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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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Prognostic Factors for Diabetic Foot at CNHU-HKM

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Journal of Diabetes Mellitus 2024年第1期14卷 20-27页

作者： Annelie Kerekou Hode Alihonou Hubert Dedjan Déo-gratias Gnaho Centre National Hospitalier Universitaire Hubert Koutoukou Maga Cotonou Benin Centre Hospitalier Universitaire Départemental-Ouémé/Plateau Porto-Novo Porto-Novo Benin

Introduction: Predictions on the prevalence of diabetes mellitus, according to the International Diabetes Federation, indicated 9.3% in 2019 and nearly 10.9% of the general population in 2045. In Benin, the increase in this prevalence, according to the World Health Organization (WHO), is constantly increasing. Diabetic foot is one of its most common complications. The aim of this work was to study the prognostic factors of diabetic foot in the Department of Endocrinology, Metabolism and Nutrition of the CNHU-HKM of Cotonou. Patients and method: This is a descriptive and analytical retrospective study of the prognostic factors of diabetic foot over a period of 3 years from January 2019 to December 2021 in patients who have been hospitalized or followed on an outpatient basis for diabetic foot in the Endocrinology, Metabolism and Nutrition Department of the CNHU-HKM of Cotonou. Results: A total of 112 patients were included in this study. The average age of the patients was 59.70 ± 2.10 years. A male predominance was noted with a sex ratio (M/F) of 1.7. Mixed gangrene and phlegmons were the most common lesions. According to the classification of diabetic feet according to the University of Texas, 59.1% of patients had a 100% risk of amputation. Ten patients died from sepsis (8.9%). The average blood glucose on admission was 2.74 ± 0.23 g/l, reflecting the glycemic imbalance in these patients. There is a statistically significant association between the duration of progression of diabetes, the type of lesion and amputation. Patients whose diabetes has lasted more than 30 years and patients who are not monitored have a greater risk of death. Conclusion: Diabetic patients most often consulted at a late stage, compromising conservative treatment. The duration of diabetes and the type of lesion on admission were the main factors leading to amputation, thus compromising the functional prognosis. As for death, it was mainly linked to irregular monitoring of diabetes and the

关键词： Diabetes Diabetic Foot Prognosis Blood sugar Imbalence Benin

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肾母细胞瘤术前破裂的CT评价:一份来自儿童肿瘤学组的报告

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国际医学放射学杂志 2013年第2期 176-176页

作者： G. Khanna A. Naranjo F. Hoffer E. Mullen J. Geller E.J. gratias 孙珊珊 Mallinckrodt Institute of Radiology Washington University School of Medicine 510 S Kingshighway Blvd Campus Box 8131 St Louis MO 63110

目的回顾性地判定CT在确定术前是否存在肾母细胞瘤破裂的诊断效能。材料与方法该队列研究源自儿童肿瘤学组AREN03B2研究。本研究通过机构伦理委员会批准并符合HIPAA标准。在入围研究前签署知情同意书。肾母细胞瘤破裂由外科手术中的关... 详细信息

目的回顾性地判定CT在确定术前是否存在肾母细胞瘤破裂的诊断效能。材料与方法该队列研究源自儿童肿瘤学组AREN03B2研究。本研究通过机构伦理委员会批准并符合HIPAA标准。在入围研究前签署知情同意书。肾母细胞瘤破裂由外科手术中的关键手术记录和(或)病理学检查确诊。70例肾母细胞瘤破裂病人与70例肾母细胞瘤没有破裂的对照组病人按照年龄和肿瘤质量(差别分别在6个月和50g内)进行配对。CT扫描结果由两名放射学专家分别回顾,并对以下CT所见进行评估:肿块界限不清,肾周脂肪条索,瘤周脂肪层模糊,腹膜后积液(被膜下,被膜外),腹水远达道格拉斯腔,腹膜种植转移,同侧胸腔积液和肿瘤内出血。所有液性成分以30HU为界分为血性和非血性。CT所见与肿瘤破裂间的相关性用逻辑回归模型进行评估。结果 1号读片者对肾母细胞瘤破裂检出的敏感度和特异度分别为54%(36/67例)和88%(61/69例),2号读片者的分别为70%(47/67例)和88%(61/69例)。观察者间的一致性可靠(κ=0.76)。所有被检测的成像征象,除了腹膜种植转移、瘤内出血和被膜下积液外,均与肿瘤破裂显著相关(P≤0.02)。腹水的CT值与肿瘤破裂并无显著相关性(P=0.9990)。对于两位读片者来说,提示破裂的单个最佳指征均为远达道格拉斯腔的腹水,而肾周脂肪条索和腹膜后积液(P<0.01)被认为是其次的征象。结论 CT对于术前检查肾母细胞瘤破裂有适度的特异性但敏感性较低。如不考虑衰减,远达道格拉斯腔的腹水是肿瘤破裂最具预兆性的指征。

关键词：肾母细胞瘤道格拉斯腹水水肿儿童肿瘤腹膜种植转移肿瘤破裂术前 CT

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