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Clinical, Psychological and Socio-Economic Profile of Women Consulting for Couple Infertility in the Yaounde Gynaeco-Obstetric and Paediatric Hospital

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Open Journal of Obstetrics and Gynecology 2023年第3期13卷 490-498页

作者： Junie Ngaha Isidore Tompeen Bilkissou Moustapha Claudia Toukem Anabelle Ako brigitte wandji Laure Menguene Pascal Foumane Gynaeco-Obstetric Unit Yaounde Gynaeco-Obstetric and Pediatric Hospital Yaounde Cameroon Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon Faculty of Medicine and Biomedical Sciences University of Yaounde Yaounde Cameroon Department of Gynaecology and Obstetrics Higher Institute of Medical Technology University of Douala Douala Cameroon

Introduction: Infertility is defined as the inability to achieve a pregnancy after at least 12 months or more of regular unprotected sexual intercourse. Our main objective was to describe the clinical, psychological and socio-economic profile of women consulting for infertility in the Yaounde Gyneco-Obstetric and Pediatric Hospital. Methodology: This was a descriptive cross-sectional study with prospective data collection at the Yaounde Gyneco Obstetric and Pediatric Hospital over a period of 7 months from 1st December 2021 to 31st June 2022. Results: We included 171 patients. The mean age was 32.3 ± 5.5 years. The mean duration of infertility was 4.0 ± 3.7 years. Primary and secondary Infertility made up 31.6% and 68.4% of cases respectively. Past medical history was significant for Abortions (50%), Chlamydia and Mycoplasma infections (43.8%), chronic pelvic pain (49.7%) and endouterine manipulations (33.3%) of cases. Majority of our patients were stressed (76.6%). The most represented stress score was severe stress (66.1%). 51% of our patients were mentally depressed and 35.6% were anxious. Majority of them (74.9%) had low socio-economic status. Conclusion: Couple infertility is most often secondary. It triggers the onset of psychological problems like stress, mental depression and anxiety. Most of our patients had a low socio-economic status.

关键词： Psychological Profile Infertility Evaluation Scale Women

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Diagnostic and Therapeutic Options of Breast Cancer Patients in Yaounde, Cameroon

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Advances in Breast Cancer Research 2022年第1期11卷 50-62页

作者： Jean Dupont Kemfang Ngowa Hortense Jeanne Fouedjio Annaïk Morelle Tchami Julienne Louise Ngo Likeng Christelle Domngang Noche brigitte wandji Djouonang Florent Fouelifack Ymele Pascal Foumane Emile Telesphore Mboudou Pierre Marie Tebeu Faculty of Medicine and Biomedical Sciences University of Yaounde I Yaounde Cameroon University of Montagnes Bangangté Cameroon Catholic University of Central Africa Yaounde Cameroon Higher Institute of Medical Technology Nkolondom Cameroon

Introduction: Breast cancer remains a public health problem due to its severity and because it is the leading cause of death from cancers in women worldwide as well as in Cameroon. Our objective was to study the diagnostic and therapeutic options that patients followed for breast cancer choose in Yaounde. Method: This was an analytical cross-sectional study with prospective data collection among patients followed for breast cancer at two referral hospitals in Yaounde from February 1, 2019 to August 31, 2019. Data collected were recorded and analyzed using R application version 3.5.0., p va

关键词： Breast Cancer Traditional Medicine Therapeutic Abstention Naturopathy Contemporary Medicine

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How Can Practitioners Support Citizen Volunteers in Disaster Risk Reduction? Insight from “Good and Ready” in Aotearoa New Zealand

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International Journal of Disaster Risk Science 2024年第03期15卷 374-387页

作者： Lo?c Le Dé Steve Ronoh Ei Mon Thinn Kyu brigitte Rive School of Public Health and Interdisciplinary Studies Auckland University of Technology Pacific Health Research Centre Auckland University of Technology New Zealand Red Cross

Global and national policy frameworks emphasize the importance of people's participation and volunteers' role in disaster risk reduction. While research has extensively focused on volunteers in disaster response and recovery, less attention has been paid on how organizations involved in disaster risk management can support volunteers in leading and coordinating communitybased disaster risk reduction. In 2019, the New Zealand Red Cross piloted the Good and Ready initiative in Auckland,Aotearoa New Zealand, with the objective to empower local people in resilience building with a focus on volunteers and community participation. This research examined the positive and negative outcomes of Good and Ready and investigated volunteers' experiences in the disaster resilience initiative. It involved the codesign of a questionnaire-based survey using participatory methods with Good and Ready volunteers, the dissemination of the survey to gather volunteers' viewpoints, and a focus group discussion with participatory activities with Red Cross volunteers. The findings highlight that a key challenge lies in finding a balance between a program that provides flexibility to address contextual issues and fosters communities' ownership, versus a prescriptive and standardized approach that leaves little room for creativity and self-initiative. It pinpoints that supporting volunteers with technical training is critical but that soft skills training such as coordinating, communicating,or facilitating activities at the local level are needed. It concludes that the sustainability of Good and Ready requires understanding and meeting volunteers' motivations and expectations and that enhancing partnerships with local emergency management agencies would strengthen the program.

关键词： Community-based approach Disaster risk reduction New Zealand Participation Volunteers

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Structural effects of reedbed grazing and its cessation on reed-nesting songbird densities

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Avian Research 2024年第2期15卷 238-248页

作者： Thomas Pagnon Clemence Pechinot Lea Sgro Jeremie Demay Remi Jullian Regis Gallais brigitte Poulin Cyril Marmoex Theria Ecologie 6 avenue des martyrs05400VeynesFrance UMR 6249 Chrono-Environnement CNRSUniversite de Franche-Comte16 route de Gray25000BesanconFrance Conservatoire d’Espaces Naturels d’Occitanie 26 alle de Mycenes34000MontpellierFrance Office Français de la Biodiversite 12 cours Lumiere94300VincennesFrance Tour du Valat Research Institute for the Conservation of Mediterranean Wetlands Le Sambuc13200ArlesFrance

Reedbeds are crucial breeding habitats for vulnerable songbird *** of their protection status,these habitats may be threatened by organic matter accumulation,progressively leading to structural homoge-nization and habitat succession towards *** prevent excessive litter build-up with various in-terventions opening-up the reedbeds,such as grazing,which may be detrimental or suitable for some reed bird *** assessed the effects of extensive grazing by horses and its cessation in the medium and long terms on reedbed structure,and the consequences on reed-nesting songbird densities in Estagnol Nature Reserve,a pro-tected wetland near the French Mediterranean *** compared reedbed structural features between grazed,newly ungrazed and old-ungrazed *** nine years,we censused four songbird species in spring and collected water level data in the same survey *** reduced reedbed extent,rejuvenated the vegetation with more short green stems on a thinner litter,and produced higher structural heterogeneity and discontinuity compared to long-lasting non *** ungrazed plot showed intermediate *** surveyed songbird total densities were similar among plots while species numbers and densities *** reedbed was more attractive to Moustached Warblers(Acrocephalus melanopogon)and Great Reed Warblers(Acrocephalus arundi-naceus),likely due to the large edges and the high vegetation structural ***,Moustached Warblers were more negatively affected by higher water level in grazed reedbed,presumably because flooding prevents litter *** newly ungrazed reedbed was not preferred by any *** warbler species were found under low density in the old-ungrazed reedbed,where Reed Buntings(Emberiza schoeniclus)were exclu-sively *** availability related to thick litter layer may explain this *** Reed Warblers(Acrocephalus scirpaceus)were found everywhere in similar

关键词： Bird conservation Edge complexity Fragmentation Habitat management Horse grazing Phragmites australis Reed passerine

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Maternal and Fetal Outcomes of COVID-19 Pregnant Women Followed Up at a Tertiary Care Unit: A Descriptive Study

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Open Journal of Obstetrics and Gynecology 2020年第10期10卷 1482-1491页

作者： Madye A. Ngo Dingom Eugène Sobngwi Félix Essiben Antoinette N. Assiga Yves F. Wasnyo Anicet Ngate Jean C. Katte Junie Y. Ngaha Philemon Nsem Charles E. Sone brigitte wandji Gilles T. Libend Jean J. Bissemou Filbert E. Eko Florent Y. Fouelifack Glwadys Ngono Jeanne Fouédjio Rebecca Tonye Pierre Ongolo-Zogo Pierre J. Fouda Robinson E. Mbu Obstetrics and gynecology Unit Yaounde Central Hospital Yaounde Cameroon COVID 19 Unit Yaounde Central Hospital Yaounde Cameroon Department of Medicine and Biomedical Sciences University of Yaounde I Yaounde Cameroon Department of Public Health University of Exeter Exeter UK Department of Obstetrics and Gynecology Higher Institute of Medical Technology of Nkolondom Yaoundé Cameroon

Background: The SARS-CoV-2 and associated corona virus disease COVID-19 have been declared a pandemic having a poor prognosis among individuals with debilitating conditions and those who are immune-compromised. Current evidence is however limited on maternal and fetal transmission and pregnancy outcomes. We aimed to describe the pattern of SARS-CoV-2 infection and outcomes in a group of pregnant women followed up at a tertiary care unit in Cameroon. Methods: This was an observational study conducted over a period of 3 months (April 1 to June 30, 2020) at the Yaounde Central Hospital. All pregnant women who were tested positive for SARS-CoV-2 and who provided a signed written informed consent were included in the study. Results: Out of 83 pregnant women who presented with symptoms suspicious of COVID-19, 25 were tested positive. The median age of these women was 31 (27 - 35) years. A total of 76% consulted within 6 days of onset of symptoms and 68% had a gestational age greater than 28 weeks. The most common presenting complaint was fever (88%)

关键词： COVID-19 Pregnancy Mortality Outcomes

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Long-term follow-up of intravesical abobotulinumtoxinA (Dysport®) injections in women with idiopathic detrusor overactivity

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Asian Journal of Urology 2024年第1期11卷 93-98页

作者： Mohammad Sajjad Rahnama'i Amin Bagheri Elham Jahantabi Hanieh Salehi-Pourmehr Hadi Mostafaei brigitte Schurch Aida Javan Balegh Marand Sakineh Hajebrahimi Department of Urology St.Elisabeth-Tweesteden Hospital Tilburgthe Netherlands Research Center for Evidence-based Medicine Iranian EBM Centre:A Joanna Briggs Institute(JBI)Center of ExcellenceTabriz University of Medical SciencesTabrizIran Urology Department Faculty of MedicineTabriz University of Medical SciencesTabrizIran Department of Urology Comprehensive Cancer CenterMedical University of ViennaViennaAustria Service de Neuroréhabilitation CHUVLausanneSwitzerland Society of Urological Research and Education(SURE) Heerlenthe Netherlands

Objective:Only a few numbers of studies have been published on the use of abobotulinumtoxinA(Dysport®)in idiopathic detrusor overactivity(IDO).This study reported the long-term follow-up of women with IDO who were treated with intravesical Dysport®***:Two hundred and thirty-six patients with IDO who had failed first-line conservative and antimuscarinic therapy received 500-900 units of Dysport®between April 2014 and July *** patients were followed up for 5 years after their initial injection and interviewed on the ***:A total of 236 women with IDO aged from 18 years to 84 years(mean±standard deviation:49.6±15.9 years)were included in our *** median follow-up time for patients was 36.5(range:10-70)months,and the median recovery time after injection was 18.5(range:0-70)months.A total of 83(35.2%)patients stated that they had subjective improvement of their symptoms whereas 84(35.6%)patients did not report any improvement in *** initial International Consultation on Incontinence Questionnaire Overactive Bladder mean score was 6.9(standard deviation 3.4).There was a positive association between the median recovery time and the components of the International Consultation on Incontinence Questionnaire Overactive Bladder ***:In a sub-population of overactive bladder patients with IDO who have failed first-line therapy,a single intravesical Dysport®injection can resolve patient symptoms completely or reduce the symptoms to an acceptable level that can be controlled with antimuscarinics or re-injection on demands.

关键词： AbobotulinumtoxinA Dysport Intravesical ldiopathic Detrusor overactivity

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Clinical, Psychological and Socio-Economic Profile of Women Consulting for Couple Infertility in the Yaounde Gynaeco-Obstetric and Paediatric Hospital

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2023年第3期

作者： Junie Ngaha Isidore Tompeen Bilkissou Moustapha Claudia Toukem Anabelle Ako brigitte wandji Laure Menguene Pascal Foumane

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Spatio-Temporal Trend and Geographic Disparity of Infertility Prevalence in Burkina Faso, 2011 to 2020

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Open Journal of Obstetrics and Gynecology 2024年第8期14卷 1288-1302页

作者： Oumarou Nabi René Tokira Poubouré Yabré Pratibha Shrestha Aoua Sangaré Jérémie Sawadogo Miézan brigitte Aka Smaila Ouédraogo Min Lian Division of General Medical Sciences Department of Medicine Washington University School of Medicine St. Louis Missouri United States of America Division of Public Health Department of Public Health CHU Yalagado Ouedraogo Joseph Ki-Zerbo University Ouagadougou Burkina Faso Division of Public Health Sciences Department of Surgery Washington University School of Medicine St. Louis Missouri United States of America Research Group on Communication Issues Grenoble Alpes University Grenoble France Alvin J. Siteman Cancer Center Washington University School of Medicine St. Louis Missouri United States of America

Background: Infertility affected 10% to 25% of couples globally, and about half of the infertility cases were reported in sub-Saharan Africa. Infertility poses significant social, cultural, and health challenges, particularly for women who often face stigmatization. However, comprehensive and nationally representative data, including prevalence, temporal trends, and risk factors, are lacking, prompting a study in Burkina Faso to address the need for informed policies and programs in infertility care and management. Objectives: This study aims to better understand the spatiotemporal trend of infertility prevalence in Burkina Faso. Methodology: This is a retrospective population-based study of women infertility from healthcare facilities in Burkina Faso, during January 2011 to December 2020. We calculated the prevalence rates of infertility and two disparity measures, and examined the spatiotemporal trend of infertility. Results: Over the 10-year period (2011 to 2020), 143,421 infertility cases were recorded in Burkina Faso healthcare facilities, resulting of a mean prevalence rate of 3.61‰ among childbearing age women and 17.87‰ among women who consulted healthcare facilities for reproductive issues (except contraception). The findings revealed a significant increase of infertility, with the prevalence rate varied from 2.75‰ in 2011 to 4.62‰ in 2020 among childbearing age women and from 13.38‰ in 2011 to 26.28‰ in 2020 among women who consulted healthcare facilities for reproductive issues, corresponding to an estimate annual percentage change of 8.31% and 9.80% respectively. There were significant temporal and geographic variations in the prevalence of infertility. While relative geographic disparity decreased, absolute geographic disparity showed an increasing trend over time. Conclusion: The study highlights an increasing trend of infertility prevalence and significant geographic variation in Burkina Faso, underscoring the urgent necessity for etiologic research o

关键词： Infertility Prevalence Temporal Trend Geography Disparity

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First ovules integument: what roles?

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National Science Review 2022年第4期9卷 21-22页

作者： brigitte Meyer-Berthaud AMAP Universit ?e de MontpellierCNRSCIRADINRAEIRD

The Famennian is a period of increased taxonomic diversity for the first representatives of the major plant groups,especially the spermatophytes (*** seed plants) that,today,represent the most abundant and diversified plant group on Earth [1,2].Early spermatophytes evolved a unique ovule-centered reproductive syndrome that allowed them to germinate and grow rapidly in disturbed habitats and,secondarily,to colonize dry habitats unfavorable to the reproduction of their free-sporing predecessors [3,4](Fig.1).In these ovulate organisms,the female gametophyte grows and produces gametes inside the indehiscent megasporangium (nucellus) that differentiates a pollen chamber retaining the pollen grains in its apical *** integument encloses the *** the Runcaria protovule that preceded them by 20 million years,Famennian ovules were all surrounded by a cupule,except perhaps Spermolithus and Warsteinia [5-7].

关键词： DEVONIAN SEED PLANT

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煮字人生——林青霞、黄心村二人谈

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扬子江文学评论 2024年第4期 48-54页

作者：林青霞黄心村张真瑞(整理) 宋宝平(整理) 不详香港大学比较文学系中国

二○二三年二月十日,中国香港大学文学院和比较文学系合办的“煮字人生:林青霞、黄心村二人谈”讲座,在中国香港大学百周年校园李兆基会议中心大会堂(The Grand Hall)隆重举行,场内超过八百位的听众、坐满三个直播室的观众以及场外众多... 详细信息

二○二三年二月十日,中国香港大学文学院和比较文学系合办的“煮字人生:林青霞、黄心村二人谈”讲座,在中国香港大学百周年校园李兆基会议中心大会堂(The Grand Hall)隆重举行,场内超过八百位的听众、坐满三个直播室的观众以及场外众多的等候观众,将现场挤得水泄不通。对谈伊始,黄心村播放了一段珍贵录像,记录了1998年林青霞和张国荣走上港大比较文学系的讲堂,与当年比较文学系系主任阿巴斯(Ackbar Abbas)对谈的盛况。时隔25年之后,林青霞再次应黄心村之邀来到了港大的讲坛,所以黄心村说“青霞和港大文学院的因缘是前定的,25年前就定下的,然后我和她认识只是一个时间的问题,是命中注定要认识的”,由此开始了她们的对谈。

关键词：林青霞挤得水泄不通李兆基张国荣阿巴斯直播室香港大学比较文学系

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