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Place of Selective Tubal Catheterization in the Management of Female Infertility in Togo

Open Journal of Radiology 2023年第1期13卷 77-85页

作者： Komlanvi Etteh Victor Adjénou Hassiatou Sabi Couscous Ndouandju Saha Kwokwo Kafupi Etsri Wallace Sonhaye Lantam Amadou Abdoulatif Adambounou kokou Lama Kegdigoma Agoda-Koussema Department of Radiology and Medical Imaging CHU Campus Lomé Togo Center for Radiology and Medical Imaging Clinique Autel d’Elie Lomé Togo Faculty of Health Sciences University of Lomé Lomé Togo

Objective: To determine the effectiveness of selective tubal catheterization in the management of female infertility due to proximal tubal obstruction. Method: This was a longitudinal descriptive study, conducted over a period of 24 months, which included 73 patients presenting with objectified bilateral proximal tubal obstruction after standard HSG. The intervention was performed on an outpatient basis, during the follicular phase with negative β-hCG assay the day before, in the interventional radiology room and under antibiotic coverage. Confirmatory hysterosalpingography was performed as the first step followed by selective tubal catheterization after the failure of spontaneous tubal opacification. The parameters studied related to socio-epidemiological, clinical and radiological data. Results: The age of our patients was between 24 and 42 years with an average of 33.97 years. The average duration of infertility was 3.95 years, with a predominance of primary infertility in 83.56% of cases. Voluntary termination of pregnancy (38.89%) and fibromyomas (33.33%) were the most represented gynecological-obstetrical antecedents. Selective tubal catheterization was successful in 92.14% of cases (129/140 tubes). It was possible bilaterally in 93.02% of cases and unilaterally in 6.98% of cases. The confirmatory HSG allowed a spontaneous opacification of 4.10% of the fallopian tubes. At the end of the procedure, all the recanalized tubes were opacified;62.01% of them were normal, against 37.99% pathological with a preponderance of inflammatory tubes 26.61% followed by hydrosalpinx in 5.03% of cases. No major complications were encountered. The fertility rate was 23.29%. Conclusion: Selective tubal catheterization is a simple technique, without major complications with an efficiency close to natural fertility. It should be proposed as the first intention before any other procedure in the treatment of infertility by proximal tubal obstruction.

关键词： Female Infertility Selective Tubal Catheterization Togo

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Study of Descriptive Determinants of Moral Harassment at Work in a Factory in Senegal

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Health 2020年第2期12卷 106-117页

作者： Abou Sy Ekué Kafui kokou Jean Augustin Diegane Tine Ndeye Amelie Makareme Sy Aissatou Diallo Ibrahima Seck Mor Ndiaye Taiwo Lateef Sheikh Mamadou Habib Thiam Department of Psychiatry University Cheikh Anta DIOP Dakar Senegal Department of Public Health University Cheikh Anta DIOP Dakar Senegal Department of Labor Medicine University Cheikh Anta DIOP Dakar Senegal Department of Psychiatry Ahmadu Bello University Zaria Nigeria

Introduction: Globalization and the attendant contemporary system of work organization, industrial competitiveness and workplace hostility could be a source of stress. Behaviors considered to be hostile tend to constitute the foundation on which moral harassment at work rests and contributes significantly to work place mental health. Methodology: We conducted a quantitative, cross sectional descriptive study between April 1 and June 30, 2018 at the Grands Moulins de Dakar “GMD”. We used a questionnaire containing the socio-demographic data to which we added the Masson Meret and Steiner questionnaire called, “Ambiance in professional environment”. We used the Epi info software for data entry and analysis. Results: Sample population was 100 subjects with average age of 42.18 years ± 7.6, a male predominance of 91% and average length of service in the company was 15.27 years ± 10.1. Hostile behavior was more frequently reported than stress, with 49% and 28% respectively. Among the hostile behavior we found criticism in the professional field in 35% of the cases and rumors mongering was observed in 25% of the cases. The most reported stress symptom was general fatigue (45%), hostile behavior was more common in males (40 - 49 years of age and those with more than 10 dependents). Of the officers who felt generally unwell, 78.9% were victims of hostile behavior. Conclusion: Hostile behavior forms the basis of moral harassment at work and their devious nature makes them difficult to detect, this contrasts with its harmful consequences on the health of the staff. Potentially harmful workplace stress has become more frequently encountered in the contemporary workplace and has constituted an occupational hazard. The most common symptoms reported are feeling unwell and general fatigue.

关键词： Bulling Moral Harassment Psychosocial Violence Stress Senegal

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Multifocal Tuberculosis Revealed by Facial Paralysis

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Open Journal of Pediatrics 2023年第5期13卷 613-618页

作者： Sollim Myriam Talboussouma Ouro-Bagna Tchagbele Léhleng Agba kokou Agbékogni Réné Segbedji Missoki Azanlédji Boume Dodji Adama Gbadoe Komi Deladem Azoumah Pediatrics Department University of Kara Kara Togo Medicine Department and Specialities University of Kara Kara Togo Surgical Department and Specialities University of Kara Kara Togo Pediatrics Department University of Lomé Lomé Togo

Introduction: Tuberculosis is a chronic infectious disease that remains a global public health problem. Children, accounting for 10% of cases, are particularly vulnerable to this disease. Based on a case of multifocal tuberculosis in a 14-month-old infant, the authors conducted a literature review on this condition. Observation: The case involved a 14-month-old infant referred from a health center for persistent symptoms including anemia, fever, and lateral deviation of the mouth during crying. Clinical examination revealed an infectious and meningeal syndrome, as well as facial paralysis. The results of brain imaging, cerebrospinal fluid examination, fundus examination, and gastric lavage fluid examination led to the conclusion of multifocal tuberculosis in the infant without association with HIV. Improvement was observed one week after the start of antituberculosis treatment, with complete recovery without sequelae after 12 months. Conclusion: Although rare, multifocal tuberculosis does exists and its diagnosis remains challenging in infants. Early treatment generally leads to favorable outcomes, especially in the absence of HIV coinfection.

关键词： Multifocal Tuberculosis Choroidal Tubercles Child Cerebral Tuberculosis Togo

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Evaluation of Suicidal Risk in Sickle Cell Patients Monitored at the Hubert Koutoukou Maga National University Hospital Center in Cotonou in 2022

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Open Journal of Psychiatry 2023年第S2期13卷 479-491页

作者： Guy-Gérard Aza-Gnandji Ireti Nethania Elie Ataïgba Sènan Gratias Koukoubou kokou Messanh Agbémèlé Soedje Tchedié Etdéchié Elvyre Klikpo Josiane Ezin Houngbe Département de santé Mentale Faculté des Sciences de la santé de l’Université d’Abomey-Calavi Cotonou Bénin Centre National Hospitalier Universitaire Hubert Koutoukou Maga Cotonou Bénin Faculté de Médecine Université de Parakou Parakou Bénin Centre Hospitalier Universitaire Départemental du Borgou Alibori Parakou Bénin Département de santé Mentale Faculté des Sciences de la santé de l’Université de Lomé Lomé Togo Centre Hospitalier Universitaire Sylvanus Olympio de Lomé Lomé Togo

Introduction: According to the WHO, suicide is a real public health problem worldwide, and several risk factors have been identified, including pain and chronic illness. Objective: The aim of this study was to assess the suicidal risk in sickle-cell patients. Method: This was a descriptive and analytical cross-sectional study of sickle-cell patients followed up at the University Clinic of Blood Diseases of Hubert Koutoukou Maga National University Hospital Center from August 2022 to November 2022. The instrument used was the Ducher suicide risk self-assessment scale. Results: A total of 65 patients were included. Mean age was 27.04 ± 1.95 years, with extremes of 16 and 50 years, and a peak of 47.69% in the 20 - 30 age group. Women predominated (58.46%), with a sex ratio of 0.71. Somatic complaints accounted for 41.54% of patients’ visits, including 21.54% for pain. Suicidal risk was positive in 44.62%, including 13.85% for severe suicidal risk, and 20% attributed their desire to die to pain. The factor associated with positive suicidal risk was single parenthood (p = 0.02). Of those with a positive suicidal risk, 46% had shared the intention with close relatives (family and friends), but none had used medical services. Conclusion: These data demonstrate the high prevalence of suicidal risk among people with sickle cell disease, and therefore the need for psychosocial intervention in this specific population in Benin.

关键词： Suicidal Risk Sickle Cell Disease Chronic Disease

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Neonatal and Young Infant Sepsis in a Regional Hospital in Ghana

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Open Journal of Pediatrics 2021年第2期11卷 281-300页

作者： Innocent Afeke Misa Hirose kokou Hefoume Amegan-Aho Christoph Haertel Mareike Becker Ahmed Moustafa Paul Schilf Mohamed Tarek Badr Graceful Lord Mensah Hintermann Kobina Mbroh Jan Rupp Saleh Ibrahim Luebeck Institute for Experimental Dermatology University of Luebeck Luebeck Germany Department of Medical Laboratory Sciences School of Allied Health Sciences University of Health and Allied Sciences Ho Volta Region Ho Ghana Department of Paediatrics School of Medicine University of Health and Allied Sciences Ho Volta Region Ho Ghana Department of Paediatrics University Hospital Würzburg University of Würzburg Würzburg Germany Department of Biology Bioinformatics and Integrative Genomics Laboratory American University in Cairo New Cairo Egypt Institute of Medical Microbiology and Hygiene Medical Center-University of Freiburg Faculty of Medicine Freiburg Germany Department of Paediatrics Ho Teaching Hospital Volta Region Ho Ghana Department of Obstetrics and Gynaecology Ho Teaching Hospital Volta Region Ho Ghana Department of Infectious Diseases and Microbiology University of Luebeck Luebeck Germany

Background: Neonatal sepsis is a global health problem that mainly affects low- and middle-income countries. We have previously shown that early neonatal mortality is high at the Ho Teaching Hospital (HTH) of Ghana. We sought to determine the prevalence of neonatal sepsis, sepsis-related mortality, and bacterial species patterns in neonatal and young infant sepsis in this hospital. Methods: A hospital-based study was conducted in the hospital’s neonatal intensive care unit (NICU) from March to June 2018. Blood samples from 96 babies clinically diagnosed with or at risk of sepsis were cultured using the BACTEC 9050® machine. Clinical data including gravida, parity and antibiotic medication before delivery of mother and delivery type, gestation, birth weight and antibiotic medication status were collected for analysis. MALDI-TOF MS identified bacterial isolates, and their identities were confirmed via tuf gene sequence typing. The data were analyzed using GraphPad Prism 8.0.2. Results: Blood cultures were positive in 28 of the babies, with 14 and 12 representing early-onset and late-onset neonatal sepsis, respectively, and two cases of unknown sepsis type. Of the bacterial species that caused sepsis in the babies, coagulase-negative staphylococcus (CoNS)

关键词： Neonatal Sepsis Neonatal Mortality Healthcare-Associated Infections Neonatal Intensive Care Unit Ho Teaching Hospital of Ghana

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Blood Transfusion Practices at the Gynecology-Obstetrics Department of the Sylvanus Olympio University Hospital in Lomé: A Study of 254 Cases

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Open Journal of Obstetrics and Gynecology 2019年第4期9卷 494-501页

作者： Aboubakari Abdoul-Samadou Douaguibe Baguilane Bassowa Akila R. D. Ajavon Dédé Logbo-Akey Kossi-Edem Djata kokou Darre Tchin Akpdza Koffi Gynecology and Obstetric Department Kara University Hospital Kara Togo Gynecology and Obstetric Department Campus University Hospital Lome Togo Gynecology and Obstetric Department Sylvanus Olympio University Hospital Lome Togo Laboratory of Pathological Anatomy Sylvanus Olympio University Hospital Lome Togo

Objective:?To describe blood transfusion practices in obstetric at the Sylvanus Olympio University Hospital in Lomé. Patients and method: Prospective, cross-sectional and descriptive study, conducted from 1 June 2017 to 31 May 2018 at the gynecology-obstetrics department. The study focused on transfused pregnant, parturient and delivered women. Study parameters were sociodemographic, clinical, therapeutic and prognostic. Results: 252 patients, aged 16 to 49 with an average age of 30.4 years, referred in 74% of cases. Hemorrhage was observed in 238 cases (94.4%) and anemia in 14 cases (5.6%). Blood transfusion was urgently used in 89.7% of cases and hemorrhagic abortion was the main indication. Blood group O+ (34.5%) was the most used and blood products were obtained after two hours in 81% of cases. Conclusion: Blood transfusion is often performed urgently and for bleeding. But the Gynecology-Obstetrics department does not have any blood in reserve, whereas the Sylvanus Olympio University Hospital collection and distribution station covers less than 10% of the needs.

关键词： Blood Transfusion Indications Gynecology-Obstetric Departement Togo

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In vitro antiplasmodial activity of crude extracts from Togolese medicinal plants

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Asian Pacific Journal of Tropical Medicine 2011年第2期4卷 129-132页

作者： Koffi Koudouvo Simplice D.Karou Denise P.Ilboudo Kouami kokou Kodjo Essien Kodjo Aklikokou Comlan de Souza Jacques Simpore Mensavi Gbeassor Centre de Recherche et de Formation sur les Plantes Medicinales(CERFOPLAM) Universite de LomeTogo Laboratoire de Botanique et d'Ecologie Vegetale Faculte des SciencesUniversite de LomeTogo Centre de recherche Biomoleculaire Pietro Annigoni(CERBA) OuagadougouBurkina Faso

Objective:To investigate the antimalarial effect of a few plants in Togo folk medicine. Methods:After ethnobotanical survey,Opilia celtidifolia,Pavetta corymbosa（***） and Tamarindus indica（***） were selected for *** vitro antimalarial tests were performed on crude extracts against fresh clinical isolates of Plasmodium falciparum using the semi ***:Different IC50,values of the extracts ranged from 2.042 to 100.000μg/mL. According to the results,the methanol extract of aerial part of *** followed by aqueous extract of fruit of *** were the most active(IC50 of 2.042 and 4.786μg/mL,respectively). Qualitative test revealed the presence of alkaloids in the leaves of *** that may be responsible for the activity of the ***:Our study provides scientific evidence for usage of plant in the folk medicine,and further studies are needed for identification and purification of the active principles.

关键词： Medicinal plants In vitro Screening Plasmodium falciparum

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Septic Arthritis of the Hip in Lome (Togo)

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Open Journal of Rheumatology and Autoimmune Diseases 2021年第3期11卷 97-105页

作者： Komi Cyrille Tagbor Viwale Etonam Sika Koffi-Tessio Kodjo Kakpovi Prenam Houzou Eyram Fianyo Sadat Oniankitan Awaki-Esso Atake Parou Kamkote kokou Hefoume Amegan-Aho Owonayo Oniankitan Moustafa Mijiyawa Rheumatology Department Be Hospital Lome Togo Rheumatology Department Sylvanus Olympio Teaching Hospital Lome Togo Rheumatology Department Tomde Regional Hospital Kara Togo Rheumatology Department Kara Teaching Hospital Kara Togo Paediatric Department Ho Teaching Hospital Ho Ghana

Objectives: To determine the epidemiological, clinical, and bacteriological characteristics of septic arthritis of the hip (SAH) among patients hospitalized in the departments of Rheumatology in Lomé. Patients and Methods: This was a multicentre, descriptive study, conducted over a 16-year period, from January 2004 to December 2020 on patients’ records at the three departments of Rheumatology in Lomé. We included in this study only patients with complete laboratory and radiological data. Patients who underwent hip replacement surgery and those with arthritis of the hip due to all inflammatory arthropathies were excluded. The diagnosis of SAH was based on clinical, radiological and bacteriological features. In the absence of bacteriological confirmation, the presumptive etiological diagnosis was based on epidemiological data, contacting with a person with tuberculosis, the presence of high-grade fever, the mode of presentation of the symptoms, the patient’s general appearance, and the result of the tuberculin skin test. The data was collected using Epi info 7.0 and statistical analysis was performed using STATA/IC 11.0. Results: Out of 3776 patients hospitalized in the three departments over the study period, 705 (18.67%) were diagnosed with septic arthritis of which 70 (9.92%) patients with SAH. The 70 patients with SAH were 44 (62.86%) females, and 26 (37.14%) males, with a sex ratio of 1.7 F/M. The mean age of the patients was 42.43 ± 19.37 years (range: 5 years and 80 years) and the mean duration of symptoms was 6.57 ± 8.85 months (range: 2 days and 48 months). The pain was inflammatory in nature in 46 (65.71%) and mechanical in nature in 24 (34.29%) patients. The onset of the disease was progressive in 50 (71.43%) patients and sudden in 20 (28.57%) patients. The locations of the pain were: groin only 25 (35.71%), greater trochanter only 15 (21.43%), groin and lower back 14 (20%

关键词： Septic Arthritis Hip Togo Africa

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Growing in Confidence

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ChinAfrica 2012年第6期4卷 26-26页

作者： Noёl kokou Tadégnon

AWUISSA Walla has no re- grets over choosing farming as a profession. He earned a degree in agronomy a decade ago, and, borrowing money from friends, set himself up on an 18-hectare plot at Bad- ja, some 50 km from Lo... 详细信息

关键词： WFP Growing in Confidence

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Growing in Confidence

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中国与非洲·英文版 2012年第6期

作者： Noёl kokou Tadégnon

AWUISSA Walla has no regrets over choosing farming as a *** earned a degree in agronomy a decade ago,and,borrowing money from friends,set himself up on an 18-hectare plot at Badja,some 50 km from lomé, the Togolese c...

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