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Intrapartum application of the continuous glucose monitoring system in pregnancies complicated with diabetes: A review and feasibility study

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World Journal of Obstetrics and Gynecology 2013年第3期2卷 42-46页

作者： vicentia c harizopoulou Panagiotis Tsiartas Dimitrios G Goulis Dimitrios Vavilis Grigorios Grimbizis Theodoros D Theodoridis Basil c Tarlatzis Unit for Human Reproduction First Department of Obstetrics and Gynaecology Papageorgiou General HospitalRing Road Nea Efkarpia 54603 Thessaloniki Greece Department of Obstetrics and Gynecology Sahlgrenska University Hospital 41685 G?teborg Sweden

Intrapartum maternal normoglycemia seems to play an important role in the prevention of adverse perinatal, maternal and neonatal outcomes. Several glucose monitoring protocols have been developed, aiming to achieve a tight glucose monitoring and control. Depending on the type of diabetes and the optimal or suboptimal glycemic control, the treatment options include fasting status of the parturient, frequent monitoring of capillary blood glucose, intravenous dextrose infusion and subcutaneous or intravenous use of insulin. continuous glucose monitoring system(cGMS) is a relatively new technology that measures interstitial glucose at very short time intervals over a specifi c period of time. The resulting profi le provides a more comprehensive measure of glycemic excursions than intermittent home blood glucose monitoring. Results of studies applying the cGMS technology in patients with or without diabetes mellitus(DM) have revealed new insights in glucose metabolism. Moreover, cGMS have a potential role in the improvement of glycemic control during pregnancy and labor, which may lead to a decrease in perinatal morbidity and mortality. In conclusion, the use of cGMS, with its important technical advantages compared to the conventional way of monitoring, may lead into a more etiological intrapartum management of both the mother and her fetus/infant in pregnancies complicated with DM.

关键词： Diabetes mellitus Pregnancy Intrapartum management Glucose monitoring protocols continu-ous glucose monitoring system

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clinical and Ultrasound concordance of Joint Damages in Rheumatoid Arthritis in a Resource-Limited country

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Open Journal of Radiology 2021年第3期11卷 126-137页

作者： Sonia B. M. G. Adjadohoun Miralda Kiki Maurice M. W. D. Akanni Boris Vidégla Perpétue Batcho Kofi-Mensa S. Savi de Tovè Patricia Yèkpè Ahouansou Zavier c. Zomalheto Olivier Biaou vicentia Boco Medical Imaging Department Faculty of Health Sciences University of Abomey Calavi Cotonou Republic of Benin Regional and Teaching Hospital of Borgou/Medical Imaging Department Faculty of Medicine University of Parakou Parakou Republic of Benin Rheumatology Department Faculty of Health Sciences University of Abomey Calavi Cotonou Republic of Benin

Introduction: Rheumatoid arthritis (RA) is the most common chronic inflammatory rheumatism. The increasing use of bone and joint ultrasound as a tool to aid in the detection of unrefined synovitis in developed countries, has led us to study the performance of ultrasound in the diagnosis of RA in subjects consulting in rheumatology at cotonou. Study Method: Descriptive cross-sectional study of patients with RA, selected on the basis of AcR/ EULAR 2010 criteria. A complete clinical examination with imaging including X-rays and ultrasounds of the hands and feet were performed in all patients who have given their consent. The data collected was analyzed using EPI data 3.1 and SPSS 24.0 software. The significance rate was defined with a p-value cohen’s Kappa (k) test was used to assess agreement. Results: All 53 patients included had lesions on ultrasound. Synovitis was found in 98.1% and bone erosions in 88.7%. There was no agreement in the wrists between clinical examination and ultrasound (k = -0.116), McP (k = -0.097) and MTP (k = -0.031). Agreement was very low at the PPI level (k = 0.03). It was low at the different sites, between ultrasound and radiographic detection of lesions (k between 0.022 - 0.22). Age, positive immunologic RA factor and biological inflammatory syndrome were associated with ultrasound erosions (p = 0.0001) and only age was associated with active synovitis (p = 0.022). conclusion: Bone and articular ultrasound is a good complementary alternative to clinical examination and radiography diagnostic in early diagnosis of RA in our developing countries, in the absence of MRI which remains a luxury.

关键词： Rheumatoid Arthritis Ultrasound Erosions Synovitis cotonou

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contribution of Imaging to the Diagnosis of Non-Traumatic Tendinopathies of the Thoracic Limb in a Resource-constrained country

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Open Journal of Radiology 2021年第4期11卷 204-217页

作者： Sonia B. M. G. Adjadohoun Sessi M. H. G. Kiki Maurice M. W. D. Akanni Houlda Tossa Boris Vidégla Dossou-Yovo Hilaire Kofi-Mensa S. Savi de Tovè Patricia Yèkpè̀ Ahouansou Zavier c. Zomalheto Olivier Biaou vicentia Boco Department of Medical Imaging Faculty of Health Sciences University of Abomey-Calavi Cotonou Benin Department of Regional and Teaching Hospital of Borgou/Medical Imaging Faculty of Medicine University of Parakou Parakou Benin Department of Rheumatology Faculty of Health Sciences University of Abomey-Calavi Cotonou Benin

Introduction: Tendinopathy of the thoracic limb (TMT) is frequent, and is responsible for an important socio-professional handicap. Medical imaging, in particular, ultrasound has a major role in contributing to the diagnosis. As the use of ultrasound is recent in osteoarticular pathology, especially in Africa, we proposed to determine the contribution of imaging in the diagnosis of tendinopathy of the thoracic limbs in a country with limited resources. Patients and Method: A descriptive and analytical cross-sectional study of patients with tendinopathy of the thoracic limb who consulted the rheumatology department of the cNHU-HKM of cotonou from August 6, 2019 to October 6, 2019. We evaluated the concordance of thoracic limb tendinopathy between imaging (radiography and ultrasound) and the clinic on the one hand and then between radiography and ultrasound on the other hand. The analysis of the collected data was carried out with the Epi-info software version 7.***.1.0. Then the concordance was evaluated by the kappa coefficient. Results: Fifty- two (52) patients with 104 joints were evaluated. The average age was 54.92 ± 3.40 years. clinically, rotator cuff tendinopathy was the most frequent abarticular pathology (45.19%). The clinical-ultrasound agreement was strong (k = 0.7527) for the shoulders, very strong (k = 0.9360) for the elbows and moderate for the wrists (k = 0.6695). The clinical-radiographic agreement was weak (k = 0.2316) at the shoulder level and very weak (k = 0.2087) at the elbow level. The radio-ultrasound agreement was very low in the shoulders (k = 0.1522), elbows (k = 0.1859) and wrists (k = 0.0001). conclusion: The contribution of imaging in the diagnosis of TMT remains certain even in a country with limited resources like ours. Ultrasound is a reliable examination for the diagnosis of non-traumatic tendinopathy of the thoracic limb with a good clinical-ultra- sound concordance a

关键词： Tendinopathy Thoracic Limb Radio-clinical concordance clinical-Ultrasound concordance Benin

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