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Contribution of CT scanning in the Investigation of Cranioencephalic Lesions in Bangui

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Open Journal of Radiology 2024年第3期14卷 156-165页

作者： Bangue songrou Francky Kouandongui Timothée Mobima Borel Tambala Yannick Héritier sombot-soule stéphane Kouzou Judith Guiaba Kette Euloge Tapiade Bidan richard Bazogo National Center of Medical Imaging of Bangui Bangui Central African Republic Maman Elisabeth DOMITIEN Hospital Bangui Central African Republic Community Hospital of Bangui Bangui Central African Republic

Introduction: Cranioencephalic exploration has always played a major role in CT scans. In the Central Africa Republic (CAR), the lack of cross-sectional imaging before the year 2020 meant that no study had focused on cranioencephalic lesions. The aim of this study was to contribute to improving the management of cranioencephalic pathologies in CAR. Patients and Method: The study took place at the Bangui National Medical Imaging Centre (CNIMB). It was a retrospective study over a two-year period (March 1, 2021 to February 30, 2023). All patients referred for cranioencephalic CT scans were included, regardless of age or sex. Results: 1745 CT scans were performed, 575 of which were cranioencephalic CT scans. The majority of patients were male (53%). Most lived in the capital Bangui (90.9%). Patients aged 61 and over were the most representative. The distribution of patients by requesting department showed that the reception and emergency department was one of the least requesting departments. The main abnormalities observed were strokes, 82.1% of which were ischaemic strokes and 17.9% haemorrhagic strokes. strokes were followed by degenerative lesions. Post-traumatic injuries included haemorrhagic contusions (38.3%), subdural haematomas in 20.5% of cases, and extradural haematomas (9.3%). Craniofacial lesions (fractures) were observed in 45.8% of cases. Conclusion: Cranioencephalic scans accounted for 1/3 of CT examinations performed during the study period. It revealed pathologies that could not be detected by conventional means. All in all, CT scans contributed to the diagnosis of cerebral pathologies.

关键词： Cranioencephalic scan National Medical Imaging Centre Bangui

Clinical Epidemiology and surgical Treatment of spontaneous Perforations of the Terminal Ileum: A Multicentre study in Cameroon

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surgical science 2024年第5期15卷 311-320页

作者： Eric Patrick savom richard II Mbele Mahamat Yannick Ekani Boukar Abdal Deudeu Cédric Paterson Atangana Fred Dikongue Dikongue Guy Aristide Bang Marc Leroy Guifo Yaoundé General Hospital Yaound&#233 Cameroon Faculty of Medicine and Biomedical sciences of the University of Yaoundé I Yaoundé Cameroon Faculty of Health sciences University of Buea Buea Cameroon Faculty of Medicine and Biomedical sciences of the University of Dschang Dschang Cameroon Yaoundé Teaching Hospital Yaoundé Cameroon

Background: Perforations of the terminal ileum are a frequent clinical situation and a therapeutic challenge. surgical treatment is controversial. several surgical modalities have been proposed and postoperative morbidity and mortality remain high. The aim of this study was to review our experience in the surgical management of perforations of the terminal ileum. Patients and methods: This is a descriptive cross-sectional study with retrospective data collection from January 1, 2017 to December 31, 2021, in five hospitals in Cameroon. Patients’ demographic, clinical presentation, surgical findings and 30-days postoperative outcomes data were collected. Results: We collected 34 files. The sex ratio was 1.4 and the average age was 20.28 years. The average consultation time was 9.1 days. Abdominal pain was present in all our patients. Peritoneal irritation was present in 46 cases (88.5%). The mean time to treatment after admission was 17.5 hours. The perforation was unique in 40 cases (76.9%) and located between 6 and 10 cm from the ileocecal valve in 29 cases (55.8%). Typhoid was the most suspected etiology intraoperatively in 38 cases (73.1%). A simple suture was performed in 18 patients (34.6%), resection with anastomosis in 11 patients (21.2%) and an ileostomy in 5 patients (9.6%). The average length of hospitalization was 21.74 days. Postoperative morbidity and mortality were 32.7% and 17.3% respectively. Conclusion: Perforations of the terminal ileum are common and affect young people. surgical procedures are varied. Reducing consultation and care times and respecting treatment principles could improve postoperative morbidity and mortality, which remain high.

关键词： Perforation of the Terminal Ileum simple suture Resection Morbidity Mortality

Epidemiological, Clinical Progress Aspects of Congenital Heart Disease with Neonatal Revelation at the Mother-Child Hospital of Bingerville (HME) Concerning 98 Cases from January 2021 to December 2022 (Côte d’Ivoire)

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Open Journal of Pediatrics 2024年第1期14卷 89-100页

作者： Adja Evelyne Akaffou-Gbery richard Azagoh-Kouadio Anne-Lise Laetitia Mobio Jean-Jacques Yao Atteby serenah Marie Janice N’vrah Anoh Kouassi Raoul Yao Department of Paediatrics and Neonatology H&#244pital Mère-Enfant de Bingerville (HME) Bingerville C&#244te d’Ivoire Department of Medical Pediatrics and specialties CHU de Angré Abidjan C&#244te d’Ivoire

Introduction The distribution of congenital heart disease (CHD) in sub-saharan Africa is highly imprecise and varies from one region to another due to the inequality of diagnostic facilities. The aim of this study was to determine the in-hospital prevalence of congenital heart disease in children at the Mother-Child hospital of Bingerville (HME) by specifying the diagnostic, therapeutic and evolutionary aspects. Materials and methods We conducted a retrospective, descriptive, cross-sectional study at HME of Bingerville from January 2021 to December 2022. All newborns with congenital heart disease confirmed by echocardiography were included in the study. Results Of 656 admissions to the neonatology department over the study period, congenital heart disease accounted for 14.9% (98/656) of cases. In our series, 76.7% were diagnosed before the 1st week of life, with a mean chronological age of 5.18 days and extremes of 0 and 46 days. There were as many male patients (50%) as female (50%), i.e. a sex ratio of 1. These newborns were premature in 60.2% of cases, with a mean and median gestational age of 34 weeks’ amenorrhea. Most were left-right shunts (90.8%). Persistent ductus arteriosus (PDA) (48.9%) predominated, followed by atrial septal defect (38.7%), ventricular septal defect (13.3%), common trunk artery (CTA) (3.1%) and open septal pulmonary atresia (OsPA) (1%) as the primary cyanogenic heart disease. Pulmonary arterial hypertension (PAH) (50%) was primary in 38.8% and secondary (61.2%). The mortality rate was 30.6%, and all CTA patients died (100%), with a significant statistical relationship (p = 0.027). Progression under treatment was marked by clinical stabilization (68/98) in 69.4% of cases. Conclusion: Congenital heart disease is relatively common at the Bingerville HME. Access to echocardiography should be facilitated in neonatology departments for rapid diagnosis and optimal management of congenital heart disease in newborns.

关键词： Newborn Congenital Heart Disease Côte d’Ivoire

Contribution of CT in the Exploration of Non-Traumatic Pathologies of the Lumbar spine in Adults in Bangui

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Open Journal of Radiology 2024年第3期14卷 125-134页

作者： Bangue songrou Francky Kouandongui Timothée Mobima Yannick Héritier sombot Borel Tambala stéphane Kouzou Judith Guiaba Kette Euloge Tapiade Bidan richard Bazogo National Center of Medical Imaging of Bangui Bangui Central Africa Republic Maman Elisabeth DOMITIEN Hospital Bangui Central Africa Republic Community Hospital of Bangui Bangui Central Africa Republic

Background: In Central African Republic, a study carried out in 2019 highlighted the limits of conventional radiography in the diagnosis of non-traumatic lower back pain in adults. Objective: The objective of this study is to show the value of CT scanning in the exploration of non-traumatic pathologies of the lumbar spine in adults. Patients and Method: Retrospective and descriptive cross-sectional study covering the files of patients aged at least 18 years old, sent for lumbar scanning from March 1 to December 31, 2021 at the medical imaging center. Results: In total, 593 scan examinations were performed including 159 (26.8%) examinations of the lumbar spine. The average age of the patients was 49.84 years. The majority were male (66%). 127 (79.8%) were referred mainly to the neurology and rheumatology departments. Common low back pain (n = 97, 61%) was the main reason for requesting a CT scan. The lumbar scan was performed without contrast product in 88.7% of cases. In total, 148 (93.1%) examinations were pathological and dominated by overall disc overhang (62.2%) and somatic and interapophyseal osteoarthritis (16.9%). The other lesions were spondylodiscitis (7.4%), tumor-like lesions (3.4%) and narrow lumbar canal (1.4%).

关键词： CT scanning Lumbar Bangui Adults

Robotics-The answer to the Achilles' heel of VATs pulmonary resection

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Chinese Journal of Cancer Research 2012年第4期24卷 259-260页

作者： Mark R.Dylewski richard s.Lazzaro Thoracic and Robotic surgery Baptist Health of South FloridaFlorida33143USA Chief Division of Thoracic SurgeryLenox Hill HospitalNorth Shore LIJ Health SystemNYUSA

During the past decade, robotic surgical systems have been increasingly utilized to perform highly complex surgical procedures. In fact, the robotic-assisted approach to the treatment of many gynecological and urological surgical procedures has become the standard-of-care. The use of robotic surgical system in thoracic surgery is in its early development. Video-assisted thoracoscopic surgery （VATs） was propelled forward in the early 1990＇s without full appreciation for long-term consequences, increased cost or therapeutic benefit. The trend in robotic-assisted thoracic surgery is projected to surpass the adoption of VATs and to mirror that of other robotic surgical subspecialties.

关键词： LOBECTOMY

Primary carbohydrate metabolism genes participate in heat-stress memory at the shoot apical meristem of Arabidopsis thaliana

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Molecular Plant 2024年第4期17卷 676-676页

作者： Justyna Jadwiga Olas Federico Apelt Maria Grazia Annunziata sheeba John sarah Isabel richard saurabh Gupta Friedrich Kragler salma Balazadeh Bernd Mueller-Roeber 不详

(Molecular Plant 14,1508-1524,september 62021)After the original publication of the above article,attentive readers identified errors in Figure 4H that needed correction as *** 4H contained the erroneous labels“10 DAP(7 DAT),”which should have each read,“7 DAP(4 DAT).”To avoid any confusion and ensure consistency across our figures,we modified some of the Col-0 images in a corrected version of Figure 4H below to resemble the exact same Col-0 images as in Figure *** details of the changes are as follows:rotation(Col-0 Primed,all timepoints;Col-0 Triggered,3 DAP and 5 DAP;Col-0 Primed/triggered,3 DAP and 5 DAP),replacement(Col-0 Triggered,7 DAP),and different cropping(Col-0 Primed/triggered,7 DAP).

关键词： Figure metabolism Prime

Individual consistency and sex differences in migration strategies of scopoli＇s shearwaters Calonectris diomedea despite year differences

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Current Zoology 2014年第5期60卷 631-641页

作者： Martina s. MULLER Bruno MAssA richard A. PHILLIPs Giacomo DELL Graduate school of Environmental studies Nagoya University Japan University of Palermo Department of Agriculture and Forest Sciences Italy British Antarctic survey Natural Environment Research Council Cambridge CB3 0ET UK Ornis italica Rome Italy

Recently-developed capabilities for tracking the movements of individual birds over the course of a year or longer has provided increasing evidence for consistent individual differences in migration schedules and destinations. This raises questions about the relative importance of individual consistency versus flexibility in the evolution of migration strategies, and has implications for the ability of populations to respond to climatic change. Using geolocators, we tracked the migrations of scopoli＇s shearwaters Calonectris diomedea breeding in Linosa （Italy） across three years, and analysed timing and spatial aspects of their movements. Birds showed remarkable variation in their main wintering destination along the western coast of Africa. We found significant individual consistency in the total distance traveled, time spent in transit, and time that individuals spent in the win- tering areas. We found extensive sex differences in scheduling, duration, distances and destinations of migratory journeys. We also found sex differences in the degree of individual consistency in aspects of migration behaviour. Despite strong evidence for individual consistency, which indicates that migration journeys from the same bird tended to be more similar than those of dif- ferent birds, there remained substantial intra-individual variation between years. Indeed, we also found clear annual differences in departure dates, return dates, wintering period, the total distance traveled and re^rn routes from wintering grounds back to the colony. These findings show that this population flexibly shifts migration schedules as well as routes between years in response to direct or indirect effects of heterogeneity in the environment, while maintaining consistent individual migration strategies [Current Zoology 60 （5）： 631-641, 2014].

关键词： Avian migration GLs loggers Repeatability Individual strategies

Intracellular Transport of Plant Viruses： Finding the Door out of the Cell

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Molecular Plant 2011年第5期4卷 813-831页

作者： James E. schoelz Phillip A. Harries richard s. Nelson Division of Plant sciences University of Missouri Columbia MO 65211 USA Department of Biology Pittsburg State University Pittsburg KS 66762 USA Plant Biology Division The Samuel Roberts Noble Foundation Inc. Ardmore OK 73401 USA

Plant viruses are a class of plant pathogens that specialize in movement from cell to cell. As part of their arsenal for infection of plants, every virus encodes a movement protein （MP）, a protein dedicated to enlarging the pore size of plasmodesmata （PD） and actively transporting the viral nucleic acid into the adjacent cell. As our knowledge of intercellular transport has increased, it has become apparent that viruses must also use an active mechanism to target the virus from their site of replication within the cell to the PD. Just as viruses are too large to fit through an unmodified plasmodesma, they are also too large to be freely diffused through the cytoplasm of the cell. Evidence has accumulated now for the involvement of other categories of viral proteins in intracellular movement in addition to the MP, including viral proteins originally associated with replication or gene expression. In this review, we will discuss the strategies that viruses use for intracellular movement from the replication site to the PD, in particular focusing on the role of host membranes for intracellular transport and the coordinated interactions between virus proteins within cells that are necessary for successful virus spread.

关键词： Macromolecular trafficking membrane biology membrane proteins movement proteins plasmodesmata plant-virus interactions.

The common MTHFR C677T and A1298C variants are not associated with the risk of non-syndromic cleft lip/palate in northern Venezuela

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Journal of Genetics and Genomics 2009年第5期36卷 283-288页

作者： Mehmet A.szen Marie M.Tolarova richard A.spritz Department of Medical Biology School of MedicineAfyon Kocatepe UniversityAfyonkarahisar03200 Turkey Human Medical Genetics Program University of Colorado DenverAnschutz Medical CampusAuroraCO 80045USA Department of Orthodontics University of the PacificSan FranciscoCA 94115USA

Non-syndromic cleft lip with or without cleft palate （nsCL/P） is among the most common major birth defects, with complex inheritance involving multiple genes and environmental factors. Numerous studies of MTHFR, encoding methylenetetrahydrofolate reductase, which catalyzes the rate-limiting step of folic acid biosynthesis, have shown inconsistent association of two common hypomorphic allelic variants, C677T and A1298C, in nsCL/P patients and, in some cases, their mothers. We have studied the MTHFR C677T and A1298C polymorphisms in nsCL/P patients, their mothers, and population-matched controls from northern Venezuela. We found no evidence for contribution of the MTHFR C677T and A1298C variants to the risk of nsCL/P in northern Venezuela. Overall, our findings fail to support a causal role of either the MTHFR C677T or A 1298C variants in the pathogenesis of nsCL/P in northern Venezuela.

关键词： cleft lip cleft palate methylenetetrahydrofolate reductase folic acid MTHFR polymorphisms