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Cost of Medical Treatment for Primary Open-Angle Glaucoma in Relation to Patients’ Income and Its Impact on the Prognosis of the Disease, in Bouaké University Hospital

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Open Journal of Ophthalmology 2024年第1期14卷 8-17页

作者： yves ouattara Liliane Ella Godé Zana Diabaté Franck Hermann Koffi Mamadou Korka Diallo Philippe Emile France Koffi Bilé Diomandé François Gossé Ibrahim Abib Diomandé Ophthalmology Department of Bouaké University Hospital (CHU de Bouaké) Bouaké C&#244te d’Ivoire

Introduction: Medical treatment for POAG is continuous and lifelong treatment. The aim of this study was to evaluate the relationship between the cost of this treatment and patients’ income and the impact of this relationship on treatment compliance. Materials and Methods: Prospective cross-sectional study with a descriptive aim covering sociodemographic data, average incomes, and direct and indirect costs of treatment of 57 patients followed for POAG during the period from January 1, 2012, to December 31, 2016 (5 years). Results: The patients were aged 25 to 77 years (mean = 54.4 years) with a male predominance (sex ratio = 1.5). Retirees were the most represented (26.32%), followed by workers in the informal sector (14.04%) and housewives (12.28%). Patients who had an annual income less than or equal to 900,000 CFA francs (€1370.83) per year represented 56.14% and those who did not have health coverage represented 57.89%. The treatment was monotherapy (64.91%), dual therapy (31.58%) or triple therapy (3.05%) and the average ratio of “annual cost of treatment to annual income” was 0.56 with for maximum 2.23 and 0.02 as minimum. Patients who considered the cost of treatment unbearable for their income represented 78.95%. Conclusion: Prevention of blindness due to glaucoma requires early detection but also the establishment of health coverage mechanisms to improve compliance with medical treatment. In addition, consideration should be given to the development of glaucoma surgery in our country, the indication of which could be the first intention in certain patients, considering for those patients, the geographical and financial accessibility of medical treatment. .

关键词： Primary Open-Angle Glaucoma Treatment Cost Medical Treatment Income Blindness

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Epidemio-Clinical-Histopathological Aspects and Therapeutics of Squamous Cell Carcinoma of the Conjunctival at the University Hospital Center of Bouake

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Open Journal of Ophthalmology 2024年第2期14卷 159-167页

作者： Philippe Emile France Koffi Bile Pierre Windinmanegde Djiguimde Gossé François Diomandé Zana Diabate Kouassi Franck-Hermann Koffi Liliale Ella Godé Ange Mickael Goule Opeyemi Babayeju yves ouattara Ibrahim Abib Diomande Ophthalmology Department University Hospital Center Bouake C&#244te d&#8217Ivoire Ophthalmology Department University Hospital Center Bogodogo Ouagadougou Burkina Faso

Introduction: Squamous cell carcinoma of the conjunctiva is one of the most common malignancies in the elderly. Purpose: To describe the specific aspects of squamous cell carcinoma of the conjunctiva and to determine the therapeutic modalities. Materials and Methods: Descriptive cross-sectional retrospective study carried out at the University Hospital Center of Bouake over a period of 9 years (From January 2015 to December 2023). We identified all malignant oculo-adnexal and orbital tumors whose histopathological diagnosis was confirmed;monitoring the sorting of squamous cell carcinomas of the conjunctiva among these cancers and studying the different parameters linked to them. Results: The average age of patients is 44.3 years. Male predominance with a sex ratio of 1.12. HIV was the majority ATCD with 64.7%. The main reason for consultation was exophthalmos (36.11%). The average consultation time was 10 months 13 days. Invasive differentiated conjunctival squamous cell carcinoma was predominant at 55.56%. Enucleation was the most performed surgical method. Conclusion: Squamous cell carcinoma of the conjunctiva is a malignant ocular tumor of the elderly whose frequency increases in young adults infected with HIV-AIDS. Invasive differentiated forms are increasingly encountered, limiting treatment to mutilating surgery.

关键词： Malignant Tumor Ocular Carcinoma Conjunctiva

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Comparative Evaluation of Extra Capsular Extraction (ECE) with Suture and Small Incision Cataract Surgery (SICS) Manual without Suture in the University Hospital of Bouake (Ivory Coast)

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Open Journal of Ophthalmology 2018年第3期8卷 171-179页

作者： Diomandé Ibrahim Abib Bilé Philippe Emile France Koffi Diomandé Gossé Francois Diabaté Zana Konan Mammi Marie Pascaline ouattara yves Koffi Kouassi Franck Herman Kouassi N’Dri Harmand Koffi Konan Virgile Ophthalmology Department University Hospital Center of BouakéBouakéIvory Coast

Objective: Cataract is a partial or total opacification of the lens responsible for blindness. The treatment is surgical. The purpose of our study was to evaluate the results of the newly introduced manual small incision cataract surgery (SICS) and compare them with those of the conventional extra-capsular extraction method. Patients and Method: Analytical cross-sectional study was carried out at the ophthalmology department of the University Hospital of Bouaké for a period of 1 year. Results: The two surgical techniques were compared at equal proportions. The average duration of interventions was longer during the sutured Extra Capsular Extraction (ECE) compared to the SICS. Rupture of the posterior capsule with vitreous exit, which was the most observed intraoperative complication, was predominant with ECE with suture (16%) against 8% for SICS. Corneal edema observed in the early postoperative period, was predominant with sutured ECE (30%), against 20% for SICS. Corneal edema, which was more observed with EEC compared to SICS, dominated secondary and late postoperative complications. Post-operative astigmatism induced by ECE with suture was between ?2 and ?4 dioptre in 51.5% of patients and between ?0.5 and ?2 dioptre in 73.91% of SICS. Visual acuity without correction in the early days was better with SICS. Conclusion: In this comparative study of cataract surgery, we noted superimposable results for both techniques. However, the prevalence of pre- and post-operative complications was more frequent with sutured ECE. The technique without suture allows visual recovery and a quick return to normal life.

关键词： Surgery Cataract Performance Complications Blindness

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Ophthalmologic Repercussions of Orbital Fractures

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Open Journal of Ophthalmology 2023年第2期13卷 248-255页

作者： Philippe Emile France Koffi Bile Opokou Alexandre Demisères Ory Gosse François Diomande Kouassi Franck-Herman Koffi Ernest Martial Djemi Ange Mickael Goule Liliane Ella Gode Raheemotu Llahi Opeyemi Babajeyu Zana Diabaté yves ouattara Ibrahim Abib Diomande Ophthalmology Department Bouaké University Hospital Bouake C&#244te d’Ivoire Maxillofacial Surgery and Stomatology Department Bouaké University Hospital Bouake C&#244te d’Ivoire

Orbital fractures refer to all continuity solutions involving the wall of the orbit. They are responsible for serious complications, particularly ophthalmological. Objective: To identify the epidemiological, anatomical and clinical aspects as well as the possible ocular complications of orbital fractures in the Gbêkê region. Methods: Prospective study from July 1, 2020, to October 31, 2020, i.e., a duration of 4 months. It took place in the ophthalmology department of the University Hospital of Bouaké. Patients with orbital fractures with ocular repercussions received during the study period were included. Results: Out of 27 cases of orbital floor fracture received, 20 had ocular complications, i.e., a prevalence of 74.07%. The average age was 32 years with extremes of 18 and 48 years. The male gender predominated with 80%, i.e. a sex ratio of 4. Subconjunctival hemorrhage was the most frequent reason for consultation (70%). The etiology was dominated by road traffic accidents (85%). The average consultation time was 24 hours. 80% of the patients had a distance visual acuity (DVA) between 3/10 and 10/10.) Diplopia was observed in 60% of patients. Blow out fracture (70%) was the most prominent orbital lesion. At the paraclinical level, 80% of the patients had performed a CT scan of the orbit. Evisceration was the predominant ophthalmologic surgical management (4 patients). At the bone level, reconstruction of the orbital floor with a polydioxanone plate (PDS) was performed in 50% of patients. Conclusion: The risk of ocular injury in orbital fractures is frequent because of the close relationship between the orbit and the eyeball.

关键词： Orbit Fracture Ophthalmologic Repercussions

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Biscuits: a systematic review and meta-analysis of improving the nutritional quality and health benefits

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Food Production, Processing and Nutrition 2021年第1期3卷 335-352页

作者： MahamadéGoubgou Laurencia TSongré-ouattara Fabrice Bationo Hagrétou Lingani-Sawadogo yves Traoré Aly Savadogo Doctoral School of Sciences and Technology Laboratory of Applied Biochemistry and Immunology(LABIA)University Joseph KI-ZERBOOuagadougouBurkina Faso Department of Food Technology(DTA) Research Institute of Applied Sciences and Technology(IRSAT)OuagadougouBurkina Faso

Biscuits are ready-to-eat foods that are traditionally prepared mainly with wheat flour,fat,and ***,biscuits’technologies have been rapidly developed to improve their nutritional *** study aimed to determine the strategies of improving the nutritional quality of biscuits and the potential health benefits associated with them.A systematic review and meta-analysis were conducted,including articles on biscuits improved by technological processes and raw materials *** were searched from Google Scholar,PubMed,Scopus,and Web of Science published between 1997 and 2020,in English and *** meta-analysis was performed using RStudio software,version 4.0.4 to classify the *** hundred and seven eligible articles were ***,pea,potato,sorghum,buckwheat,and flaxseed flours were respectively the most found substitutes to wheat *** the meta-analysis shown that the copra and foxtail millet biscuit fortified with amaranth,the wheat biscuits fortified with okra,and rice biscuits fortified with soybeans had a high protein *** biscuits therefore have a potential to be used as complementary *** substitution of sugar and fat by several substitutes lead to a decrease in carbohydrates,fat,and energy *** has also brought about an increase in other nutrients such as dietary fiber,proteins/amino acids,fatty acids,and phenolic *** the sugar and fat substitutes,stevia and inulin were respectively the most *** the use of biscuits in clinical trials,they were mainly used for addressing micronutrient deficiency and for weight loss.

关键词： Biscuit Technology Nutrition Health benefits

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Evaluation of Particle Properties of MgO/TiO₂ Material by Monte Carlo Simulation Method

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Journal of Materials Science and Chemical Engineering 2024年第2期12卷 49-60页

作者： Koffi N’guessan Placide Gabin Allangba yves Kily Hervé Fagnidi Hermann N’guessan Zié Traoré Koffi Arnaud Kamenan Physics Pedagogical Unit Laboratory of Environmental Science and Technology University Jean Lorougnon Guédé Daloa C&#244te d’Ivoire Laboratory of Fundamental and Applied Physics University Nangui Abrogoua Abidjan C&#244te d’Ivoire Department of Medical Physics University of Trieste and International Centre for Theoretical Physics (ICTP) Trieste Italy Department of Science and Technology University Alassane Ouattara Bouaké C&#244te d’Ivoire Nuclear Physics and Radiation Protection Team Laboratory of Material Sciences Environment and Solar Energy University Felix Houphouet-Boigny Abidjan C&#244te d’Ivoire Department of Mathematics Physics and Chemistry UFR Biological Sciences University Peleforo Gon Coulibaly Korhogo C&#244te d’Ivoire

The simulation by the Monte Carlo method executed by the software PyPENELOPE proved effective to specify the particle propagation characteristics by calculating the absorption fractions, backscattering and transmission of electrons and secondary photons under the incidence of 0.5 to 20 KeV range of primary electrons. More than 99.9% of the primary electrons were transmitted in the 125 nm thick MgO/TiO2 material at 20 KeV. This occurred because several interactions took place in the transmitted primary irradiation such as characteristic, fluorescence, and bremsstrahlung produced when of the occupation of the KL3, KL2, KM3, and KM2 shell and sub-shell of titanium and magnesium which are the elements with a high atomic number in the material. The transmission particle characteristic of this material is therefore an indicator capable of improving the electrical performance and properties of the sensor.

关键词： Monte Carlo PyPENELOPE Primary Electrons Transmission MgO/TiO2

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One Case of Acute Fluid Pericarditis and Hyperthyroidism at Teaching Hospital of Bouake (Ivory Coast): Cause-Effect Relationship or Accidental Association?

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World Journal of Cardiovascular Surgery 2023年第9期13卷 137-143页

作者： Gnaba Loa Ambroise Kouakou Florent Diby Aka Leon yves-Roland Akatchi Pinnin Evelyne Adjara Abdoulaye Coulibaly Samuel Abro Joel Oné Marie Nicole Konan Kassi Anicet Adoubi Departement of Cardiology Teaching Hospital Bouake Ivory Coast Medical Sciences Training and Research Unit Alassane Ouattara University Bouake Ivory Coast

Cardiovascular complications during hyperthyroidism are dominated by arrhythmias, heart failure and coronary heart disease. Pericardial effusion which is a common complication of hypothyroidism is extremely rare in hyperthyroidism. We report the case of a 45-year-old woman admitted for management of pleuro-pericarditis associated with atrial fibrillation in the context of cardiothyreosis. The treatment consisted of a pericardial puncture associated with synthetic anti-thyroid drugs and anti-tuberculosis drugs with positive clinical and echocardiographic outcomes.

关键词： Hyperthyroidism Pericarditis Tuberculosis Bouake Ivory Coast

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In the Turmoil of the Cybercriminal Triad, Occult Practices and Toxicomania: The Case of a Young Ivorian Cyber Crook

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Open Journal of Psychiatry 2024年第S1期14卷 457-466页

作者： yves Stephane Ipou Bla Désirée Sandrine Ziketo Dion Aristide Gonce Gnonsian Estelle Kévine Gahy Asseman Médard Koua Yessonguilana Jean-Marie Yeo-Tenena Psychiatric Hospital Bingerville Ivory Coast Addictology and Mental Hygiene Service National Institute of Public Health (NIPH) Abidjan Ivory Coast Medical Sciences Training and Research Unit Alassane Ouattara University of Bouak Bouak Ivory Coast

Far from the financial gains of cyber crooks, the informed observer will see in cyber crookery a complex field of psychopathological expression where addictions and ritualistic practices intermingle. We thus carried out a qualitative observational study, focusing on a young Ivorian cyber-escroc, hard drug user and follower of mystical practices taken in charge by a multidisciplinary team during a resocialization course for children in conflict with the law from November to December 2022. The aim was to describe the difficulties experienced by a young Ivorian cyber crook in escaping the clutches of occult practices, internet addictions and psychoactive substances encountered in the field of cyber crookery. KA is confronted with the problem of cybercrime associated with occult practices and drug addiction. He is a heroin addict and secondary internet addict, undergoing de facto detoxification and presenting risky consumption behaviors. His fear is fuelled by the sudden death of his childhood friend, who introduced him to cyber-scams and occult practices, and the impossibility of returning his “Agbaladai” fetish when he can no longer honor the weekly sacrifices. Our results show an interweaving of psychopathological entities, namely cyberaddiction and addiction to psychoactive substances, against a backdrop of mystico-cultural practices and interpretations.

关键词： Cybercrime Internet Addiction Heroin Addiction Occultism

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