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Emergenc. Intramedul.ary Nail.ng in Open l.g Frac.ures: What Resul.s?

Open Journal.of Orthopedic. 2020年第9期10卷 241-251页

作者： M. N. Dabiré J. Hien N. l. M. ouedraogo S. c. Da H. Kafando M. Kaboré J. Simporé University Saint Thomas d’Aquin (USTA) Ouagadougou Burkina Faso Orthopaedic.-Traumatol.gy Department of the University Hospital.c.nter Yal.ado ouédraogo (UHc.O) Ouagadougou Burkina Faso

Introduc.ion: l.g frac.ures are the prerogative of viol.nt trauma, whic. l.ad to pl.ritissul.r l.sions, inc.uding the opening of the foc.s, thus worsening the prognosis. The indic.tion of c.ntromedul.ary nail.ng (c.N)... 详细信息

l.="l.ne-height:1.5;">Introduction: Leg fractures are the prerogative of violent trauma, which lead to pluritissular lesions, including the opening of the focus, thus worsening the prognosis. The indication of centromedullary nailing (CMN) is subject to time and trained team requirements. The aim of this work is to evaluate the results of CMN in emergency cases of open leg fractures in adults. Patients and Methods: This was a retrospective, descriptive and analytical study from January 1, 2014 to December 31, 2018. It concerned adult patients with an open leg fracture treated by CMN in emergency at the Orthopedics-Traumatology Department of the Yalgado Ouedraogo University Hospital. During five years, 91 patients were registered. Their average age was 34.1 years with a sex ratio of 2.2. The average admission time was 1 hour 41 minutes. Cauchoix and Duparc type I open fractures predominated (64.8%). Antibiotic therapy was instituted as soon as the patient arrived. The functional results of osteosynthesis were evaluated according to the Lysholm score after an average follow-up of 48 months. Results: The majority of our patients (51.3%) were operated on between the 6th and 18th hour. After careful trimming of the open fracture, CMN was performed in all our patients. The average hospital stay was six days. The mean Lysholm score was 87.23 ± 11.06 with a satisfactory functional result in 81.3% of cases. Discussion:l.="font-famil

关键词： Open Frac.ures Nail.ng l.g

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Viral.Hepatitis B under Tenofovir in ouagadougou (Burkina Faso)

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Open Journal.of Gastroenterol.gy 2021年第8期11卷 141-150页

作者： Soudré Sandrine Marie-Odil. Bobil.indé Napon Fahosiata Zoungrana Steve l.onc. ouattara Zanga Damien Koura Mal. Guingané Nanel.n Al.c. Somda Sosthène c.ul.bal. Aboubac.r Beni Da Nathal.e Sal.u Rodrigue Bougouma Al.in Sombié Arsène Roger Hepato-Gastroenterol.gy Unit of the University Hospital.Tengandogo Burkina Faso Africa Hepato-Gastroenterol.gy Unit of the University Hospital.ouahigouya Burkina Faso Africa Gastroenterol.gy Servic. of the University Hospital.Souro Sanou Bobo-Dioulasso Burkina Faso Africa Gastroenterol.gy Servic. of the University Hospital.Bogodogo Ouagadougou Burkina Faso Africa Gastroenterol.gy Servic. of the University Hospital.Yal.ado ouédraogo Ouagadougou Burkina Faso Africa

Introduc.ion: The treatment of viral.hepatitis B is based on nuc.eotide anal.gs(s). In Burkina Faso, tenofovir is the most widel. used bec.use of its effec.iveness and c.st. The aim of this study was to desc.ibe viral...

Introduc.ion: The treatment of viral hepatitis B is based on nucleotide analogs(s). In Burkina Faso, tenofovir is the most widely used because of its effectiveness and cost. The aim of this study was to describe viral hepatitis B under tenofovir in Ouagadougou. Material and Method: This was a longitudinal study, carried out in the outpatient department of the University Hospital of Tengandogo from May 1, 2013 to September 31, 2020, i.e. a period of seven (07) years and five (05) months. All patients with chronic hepatitis B virus who had been taking tenofovir for at least one year were included in the study. Cases of hepatocellular carcinoma and co-infections with hepatitis D, C and human immunodeficiency viruses were excluded from the study. Results: Of 321 patients with hepatitis B, 120 were on tenofovir and 34 were included in our study. These were 24 men and 10 women with an average age of 39 years. Hepatitis B was most often discovered following systematic or voluntary screening (44.1%) or pain in the right hypochondrium (23.5%). The mean initial viral load was 7.9 log. Ten patients had moderate compliance and four were non-compliant. No side effects were reported in 91.3% of cases. The virologic response was complete in 72.7% of patients after six months. Nine out of ten patients showed a biochemical response after 16 months. A histological response was observed in 19/27 patients within a mean of 26.7 months. HBs seroconversion was found in 2/24 patients. Conclusion: Tenofovir is effective in the treatment of viral hepatitis B, but HBs seroconversion is rarely achieved.

关键词： Viral.Hepatitis B Tenofovir c.mpl.anc. Tol.ranc. Effic.c.

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