the state of the maternal pelvis. Conclusion: Obstetric emergencies are frequent in our study site and represent a major concern for patients, providers and the community alike. In order to reduce the frequency of obstetric emergencies, young girls should be enrolled in school, the legal age for marriage should be respected, quality antenatal care should be provided in basic health facilities, and proper planning and spacing of pregnancies should be implemented.

关键词： Obstetric Emergencies Frequency Risk Factors Labé

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Dead Fœtale in Utéro: Hospitable Frequency, Etiologies and Maternal Prognosis to the Service of Obstetric Gynecology of the Hospital National Donka, CHU of Conakry, Guinea

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Open Journal of Obstetrics and Gynecology 2019年第4期9卷 539-546页

作者： Boubacar Siddi Diallo Abdourahmane Diallo ibrahima Sory Balde Mamadou Hady Diallo ibrahima Conte Ousmane Balde ibrahima sylla Diakaria Daou Sidibe Telly sy Namory Keita University Department of Gynecology-Obstetrics Donka National Hospital Conakry Guinea University Department of Gynecology-Obstetrics Ignace Deen National Hospital Conakry Guinea

Objectives: The objectives of this work were to calculate the frequency of MFIU, to describe the epidemiological profile, to identify the étiologies and to establish the maternal prognosis. Methodology: It was about a prospective survey of analytic type spreading on one period of twelve (12) month achieved to the service of Obstetric Gynecology of the hospital National Donka, FALLEN from Conakry. Results: On 5226 childbirths, we recorded 208 cases of MFIU, either a frequency of 3.98%. The epidemiological profile was the one of a teenager or aged woman (more of 35 ans) with respectively (8.17%) and (7.20%), sans follow-up prénatal (10.41%), nullipare (6.02%), célibataire (7.80%), ménagère (5.02%) and non scolarisée (5.16%). The MFIU occurred in the age group of 32 - 36 SA. L’absence of the MAF was the main motive of consultation 94.23%. All cases of MFIU benefitted from a confirmation scan. The vasculo-renal syndromes and their complications were the main étiologie 43.75%;follow-up of the malaria is 13.94%. The majority of the gestantes were delivered by low way 98.08%. The induction of work has been made mainly to the misoprostol (Cytotec 200 μg) either 81.86% against 10.78% of syntocinon in drip. The maternal morbidity has especially been dominated especially by the hemorrhages in the case of long length retention and the infections when the membranes are broken either 1.44% against 98.56% of case of good maternal prognosis. No maternal death has been recorded. Conclusion: The prenatal consultation offer recentered and the one of medical correct cares of the vasculo-renal syndromes and the malaria could reduce the cases of death fœtale efficiently in utero.

关键词： MFIU Frequency Etiologie

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Delivery Complications of the Single Fat Large Foetus (Macrosomia) with Teenagers at the Obstetrics and Gynaecology Department of the Donka National Hospital, University Teaching Hospital (CHU) of Conakry, Guinea

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Open Journal of Obstetrics and Gynecology 2019年第5期9卷 624-630页

作者： Boubacar Siddi Diallo Mamadou Hady Diallo Ousmane Balde ibrahima sylla ibrahima Conte Abdourahmane Diallo Oumou Hawa Bah Mouctar sylla ibrahima Sory Balde Telly sy Namory Keita University Department of Gynecology-Obstetrics Donka National HospitalConakryGuinea University Department of Gynecology-Obstetrics Ignace Deen National HospitalConakryGuinea

Objectives: The objectives of this work were to: 1) Calculate the delivery frequency of the large foetus with complications to teenagers;2) Describe the epidemiological profile of these teenagers;3) Identify the risk factors of the large foetus and to establish the maternal prognosis and foetus. Methodology: This was a prospective descriptive 6-month study performed at the Obstetrics and Gynaecology Department of the Donka National Hospital, CHU of Conakry, Guinea. We chose a regular amplitude of one year and we got the following slices: 16 years, 17 years, 18 years. Results: We recorded 14.23% (801/5629) teenage deliveries of which 9.4% (75/801) deliveries are single fat fetus and 93.3% (70/75) of them developed complications. The epidemiological profile was that of an 18 years old teenager (61.4%), single (58.6%), professional (44.3%), out of school (57.1%), primiparous (68.6%), having performed 3 - 4 CPN (47.1%), coming from home (65.7%) and carrying a full term pregnancy (100%) and having delivered by high way medical assistance (52.9%). Risk factors were dominated by the male foetus (75.7%). Maternal morbidity was dominated by cervico-perineal tears 28.6%. The recorded maternal mortality was 4.3%. The 3 cases of maternal deaths were caused by the hemorrhage. The APGAR score at the first minute was in 51.4% between 4 and 6;at the 5th minute in 80% between 7 and 10. The most common foetal complication was acute foetal distress 44.3%. Foetal lethality was 12.8%. Conclusion: Here, we demonstrated the teenage pregnancy and macrosomia in this area. We did not show how we can improve this situation based on the data;however, describing this situation may be of use as a fundamental data to make a better antenatal checkup and teenager-education.

关键词： Teenager Large Foetus Complications

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Fatal Cataclysmic Otorrhagia and Epistaxis Due to a Ruptured Aneurysm of the Petrous Internal Carotid Artery: A Case Report

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International Journal of Otolaryngology and Head & Neck Surgery 2023年第5期12卷 341-346页

作者： Abdou sy Mouhamadou Diouldé Diallo Khadim Diouf Papa ibrahima Ndiaye Barrière Moussa Diallo Department of Otorhinolaryngology and Head and Neck Surgery Military Hospital of Ouakam Dakar Senegal Department of Otorhinolaryngology and Head and Neck Surgery Children’s Hospital of Diamniadio University Iba Der Thiam of Thies Thies Senegal Department of Neurosurgery Children’s Hospital of Diamniadio Dakar Senegal Department of Radiology Military Hospital of Ouakam Dakar Senegal

Background: Aneurysms of the internal carotid artery within the petrous temporal bone are extremely rare;their true incidence is unknown. The exact cause is unclear: they may be congenital or result from trauma, infection, or radiation. Aim: We report a case of massive otorrhagia and epistaxis from a ruptured aneurysm of the petrous internal carotid artery. Case Presentation: A 34-year-old man presented to our department for the first time with repeated left otorrhagia ongoing for 5 years, left sided pulsatile tinnitus and left conductive hearing loss. In his history, we noted a right hemi-corporeal deficit of sudden onset one month ago and the head-CT showed a left frontoparietal subarachnoid hemorrhage without any visualised vascular malformation. Otomicroscopy showed a pulsatile mass visible at the posterior part of the hypotympanum. There was a right-sided hemiparesis estimated at 2/5 with no disorder of the sensitivity. After hemodynamic stabilization, the patient was discharged from the hospital and treatment was scheduled in interventional radiology and neurosurgery unit. Unfortunately the patient presented at home with a cataclysmic hemorrhage by massive otorrhagia and epistaxis and arrived dead at the emergency unit. Conclusion: The treatment of a petrous carotid aneurysm must be carried out quickly considering the risk of rupture leading to a cataclysmic hemorrhage that can be rapidly life threatening.

关键词： Aneurysms Petrous Internal Carotid Artery Otorrhagia Pulsatile Tinnitus

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Ovarian Cancer: Clinical, Therapeutic and Prognostic Aspects at the University Hospital Center of Conakry in Guinea

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Open Journal of Obstetrics and Gynecology 2023年第12期13卷 1985-1993页

作者： Abdourahamane Diallo Mamadou Hady Diallo Fatoumata Bamba Diallo ibrahima Koussy Bah Boubacar Siddy Diallo ibrahima Sory Balde Telly sy Namory Keita Gynecology-Obstetrics Department Ignace Deen National Hospital Conakry Guinea Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinea Gynecology-Obstetrics Department Donka National Hospital Conakry Guinea

Background: Ovarian cancer is the seventh most common cancer in women in the world and is the leading cause of death among gynecological cancers. Objective: The objective of this study was to describe the clinical, therapeutic and prognostic aspects of ovarian cancer in the both Gynecology-Obstetrics departments Donka and Ignace Deen of the Conakry University Hospital. Methods: This was a retrospective, descriptive study lasting 12 years from January 1, 2011 to December 31, 2022, covering the files of patients treated for ovarian cancer in the both Gynecology-Obstetrics departments Donka and Ignace Deen. The study focused on the epidemiological, clinical, histological and therapeutic aspects of the disease. Results: In total, 135 files of patients with ovarian cancer were collected out of the 3821 files of gynecological pathologies recorded in the two departments during the study period, either a frequency of 3.5%. Among gynecological and breast cancers, ovarian cancer represented 9.1%. The average age of the patients was 46.3± 17.8 years and the average parity was 4 ± 3. The revealing clinical signs were dominated by pelvic pain (92.6%) and increased abdominal volume (53.3%). The diagnosis of the disease was made mainly at stages III and IV (71.9%). The most common histological type was serous papillary adenocarcinoma (57.0%). Exclusive surgical treatment was performed in 8.1% of patients, surgery combined with chemotherapy in 63.0% of patients and exclusive chemotherapy in 11.1% of patients. After an average follow-up of 42 months, 29 patients out of the 96 operated on were alive (30.2%), 51 had died (53.1%) and 16 patients were lost to follow-up (16.7%). Conclusion: Ovarian cancer is the third most common cancer in both departments. Diagnosis is often late and the prognosis is poor.

关键词： Cancer Ovary Ignace Deen Donka

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Factors Associated with Unmet Need for Family Planning among Couples Living in Urban and Rural Areas of Guinea in 2019

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Open Journal of Obstetrics and Gynecology 2023年第6期13卷 1081-1093页

作者： Soumah Aboubacar Fode Momo Conte ibrahima Bah Oumou Hawa Daniel William Athanass Leno sy Telly Department of Obstetrics and Gynecology Ignace Deen National Hospital University Teaching Hospital of Conakry Conakry Guinea Department of Obstetrics and Gynecology Donka National Hospital University Teaching Hospital of Conakry Conakry Guinea

Introduction: Unmet need for family planning (UNFP) is defined as women with unmet needs who want to stop or delay childbearing but are not using any method of contraception. The objective of this study was to analyze the factors associated with unmet needs for family planning among couples living in rural and urban areas of Guinea in 2019. Methodology: This was a prospective, analytical cross-sectional, multicenter study of a six-month period from August 1, 2018 to January 31, 2019, focusing on couples with unmet needs for family planning. Result: Among 189 couples interviewed, 567 had UNFP (33.3%), the reasons for not using modern contraceptive methods were desire for pregnancy (AOR = 2.74, 95% CI: 1.74, 4.31), husband’s refusal (AOR = 0.23, 95% CI: 0.06, 0.81), spousal attitude (AOR = 0.20, 95% CI: 0.130, 30), birth spacing (AOR = 2.10% to 95%: 1.16, 3.82), difficulty with a new pregnancy (AOR = 0.17, 95% CI: 0.04, 0.74), and spousal attitude (AOR = 0.20, 95% CI: 0.14, 0.30). Conclusion: The involvement of spouses, especially in rural communities, would help achieve family planning objectives and reduce unmet needs for family planning.

关键词： Associated Factors Unmet Need Family Planning Couple Rural Urban Guinea 2019

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Neonatal Mortality Associated with the Referral of Low Birth Weight Newborns to the Institute of Child Nutrition and Health (INSE)

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Open Journal of Pediatrics 2019年第4期9卷 287-295页

作者： Diallo ibrahima Sory Diallo Sory Conté N’fanly Diawara ibrahima Bah Elhadj Mamoudou Cissé Moussa Matthias Roth Kleiner sy Telly Pediatrics Chair Gamal Abdel Nasser University Conakry Guinea Institute of Nutrition and Child Health Conakry Guinea Gyneco-Obstetrics Chair Gamal Abdel Nasser University Conakry Guinea Department of Women Mother and Child Lausanne Switzerland

The objective of this study was to identify risk factors and study the causes of neonatal mortality of LBW newborns referred to the Institute of Nutrition and Child Health. Material and Methods: This is a prospective descriptive and analytical study from March 1 to August 31, 2015, involving 250 newborns referred to the Neonatology Department of the Institute of Child Nutrition and Health (INSE). Results: During our study period, we recorded 1169 newborns, 250 of whom were referred, representing a referral frequency of 21.38%. The overall mortality rate for transferring newborns was 46.8%. Risk factors associated with neonatal mortality were gravidity (p = 0.0019), parity (p = 0.0323), occupational activities requiring physical effort (p = 0.0257), birth weight (p = 0.0008) and prematurity (p = 0.0039). Conclusion: Neonatal mortality associated with referrals is a major health problem in developing countries. There is currently no doubt that it is possible to significantly reduce perinatal mortality and morbidity rates by organizing the identification of “mother-child” couples at risk, to refer them intently to centres better equipped with technical and human resources to care for them.

关键词： Neonatal Mortality Reference Low Birth Weight INSE

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Uterine Rupture: Epidemiological Aspects, Etiologies and Maternal-Fetal Prognosis in the Obstetric Gynecology Department of the Donka CHU Conakry National Hospital, Guinea

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Open Journal of Obstetrics and Gynecology 2019年第4期9卷 521-528页

作者： Boubacar Siddi Diallo ibrahima Sory Balde ibrahima Conte Mamadou Hady Diallo Ousmane Balde ibrahima sylla Abdourahmane Diallo Oumou Hawa Bah Loua Avit Telly sy Namory Keita University Department of Gynecology-Obstetrics Donka National Hospital Conakry Guinea University Department of Gynecology-Obstetrics Ignace Deen National Hospital Conakry Guinea

Objectives: The objectives of this work were to calculate the frequency of the uterine rupture, to describe the epidemiological profile, to identify the etiologies and to establish the maternal prognosis and foetal. Methodology: It was about a descriptive survey with compilation of the data in two phases: a retrospective spreading on one period of 6 years and the other forecasting of 1 one year achieved to the service of Obstetric Gynecology of the hospital National Donka, Fallen from Conakry, Guinea. Results: We recorded 24.030 childbirths of which 188 cases of uterine rupture either a frequency of 0.78, which represents an uterine rupture for 128 childbirths. The epidemiological profile was the one of a woman of 24 to 28 years (31.91%), housewives (69.14%), without prenatal follow-up (47.87%), big multipare (37.76%) and évacuées (78.78%). The motives of consultation have been dominated by the hémorragie (95.74%). The rupture was of transverse type in the majority of the case (63.82%). The hysterorraphy was the most performed surgical procedure which is 85.10% followed by the total sub hysterectomy in 10.63%. The newborns of birth weight superior or equal to 4000 g represent 25.53%. The maternal morbidity has been dominated by the anemia of the postpartum (60%). We recorded a rate of maternal létalité of 12.76%. The maternal deaths were due to the hemorrhage in 78.57%. The living newborns endured a respiratory distress in 9.57% and those stillborn represent 87.23%. The etiologies of uterine rupture were dominated by fetal-pelvic disproportions 48.93% followed by an iatrogenic uterine rupture 22.33%. Conclusion: The reduction of this uterine rupture rate would pass by the recentered prenatal consultation offered, the one of obstetric cares and complete néonataux of emergency, the discount to level of the beneficiaries of the basic structures so that they can discover the cases in time susceptible to drag a rupture to evacuate better in time and the promptness in the

关键词： Uterine Rupture Etiologie Prognosis

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