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Peritoneovaginal Duct and Nück’s Duct Persistence in Children at Campus Teaching Hospital in Lomé(Togo)

Open Journal of Pediatrics 2022年第1期12卷 137-147页

作者： Missoki Azanlédji Boume kwami edem edoh bikor Oswaldo Enatonta Ayidedji Wandote Yawa Sesime Sanni Dédé Virginie Teko Telly Bailo Kante Yvon Arnold Ngassam Gamédzi Komlatsè Akakpo-Numado Pediatric Surgery Department Kara Teaching Hospital Kara Togo Pediatric Surgery Department Campus Teaching Hospital Lomé Togo

Introduction: Peritoneovaginal duct (PVD) and Nück duct (ND) include several abnormalities with many clinical entities that are at the cause of a variety of symptoms. These are frequent in pediatric surgeon practice and could lead to serious complications. The aim of our work was to describe the epidemiological, diagnostic and therapeutic aspects of pathologies of PVD or ND in our conditions after the first five years of surgical activities of our pediatric department. Material and Methods: This was a retrospective and descriptive study, carried out on the files of children, aged zero to 15 years, presenting PVD or ND pathology, operated in the service, over a period of 4 years (2016 to 2019). Results were classified good, medium or bad. Results: During the study period, among the 865 children operated in pediatric surgery, 164 children were found for PVD and ND pathologies (18.95%). The average age was 5.3 years old. There were 152 boys (92.68%) and 12 girls (7.32%). The reason for consultation was inguinal or inguino-scrotal swelling in 99.3% of the children. The right side was affected in 58.5% of cases. In boys, there were inguinal hernias (27.5%), inguinoscrotal hernias (30.3%), hydroceles (36.9%) and cysts (5.3%). In girls, there were inguinal hernias (91.7%) and 1 ovarian hernia (8.3%). The umbilical hernia was associated with these pathologies in 39 cases. Treatment was conventional closure of the PVD or ND. With an average follow-up of 2.5 years (range 3 months and 3.5 years), the results were good in all cases. Conclusion: Pathologies of PVD or ND took an important place in the activities of the pediatric surgery department. Management by conventional surgery has given good results in all cases. Early treatment of these pathologies helps prevent complications.

关键词： Peritoneovaginal Duct Nück Duct Hernia Hydrocele Cord Cyst Pediatric Surgery

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Right Ulnar Reconstruction after Sequestrectomy by Non-Vascularized Fibular Transfer in a Girl of Three Years

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Open Journal of Orthopedics 2021年第3期11卷 73-84页

作者： Missoki Azanlédji Boume kwami edem edoh bikor Yawa Sesime Sanni Nguefack Blanchard Noumedem Cynthia Evlo Vanessa Akakpo Gamédzi Komlatsè Akakpo-Numado Pediatric Surgery Department in Kara Teaching Hospital Kara Togo Pediatric Surgery Department in Campus Teaching Hospital Lomé Togo

Chronic osteomyelitis is serious because of the orthopedic sequels that they could cause. Extended diaphyseal sequestrations could cause bone loss and their management is delicate. Here we report a case of right ulnar diaphyseal reconstruction by non-vascularized fibula transfer. This was a three-year-old girl, non-sickle cell, who had chronic osteomyelitis of the right ulna. The evolution was towards an almost total ulnar diaphyseal sequestration with externalization of the distal extremity. The removal of this large sequestrum occurred almost spontaneously, leaving a significant bone loss over a length of about 6 cm. Secondarily, we reconstructed the right ulnar diaphysis by transfer of a free non-vascularized graft of the left fibula, maintained by a pin. The follow up was favorable with almost complete recovery of prono-supination. Fibular ossification has evolved as well and we did not notice any complications at the graft collection site. Non-vascularized fibula graft transfer is a useful therapeutic option in the management of significant bone defects secondary to chronic osteomyelitis of one of the two forearm bones.

关键词： Free Fibula Transfer Chronic Osteomyelitis Ulna Child Togo

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Epidemiological Aspects of Diseases Seen in Pediatric Surgery Consultation at the Kara Teaching Hospital

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Open Journal of Pediatrics 2021年第4期11卷 646-655页

作者： Missoki Azanlédji Boume kwami edem edoh bikor Ouro-Bagna Tchagbele Kokou Agbekogni Réné Ségbedji Komi Deladem Azoumah Gamédzi Komlatsè Akakpo-Numado Pediatric Surgery Department in Kara Teaching Hospital Kara Togo Pediatric Surgery Department in Campus Teaching Hospital Lomé Togo Pediatric Department in Kara Teaching Hospital Kara Togo

Background: Pediatric surgery in developing countries faces serious problems of inadequate infrastructures and equipment. Since July 2019, a new department was created in the north of Togo. It is in this context that this study is initiated, with the aim of taking stock of the epidemiological distribution of pediatric surgical diseases. Material and methods: This was a retrospective and descriptive study over a period of eighteen months, from October 30, 2019 to April 30, 2021. It took place in the pediatric surgery department of the Kara teaching hospital. It concerns pathologies seen at the consultation in the department collected in consultation register. Epidemiological parameters were studied. Results: In eighteen (18) months, two hundred and fifty-nine children, were seen in pediatric surgery consultation at the Kara Teaching Hospital. The annual frequency of consultations was 172.66. The monthly frequency was 14.39. The average age of the children was 4.56 years with extremes of 2 days and 15 years. There were 194 boys (74.90%) and 65 girls (25.10%). At the consultation, whatever the reason, the examination was normal in 17 children and 242 children had abnormalities. Two hundred and twelve children (81.85%) had each one abnormality and 30 children (11.58%) had each at least two. A total of 298 diseases were reported in the 242 children. These were 218 congenital diseases (73.15%) dominated by urological abnormalities with 37.16% of cases and 80 acquired diseases (26.85%). Acquired diseases were for 26.85% and dominated by limb trauma and infectious pathologies including chronic osteomyelitis. Conclusion: Pathologies seen in pediatric surgery consultation were

关键词： Pediatric Surgery Congenital Malformation Children

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Provider Adherence to Malaria Test, Treat and Track Policy in the Binduri District of the Upper East Region of Ghana

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Advances in Infectious Diseases 2022年第2期12卷 347-361页

作者： Justina Bompaana Tamponab Johnpual Amenu Emmanuel Amaglo Godwin edem Yaotsey Wisdom kwami Takramah Priscilla Aku Nuna Dotse Livingstone Asem Department of Epidemiology and Biostatistics School of Public Health University of Health and Allied Sciences Ho Ghana Department of Psychology Methodist University College Accra Ghana Department of Public Administration and Health Services Management Business School University of Ghana Accra Ghana

Background: Malaria is a disease of public health concern, which causes significant mortality and morbidity in the tropics, particularly in Africa. Ghana as a country has been implementing a combination of preventive and curative interventions as outlined in the Strategic Plan for Malaria Control in Ghana, 2014-2020. Additionally, Ghana subscribes to sub-regional and global initiatives such as the test, treat and track (T3) initiative which seeks to ensure that every suspected malaria case is tested, every case tested positive is treated with the recommended quality-assured antimalarial medicine, and every case treated with antimalarial is followed up to ensure complete parasite clearance. However, the implementation of this policy is a challenge, hence the need to study provider adherence to the testing, treating, and tracking. Materials and method: The study is cross-sectional in nature and data for this research was collected from consulting room registers, patients’ folders, the District Health Information Management System and a structured questionnaire designed to interview healthcare providers. The data was exported into Stata for cleaning and analysis. The results of the study were presented in the form of statistical charts and tables. Results: The study revealed that generally, provider adherence to the T3 policy was encouraging in the Binduri district, and a high level of testing (100%) of suspected malaria cases eliminated the practice of presumptive treatment. However, tracking of patients (68.2%) was not as high as testing and treatment which was revealed by the number asked to return for a review during the folder review. Conclusion: Significant progress in clinicians’ adherence to policy on malaria case management (T3) in the Binduri District. Continued training and facilitative supervision are essential to sustain gains and close existing gaps in clinicians’ adherence to malaria case management policy.

关键词： Test Treat Track Malaria

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Use of the Appropriate Fabric for Cloth Face Mask: A Necessity in the Fight against COVID-19

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Journal of Textile Science and Technology 2021年第4期7卷 172-187页

作者： Richard Selase Gbadegbe edem kwami Buami Charles Kumah Divine Vigbedor Department of Industrial Art Ho Technical University Ho Ghana

The outbreak of coronavirus disease (COVID-19) has created a global health crisis that has had a deep impact on the way we perceive our world and our everyday lives. The call for the wearing of face masks as one of the ways of curbing the disease has resulted in the proliferation of cloth face masks on our markets. In the desperation to cash in on the season and make money at all costs, some manufacturers use inferior fabrics to produce face masks. Some of these fabrics do not meet the basic performance requirements of cloth face masks. This study was therefore carried out to research into the appropriate fabrics that will be suitable for the production of cloth face masks in terms of comfort, breathability and protection. To do this, 1225 participants were conveniently drawn for the study. The main research instrument employed for the study was the survey approach in which well-structured questionnaires were administered to solicit information from the participants. To determine the reliability and validity of data, the Cronbach’s Alpha test was conducted. Data were analyzed using the Stata statistical software to perform a multinomial logistic regression to estimate Odds Ratios (ORs) with 95% CIs. A multinomial logit model was constructed to determine the nominal variables. A major finding of the study was that people’s choice of fabric for cloth face masks is determined to a larger extent by their professions. The study also revealed that cotton, silk and linen possess good properties for the production of cloth face masks. Based on the findings, the study concludes that cloth face masks made from two-layered fabrics or three-layered fabrics are the best in terms of comfort and full protection of the wearer. It is recommended that the outer layer should be made from cotton and the inner layer made from linen, cotton-polyester blend or silk.

关键词： Air Permeability Breathability COVID-19 Fabric Cloth Face Mask

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Comparative Study of Polypropylene Non-Woven Surgical Mask and Locally Manufactured Woven and Knitted Fabrics Facial Masks

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Journal of Textile Science and Technology 2021年第3期9卷 131-141页

作者： edem kwami Buami Charles Kumah Divine Vigbedor Rejoice Makafui Tsotorvor Ruru Pan Department of Industrial Art Ho Technical University Ho Volta Region Ghana Visual Art Department Akatsi College of Education Akatsi Volta Region Ghana Key Laboratory of Eco-textiles Ministry of Education School of Textile & Clothing Jiangnan University Wuxi China

The outbreak of coronavirus has led to an increase in the demand for facemasks globally. Unavailability of appropriate polypropylene non-woven fabrics face masks as a result of inadequate supply to satisfy the growing population has brought about the manufacturing of locally fabrics masks to augment or substitute standard medical class facemasks. The study aims at analyzing airflow of these locally manufactured fabrics to determine possible means of transmitting the virus as well as establish comfort of the user of these masks. Standard polypropylene non-woven, woven and knitted fabrics were considered for the study. Air permeability test was conducted on these fabrics using Frazier Air permeability tester. Depending on the property significant variation in the textile fabrics, polypropylene non-woven is widely accepted for facial masks. Nevertheless, this study illustrates that woven and knitted fabrics have more open structures, which allow a high rate of air penetration and so may require two or three layers to prevent antimicrobial or antiviral potential.

关键词： Polypropylene Non-Woven Fabric Woven Fabric Knitted Fabric Facial Mask Air Permeability

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