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Panorama, Reasons for Seeking Care and Evolution of Systemic Autoimmune Diseases in Benin Hospitals in 2021

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Open Journal of Internal Medicine 2023年第1期13卷 76-84页

作者： Agbodandé Kouessi Anthelme wanvoégbè Finangnon armand Dossa Marie Flora Falade Ange Assogba Mickael Dansou Eugénie Azon Kouanou Angèle Department of Internal Medicine National Teaching Hospital Hubert Koutoukou Maga (CNHU-HKM) Cotonou Benin

Introduction: Systemic autoimmune diseases have been poorly studied in sub-Saharan Africa and their frequency is not well known. This study provided an overview of the main reasons for the use of care and their evolution in the main hospitals in Benin. Methods: This was a multi-centric descriptive cross-sectional study conducted in the internal medicine, rheumatology, dermatology and nephrology departments of nine (09) public and private hospital centers in Benin over a 57-month period, from January 1st, 2017 to September 30th, 2021. It involved patients followed for a systemic autoimmune disease. The data was collected with a digital survey sheet and then processed and analyzed with the R software (version 3.4). Results: Two hundred and three (203) patients were recorded, which represents a hospital frequency of 0.13%. The mean age was 44 years and the sex ratio (M/F) was 0.29. Connective tissue disease accounted for 95.07% of systemic autoimmune diseases which were dominated by rheumatoid arthritis (40.9%) and systemic lupus (37.4%). Ten cases of vasculitis have been reported and dominated by Behçet’s disease (40%). The main reasons for seeking care were asthenia, weight loss and fever. Arthralgia and skin lesions are the main guiding signs. Six deaths (3.1%) were recorded among connective tissue disease and 1 death (10%) among vasculitis. Conclusion: In spite of being rare, systemic autoimmune diseases are a reality in Benin. A general population study would provide a better understanding of clinical characteristics and identify prognostic factors.

关键词： Systemic Autoimmune Diseases Connectivitis Vasculitis Benin

Role of NT-proBNP and Troponin I in Assessing the Severity of Pulmonary Embolism

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Open Journal of Internal Medicine 2023年第4期13卷 461-470页

作者： Agbodandé Kouessi Anthelme Assogba Houénoudé Mickaël Arnaud Dossou-Yovo Lénaïk wanvoégbè Finangnon armand Dansou Eugénie Azon Kouanou Angèle Department of Internal Medicine National Teaching Hospital Hubert Koutoukou Maga (CNHU-HKM) Cotonou Benin Department of Internal Medicine Regional Teaching Hospital of Ouémé-Plateau Porto-Novo Benin

Introduction: Pulmonary embolism is a diagnostic and therapeutic emergency that can be life-threatening. Its mortality is largely attributable to severe forms classically defined by clinical and morphological criteria. The aim of this study is to establish the role of two cardiac biomarkers (NT-proBNP and troponin) in assessing the severity of pulmonary embolism. Patients and Methods: We conducted a descriptive and analytical cross-sectional study. Data collection was retrospective over the period from January 1, 2011 to December 31, 2021. All patients hospitalized for pulmonary embolism in two cardiology referral clinics in Cotonou (Atinkanmey Polyclinic and CICA Clinic) were included. Results: The hospital prevalence of pulmonary embolism was 9.08%. The mean age was 52.6 years, with extremes of 18 and 92 years. The sex ratio was 0.73. Pulmonary embolism was severe according to hemodynamic, morphological and sPESI criteria in 12%, 24% and 39% of cases respectively, and mortality was 61.53%. Mean NT-ProBNP and troponin I levels were significantly higher in patients with severe criteria than in those without. NT-proBNP and troponin had good specificity for predicting cardiovascular arrest (99% and 90%), shock (100% and 98%), and hypotension (99% and 96%). NT-proBNP has the best positive predictive values in relation to the occurrence of shock (100%) and right ventricular dilatation (93%). The best correlation coefficient was obtained between right ventricular dilatation and NT-proBNP (0.78). Conclusion: NT-proBNP and troponin I are good biomarkers for predicting the severity of pulmonary embolism and allowing therapeutic adaptation when they are elevated.

关键词： Pulmonary Embolism Mortality NT-proBNP Troponin I

Practice of Barrier Measures against COVID-19 Among Diabetic People Followed at Departmental University Hospital Center Ouémé-Plateau, Benin, in 2021

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Open Journal of Epidemiology 2024年第2期14卷 249-259页

作者： Yèssito Corine Nadège Houehanou armand wanvoègbe Akouodé Thomas Hounto Luc Béhanzin Maurice Agonnoudé David Houéto Thierry Adoukonou National School of Public Health (ENATSE) University of Parakou Parakou Benin Department of Internal Medicine University Departmental Hospital Ou&#233me-Plateau Porto-Novo Benin

Introduction: COVID-19 is a pandemic disease caused by the coronavirus SARS-COV2 appeared in China in 2019. The aim of the study was to evaluate the practice of barrier measures against COVID-19 and to identify associated factors among diabetics followed at Departmental University Hospital Center Ouémé-Plateau, Benin, in 2021. Methods: This was a cross-sectional study conducted from June to August 2021, including diabetics aged 18 and over, hospitalized or received for medical visits in the department of medicine at the target hospital. Data were collected during an interview with each participant thanks to a questionnaire. “Good practice” was defined as regular practice of at least two of three barrier measures: hand washing, physical distancing and mask-wearing. Results: A total of 110 diabetics were included with a female predominance (55.5%) and a mean age of 57 ± 11.3 years. Among them, 89.1% washed their hands, 41.8% respected physical distancing and 12.7% wore a mask. The proportion of good practice was 47.3%. Only 5 practiced the three barrier measures. Only age group was associated with good practice. Conclusion: The study showed a low proportion of good practice of barrier measures against COVID-19 among diabetic people surveyed. It is important to continue the action for COVID-19 prevention among diabetic people in the targeted hospital and in other hospitals in Benin.

关键词： COVID-19 Barrier Measures Practice Diabetic People Benin

Factors Associated with Hypovitaminosis D in People Living with HIV/AIDS (PLWHA)Followed up in Porto-Novo in 2019

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Panorama, Reasons for Seeking Care and Evolution of Systemic Autoimmune Diseases in Benin Hospitals in 2021

Food and Nutrition Sciences 2021年第11期

作者： Alassani Adébayo Gninkoun Comlan Jules Mizèhoun-Adissoda Carmelle Dovonou C. Albert Attinsounon Cossi wanvoégbèarmand

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Use of infrared thermography to detect reactions to stressful events:does animal personality matter?

Open Journal of Internal Medicine 2023年第1期

作者： Agbodandé Kouessi Anthelme wanvoégbè Finangnon armand Dossa Marie Flora Falade Ange Assogba Mickael Dansou Eugénie Azon Kouanou Angèle

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Integrative Zoology 2024年第2期19卷 224-239页

作者： Maria Vittoria MAZZAMUTO Marina MORANDINI William LAMPMAN Lucas armand WAUTERS Damiano PREATONI John Lad KOPROWSKI Adriano MARTINOLI School of Natural Resources and Environment College of Agriculture and Life ScienceUniversity of ArizonaArizonaUSA Unitàdi Analisi e Gestione delle Risorse Ambientali Dipartimento di Scienze Teoriche e ApplicateGuido Tosi Research GroupUniversitàdegli Studi dell’InsubriaVareseItaly Haub School of Environment and Natural Resources University of WyomingWyomingUSA

The study of the relationship between animal stress and personality for free-ranging animals is limited and provides contrasting *** perception of stressors by an individual may vary due to its personality,and certain personality traits may help individuals to better cope with *** non-invasive infrared thermography(IRT),we investigated the link between physiological and behavioral components expressed during an acute stress event by free-ranging Fremont’s squirrels(Tamiasciurus fremonti).We expected that,during the acute stress event of being approached by the researcher,individuals that showed a fast pace-of-life syndrome(bolder,more active,and less social/more aggressive)based on an arena test would exhibit stronger sympathetic-adrenal-medullary system reactivity showing a more intense stress-induced hyperthermia(high core body temperature and low peripheral temperature)than individuals with a slow pace of life(shy,less active,and more social).We successfully employed IRT technology to images of Fremont’s squirrels with identification of the individuals’body parts(eye,nose,ear,hind foot).However,we found no support for our ***’body surface temperatures told us more about a squirrel’s external environment and less about the thermal state of the body in that environment following a stressful *** studies need to assess how to make IRT effective and efficient in the field and improve its performance in studying the relationships between physiology and personality in wildlife.

关键词： non-invasive method open field test physiology stress-induced hyperthermia Tamiasciurus fremonti

Effects of neoadjuvant chemotherapy vs chemoradiotherapy in the treatment of esophageal adenocarcinoma:A systematic review and meta-analysis

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World Journal of Gastroenterology 2024年第11期30卷 1621-1635页

作者： armand Csontos Alíz Fazekas Lajos Szakó Nelli Farkas Csenge Papp Szilárd Ferenczi Szabolcs Bellyei Péter Hegyi András Papp Department of Surgery University of PécsMedical SchoolClinical CenterPécs H-7624BaranyaHungary Institute of Bioanalysis University of PécsMedical SchoolPécs H-7624BaranyaHungary Institute for Translational Medicine University of PécsMedical SchoolPécs H-7624BaranyaHungary Department of Emergency Medicine Clinical CenterUniversity of PécsMedical SchoolPécs 7624BaranyaHungary Department of Oncotherapy University of PécsMedical SchoolClinical CenterPécs H-7624BaranyaHungary Centre for Translational Medicine Semmelweis UniversityBudapest 1085Hungary Institute of Pancreatic Diseases Semmelweis UniversityBudapest H-1083Hungary

BACKGROUND Neoadjuvant therapy is an essential modality for reducing the clinical stage of esophageal cancer;however,the superiority of neoadjuvant chemotherapy(nCT)or neoadjuvant chemoradiotherapy(nCRT)is ***,a discussion of these two modalities is *** To investigate the benefits and complications of neoadjuvant *** To address this concern,predefined criteria were established using the PICO *** independent authors performed comprehensive searches using predetermined *** analyses were performed to identify significant differences between *** publication bias was visualized using funnel *** quality of the data was evaluated using the Risk of Bias Tool 2(RoB2)and the GRADE *** Ten articles,including 1928 patients,were included for the *** difference was detected in pathological complete response(pCR)[P<0.001;odds ratio(OR):0.27;95%CI:0.16-0.46],30-d mortality(P=0.015;OR:0.4;95%CI:0.22-0.71)favoring the nCRT,and renal failure(P=0.039;OR:1.04;95%CI:0.66-1.64)favoring the *** significant differences were observed in terms of survival,local or distal recurrence,or other clinical or surgical *** result of RoB2 was moderate,and that of the GRADE approach was low or very low in almost all *** Although nCRT may have a higher pCR rate,it does not translate to greater long-term ***,nCRT is associated with higher 30-d mortality,although the specific cause for postoperative complications could not be *** the case of nCT,toxic side effects are suspected,which can reduce the quality of *** the quality of available studies,further randomized trials are required.

关键词： Neoadjuvant Chemotherapy Chemoradiotherapy Esophageal cancer Adenocarcinoma

New Fusion Approach of Spatial and Channel Attention for Semantic Segmentation of Very High Spatial Resolution Remote Sensing Images

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Open Journal of Applied Sciences 2024年第2期14卷 288-319页

作者： armand Kodjo Atiampo Gokou Hervé Fabrice Diédié Unité de Recherche et d’Expertise du Numerique (UREN) Université Virtuelle de Céte d’Ivoire Abidjan Ivory Coast Laboratoire de Mathématiques et Informatique Université Peleforo Gon Coulibaly Korhogo Ivory Coast

The semantic segmentation of very high spatial resolution remote sensing images is difficult due to the complexity of interpreting the interactions between the objects in the scene. Indeed, effective segmentation requires considering spatial local context and long-term dependencies. To address this problem, the proposed approach is inspired by the MAC-UNet network which is an extension of U-Net, densely connected combined with channel attention. The advantages of this solution are as follows: 4) The new model introduces a new attention called propagate attention to build an attention-based encoder. 2) The fusion of multi-scale information is achieved by a weighted linear combination of the attentions whose coefficients are learned during the training phase. 3) Introducing in the decoder, the Spatial-Channel-Global-Local block which is an attention layer that uniquely combines channel attention and spatial attention locally and globally. The performances of the model are evaluated on 2 datasets WHDLD and DLRSD and show results of mean intersection over union (mIoU) index in progress between 1.54% and 10.47% for DLRSD and between 1.04% and 4.37% for WHDLD compared with the most efficient algorithms with attention mechanisms like MAU-Net and transformers like TMNet.

关键词： Spatial-Channel Attention Super-Token Segmentation Self-Attention Vision Transformer

Role of NT-proBNP and Troponin I in Assessing the Severity of Pulmonary Embolism

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