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Psychosocial Experience in Goiter Patients

International Journal of Otolaryngology and Head & Neck Surgery 2018年第6期7卷 367-374页

作者： spéro H. raoul hounkpatin Fatiou Alabi Bouraima Ulrich B. Vodouhe Omer Adjibode Marius Claude Flatin Prosper Gandaho Department of Surgery and Surgical specialties Faculty of Medicine University of Parakou Parakou Benin Department of Surgery and Surgical specialties Faculty of Sciences and Health University of Abomey-Calavi Abomey-Calavi Benin Department of Medicine and Medical specialties Faculty of Medicine University of Parakou Parakou Benin

Introduction: Goiter often poses aesthetic disgrace problem. The psychosocial impacts of goiter, in particular in woman may be significant. Objective: studying the psychological and social impacts of the disease in goiter patients within the African context and their consequences on the treatment. Methods: It was a transversal study that took place from May 1to July 31, 2011 in the Collines and Donga departments situated in the center and the north of Benin. The study consisted of a survey conducted through an individual discussion based on questionnaire submitted to goiter patients who accepted to provide their answers. Results: This survey involved 86 patients of which 83 women and 3 men. Their average age was 43.7 ± 13.41. Goiter was noticeable in the totality of the patients. 68.6% of patients declared that they experienced on daily basis the shame caused by the disease. 66% thought that it was a natural disease;however, 27.9% believed that it was caused by bewitchment or sorcery. 46.5% and 37.2% resorted to modern and indigenous medicine respectively;16.3% made no therapeutic move. Despite the psychosocial impacts of the disease, 50% of the patients rejected surgical intervention possibility. The core motives they raised were lack of financial means (34.8%), disease recurrence fright (23.3%), anesthesia fright (16.3%), and surgical fright (14%). Conclusion: Despite the psychological impacts of the disease, strong resistance exists probably more on cultural aspect than the motives mentioned by thyroidectomy patients.

关键词： Goiter Iodine Stigmatization Thyroidectomy Psychology

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Original Support of an after Piercing Lobular Keloid Scar: About a Case

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Journal of Cosmetics, Dermatological Sciences and Applications 2013年第3期3卷 30-31页

作者： Christiane Koudoukpo Hugues Adégbidi spéro raoul hounkpatin Félix Atadokpèdé Julienne Téclessou Fabrice Akpadjan Bérénice Dégboé-Sounhin Hubert G. Yédomon Faculté de Médecine de Parakou Université de Parakou Parakou Bénin Faculté des Sciences de la Santé de Cotonou Université d’Abomey-Calavi Cotonou Bénin

Keloids are tissue repair formed by exuberant fibrosis appearing after a skin wound, burn, vaccination or post inflammatory (folliculitis or acne lesion). This condition causes standard aesthetic prejudice to those who are affected. Its management is difficult and its evolution meshes recurrences. We report here a case of giant keloid in the right ear lobe after a piercing and its support.

关键词： Piercing Lobular Keloid Scar

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Geochemistry of Micas from Issia Granite Complexe: A Marker of Geodynamic Evolution

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Open Journal of Geology 2024年第8期14卷 787-804页

作者： Koffi Joseph Brou Alain Nicaise Kouamelan Koffi raoul Teha Universit Flix Houphout-Boigny (UFHB) Abidjan Cte dIvoire

The granites and pegmatites located in the southern part of the Issia region, near the columbo-tantaliferous placers, are characterized by the presence of rare metals such as beryl, lithium and Nb-Ta oxides. They mainly consist of micas, quartz, plagioclase and potassium feldspar. The work carried out on the micas of these granites and pegmatites (EPMA analyses) has provided new geochemical data contributing to the understanding of the magmatic evolution of the Issia granite complex. Mineralogically, the most evolved G3 granites are characterized by their abundance of muscovite compared to biotite and the presence of pegmatite veins. Geochemically, the muscovites of the G1 and G2 granites are more ferriferous than those of the G3 granites, however, the latter display higher Na contents than the G2 and G3. The muscovites of the granites show an evolution from the pure muscovite series to the zinnwaldite series (micas of the pegmatites) which are lithium-bearing micas. The mineralogical and chemical data of the micas show that they are S-type peraluminous granites and demonstrate the formation of granites and pegmatites through fractional crystallization of the same parental magma.

关键词： G3 Granites Peraluminous Granites Rare Metals Fractional Crystallization

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Adverse events related to physical restraint use in intensive care units: A review of the literature

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Journal of Intensive Medicine 2024年第3期4卷 318-325页

作者： Sebastian Berger Pascale Grzonka Simon A.Amacher Sabina Hunziker Anja I.Frei raoul Sutter Clinic for Intensive Care Department of Acute MedicineUniversity Hospital BaselBaselSwitzerland Medical Communication and Psychosomatic Medicine University Hospital BaselBaselSwitzerland Medical faculty University of BaselBaselSwitzerland Department of Clinical Research University of BaselBaselSwitzerland

Physical restraints are widely used and accepted as protective measures during treatment in intensive care unit (ICU). This review of the literature summarizes the adverse events and outcomes associated with physical restraint use, and the risk factors associated with their use during treatment in the ICU. The PubMed, Scopus, and Google Scholar databases were screened using predefined search terms to identify studies pertaining to adverse events and/or outcomes associated with physical restraint use, and the factors associated with their use in adult patients admitted to the ICU. A total of 24 articles (including 6126 patients) that were published between 2006 and 2022 were identified. The described adverse events associated with physical restraint use included skin injuries, subsequent delirium, neurofunctional impairment, and a higher rate of post-traumatic stress disorder. Subsequent delirium was the most frequent adverse event to be reported. No alternative measures to physical restraints were discussed, and only one study reported a standardized protocol for their use. Although physical restraint use has been reported to be associated with adverse events (including neurofunctional impairment) in the literature, the available evidence is limited. Although causality cannot be confirmed, a definite association appears to exist. Our findings suggest that it is essential to improve awareness regarding their adverse impact and optimize approaches for their detection, management, and prevention using protocols or checklists.

关键词： Physical restraint Intensive care unit Delirium Complication Adverse event

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Magma Mixing Genesis of the Mafic Enclaves and Related Granitoids in the Kan Granite-Gneiss Complex of Central Côte d’Ivoire: Evidence from Geology, Petrology and Geochemistry

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Open Journal of Geology 2024年第8期14卷 760-786页

作者： Koffi raoul Teha Koffi Kossonou Jean-Marie Pria Koffi Joseph Brou Alain Nicaise Kouamelan Marc Ephrem Allialy Souad M’Rabet Mineral and Energy Resources Laboratory (LGRME) Flix Houphout-Boigny University Abidjan Ivory Coast Environmental Sciences and Technology Laboratory Department of Earth Sciences Jean Lorougnon-Guede Daloa University Daloa Ivory Coast Laboratory of Geosciences and Environment Department of Geology Ibn Tofal University of Knitra Knitra Morocco

The mafic enclaves from Paleoproterozoic domain are considered to be the results of large-scale crust-mantle interaction and magma mixing. In this paper, petrography, mineralogy and geochemistry were jointly used to determine the origin of the mafic enclaves and their relationship with the host granitoids of the Kan granite-gneiss complex. This study also provides new information on crust-mantle interactions. The mafic enclaves of the Kan vary in shape and size and have intermediate chemical compositions. The diagrams used show a number of similarities in the major elements (and often in the trace elements) between the mafic enclaves and the host granitoids. Geochemical show that the Kan rock are metaluminous, enriched in silica, medium to high-K calc-alkaline I-type granite. The similarities reflect a mixing of basic and acid magma. Mafic enclaves have a typical magmatic structure, which is characterized by magma mixing. The genesis of these rocks is associated with the context of subduction. They result from the mixing of a mafic magma originating from the mantle and linked to subduction, and a granitic magma (type I granite) that arises from the partial melting of the crust.

关键词： Magma Mixing Mafic Microgranular Enclaves Host Granitoids Kan Granite-Gneiss Complex West Africa

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Epidemiological, Clinical Progress Aspects of Congenital Heart Disease with Neonatal Revelation at the Mother-Child Hospital of Bingerville (HME) Concerning 98 Cases from January 2021 to December 2022 (Côte d’Ivoire)

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Open Journal of Pediatrics 2024年第1期14卷 89-100页

作者： Adja Evelyne Akaffou-Gbery Richard Azagoh-Kouadio Anne-Lise Laetitia Mobio Jean-Jacques Yao Atteby Serenah Marie Janice N’vrah Anoh Kouassi raoul Yao Department of Paediatrics and Neonatology H&#244pital Mère-Enfant de Bingerville (HME) Bingerville C&#244te d’Ivoire Department of Medical Pediatrics and specialties CHU de Angré Abidjan C&#244te d’Ivoire

Introduction The distribution of congenital heart disease (CHD) in sub-Saharan Africa is highly imprecise and varies from one region to another due to the inequality of diagnostic facilities. The aim of this study was to determine the in-hospital prevalence of congenital heart disease in children at the Mother-Child hospital of Bingerville (HME) by specifying the diagnostic, therapeutic and evolutionary aspects. Materials and methods We conducted a retrospective, descriptive, cross-sectional study at HME of Bingerville from January 2021 to December 2022. All newborns with congenital heart disease confirmed by echocardiography were included in the study. Results Of 656 admissions to the neonatology department over the study period, congenital heart disease accounted for 14.9% (98/656) of cases. In our series, 76.7% were diagnosed before the 1st week of life, with a mean chronological age of 5.18 days and extremes of 0 and 46 days. There were as many male patients (50%) as female (50%), i.e. a sex ratio of 1. These newborns were premature in 60.2% of cases, with a mean and median gestational age of 34 weeks’ amenorrhea. Most were left-right shunts (90.8%). Persistent ductus arteriosus (PDA) (48.9%) predominated, followed by atrial septal defect (38.7%), ventricular septal defect (13.3%), common trunk artery (CTA) (3.1%) and open septal pulmonary atresia (OspA) (1%) as the primary cyanogenic heart disease. Pulmonary arterial hypertension (PAH) (50%) was primary in 38.8% and secondary (61.2%). The mortality rate was 30.6%, and all CTA patients died (100%), with a significant statistical relationship (p = 0.027). Progression under treatment was marked by clinical stabilization (68/98) in 69.4% of cases. Conclusion: Congenital heart disease is relatively common at the Bingerville HME. Access to echocardiography should be facilitated in neonatology departments for rapid diagnosis and optimal management of congenital heart disease in newborns.

关键词： Newborn Congenital Heart Disease Côte d’Ivoire

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Factors Associated with Closely spaced Pregnancies at the Departmental Hospital Centre of Zou-Collines (Benin) in 2022

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Open Journal of Obstetrics and Gynecology 2024年第1期14卷 89-101页

作者： Klikpezo roger Hounkponou Nouéssewa Fanny Maryline Atade Sèdjro raoul Agbegbanou Eudoxie Ahouingnan Yeyinou Salifou Badaryatou Dettin Eric Obossou Achilles Imorou Sidi Salifou Kabibou Faculty of Medicine University of Parakou Parakou Bénin Institute of Training in Nursing and Obstetrics (IFSIO) Parakou Bénin

Introduction: Birth spacing to prevent closely-spaced pregnancies, which are a source of maternal and neonatal morbidity and mortality, is not always respected by our women, as recommended by the World Health Organization (WHO). The objective was to study the factors associated with closely-spaced pregnancies among women followed at the Departmental Hospital Center du Zou et du Colline (DHC/Z-C) in 2022. Study Method: This was a descriptive, analytical cross-sectional study with prospective data collection from 20 May to 30 June 2022. Results: At the end of the study, 83 of the 117 women surveyed had close pregnancies, a frequency of 70.94%. They had an average age of 27.0 ± 6.3 years and were of Fon ethnicity and related in 91.57% of cases. The majority were married (96.60%). The factors significantly associated with these closely spaced pregnancies were age between 25 and 30 years, household occupation, age at first birth, age at marriage, women’s perception of contraceptive method (CM), women’s knowledge of the existence of a center providing family planning services and non-use of MC. Conclusion: Close pregnancies are still very common in the commune of Abomey. It is therefore important to increase the use of contraceptive methods in this part of the country.

关键词： Close Pregnancy Associated Factors DHC/Z-C

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Assessment of Groundwater Physico-Chemical Quality in the Ouémé Delta (Southern-Benin)

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Journal of Environmental Protection 2024年第3期15卷 298-317页

作者： Aoulatou Alassane Zakari Dadja Toyou Masamaéya Gnazou Abdoukarim Alassane Kodjo Apelete raoul Kpegli Ousmane Touré Boukari Bio Guidah Chabi Bénito Didier Koukpohounsi Daouda Mama Laboratory of Applied Hydrology National Water Institute University of Abomey-Calavi Benin (LHA/INE/UAC) Cotonou B&eacutenin International Chair in Mathematical Physics and Applications (ICMPA—UNESCO Chair) Cotonou B&eacutenin Laboratory of Applied Hydrology and Environment Faculty of Sciences University of Lom&eacute Togo (LHAE/FDS/UL) Lom&eacute Togo

Groundwater resources are the main sources of water used to supply drinking water to the population of the Ouémé Delta via the Continental Terminal aquifer. Urbanization, population growth, and agricultural and industrial activities have resulted in a deterioration in the quality of these resources. To assess the quality of the delta’s groundwater and its suitability for human consumption and irrigation, a total of fourteen (14) physico-chemical parameters were analyzed in some forty existing water points between September 2020 and March 2021, using standard water analysis techniques. The values obtained were compared with the potability standards recommended by the World Health Organization (WHO) and the Republic of Benin and were subjected to statistical analysis (principal component analysis (PCA)). In addition, methods for determining the suitability of water for irrigation were used. The results showed that the waters are acidic to slightly neutral and influenced by ambient temperature. In addition, the waters are moderately mineralized, with conductivities (24 - 1205 μS/cm) in line with WHO standards. A comparison of the analytical results of the WHO (2017) and Benin (2001) standards indicates that the majority of the waters studied are of good quality for all the chemical parameters considered. Nevertheless, some samples show levels of nitrates (21%), potassium (14% to 16%), calcium (13%), ammonium (12%), nitrites (8%) and bicarbonates (10%) over their respective standards. The Wilcox and Riverside diagrams indicate that the majority of waters (90%) have excellent suitability for irrigation and no negative effect on soil fertilization.

关键词： Benin OuéméDelta Groundwater Physico-Chemical Quality Consumption Irrigation

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Associated Factors and Consequences of Uterine Fibroids in Hospitals in the Borgou Department of Benin in 2022

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Advances in Reproductive Sciences 2024年第1期12卷 60-74页

作者： Mahublo Vinadou Vodouhe Sedjro raoul Atade Yèyinou Aurelle Ahouingnan Bernard Agossou Bernard Akouodé Thomas Hounto Goudi Orou Bodedjo Nouessèwa Fanny Maryline Hounkponou Ahouingnan Kabibou Salifou Department of Mother and Child Faculty of Medicine University of Parakou Parakou Benin

Introduction: Uterine fibroids are the most common gynecological tumors in women of childbearing age and have multiple clinical manifestations. Objective: To determine factors associated with uterine fibroids in the Borgou department of Benin in 2022. Method: Descriptive, analytical cross-sectional study from August 22 to September 22, 2022. The sample consisted of women consulting for gynecological problems in 6 hospitals in the Borgou department in the North of Benin. Results: Of the 744 women surveyed, 10.1% were diagnosed with uterine fibroids. Women with uterine fibroids were often married, paucigesture, and nulliparous. Their main reasons for consultation were the desire for motherhood (50.7%), pelvic pain (46.7%), and genital hemorrhage (14.7%). Age, history of miscarriage, high blood pressure, and diabetes were significantly associated with the presence of uterine fibroids (Conclusion: Uterine fibroids are common in hospitals in northern Benin. There were factors associated with them that should be taken into account in management strategies.

关键词： Uterine Fibroid Associated Factor Consequence Benin

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Study on the groundwater exploitation test in the Yellow River lower reaches——Acase studyon the north suburb waterworks of Zhengzhou,China

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Science China(Technological Sciences) 2004年第z1期47卷 14-24页

作者： Gnansounou raoul College of Environment and Resources Jilin University Changchun 130026 China

This paper presents the studies on groundwater resources potential of the Yellow River (YR) terrace in Zhengzhou area, China. The main aim of the research was to resolve water shortage problems induced by recent but frequent drying ups of the YR in its lower reaches. Geologic explorations and grouped-pumping tests were conducted in the area. Based on collected data a groundwater flow net was established. The buried depth of groundwater level and water bearing potential of the aquifers were evaluated. Conventional method was used to determine recharge of the groundwater by lateral infiltration of the YR in pumping patterns. The results show that the study region has a high water bearing potential and offers conditions for the construction of large water works. However, only limited recharge by lateral infiltration from the river is available when developing large scale groundwater exploitation in the riverside of the YR. Environmental impacts induced by embankment stability of the Great dyke of the YR could be minimized or eliminated by appropriate engineering methods.

关键词： Yellow River lower reaches, groundwater exploitation along river, grouped-pumping test, stability of dyke.

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