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New Method for Injecta.le Quinine Qua.ity a.sura.ce Control Using a.Multi-Spectra. Microscope

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Optics a.d Photonics Journa. 2018年第3期8卷 66-74页

作者： a. sow I. Tra.re T. Dia.lo a. BA La.ora.oire d’Optique de Spectroscopie et des Sciences Atmosphériques (LOSSA) Faculté des Sciences et Techniques (FST) Université des Sciences des Techniques et des Technologies de Bamako Bamako Mali Dépa.tement des Sciences du Médica.ent Faculté de Pharmacie Université des Sciences des Techniques et des Technologies de Bamako Bamako Mali La.ora.oire Na.iona. de la.Sa.té (LNS) Bamako Mali

a.rica.is the world region tha. is most a.fected by ma.a.ia. a.ong the thera.ies used, injecta.le quinine is considered to be one of the effective a.tima.a.ia. drug, however non-qua.ity a.sured a.tima.a.ia.s clea.ly ha.e a.strong ma.ket penetra.ion a.ross a.rica. To overcome this problem, it becomes more a.d more necessa.y to set up qua.tita.ive a.d qua.ita.ive a.a.ysis system for a.tima.a.ia. qua.ity control. The objective of the present investiga.ion is a. a.tempt to use customized multispectra. microscope equipped with UV-Visible la.ers for injecta.le quinine qua.ity a.sura.ce control routinely. For tha., we ha.e esta.lished the ca.ibra.ion curve of quinine solution concentra.ion a. a.function of a.ea.under light intensity histogra. crossing the solution. From this ca.ibra.ion curve, we ca. check the conformity of a.y injecta.le quinine a.cording to the pha.ma.opoeia.involved. The proposed technique is a.promising a.terna.ive for drug qua.ity control routinely.

关键词： Injecta.le Quinine a.ea Under Curve Multispectra. Microscope a.sorba.ce

Ba.teriologica. Profile of a.ute Respira.ory Infections in Children: a.out a.Prospective Study a. the a.bert Royer Hospita. in Da.a.

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Open Journa. of Pedia.rics 2021年第1期11卷 71-77页

作者： Guilla.e Dia.ne a. Ka.e a. Mba.e a. M. Coundoul S. sow K. Bop a. sow I. D. Ba.O. Ndia.e a.bert Royer Children’s Hospita. of Da.a. Dakar Senegal Pedia.rics Depa.tment of the a.a.s NDa. Hospita. Center Dakar Senegal

Introduction: a.ute Respira.ory Infections (a.I) is a.globa. public hea.th priority. It is the lea.ing ca.se of childhood morbidity a.d morta.ity, especia.ly in developing countries. The ma.n objective of this work wa...

Introduction: Acute Respiratory Infections (ARI) is a global public health priority. It is the leading cause of childhood morbidity and mortality, especially in developing countries. The main objective of this work was to look mainly at the bacteriological aspects of ARI in children in Senegalese hospitals. Methodology: We have been conducted a prospective descriptive mono-centric study over a period of one year (from July 1, 2017 to June 30, 2018) at the Albert Royer National child hospital in Dakar. A multiplex PCR (protein chain reaction) has been performed on nasopharyngeal swabs taken from all patients. This technique (viral RNA transcribed into DNA, then the DNA of the different pathogens is simultaneously amplified in the same tube by PCR Fast-tract®, multiplex). a.>Results: During the study period, 109 patients were included. The hospital prevalence of acute respiratory infections was 3.7%. The mean age was 23.7 months with extremes between 1 month and 144 months. Peaks of consultations were found in the months of August, March and April with 22%, 15.6% and 12.8% respectively. Fever, respiratory distress and pulmonary condensation syndrome were the main signs found in our patients. Bacteriology was positive in 82.6% of samples and the most frequently found bacteria were Streptococcus pneumoniae in 38.5%, Haemophilus influenza b in 32.1% and a. style="font-fa.ily:Verda.a."

关键词： a.ute Respira.ory Infection Child Ba.teria Da.a.

From Surgery to Hema.ology: Fa.coni a.emia.a.out a.Ca.e of a.Senega.ese Child

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Open Journa. of Pedia.rics 2020年第4期10卷 635-641页

作者： a. Ka.e I. Deme/ly G. Dia.ne D. a. Mba.e M. Fa.ta. a. sow N. F. sow a. M. Coundoul S. sow K. Bop P. M. Fa.e a. L. Fa.l O. Ndia.e Depa.tment of Pedia.rics of the Na.iona. Children’s Center a.bert Royer Dakar Senegal Depa.tment of Pedia.rics of the Na.iona. Hospita. Center a.a.s NDa. Dakar Senegal Depa.tment of Pedia.rics of the University Hospita. Center a.istide Le Da.tec Dakar Senegal

Fa.coni a.a.mia.(Fa. is a.ra.e genetic a.norma.ity. Most of Fa.reported from the sub-Sa.a.a. popula.ion ca.e from southern a.rica. with ma.y pa.ients linked to a.muta.ion in the Fa.C G gene. Cla.sic tria.s of this disorder a.>are: a varied malformation, bone marrow failure, and short stature. This disorder is also associated with predisposition to malignancies. These multiple manifestations, sometimes not uniform, often cause diagnostic delay. We here report a 13-year-old Senegalese boy with FA. He was followed up for polydactyly-repair surgery. Importantly, pre-operative blood check-up revealed severe anaemia, which prompted us to perform bone marrow aspiration: examination revealed dysmyelopoiesis. Being triggered by this, systematic examinations were performed, which revealed other signs indicative of FA;i.e., radial spine abnormalities, triangular face, etc. The diagnosis of FA was strongly suggested, which prompted genetic examination. The chromosomal breakage test detected cellular hypersensitivity to DNA, which confirmed the diagnosis. He is receiving transfusion support, and androgens use is being considered. This case highlights the importance of preoperativea. style="font-fa.ily:Verda.a."> exa.ina.ion. Physicia.s must be a.a.e tha. Fa. a.though its incidence is low, ca. be hidden behind infa.tile a.a.mia.

关键词： a.la.tic a.a.mia West a.rica Pa.dia.ric Surgery Ma.forma.ions

High mecha.ica. strength Si a.ode synthesis with interla.er bonded expa.ded gra.hite structure for lithium-ion ba.teries

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Journa. of Energy Chemistry 2024年第6期93卷 253-263,I0007页

作者： Wenhui La. Jong Ha. Lee Lu Shi Yuqing Liu Ya.hui Pu Yong Ka.g Ong Ca.los Limpo Ting Xiong Yifa. Ra. Chorng Ha.r sow Ba.ba.os Ozyilma. Depa.tment of Ma.eria. Science&Engineering National University of SingaporeSingapore 117575Singapore Center for a.va.ced 2D Ma.eria.s National University of SingaporeSingapore 117546Singapore Depa.tment of Physics National University of SingaporeSingapore 117551Singapore Institute forFunctiona. Intelligent Ma.eria.s National University of SingaporeSingapore 117544Singapore

Despite a.va.cements in silicon-ba.ed a.odes for high-ca.a.ity lithium-ion ba.teries,their widesprea. commercia. a.option is still hindered by significa.t volume expa.sion during cycling,especia.ly a. high a.tive ma.s loa.ings crucia. for pra.tica. *** root of these cha.lenges lies in the mecha.ica. insta.ility of the ma.eria.,which subsequently lea.s to the structura. fa.lure of the ***,we present a.novel synthesis of a.composite combining expa.ded gra.hite a.d silicon *** composite fea.ures a.unique interla.er-bonded gra.hite structure,a.hieved through the a.plica.ion of a.modified spa.k pla.ma.sintering ***,this innova.ive structure not only fa.ilita.es efficient ion a.d electron tra.sport but a.so provides exceptiona. mecha.ica. strength(Vickers ha.dness:up to658 MPa.Young's modulus:11.6 GPa..This strength effectively a.commoda.es silicon expa.sion,resulting in a. impressive a.ea. ca.a.ity of 2.9 ma.h cm^(-2)(736 ma.h g^(-1)) a.d a.stea.y cycle life(93% a.ter 100cycles).Such outsta.nding performa.ce is pa.red with fea.ures a.propria.e for la.ge-sca.e industria. production of silicon ba.teries,such a. a.tive ma.s loa.ing of a. lea.t 3.9 mg cm^(-2),a.high-ta. density electrode ma.eria. of 1.68 g cm^(-3)(seconda.y clusters:1.12 g cm^(-3)),a.d a.production yield of up to 1 kg per da..

关键词： Lithium-ion ba.tery Silicon a.ode Spa.k pla.ma.sintering Interla.er bonding Mecha.ica. strength Ta. density

Ka.osi’s Disea.e (KS) in a.Senega.ese Child Living with HIV

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Open Journa. of Pedia.rics 2020年第1期10卷 85-93页

作者： F. Ly B. Nia.g Y. Keita.C. Dia. a. sow a. Sa.ho Ka.e B. S. Ndia.e a. Sylla.B. Ca.a.a.a. Ly Ba.O. Ndia.e Pedia.ric Service of the Pikine Na.iona. Hospita. Dakar Senegal Pedia.ric Depa.tment of the a.bert Royer Na.iona. Children’s Hospita. Dakar Senegal Pedia.ric Depa.tment of the a.istide Da.tec Hospita. Center Dakar Senegal Depa.tment of a.a.omopa.hologica. of Genera. Hospita. Idrissa.Pouye Dakar Senegal Depa.tment of Derma.ology of the Pikine Na.iona. Hospita. Center Dakar Senegal Ra.iology Depa.tment of the a.bert Royer Na.iona. Children’s Hospita. Dakar Senegal

Ka.osi’s Disea.e or Ka.osi’s Sa.coma.(SK ) is a.multifoca. ma.igna.t prolifera.ion induced by vira. growth fa.tors, including interleukin 6 of huma. herpes virus type 8 (HHV8). We describe four forms of this disea.e who poses a.rea. public hea.th problem in Ea.t a.d Centra. a.rica. The purpose of our observa.ion wa. to report a.ra.e condition in a.Senega.ese HIV-positive child. It wa. a. 11-yea.-old girl from a.region in centra. Senega.. She wa. a. orpha. of both pa.ents, tested a.d monitored since the a.e of 5 for HIV infection 1. She wa. on the 1st line protocol. Due to a.la.k of support a.d good observa.ce, she wa. referred to us a. the a.e of 11 for follow-up in our structure in the suburbs of Da.a.. The initia. follow-up a.sessment showed a.very low CD4 count a.d a.very high vira. loa.. Before the la.k of clinica. a.d immune-virologica. response, a.genotypic resista.ce test wa. performed a.d showed immunologica. a.d virologica. fa.lure. The initia. development wa. ma.ked by the a.pea.a.ce of lesions which were highly suggestive of Ka.osi’s disea.e. She wa. on 2nd line trea.ment. The histopa.hologica. a.pect of cuta.eous biopsy wa. very suggestive of Ka.osi’s disea.e. The subsequent course a.ter a.T a.d bleomycin trea.ment wa. clinica.ly ma.ked by regression of skin lesions. Virologica.ly, it wa. ma.ked by a.fa.l in the vira. loa.. Immunologica.ly there wa. a.gra.ua. recovery of CD4 levels which ca.e ba.k to norma.. Our observa.ion demonstra.es tha. a.sence of effective a.tiretrovira. thera.y for HIV increa.es the risk to develop Ka.osi’s sa.coma.

关键词： Ka.osi’s Sa.coma a.tiretrovira. Thera.y HIV Child

Ma.rix-a.sisted la.er desorption/ioniza.ion time-of-flight ma.s spectrometry tra.es the geogra.hica. source of Biompha.a.ia.pfeifferi a.d Bulinus forska.i,involved in schistosomia.is tra.smission

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Infectious Disea.es of Poverty 2024年第1期13卷 98-99页

作者： Pa.a.Mouha.a.ou Ga.e EI Ha.j Ibra.ima.Ndia.e Souleyma.e Doucoure Doudou sow Ma.enda.Ga.e Ndia. Goumba.la.Ca.ole Ca.sa.ne Cora.ie L'Ollivier Oleg Media.ikov Cheikh Sokhna.Stepha.e Ra.que a.x-Ma.seille University IRD AP-HM SSA VITROME Marseille France VITROME International IRD-UCAD Campus Dakar Senegal Hospita.-University Institut (IHU) Mediterra.ée Infection Marseille France Depa.tement of a.ima. Biology Faculty of Sciences and Techniques UCAD Dakar Senegal Depa.tment of Pa.a.itology-Mycology UFR Sciences de la Santé Université Gaston Berger Saint-Louis Senegal

Ba.kground Freshwa.er sna.ls of the genera.Bulinus spp.,Biompha.a.ia.spp.,a.d Oncomela.ia.*** the ma.n intermedia.e hosts of huma. a.d a.ima. *** of these sna.ls ha. long been ba.ed on mor-phologica. a.d/or genomic criteria.which ha.e their *** limita.ions include a.la.k of precision for the morphologica. tool a.d cost a.d time for the DNa.ba.ed ***,Ma.rix-a.sisted La.er Desorp-tion/loniza.ion Time-Of-Flight(Ma.DI-TOF)ma.s spectrometry,a.new tool used which is routinely in clinica. microbi-ology,ha. emerged in the field of ma.a.ology for the identifica.ion of freshwa.er *** study a.med to eva.ua.e the a.ility of Ma.DI-TOF MS to identify Biompha.a.ia.pfeifferi a.d Bulinus forska.i sna.l popula.ions a.cording to their *** This study wa. conducted on 101 *** a.d 81 *** sna.ls collected in three distinct geo-gra.hica. a.ea. of Senega.(the North-Ea.t,South-Ea.t a.d centra. pa.t of the country),a.d supplemented with wild a.d la.ora.ory *** which ha. previously been morphologica.ly described were identified by Ma.Dl-TOF MS[identifica.ion log score va.ues(LSV)≥1.7],a.ter a. initia. blind test using the pre-existing *** DNa.ba.ed identifica.ion,new reference spectra.of ***(n=10)a.d ***(n=5)from the geogra.hica. a.ea. were a.ded to the Ma.DI-TOF spectra. *** fina. blind test a.a.nst this upda.ed da.a.a.e wa. per-formed to a.sess identifica.ion a. the geogra.hic source *** Ma.DI-TOF MS correctly identified 92.1%of 101 *** sna.ls a.d 98.8%of 81 *** *** the fina. blind test,88%of 166 specimens were correctly identified a.cording to both their species a.d sa.pling site,with LSVs ra.ging from 1.74 to *** geogra.hica. source wa. a.equa.ely identified in 90.1%of 91 *** a.d 85.3%of 75 *** *** Our findings demonstra.e tha. Ma.DI-TOF MS ca. identify a.d differe

关键词： Ma.rix-a.sisted la.er desorption/ioniza.ion time-of-flight ma.s spectrometry Sna.l Intermedia.e host Biompha.a.ia.pfeifferi Bulinus forska.i Schistosomia.is Senega.

Therma. pyrolysis conversion of metha.e to hydrogen(H_(2)):a.review on process pa.a.eters,rea.tion kinetics a.d techno-economic a.a.ysis

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Chinese Chemica. Letters 2024年第8期35卷 62-73页

作者： Yi Herng Cha. Zhe Pha. Cha. Serene sow Mun Lock Chung Loong Yiin Shin Ying Foong Mee Kee Wong Muha.ma. a.wa. Isha. Ven Chia. Quek Shengbo Ge Su Shiung La. PETRONa. Resea.ch Sdn.Bhd.(PRSB) Kawasan Institusi BangiLot 3288&3289Off Jalan Ayer ItamKajang 43000Malaysia PETRONa. Ca.bon Ca.ture&Stora.e(CCS)Enterprise PETRONAS Twin TowersKuala Lumpur City CentreKuala Lumpur 50088Malaysia CO_(2)Resea.ch Center(CO2RES) Department of Chemical EngineeringUniversiti Teknologi PETRONASSeri Iskandar 32610Malaysia Depa.tment of Chemica. Engineering a.d Energy Susta.na.ility Faculty of EngineeringUniversiti Malaysia Sarawak(UNIMAS)Kota Samarahan 94300Malaysia Institute of Susta.na.le a.d Renewa.le Energy(ISuRE) Universiti Malaysia Sarawak(UNIMAS)Kota Samarahan 94300Malaysia Higher Institution Centre of Excellence(HICoE) Institute of Tropical Aquaculture and Fisheries(AKUATROP)Universiti Malaysia TerengganuKuala Nerus 21030Malaysia Co-Innova.ion Center of Efficient Processing a.d Utiliza.ion of Forest Resources College of Materials Science and EngineeringNanjing Forestry UniversityNanjing 210037China Center for Globa. Hea.th Resea.ch(CGHR) Saveetha Medical CollegeSaveetha Institute of Medical and Technical Sciences(SIMATS)Saveetha UniversityChennai 602105India

Hydrogen(H_(2))is a.promising renewa.le energy which finds wide a.plica.ions a. the world gea.s towa.d low-ca.bon ***,current H_(2) production via.stea. metha.e reforming of na.ura. ga. or ga.ifica.ion of coa. a.e la.en with high CO_(2) ***,metha.e(CH_(4))pyrolysis ha. emerged a. a.potentia. technology to genera.e low-ca.bon H_(2) a.d solid *** this review,the current sta.e-of-a.t a.d recent progress of H_(2) production from CH_(4) pyrolysis a.e reviewed in *** such a. funda.menta. mecha.ism a.d chemistry involved,effect of process pa.a.eters on the conversion efficiency a.d rea.tion kinetics for va.ious rea.tion media.a.d ca.a.ysts a.e elucida.ed a.d critica.ly ***-a.ure,a.ong other fa.tors,pla.s the most critica. influence on the metha.e pyrolysis *** meta./sa.t could lower the opera.ing tempera.ure of metha.e pyrolysis toa. pla.ma.technology usua.ly opera.es in the regime of>1000℃.Ba.ed on the rea.tion kinetics,meta.-ba.ed ca.a.lysts were more efficient in lowering the a.tiva.ion energy of the rea.tion to 29.5-88 kJ/mol from tha. of unca.a.yzed rea.tion(147-420.7 kJ/mol).Besides,the current techno-economic performa.ce of the pro-cess revea.s tha. the levelized cost of H_(2) is directly influenced by the sa.es price of ca.bon(by-product)genera.ed,which could offset the overa.l ***,the ma.n cha.lenges of rea.tor design for efficient product sepa.a.ion a.d retrieva.,a. well a. ca.a.yst dea.tiva.ion/poisoning need to be debottlenecked.

关键词： Pyrolysis Metha.e Hydrogen Rea.tion kinetics Techno-economic a.a.ysis

Congenita. a.rena. Hyperpla.ia. Dia.nostic Fea.ures in a.Limited Resource Country, Senega.

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Open Journa. of Pedia.rics 2020年第1期10卷 137-146页

作者： B. Nia.g F. Ly a. Ba.a. Mba.e D. Boiro P. M. Fa.e Y. J. Dieng a. sow a. Thionga.e I. D. Ba.L. Thia. a. L. Fa.l O. Ndia.e a.bert Royer Na.iona. Children Hospita. University of Dakar Dakar Senegal Pikine Hospita. Centre University of Dakar Dakar Senegal Da.a. Dia. Hospita. Centre University of Dakar Dakar Senegal a.a.s Nda. Hospita. Centre University of Dakar Dakar Senegal La.Pa.x Hospita. University of Ziguinchor Ziguinchor Senegal

Introduction:?Congenita. a.rena. hyperpla.ia.(Ca.) is a.group of a.tosoma. recessive disea.es cha.a.terized by enzyma.ic deficiencies in the biosynthesis of a.rena. steroids. The most common 21-hydroxyla.e deficiency is cha.a.terized by a.cortisol deficiency a.d a. excess of a.drogens, with or without a.dosterone deficiency. In our countries, in the a.sence of neona.a. screening, the dia.nosis is most often la.e lea.ing to life-threa.ening complica.ions. The a.m of this study wa. to describe the dia.nostic fea.ures of Ca. a. the a.bert Royer Na.iona. Children’s Hospita. (a.NCH) in Da.a..?Pa.ients a.d method:?We conducted a.retrospective, descriptive study ca.ried out a. the pedia.ric endocrinology depa.tment of a.NCH from 2015 to 2019. a.l children a.ed under 15 with a.form of Ca. were included. Socio-demogra.hic da.a. fa.ily history, clinica. a.d biochemica. da.a.a. presenta.ion were collected. Pa.ients were noted a. presenting with Disorder of Sexua. Development (DSD) with dehydra.ion, DSD without dehydra.ion, dehydra.ion without DSD, precocious puberty. The Pra.er’s sca.e wa. used to determine the degree of externa. viriliza.ion. These da.a.were entered a.d a.a.yzed with Epi Info version 7.2.?Results:?a.tota. of 32 pa.ients were included, representing 74.41% of the ca.ses of disorder of sexua. development (DSD) a.d 84.21% of the ca.ses of a.rena. insufficiency. These were 27 girls (84.37%) a.d 5 boys (15.63%). The mea. a.e wa. 19 ± 34.6 months. DSD wa. the ma.n finding (87.5%). It wa. a.socia.ed with dehydra.ion in 22 ca.es (68.75%). 21-hydroxyla.e deficiency represented 93.75% of the ca.es with sa.t wa.ting in 73.33% of the ca.es.?Conclusion:?The dia.nosis of Ca. wa. dela.ed lea.ing to life-threa.ening a.rena. crises. In the a.sence of neona.a. screening for Ca. in Senega., there is a.need to tra.n hea.thca.e workers to recognize neona.es with DSD ea.ly a.d refer them timeously for specia.ist ca.e.

关键词： Congenita. a.rena. Hyperpla.ia Disorder of Sexua. Development a.rena. Insufficiency Senega.

Surgica. Intervention on Uterine Fibromyoma.in a.Country with Limited Resources: Ca.e of the Gyna.cology-Obstetrics Depa.tment of the Communa. Medica. Centre of Ra.oma.Cona.ry-Guinea

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Open Journa. of Obstetrics a.d Gynecology 2020年第5期10卷 615-625页

作者： M. H. Dia.lo I. S. Ba.dé a. D. Dia.lo O. Ba.dé F. B. Dia.lo M. S. Fofa.a.a. sow a. B. Ba.ry T. Sy N. Keita Depa.tment of Gyna.cology-Obstetrics Donka National Hospital Conakry Guinea Depa.tment of Gynecology-Obstetrics Ignace Deen National Hospital Conakry Guinea Viscera. Surgery Depa.tment Donka National Hospital Conakry Teaching Hospital Conakry Guinea Depa.tment of Gynecology-Obstetrics Ratoma Communal Medical Centre Conakry Guinea

In developing countries, trea.ment of uterine fibromyoma.is confronted with numerous problems, na.ely: fina.cia. ina.cessibility to the proposed trea.ments, fea. of surgery a.d the wea.ness of the technica. pla.form.?Objectives: The objectives of the study were to ca.cula.e the frequency of uterine fibromyoma., describe the socio-demogra.hic cha.a.teristics of pa.ients, identify the ma.n clinica. da.a.a.d to describe the moda.ities of surgica. ma.a.ement.?Pa.ients a.d Method:?It wa. a.mixed descriptive study, cumula.ive over a.period of 5 yea.s (60 months) with da.a.collection in two pha.es: a.4-yea. retrospective study from Ja.ua.y 1, 2015 to December 31, 2018 a.d a.1-yea. prospective study from Ja.ua.y 1, 2019 to December 31, 2019.?Results: We collected 135 ca.es of uterine fibromyoma. opera.ed on out of a.tota. of 260 ca.es of gyna.cologica. pa.hologies, i.e.?a.frequency of 51.92%.?Nullipa.ous women were the most concerned (45.18%), a.d women who a.tended school (60%) a.d those who did not a.tend school (40%). Women a. home a.d housewives a.counted for 42.20% a.d 54.07% respectively. Clinica.ly, the circumsta.ces of discovery were domina.ed by menometrorrha.ia.a.d menorrha.ia.respectively 77.77% a.d 68.14%. The la.ge uterus wa. the most frequent physica. sign found in 96.29% of ca.es. Uterine fibromyoma. were recorded in 86.6% of ca.es in women with genita. a.tivity. The opera.ive indica.ions were domina.ed by the la.ge polymyoma.ous uterus (64.44%), followed by hemorrha.ic fibroma.(18.52%).?The surgica. trea.ment wa. conserva.ive in 92.60%. The tota. hysterectomy performed in 7.40.?Letha.ity wa. 1.4%.?Conclusion: The surgica. ma.a.ement of fibroids contra.ts conserva.ive trea.ment (myomectomy) with ra.ica. trea.ment (hysterectomy) with multiple possible a.proa.hes (hysteroscopy, va.ina. surgery, la.a.oscopy or la.a.otomy). In our context, only la.a.otomy wa. possible due to la.k of equipment. La.a.oscopy a.d hysteroscopy equipment is necessa.y for less inva.ive

关键词： Fibromyoma Myomectomy Hysterectomy Ra.oma