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Etiological and Evolutionary Profile of the Child’s Pericarditis in Tropical Environments

Open Journal of Pediatrics 2017年第3期7卷 164-177页

作者： Richard Azagoh-kouadio Jacob Slanziahuelie Enoh Jean-Jacques Yao Atteby Line Guei Couitchere Lassina Cisse Yves N’da Kouakou N’goran kouadio euloge kramoh Oulai Soumahoro Paediatric Ward of University and Teaching Hospital of Treichville AbidjanCote d’Ivoire Institute of Cardiology of Abidjan(ICA) AbidjanCote d’Ivoire

Background: Liquid pericarditis is a frequent cause of hospitalization in developing countries. Objective: of this study was to describe the etiological and evolutionary aspects of fluid pericarditis in pediatric cardiology at ICA. Methods: This was a retrospective study of 42 cases of fluid pericarditis diagnosed among 202 children hospitalized over a five-year period (1st January 2009 to 31st December 2014). All patients with pericardial effusion were included in the study. Results: Prevalence was estimated at 20.8% of hospitalizations, sex ratio was 1.1 with a female predominance (52%) and the mean age at 9.2 years (11 days to 15 years). The etiologic varieties identified were: tuberculosis 22 cases, 52%, rheumatic pericarditis 6 cases or 14.3%, chronic parietal endocarditis 5 cases (11.9%), bacterial pericarditis with trivial germ 3 cases (7.1% 3 cases (7.1%), post-surgery syndrome 2 cases (4.8%), umbilical post-catheterization 1 case (2.4%). HIV serology was positive in 11.9% of cases. The progression was favorable in 55% of the cases with 10% of deaths. Conclusion: Fluid pericarditis in children is a severe condition that is clearly on the rise today, especially in immunocompromised patients. Optimal management of fluid pericarditis in children is the best guarantee to avoid short-term tamponade and in the medium term constriction.

关键词： Pericarditis Etiology Evolution Children Tropical Diseases

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Assessment of Regular Physical Activity in the Care of Hypertensive Patients at the Cardiology Institute of Abidjan and at the National Police Hospital (Ivory Coast)

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World Journal of Cardiovascular Diseases 2020年第9期10卷 648-657页

作者： Koffi Djinguin Gnaba Ambroise Ekou Arnaud Koffi Florent Niamke Thierry Tanoh Micesse kramoh euloge Universite Felix Houphouet Boigny d’Abidjan Cocody C&ocirc te d’Ivoire Institut de Cardiologie d’Abidjan Abidjan Yopougon Treichville C&ocirc te d’Ivoire Hô pital de la Police Nationale Yopougon C&ocirc te d’Ivoire Universite Alassane Ouattara Bouaké C&ocirc te d’Ivoire

Aim: Physical activity and other lifestyle changes are an important part of the guidelines for anti-hypertensive therapy. The effect of physical activity on hypertension and heart disease has been well described. No study in our context has been done on this issue. The aim of this study was to evaluate regular physical activity in the management of hypertensive patients at the Cardiology Institute of Abidjan and the National Police Hospital. Material and methods: This was a prospective and descriptive study held in the External Consultations and Rehabilitation Departments of the aforementioned structures. It started on July 20, 2017 and ended on September 7, 2017. The data were analyzed on SPSS version 22. A p-value of less than 0.05 was considered to be statistically significant. Results: Out of the 190 hypertensive patients recruited and educated, only 70 actually participated in the physical activities that took place in the Rehabilitation Department of Heart Institute. The mean age of the patients was 52 years ± 15 years. The most affected age group was between 40 and 49 years of age (47.40%).There was a male predominance with a sex ratio of 1.11. 63.16% of the patients had a superior. The follow-up time for Hypertension was more than one year in 73.68% of the cases. Our study highlighted the knowledge of the virtues of regular physical activity on the body in 94.74% of cases. Physical activity was pre

关键词： Regular Physical Activity Hypertension Abidjan

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Modalities of Prescription of Regular Physical Activity by Cardiologists in the Management of Hypertensive Patients at the Institute of Cardiology of Abidjan

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World Journal of Cardiovascular Diseases 2021年第9期11卷 445-457页

作者： Koffi Djinguin Manou Koffi Benjamin Angoran Ines Ekou Arnaud Tanoh Micesse kramoh euloge Felix Houphouë t Boigny University of Cocody Abidjan C&ocirc te d’Ivoire Institute of Cardiology of Abidjan Abidjan C&ocirc te d’Ivoire National Police Hospital Abidjan C&ocirc te d’Ivoire

Introduction-Objective: The clinical management of hypertension is well codified. It is based on drug and non-drug therapies, including regular physical activity. The aim was to evaluate the knowledge of physicians on the importance of regular physical activity (RPA) in the care of hypertensive patients at the Institute of Cardiology of Abidjan (ICA). Material and Methods: That was a prospective and descriptive study carried out from July 20, 2019 to September 7, 2019 at the Outpatient Department of the ICA. Our study population consisted of 32 physicians from the Outpatient Department of the ICA. To achieve our goal, we developed a questionnaire for the physicians, which included seventeen items related to the socio-occupational characteristics, to the level of knowledge of hypertension, to the attitudes and the practices in the management of hypertension, and to the factors limiting the accessibility to the practice of a physical activity. Results: The majority of the health professionals in our study were men (62.50%). Among 32 physicians, 56.25% were cardiologists and 75% had a seniority in position of 1 to 4 years. 81.25% of the physicians responded that the hypertensive patients could not only benefit from non-drug means. The suggestion of a complementary physical activity (jogging and brisk walking) to the hypertension treatment was found 137.5 times. Jogging and brisk walking were the main types of physical activity which were suggested to patients. All the physicians responded 3 times per week when they were asked about the frequency of activities proposed for the clinical management of patients with hypertension. Regarding the medical prescription on the type, frequency, and duration of RPA to patients, there was some discrepancy, although the majority of healthcare professionals recommended brisk walking and jogging. Their responses for a 60-minute physical a

关键词： Knowledge Physician Regular Physical Activity Hypertensive Patient Institute of Cardiology of Abidjan

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Assessment of Regular Physical Activity in the Care of Hypertensive Patients at the Cardiology Institute of Abidjan and at the National Police Hospital (Ivory Coast)

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World Journal of Cardiovascular Diseases（心血管病） 2020年第9期

作者： Koffi Djinguin Gnaba Ambroise Ekou Arnaud Koffi Florent Niamke Thierry Tanoh Micesse kramoh euloge

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