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Analysis of the Relationship between Oral Diseases and Glycemic Control of Diabetes in the West African Context: Survey at the Centre Anti-Diabetique d’Abidjan (CADA),cote d’Ivoire

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Open Journal of Epidemiology 2018年第4期8卷 213-225页

作者： Jean-Claude Guinan Guanga David Meless abou dramane sangaré Datté Atta Sébastien Mamadou Samba Viviane Da-Danho Ramata Bakayoko-Ly Département de Santé Publique UFROS UFHB Abidjan cote d’Ivoire Laboratoire de Santé Publique Cariologie et Plantes Médicinales Abidjancote d’Ivoire

The relationship between diabetes and periodontitis is established and described as a bidirectional influence, whereas that with dental caries is still controversial. The objective of this study was to analyze the relationship between blood glucose control and oral diseases in a population of diabetics followed at the “Centre Anti Diabétique d’Abidjan” (CADA). The dental condition of the diabetics included in this cross-sectional study was assessed by the DMF index, periodontal condition by the CPITN and oral hygiene by the OHIS index. Diabetes data were extracted from CADA patient medical records. Blood glucose control has been defined by an average of the blood glucose values of the last 3 months less than or equal to 1.26 g/l. Regression models were constructed to estimate the risk of diabetes imbalance adjusted for all characteristics collected. The sample of 356 diabetics consisted of 53.7% women with an average age of 55.6 years (range: 12 - 85 years). The average DMF index was 7.9 (Std: 6.6) with an estimated prevalence of caries of 77.0%, that of periodontitis of 53.1%. The proportion of subjects with good glycemic control was estimated at 41.3%. The characteristics associated with glycemic control were: dry mouth (p = 0.005), type of diabetes treatment (p < 0.00014) and duration of diabetes (p = 0.039) and periodontal status assessed with the CPITN (p = 0.014). The results of this study confirmed the link between periodontitis and glycemic control of diabetes described in the literature but didn’t find significant association between dental caries and diabetes.

关键词： Diabetes Glycemic Control Oral Health Periodontitis Dental Caries West Africa cote d’Ivoire

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Study of Mortality and Causes of Death in the Service of Stomatology, Maxillofacial and Plastic Surgery of the Face at Cocody Teaching Hospital (RCI)

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Open Journal of Stomatology 2018年第12期8卷 338-344页

作者： Konan Marc Koffi Bakary Ouattara abou dramane sangaré Harefeteguena Christophe Bissa Mouan Béatrice Harding-Kaba De Misères Opokou Alexandre Ory Rokiatou Koné Bi Epiphane Kouai Department of Stomatology Maxillo-Facial and Plastic Surgery of the Face CHU Cocody Abidjan C&ocirc te d’Ivoire Department of Public Health UFR-OS UFHB Abidjan C&ocirc te d’Ivoire Department of Stomatology Maxillo-Facial and Plastic Surgery of the Face CHU Bouaké Abidjan C&ocirc te d’Ivoire

Introduction: The study of mortality is an indicator that allows a control and a review of the therapeutic measures in the hospital environment. The purpose of this work was to determine the epidemiological profile of the patients who died and analyse the circumstances of the death in a hospital service. Material and Methods: It is a retrospective descriptive study conducted in the service of Stomatology, maxillofacial and plastic surgery of the face over a period of 10 years (from January 1999 to December 2008). Seventy-two cases have been taken into account. Results: The crude death rate was 4.29%. Higher level of male has been noted with a sex ratio of 1.77. The most affected age groups were the 3rd and 2nd decades, respectively with 20.8% and 19.4% with an average age of 39 years. Cellulitis of the face and their complications were responsible for deaths in 58.33% of cases. The majority of deaths occurred between 6 p.m. and 6 a.m. (65.28%). These deaths were preventable in 5.6% of cases. Conclusion: Facing the lack of description of the ultimate circumstances of death in the medical records, the conclusion of this study has been the establishment of a regular medical audit in the service, which would track mortality in order to reduce its rate.

关键词： Mortality Causes of Death Facial Cellulitis

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