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Practical Artificial Ventilation in an African Tropical Environment: Experience of the Intensive Care Unit of the University Hospital of Treichville

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Open Journal of Anesthesiology 2018年第4期8卷 123-129页

作者： irié bi gohi serge Ango Privat Désiré Netro Djohoui Pete Yaich Nabintou Koné Kouadio Konan Stéphanie Ogondon Bernard Able Edmond Boua Narcisse Brouh Yapo Resuscitation Department University Hospital Center of Bouake Bouake Ivory Coast Resuscitation Department University Hospital Center of Treichville Abidjan Ivory Coast Resuscitation Department University Hospital Center of Cocody Abidjan Ivory Coast

Objective: To describe the practice of artificial ventilation (VA) in a resuscitation unit of a developing country with a view to its improvement. Patients and Methods: Prospective study for descriptive and analytical purposes, carried out in the intensive care unit of the University and Hospital Center of Treichville (Ivory Coast) from April 2009 to June 2010. All the patients having benefited from a artificial ventilation for a duration greater than 6 hours were included in this study. The studied parameters were: Socio-demographic (age, sex), diagnostic, therapeutic (indications, duration and complications of artificial ventilation), evolutionary. Results: Out of a total of 204 admissions during the study period, 81 patients received artificial ventilation, an incidence of artificial ventilation in the order of 39.7%. There were 49 men and 32 women. The ventilated patients had an average age of 43.9 years (range: 4 years and 85 years). Pathologies requiring artificial ventilation were neurological (46%) and traumatic (28%). Stroke was the leading medical condition (65%) while polytrauma was the major traumatic condition (65%). The most commonly used ventilatory modes were controlled volume ventilation (52.4%) and assisted ventilation (34.9%). The mean duration of artificial ventilation was 5.98 ± 3.73 days (range: 1 day and 21 days). The nosocomial pneumonia acquired under mechanical ventilation (PAVM) constituted 27% of the complications observed under artificial ventilation. The average length of ICU stay for all ventilated patients was 9.85 +/- 7.51 days (range: 1 day and 31 days). The lethality in our series was 80%. Patient age was the only prognostic factor associated with death (P = 0.003). Conclusion: The practice of artificial ventilation is still difficult in Ivory Coast and is at the origin of many complications such as nosocomial pneumonia acquired under mechanical ventilation which complicate the life threatening of the patients.

关键词： Artificial Ventilation Resuscitation Complications Ivory Coast

Anesthesiological Management of Eclampsia in Tropical Africa: Experience of the University Hospital Center of Bouake

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Open Journal of Anesthesiology 2018年第3期8卷 93-99页

作者： Kouadio Konan Stéphanie irié bi gohi serge Pete Yaich Koffi N’Guessan Yao Kouassi Christian Ogondon Bernard Nda-Koffi Cinthia Samake Yaya Kouame Konan Edmond Brouh Yapo Anesthesia-Intensive Care Unit Bouake Hospital Bouake Ivory Coast Pediatric Department Bouake Teaching Hospital Bouake Ivory Coast Obstetrics and Gynecology Department Bouake Teaching Hospital Bouake Ivory Coast

Introduction: Eclampsia is a common cause of maternal mortality in developing countries. The objective of this study is to evaluate the practice of anesthesia for eclampsia in tropical Africa. Patients and Methods: Retrospective descriptive study on the parturients who benefited from eclampsia anesthesia in the operating theaters of the gynecology and obstetrics department, the University Hospital Center (CHU) of Bouake over a two-year period (January 2015 to December 2016). The parameters studied were: anesthetic risk assessment, anesthetic management, immediate anesthetic and post-anesthetic accidents and incidents. Results: Out of a total of 3831 emergency cesarean sections, 65 were for eclampsia, or 1.69% of obstetrical surgical activity. The mean age of the patients was 20.30 ± 3.34 years (range: 14 years and 39 years). Prenatal consultation was not performed in 70% of cases and 85% of patients were primiparous. Patients classified as ASA IIIU accounted for 75% of the population and in 62% of cases, the Glasgow score was between 9 and 12. Induction was achieved with thiopental in 98% of patients and vecuronium was the only muscle relaxant used. The most common fetal complications were hypotrophy (50%), prematurity (30%) and respiratory distress (40%). Postoperative anesthetic complications were agitation (70%) and wake delay (15%). Maternal mortality was 5% and the neonatal death rate was around 7.69%. The elements of poor maternal prognosis were the ASA IVU class (P = 0.015) and the Aldrete awakening score between 3 and 5 awakening (P = 0.001). Conclusion: Anesthesia for eclampsia at CHU of Bouake is difficult. It needs to be improved thanks to better equipment of the health structures.

关键词： Eclampsia Emergency Anesthesiology Ivory Coast

Evaluation of Soil Quality under Cocoa Trees in the Marahoué Region (Central-Western Côte d’Ivoire)

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Open Journal of Soil Science 2024年第9期14卷 537-553页

作者： Ferdinand gohi bi Zro Lacina Yeo Bessimory Toure Martinez Arnauth Guei Dogniméton Soro Sidiky Bakayoko Dpartement dAgropdologie Universit Jean Lorougnon Gud Daloa Cte dIvoire

This study, which assesses the quality of soils under cocoa trees in the Marahoué region of Côte d’Ivoire, is being carried out against a backdrop of declining crop yields due to a number of factors, including the loss of soil fertility. The aim was to identify homogeneous groups of soils in terms of fertility and propose sustainable management methods for each group. The study was carried out on twenty-four cocoa orchards belonging to the SCOOP KAPATCHIVA cooperative, spread over eight sectors. A morphological characterisation of the soils was carried out in the field, followed by physico-chemical laboratory analyses of soil samples taken in the field. Soil fertility was analyzed on the basis of these two groups of data. The results showed that soil depths were generally high, except in some high altitude areas, where soils were often enriched in ferromagnesian elements and compacted. The texture of the soils varied between loamy and sandy-loamy, influencing cocoa production. Indeed, the soils of the plots with high production were looser and without ferromagnesian concretions, while those of the plots with low production were more gravelly and compact. biological activity in the upper soil layer (0 - 30 cm) was notable with an abundance of termites and earthworms. The organic matter and nitrogen content varies considerably between sectors, directly impacting soil fertility. The soils were slightly acidic and showed significant differences in the levels of exchangeable magnesium and potassium, and not at all for phosphorus which appeared at very low doses. Chemical analysis also revealed that nutrient balance was a key factor in orchard productivity, with varying ratios of calcium, magnesium and potassium. Knowledge of these results made it possible to make recommendations for soil management with a view to improving cocoa yields in the study area.

关键词： Soil Chemical Balances Fertility Cocoa Farming Marahoué Region

四川省康养产业与休闲体育产业耦合协调发展及路径选择

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攀枝花学院学报 2024年第2期41卷 1-10页

作者：陈军刘芸希 gohi bi Foua Claude Alain 攀枝花学院体育部四川攀枝花617000 四川旅游学院运动与休闲学院四川成都610100 攀枝花学院生物与化学工程学院四川攀枝花617000

康养产业作为一种新兴的产业形态,成为促进经济高质量发展的重要引擎。本研究以四川省为研究范围,首先构建指标体系并运用熵值法对四川省康养产业和休闲体育产业发展水平进行测度,运用耦合协调度模型对其康养产业与休闲体育产业的耦合... 详细信息

康养产业作为一种新兴的产业形态,成为促进经济高质量发展的重要引擎。本研究以四川省为研究范围,首先构建指标体系并运用熵值法对四川省康养产业和休闲体育产业发展水平进行测度,运用耦合协调度模型对其康养产业与休闲体育产业的耦合协调度进行测度,并探讨两者之间的路径关系,以期为四川省康养产业与休闲体育产业的融合发展提供理论依据和实践指导。研究发现:一是四川省整体康养产业与休闲体育产业的协调水平不断提升,年复合增长速度4.91%;二是四川省康养产业与休闲体育产业的耦合协调度呈上升趋势,但整体较低,仅成都进入极度协调;三是存在专业型人才数量不足、产品结构性矛盾突出、融合项目协调度不高等问题。鉴于此,提出促进二者耦合协调发展的路径选择。

关键词：康养产业休闲体育产业老年人康养人才产业融合

Influence of Microorganisms Effective against Basal Rot and on Agronomic Parameters of Onion [Allium cepa L. (Amaryllidaceae)]

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Journal of Agricultural Chemistry and Environment 2024年第3期13卷 282-299页

作者： Henriette Doukahonon Guigui bi Zaï Pacôme Zaouli Alain serge Coulibaly Juliette Ky Dedi Training and Research Unit of Sciences of Nature Laboratory of Biology and Improvement of Plant Production Nangui Abrogoua University Abidjan Cte dIvoire Department of Plant biology Training and Research Unit (UFR) of Biological Sciences Peleforo Gon Coulibaly University Korhogo Cte dIvoire

Onions are a horticultural crop of great economic, dietary and medicinal importance, and are highly prized by the Ivorian population. However, production remains low, due to a number of constraints, including parasitic attacks. The most frequent is fusariosis caused by Fusarium sp., a pathogen that causes enormous damage to onion crops. Faced with these attacks, chemical control appears to be ineffective, with consequences for human health and the environment. This is why the search for effective alternative methods that respect the environment and human health is so necessary. It is in this context that this study was carried out, with the general aim of controlling fusarium wilt in onion crops, with a view to improving onion production in Ivory Coast through the use of effective microorganisms. The experimental set-up used for this purpose was a fisher block with complete randomization, comprising three replicates. A fungal spore concentration of 106 spore/mL of Fusarium sp., three doses (1%;2.5% and 5% v/v) of EM and one dose of a chemical fungicide (30 mL/16L) were tested on young onion plants. Each block consisted of nine sub-plots with nine treatments. Health parameters (incidence and severity) and agronomic parameters (growth and yield) were assessed. Microbiological analysis of the EM revealed the presence of nine morphotypes of Trichoderma sp., Aspergillus clavatus, Aspergillus flavus, Aspergillus sp., Penicillium sp., Rhizopus sp., lactic acid bacteria of the Bacillus family and the yeast Saccharomyces cerevisiae. Field experimentation showed that the 5% EM microbial solution reduced the incidence and severity of fusariosis compared with the chemical fungicide, and proved to be the best. This dose reduced yield losses by 7.14%, while improving onion growth and yield by over 5%. The results demonstrated the ability of the EM solution to effectively control the causal agent of basal rot in onion crops.

关键词： Basal Rot Effective Microorganisms (EM) Fusarium sp. Onion

Influence of Continental Atmospheric Forcing on the Decadal Variability of the West African Monsoon

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Atmospheric and Climate Sciences 2024年第1期14卷 1-28页

作者： Adjoua Moïse Landry Famien Sandrine Djakouré bi Tra Jean Claude Youan serge Janicot Abé Delfin Ochou Arona Diedhiou Département des Sciences et Techniques Université Alassane Ouattara de Bouaké Bouaké C&#244te d’Ivoire LASMES-UFR SSMT Université Félix Houphou&#235t Boigny d’Abidjan Abidjan C&#244te d’Ivoire LSS-UFR SSMT Université Félix Houphou&#235t Boigny d’Abidjan Abidjan C&#244te d’Ivoire Laboratoire d’Océanographie et du Climat: Expérimentations et Approches Numériques Sorbonne Université IRD CNRS MNHN Paris France Université Grenoble Alpes IRD CNRS Grenoble INP IGE Grenoble France UFHB-IRD Joint International Laboratory of Research on NEXUS Climate Water Energy and Agriculture and Development of Cli-mate Services African Centre of Excellence CCBAD (Climate Change Biodiversity and Sustainable Agriculture) Université Félix Houphou&#235t-Boigny Abidjan C&#244te D’Ivoire

The West African Monsoon (WAM) is characterized by strong decadal and multi-decadal variability and the impacts can be catastrophic for the local populations. One of the factors put forward to explain this variability involves the role of atmospheric dynamics, linked in particular to the Saharan Heat Low (SHL). This article addresses this question by comparing the sets of preindustrial control and historical simulation data from climate models carried out in the framework of the CMIP5 project and observations data over the 20th century. Through multivariate statistical analyses, it was established that decadal modes of ocean variability and decadal variability of Saharan atmospheric dynamics significantly influence decadal variability of monsoon precipitation. These results also suggest the existence of external anthropogenic forcing, which is superimposed on the decadal natural variability inducing an intensification of the signal in the historical simulations compared to preindustrial control simulations. We have also shown that decadal rainfall variability in the Sahel, once the influence of oceanic modes has been eliminated, appears to be driven mainly by the activity of the Arabian Heat Low (AHL) in the central Sahel, and by the structure of the meridional temperature gradient over the inter-tropical Atlantic in the western Sahel.

关键词： Influence of Continental Atmospheric Forcing on the Decadal Variability of the West African Monsoon

Occurrence of Extreme Rainfall and Flood Risks in Yopougon, Abidjan, Southeast Côte d’Ivoire from 1971 to 2022

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American Journal of Climate Change 2024年第3期13卷 427-451页

作者： Kolotioloma Alama Coulibaly Pauline Agoh Dibi-Anoh bi Néné Jules Tah Hervé Anoh Kouadio Christophe N’da serge Camille Ahilé Kouakou Bernard Djè Daouda Konaté Geography Department Felix Houphouet-Boigny University Abidjan Cte dIvoire National Meteorological Service Socit dExploitation et de Dveloppement Aroportuaire Aronautique et Mtorologique Abidjan Cte dIvoire BRL Ingnierie-Cte dIvoire Abidjan Cte dIvoire Graduate School of Education Lesley University Cambridge MA USA

Yopougon, located in the western part of the Autonomous District of Abidjan, is the most heavily populated municipality in Côte d’Ivoire. However, this area is prone to floods and landslides during the rainy season. The study aims to assess recent flood risks in the municipality of Yopougon of the Autonomous District of Abidjan. To achieve this objective, the study analyzed two types of data: daily rainfall from 1971 to 2022 and parameters derived from a Numerical Field and Altitude Model (NFAM). The study examined six rainfall parameters using statistical analysis and combined land use maps obtained from the NFAM of Yopougon. The results indicated that, in 67% of cases, extreme rainfall occurred mainly between week 3 of May and week 1 of July. The peak of extreme rainfall was observed in week 2 of June with 15% of cases. These are critical periods of flood risks in the Autonomous District of Abidjan, especially in Yopougon. In addition, there was variability of rainfall parameters in the Autonomous District of Abidjan. This was characterized by a drop of annual and seasonal rainfall, and an increase of numbers of rainy days. Flood risks in Yopougon are, therefore, due to the regular occurrence of rainy events. Recent floods in Yopougon were caused by normal rains ranging from 55 millimeters (mm) to 153 mm with a return period of less than five years. Abnormal heavy rains of a case study on June 20-21, 2022 in Yopougon were detected by outputs global climate models. Areas of very high risk of flood covered 18% of Yopougon, while 31% were at high risk. Climate information from this study can assist authorities to take in advance adaptation and management measures.

关键词： Yopougon-Abidjan Extreme Rainfall Rainy Day Return Period Flood Risk Areas

Evaluation of the Use of Long-Lasting Impregnated Mosquito Nets (LLINs) in the Health District of Dimbokro (Center of Côte d’Ivoire)

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Journal of biosciences and Medicines 2024年第3期12卷 44-61页

作者： Ellélé Aimé Marius Yapi Tanoh Amany serge Raymond N’krumah bi Yourou Guillaume Zamina Martial Bama Assikohon Pulchérie Gouzilé Amoin Nadège Abo Issaka Tiembre General Hygiene Department Institut National d’HygiènePublique (INHP) Abidjan C&ocircte d’Ivoire Animal biology Department Peléféro Gon Coulibaly University Korhogo C&ocircte d’Ivoire Environment and Health Department Swiss Center for Scientific Research Abidjan C&ocircte d’Ivoire Public Health Emergency Operations Center National Institute of Public Hygiene (INHP) Abidjan C&ocircte d’Ivoire Malaria Department National Institute of Public Hygiene (INHP) Abidjan C&ocircte d’Ivoire Epidemiological Surveillance Service Health District Dimbokro C&ocircte d’Ivoire Vaccinology Sub-Directorate National Institute of Public Hygiene (INHP) Abidjan C&ocircte d’Ivoire Department of Public Health Félix Houphou&eumlt Boigny University Abidjan C&ocircte d’Ivoire

The Dimbokro health district has one of the highest incidences of malaria in Côte d’Ivoire, despite numerous campaigns to distribute Long-Acting Impregnated Mosquito Nets (LLINs). Given this observation, what are the population’s attitudes towards LLINs that could explain the high endemicity of malaria in Dimbokro? The aim of this study is to assess the knowledge, attitudes and practices of people in the health area of Nofou, one of the villages in the Dimbokro health district where malaria is most prevalent, with a view to strengthening malaria control strategies. A collection of historical health data (malaria cases and LLIN usage rates) and a cross-sectional questionnaire survey was carried out from July 20 to August 03, 2022 in 400 households selected by systematic random sampling. Data were entered using Epi Info 7 and multivariate statistical analyses were performed using IBM SPSS 22 software. In the Dimbokro health district, the rate of LLIN use was negatively correlated (r = -0.771) with malaria incidence over the six years of historical data collection. Households had an average of 53% good knowledge, 68.6% good practices and 28.4% good attitudes towards LLINs. The study also revealed that the main factors explaining LLIN use in the Nofou health area are mosquito bite (ORa = 5.29 (1.12 - 25.04)), age of household members (ORa = 1.07 (1.01 - 1.14)) and marital status (ORa = 8.45 (1.70 - 45.02)). Awareness-raising on the use of LLINs should be intensified in the Dimbokro health district. Other control strategies, such as vector control and environmental sanitation, should be considered to combat malaria.

关键词： Malaria LLINs Knowledge Attitudes Practices Dimbokro Côte d’Ivoire

Urothermal Syntheses of Chiral Zincic Benzotriazole-5-carboxylate Frameworks for Iodine Uptake

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Chinese Journal of Structural Chemistry 2021年第2期40卷 199-206,146页

作者： HUANG Zai-Chun WANG Xiao-Fang gohi bi Foua Claude Alain LI Yu-Feng KANG Yao JIANG Zhi-Qiang Deep-processing of Fine Flake Graphite Sichuan Province Key Laboratory of Colleges and Universities Panzhihua UniversityPanzhihua 617000China State Key Laboratory of Structural Chemistry Fujian Institute of Research on the Structure of MatterChinese Academy of SciencesFuzhou 350002China

So far,the synthesis of chiral framework with achiral organic ligand still faces great ***,three new coordinated complexes[Zn(btca)Cl]·DMA·N(CH_(3))_(2)(1),[Zn(btca)(Ac^(-))]·N(CH_(3))_(2)(2)and[Zn(btca)]·H_(2)O(3)(DMA=N,N-dimethylacetamide,btca=benzotriazole-5-carboxylate acid)were synthesized via different ***-crystal X-ray diffraction analysis revealed that compounds 1 and 2 were isostructural and showed achiral layer network with fes topology,and 3 presented a chiral three-dimensional framework with eta *** result of this work has demonstrated that urothermal synthesis will be promising means of constructing chiral framework with achiral building *** 3 also displayed an excellent property of iodine uptake.

关键词： urothermal synthesis benzotriazole-5-carboxylate acid chirality I2 absorption