检索结果-南通市图书馆

Retro Placental Hematoma: Maternal and Fetal Prognosis at the Maternity of the University Hospital of Bouake

Open Journal of Obstetrics and Gynecology 2024年第1期14卷 44-56页

作者： Samake Yaya Djanhan Lydie Estelle Menin-Messou Benie Michele kouadio kouadio narcisse Akanji Iburaima Alamun M’bro Clausen Georgie Boko Dagoun Dagbesse Elysee Camara Sokhona N’guessan kouadio Ismael Foua Bi Paul Hyacinthe Keita Ismael Vaho Magnificat Marina Kone Minzata Yasmine Doumbia Yacouba Gynaecology-Obstetrics Department Centre Hospitalier Universitaire de Bouaké Bouake Ivory Coast Mother and Child Department Alassane Ouattara University Bouake Ivory Coast

Introduction: Retroplacental haematoma (RPH) is a very serious complication of pregnancy, with life-threatening consequences for both the mother and foetus. The aim of this study is to determine the incidence and epidemiological characteristics of patients with retroplacental haematoma (RPH) and describe the maternal-foetal complications at Bouaké University Hospital. Methods: This was a cross-sectional prospective, descriptive and analytical study carried out at Bouaké University Hospital over a period of 3 years, from January 1, 2019 to December 31, 2021. All parturients with RPH whose delivery took place at the hospital were included in the study. Data were entered and analysed using EPI INFO software version 7.***.2.6. Results: We recorded 2,0959 deliveries, including 202 cases of RPH, representing an incidence of 0.96%. The 21 to 35 age group accounted for 64.4%, multigestas and large multigestas accounted for 58.5% and multiparas accounted for 41.6%. The main signs on clinical examination were metrorrhagia (100%), arterial hypertension (84.6%) and cervical cerclage (79.7%). Preeclampsia accounted for 50% of per-gestational pathologies. Maternal mortality was 12.9%. Morbidity was dominated by anaemia in 64.1%, followed by disseminated intravascular coagulation (DIC) in 21.8%, and the factors associated with this maternal prognosis were multiple gestations, multiparity, Sher grade IIIb and the occurrence of complications such as DIC, shock, renal complications and HELLP syndrome. Neonatal mortality was 79.2%, and the factors associated with these fetal prognoses were cup size ≥ 5 cm and hematoma weight ≥ 500 g. Conclusion: Better screening of at-risk populations, early diagnosis and treatment in an organised and equipped medical and surgical facility would improve prognosis.

关键词： Retroplacental Haematoma Lethality Bouaké and Prognosis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Eclampsia: Epidemiological Aspects and Maternal and Foetal Prognosis at the University Teaching Hospital Centre (Uth) of Bouake

引用

Open Journal of Obstetrics and Gynecology 2023年第9期13卷 1498-1506页

作者： Samaké Yaya Menin-Messou Benie Michele Djanhan Lydie Estelle Akanji Iburaima Alamun M’bro Clausen Georgie kouadio kouadio narcisse Boko Dagoun Dagbesse Elysee Camara Sokhona Soro Dorcas Wassoholo Gadji Claudia Michelle Diakité Imourana Aminata Yebouet N’Zibla Marie Ange Daho Aboudramane Doumbia Yacouba Department of Gynaecology-Obstetrics Centre Hospitalier Universitaire de Bouaké Bouaké C&#244te d’Ivoire Department of Mother and Child Alassane Ouattara University Bouaké C&#244te d’Ivoire

Objective: To determine the epidemiology and maternal-fetal prognosis of eclampsia at Bouaké University Teaching Hospital. Material and Methods: This was a prospective study with descriptive and analytical aims over a period from 01 January 2019 to 31 December 2021. It took place in the obstetrics and gynaecology department of the Bouaké University Teaching Hospital. The inclusion criterion was any seizure in the gravid-puerperal period in the context of preeclampsia. Data were entered and analysed using EPI INFO software version 7.***.2.6. Results: We performed 20,958 deliveries and recorded 241 cases of eclampsia, representing a prevalence of 1.14%. The ages of the participants ranged from 13 to 47 years with a mean age ± SD of 22 ± 7 years. The age group ≤ 19 years represented 45.64% of participants. Housewives accounted for 46.47%, and single women accounted for 54.77% of participants. The average parity ± SD was 1 ± 1.6 with range of 0 to 10, and nulliparous women accounted for 49.8% of participants. Patients who were evacuated accounted for 74.27% of our study population. The majority of eclampsia attacks occurred in the antepartum period (56.84%). The mean gestational age ± SD was 36 ± 3.6 weeks with a range of 24 to 42 weeks. The mode of delivery was caesarean section in 64.7% of cases. Maternal lethality was 7.88%. The factors associated with maternal mortality due to eclampsia were evacuation and parity of less than 3. Maternal morbidity was 16.6%. Neonatal lethality was 18.95%. The factor associated with neonatal death in eclampsia was prematurity. Conclusion: We need to detect and manage preeclampsia early and effectively to reduce the frequency of eclampsia and improve its maternal-foetal prognosis in our context.

关键词： Maternal-Foetal Prognosis Eclampsia Bouaké

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Problem of Obstetrical Evacuations: About 630 Cases Collected at the Maternity of Bouake University Hospital

引用

Open Journal of Obstetrics and Gynecology 2018年第3期8卷 253-262页

作者： Lydie Estelle Djanhan Jean Marc Dia Messou Michelle Menin Yaya Samaké Claussen M’broh kouadio narcisse kouadio Kouamé Privat Kouakou Yacouba Doumbia Department of Gynecology and Obstetrics University and Hospital Center of Bouaké (CHUB) Bouaké Cote d’Ivoire Department of Gynecology and Obstetrics University and Hospital Center of Treichville (CHUT) Abidjan Cote d’Ivoire

Objective: To improve the care of evacuees at the maternity of the University Hospital Center of Bouaké (CHUB). Methodology: This is a cross-sectional and descriptive study over a period of three months that covered 630 cases collected at the Maternity of the university Hospital of Bouaké. Results: Obstetric evacuation accounted for 42.5% of admissions to the delivery room. Patients under 20 years and over 34 years of age respectively represented 21% and 13.5% of the total. 62.7% of evacuees were not educated and 84.9% had low economic level. Nulliparous and multiparous women accounted for 54.9% of the patients and 88% had mean prenatal follow up. The evacuations were decided by midwives (91.3%), without previous adapted treatment (79.4%), with a badly filled evacuation card (49.7%) and no partograph. The taxi was the most used means of transportation (75.2%) and most evacuees took less than one hour to access the referral center (61.4%). The reasons for evacuation are mainly dominated by mechanical obstructions (34.8%);on admission the evacuees with no real reference reason were 243 (38.6%) and the diagnosis was inconsistent in 43% of cases. The majority of evacuated women delivered vaginally (69.4%). Most newborns had a satisfactory state at the 5th minute of life (79.4%) and we noted 54 cases (08.3%) of neonatal deaths. 7.8% of evacuees had a complication dominated by postpartum anemia (51.1%);we had lamented 17 cases (2.7%) of maternal deaths among evacuees, attributable to delivery haemorrhage (47.1%) and eclampsia (23.5%). Conclusion: A better organization of the reference and an equipment of the peripheral health structures would improve the prognosis of the evacuees.

关键词： Obstetric Emergencies Evacuations Reference Maternal Mortality

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Study of Photocatalytic Activity of a Nanostructured Composite of ZnS and Carbon Dots

引用

Advances in Nanoparticles 2022年第4期11卷 111-128页

作者： Irié Bi Irié Williams Essy kouadio Fodjo Pomi Bi Boussou narcisse Aka Alla Martin Koffi Koffi Kra Sylvestre Trokourey Albert Zhen Gu Laboratory of Constitution and Reaction of Matter UFR SSMT Université Felix Houphouet Boigny Abidjan Cote d’Ivoire Key Laboratory of Advanced Control and Optimization for Chemical Processes Ministry of Education East China University of Science and Technology Shanghai China

Environmental pollution jeopardizes our existence. For this purpose, research is moving more and more towards the search for economic means and green chemistry to curb this phenomenon. In this context, the photocatalytic activity of zinc sulfide nanoparticles (ZnS NPs) and nanostructured composite ZnS/carbon dots (ZnS/CDs) was evaluated after their synthesis. The results of X-ray diffraction (XRD) analysis indicate that the crystal structure of ZnS/CDs is identical to that of the cubic phase structure of ZnS, revealing that the cubic phase structure of ZnS was not altered in the presence of CDs. Indeed, there is no additional peak in the crystal structure of ZnS/CDs, revealing that the crystalline structure of ZnS is not responsible for the difference in photocatalytic activity between ZnS/CDs and ZnS NPs. Moreover, analysis performed by transmission electron microscopy (TEM) shows aggregation of the synthesized ZnS and ZnS/CDs nanoparticles with an average size estimated around 10 nm and 12 nm, respectively. In addition, the reflectance study in the visible range shows a reduction in the sunlight reflection intensity using ZnS/CDs compared to the capability of ZnS NPs. Photocatalytic degradation tests reveal that ZnS/CDs have the best methylene blue (MB) degradation rate. Indeed, under the optimal conditions, the photocatalytic activity can reach 100% efficiency within 100 min and 240 min of sunlight exposure for the degradation of 7.5 mg/L MB using ZnS/CDs and ZnS, respectively. This improvement in photocatalytic activity of ZnS/CDs may be due to the presence of CDs which can permit to undergo a reduction of reflection properties of ZnS NPs in the visible range. These results show that CDs can play a key role in enhancing the photocatalytic activity of ZnS, and suggest that ZnS/CDs could be used as eco-friendly composite materials for the degradation of organic pollutants of similar structures in the aquatic environment under solar irradiation.

关键词： Fluorescent Carbon Dots (CDs) Photocatalytic Degradation of Methylene Blue Sunlight Reflectance Property Synthesis of ZnS Nanoparticles

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

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

引用

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

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Outcomes of External-Beam Radiation Therapy Boost with Conventional Fractionation in Cervical Cancer: A Retrospective Analysis about 133 Cases

引用

Journal of Cancer Therapy 2020年第9期11卷 547-560页

作者： Evrard narcisse Séka Bertrand Ghislain Compaoré Bassané Alain Wilfried Mossé Siham Jaba kouadio Davy N’chiépo Maroua Benlemlih Hasnae Bouhia Mohammed Adnane Tazi Sanae El Majjaoui Noureddine Benjaafar Department of Radiotherapy National Institute of Oncology Rabat Morocco Department of Radiotherapy Mohammed V Military Hospital Rabat Morocco National School of Public Health Rabat Morocco Mohammed V University in Rabat Rabat Morocco

Introduction: External-beam radiation therapy boost is a treatment option in cervical cancer when brachytherapy is not feasible. Though less effective than brachytherapy, some encouraging results have been reported from some institutions experiences. We conducted this study to assess outcomes of EBRT boost for our patients at National Institute of Oncology in Rabat. Patients and Methods: We collected data from patients treated for cervical cancer between January 2012 and December 2015. Patients, tumor and treatment characteristics were collected. Overall survival (OS), disease-free survival (DFS) and prognostic factors influencing DFS were assessed. Results: One hundred and thirty-three patients were enrolled. Median age was 52 years. Patient haemoglobin level ranged from 3.9 to 15.5 g/dl [mean: 11.2 g/dl]. Most tumors were classified stage III/IVA (63.2%) according to the FIGO classification. Regional lymph node metastases (pelvic and or para-aortic) were observed in 45.1%. Median total dose to tumor was 69.6 Gy (ranging from 66 to 70 Gy). Overall treatment time was protracted, with a median of 60 days. Most of patients received concurrent chemotherapy (94.7%) and the number of cycle ranged from 2 to 7 (median = 5). The follow-up median was 31.3 months, ranging from 6.2 to 96.8 months. At the first visit, most patients achieved complete response (80.5%). Five years OS and DFS were 47% and 44% respectively. In univariate and multivariate analysis, regional lymph nodes metasta

关键词： Cervical Cancer External Beam Radiation Therapy Boost Survival Prognostic Factors

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：