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Epidemio-Clinical Profile of Psychotrauma in military Victims of Terrorists Attacks in Benin in December 2021

Open Journal of Psychiatry 2023年第S2期13卷 503-517页

作者： Guy-Gérard Aza-Gnandji David Sinet Koivogui kokou messanh agbémèlé soedje Tchedié Etdéchié Elvyre Klikpo Josiane Ezin Houngbe Département de Santé mentale Faculté des Sciences de la Santé de l’Université d’Abomey-Calavi Cotonou Bénin Centre National Hospitalier Universitaire Hubert Koutoukou maga Cotonou Bénin Université Gamal Abdel Nasser de Conakry Conakry Guinea Département de Santé mentale Faculté des Sciences de la Santé de l’Université de Lomé Lomé Togo Centre Hospitalier Universitaire Sylvanus Olympio de lomé Lomé Togo

Introduction: In December 2021, Beninese soldiers were victims of armed terrorist attacks. This study aims to determine the psychological impact of the events experienced on the victims in order to better prevent post-traumatic stress disorder. materials and methods: This is a descriptive cross-sectional study conducted from December 13 to 14, 2021, i.e. 12 days after the oldest event and 4 days after the most recent. The experience of the event was assessed with the Peritraumatic Distress Inventory and the Peritraumatic Dissociation Experiences Questionnaire. Symptoms experienced in the hours and days after the event were assessed with the Revised Event Impact Scale. Results: 36 soldiers were included out of the 38 survivors, i.e. 94.73%. They were 51.43% victims of the night assault, 37.14% of the ambush on patrol and 11.43% of the explosion of vehicle on mine, all male. The average age was 31 years with extremes of 25 and 49 years. The 25 - 30 year olds predominated, 52.78%. 100% of soldiers had significant peritraumatic dissociation, of which 94.44% also had significant peritraumatic distress. 100% of the soldiers had manifestations of intrusion, 89% of manifestations of avoidance and 83% of manifestations of hyperexcitation. 88.89% had an index for acute stress including 100% of victims of night assault and vehicle explosion on mine. Conclusion: This study shows a high prevalence of peritraumatic reactions, recognized factors favoring post-traumatic stress disorder, and the interest of their evaluation for medical and psychological help adapted to the victims.

关键词： Psychotrauma Peritraumatic Dissociation Peritraumatic Distress Terrorist Attacks military

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Psychiatry in a War Situation: In Situ Therapeutic Approach to an Attack Case of Ber, Timbuktu in mali

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Open Journal of Psychiatry 2023年第4期13卷 345-354页

作者： kokou messanh agbémélé soedje Guy Gerard Aza-Gnandji Damega Wenkourama Tchédié Etdéchié Elvyreklikpo Koffi mawussé mensah Adjaré-Kamé Fidèle Ahara Solo Conde Koffi Djotepe soedje Kolou Simliwa Dassa Faculty of Health Sciences University of Lomé Lomé Togo

Objectives: At the beginning of 2012, northern mali was occupied by several jihadist movements with the aim of creating a Khalifa that required the intervention of a UN peacekeeping mission after a war that slowed down their development. This mission is the deadliest in a complex attack and UN attack. This experience feedback in an international context of the resurgence of asymmetrical wars makes it possible to share in order to better anticipate and improve strategic approaches to assessments and therapeutic techniques. Description: After the presentation of the context with these particularities and the various adaptations, we made formulations of the missions such as lived and the details on the medico-psychological techniques used. The place of the brief physical examination should not be overlooked. The debriefings, even if they have proven themselves in the evaluation and prevention of psychotraumatic pathologies, must be adapted on a case-by-case basis in a certain programmed improvisation. maintaining the site of the attack survivors without real military activities by reinforcing them with a new functional team was a decisive element in the mourning process according to their own statement. Conclusion: Forward psychiatry is a necessity in asymmetric warfare to maintain the operationality of the troops.

关键词： military Psychiatry Blue Helmet Attacks Psychotrauma UN mission

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Evaluation of Suicidal Risk in Sickle Cell Patients monitored at the Hubert Koutoukou maga National University Hospital Center in Cotonou in 2022

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Open Journal of Psychiatry 2023年第S2期13卷 479-491页

作者： Guy-Gérard Aza-Gnandji Ireti Nethania Elie Ataïgba Sènan Gratias Koukoubou kokou messanh agbémèlé soedje Tchedié Etdéchié Elvyre Klikpo Josiane Ezin Houngbe Département de santé mentale Faculté des Sciences de la santé de l’Université d’Abomey-Calavi Cotonou Bénin Centre National Hospitalier Universitaire Hubert Koutoukou maga Cotonou Bénin Faculté de médecine Université de Parakou Parakou Bénin Centre Hospitalier Universitaire Départemental du Borgou Alibori Parakou Bénin Département de santé mentale Faculté des Sciences de la santé de l’Université de Lomé Lomé Togo Centre Hospitalier Universitaire Sylvanus Olympio de lomé Lomé Togo

Introduction: According to the WHO, suicide is a real public health problem worldwide, and several risk factors have been identified, including pain and chronic illness. Objective: The aim of this study was to assess the suicidal risk in sickle-cell patients. method: This was a descriptive and analytical cross-sectional study of sickle-cell patients followed up at the University Clinic of Blood Diseases of Hubert Koutoukou maga National University Hospital Center from August 2022 to November 2022. The instrument used was the Ducher suicide risk self-assessment scale. Results: A total of 65 patients were included. mean age was 27.04 ± 1.95 years, with extremes of 16 and 50 years, and a peak of 47.69% in the 20 - 30 age group. Women predominated (58.46%), with a sex ratio of 0.71. Somatic complaints accounted for 41.54% of patients’ visits, including 21.54% for pain. Suicidal risk was positive in 44.62%, including 13.85% for severe suicidal risk, and 20% attributed their desire to die to pain. The factor associated with positive suicidal risk was single parenthood (p = 0.02). Of those with a positive suicidal risk, 46% had shared the intention with close relatives (family and friends), but none had used medical services. Conclusion: These data demonstrate the high prevalence of suicidal risk among people with sickle cell disease, and therefore the need for psychosocial intervention in this specific population in Benin.

关键词： Suicidal Risk Sickle Cell Disease Chronic Disease

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Anxio-Depressive morbidity in Chronic Hemodialysis at the CHU SO of lome (Togo)

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Open Journal of Nephrology 2017年第2期7卷 25-37页

作者： kokou messanh agbémélé soedje Kossi Akomola Sabi Eyram Yoan makafui Amekoudi Kparakate Bouboune Kota-mamah Befa Noto-Kadou-Kaza Bartholome Komivi Azorbly Joel mawuko Gbetogbe Kolou Simliwa Dassa Clinic of Psychiatry and medical Psychology CHU-Campus Lomé Togo Department of Nephrology and Hemodialysis Unit of CHU-Sylvanus Olympio Lomé Togo

Introduction: This work aims to identify and analyze the anxio-depressive morbidity that the renal insufficiency in hemodialysis can present. methodology: The framework of this work was the department of nephrology and the hemodialysis unit of the CHU Sylvanus Olympio of lome. This was a cross-sectional, single-pass, descriptive and analytical study that ran from January 1st, 2016 to June 30th, 2016. Included were all chronic hemodialysis patients who gave their free and well-informed consent and who have no psychiatric history. To assess anxiety and depression, the Hospital Anxiety and Depressive Scale of Zigmond and Snaith was used. The processing of the data was done with the software Epi Info 7 (version 7.***.2.0). Results: The number of patients was 91 and all were included. The mean age at 46.51 ± 14.41 years with extremes of 11 and 84 years and a sex ratio at 1.6 were observed. Anxiety (A3) was in 52.8% of women and depressed (D3) in 63.2% of men. The absence of social security increases the risk of anxiety disorders among respondents by three (RR = 2.6, p = 0.04). A duration of change of Chronic Renal Failure (CRF) less than 6 months was associated with the occurrence of depression (p = 0.04) with hemodialysis patients. The relative risk of depressive episodes increased three-fold with the hemodialysis patients (RR = 2.7). Conclusion: Collaboration between psychiatrists, psychologists and somaticians (doctors of the body) can occur at different times during dialysis, in order to overcome the difficulties that may arise during the treatment.

关键词： Anxiety Depression Renal Dialysis Psychopathology Sub-Saharan Africa

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Psychotraumatic Interventions and Post-Traumatic Stress Disorder among the lomé Firefighters

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Open Journal of Psychiatry 2023年第S2期13卷 492-502页

作者： kokou messanh agbémélé soedje Adjaré-Kamé Fidèle Ahara Guy Gérard Aza-Gnandji Aboudourazak Amadou Tchédié Etdéchié Elvyre Klikpo Hassimou Bramah Doles Hamza Sama mensah Koffi mawussé Josiane Ezin-Houngbe Faculté des Sciences de la Santé Université de Lomé Lomé Togo Faculté des Sciences de la Santé Université d’Abomey-Calavi Abomey-Calavi Benin Equimed Group Sarl Lomé Togo

Aim: This study aimed to assess the quality of the psychological experience of mobile emergency teams, in particular firefighters (FF) in Togo and to identify the psychotraumatic interventions (PI) they face. method: This was a cross-sectional, descriptive, statistical analysis and discourse content analysis study on the PIs of the lomé FFs. Results: PIs were found to be: road accidents;defenestrations;self-immolation murders;bloody and non-bloody suicides;well interventions with or without drowning;extensive burns;and paediatric procedures. Adults aged 25 to 45 were at a percentage of 69.1% and with a sex ratio of 7.1. more than half of the respondents (53%) had PTSD. Conclusion: more than half of the respondents had PTSD, however, coping strategies were not explored, suggesting the need for further research.

关键词： Firefighters Psychotraumatic Interventions (PI) Togo

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The Interactions Between“Business”Culture,“Professional”Culture and Training

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Sociology Study 2023年第5期13卷 215-241页

作者： Robert messanh Amavi CIRNEF Normandy UniversityNormandyFrance

Ultimately,the fundamental issues of educational sciences remain economic and *** interactions between“business”culture,“professional”culture and training are part of *** contribution is a reflection resulting from a longitudinal empirical research entitled:“Professionalization of an establishment in the social and medico-social field:a French monograph after the law 2002-02 of January 02,2002”.Three concepts were used:“making sense”(Weick,1995);the“strategic paradigm”(Jonhson,1987);and“cultures of action”(Sorel&Wittorski,2005;Barbier,2010;Ardouin,2015).

关键词： business culture professional training development making sense

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