检索结果-南通市图书馆

Prevalence and CT-Scan Presentations of Brain Malformations in Children at a University-Affiliated Mother and Child Hospital (Cameroon)

引用

Open Journal of Medical Imaging 2017年第4期7卷 220-228页

作者： Boniface Moifo Rosine Azegha Jiotsa Seraphin Nguefack sandra tatah Evelyne Mah Félicité Dongmo Nguefack Elie Mbonda Faculty of Medicine and Biomedical Sciences The University of Yaounde 1 Yaounde Cameroon Radiology Department Yaounde Gynaeco-Obstetric and Pediatric Hospital Yaounde Cameroon Department of Pediatrics and Pediatric Sub-Specialties Yaounde Gynaeco-Obstetrics and Pediatric Hospital Yaounde Cameroon

Background: Brain malformations (BMs) are congenital abnormalities of the shape or structure of the brain, with corpus callosum agenesis known as the most frequent. Diagnosis of most BMs can be prenatal with ultrasound and fetal magnetic resonance imaging (MRI);post-natal diagnosis is based on transfontanellar ultrasound, CT-scan, and head MRI which is the imaging gold standard technique. MRI has been recently introduced and the CT-scan was previously the reference technique for the diagnosis of BMs in our context. Almost no publication has been made in sub-Saharan Africa on the clinical and CT scan characteristics of Brain malformations in children. Objective: The aim of this study was, in the absence of MRI, to describe the clinical and CT-scan presentations of brain malformations in children at the Yaounde Gynaeco-Obstetric and Pediatric Hospital (YGOPH). Patients and method: This was a cross-sectional descriptive study conducted from February to May 2016 at the YGOPH, including all children of 15-year-old and less with BM diagnosed on CT-scan at YGOPH between April 2006 and March 2016. The studied variables were clinical (age at diagnosis, sex, clinical manifestations) and CT findings (type of cerebral malformation). The data was analyzed using the SPSS 20.0 software with the estimation of hospital prevalence of BMs, frequencies and associations. The chi-square test was used to seek for an association between variables. The threshold of significance was p Results: The prevalence of BMs was 0.52%, with 29 cases of BMs identified out of 5590 patients followed up at the pediatric neurology outpatient unit over a period of 10 years. The mean age at diagnosis was 37.2 months (3.1 years) and the most represented age groups were 0 - 1 year (37.9%) and 1 - 5 years (37.9%). The sex ratio was 0.81 (55.2% girls). The clinical presentation was represented by neurological signs (93.1%) with convulsions (65.5%) and psychomotor retardation (58.8%) associated with skin lesions

关键词： Cerebral Malformations Psychomotor Retardation Convulsions Tuberous Sclerosis Complex Corpus Callosum Agenesis Cerebral CT Scan Sub-Saharan Africa

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Etiologies and Outcome of Children with Purulent Meningitis at the Yaounde Gyneco-Obstetric and Pediatric Hospital (Cameroon)

引用

Open Journal of Pediatrics 2014年第4期4卷 269-275页

作者： Seraphin Nguefack Andreas Chiabi Jacob Enoh El Hadji Djouberou Evelyn Mah Karen Kengne Kamga sandra tatah Elie Mbonda Departement of Pediatric Neurology Yaounde Gynaeco-Obstetric and Pediatric HospitalYaoundeCameroon Faculty of Medicine and Biomedical Sciences University of Yaounde IYaoundeCameroon Departement of Pediatric University of Cocody-AbidjanAbidjanCote d’Ivoire

Background: Bacterial meningitis is one of the most severe infections in infants and children. It is associated with high mortality and neurological sequelae. In order to improve the prognosis of infants and children with purulent meningitis, we decided to conduct this study whose main objective was to identify the main pathogens responsible and describe the outcome in infants and children aged 2 months to 15 years admitted for purulent meningitis at the Yaounde Gyneco-Obstetric and Pediatric Hospital (YGOPH). Method: This was a cross-sectional study with retrospective data collection and consecutive sampling. Our study was conducted from 1 January 2009 to 31 December 2013. The patients included in the study were infants and children aged from 2 months to 15 years who were admitted for bacterial meningitis at the YGOPH, confirmed by bacteriological examination of cerebrospinal fluid (CSF) with identification of the pathogen by culture or soluble antigen. The data was analyzed using SPSS Version 18.0 and Excel 2007. The Chi-square test was used to determine the association of various variables. The significance threshold was set as P 0.05. Results: We selected 171 cases of purulent meningitis who represented 1.54% of admitted patients. The sex ratio was 1.2. We noted that 45% of our patients were aged 2 months to 1 year. The main presenting complaints were fever (98.8%), seizures (44.4%) and vomiting (28.7%). Haemophilus influenzae was found in 67 children (39.2%), followed by Streptococcus pneumoniae in 54 children (31.6%) and Neisseria meningitidis in 17 children (9.9%). Acute complications (status epilepticus, coma) were seen in 33% of patients. The statistically significant (P 0.05) factors for poor prognosis were aged from 2 months to 1 year (P = 0.0004), coma (P = 0.32), intracranial hypertension (P = 0.0001), the pathogen (P = 0.0032Pneumococcus), a delay of more than three days between the onset of the disease and the treatment (P = 0.0134) and brain abscess

关键词： Bacterial Meningitis Etiologies Outcome Children Cameroon

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Factors Influencing Routine Vaccination of Children of Mothers Live-Stock Retailers in the Markets of Yaoundé

引用

World Journal of Vaccines 2016年第2期6卷 23-33页

作者： Nguefack Dongmo Félicitée Tassadong Christiane Dongmo Roger tatah sandra Fodoung Wamba Danny Stève Chiabi Andreas Kago Innocent Kobela Marie Faculty of Medicine and Biomedical Sciences University of Yaoundé Yaoundé Cameroon Gynaeco-Obstetric and Pediatric Hospital of Yaoundé Yaoundé Cameroon Higher Institute for Health Sciences University of the Mountains Bangangté Cameroon District Hospital of Efoulan Yaoundé Cameroon Faculty of Health Sciences University of Bameda Bambili Cameroon

Background: The job of mothers though having a positive impact on the family could be detrimental to children’s health due to her unavailability. Methodology: A cross-sectional study was carried out from March to August 2014. Mothers of children aged 11 - 48 months were interviewed to determine factors which could influence the vaccination of their children. Results: A total of 265 mothers were interviewed. Despite their occupations, they completely vaccinated all of their children. The vaccination coverage of tracer antigens (third dose of DPT/HiB/HepB) was high 97.7% as well as the proportion of children completely vaccinated (91.7%). A mastery of the vaccination calendar of the site, and resumption of activities when the children were more than 4 months old, significantly influenced the completion of vaccination. Only 6 children (2.3%) were not correctly or incompletely vaccinated. The reason given by their mothers were: the lack of time (45.0%), the adverse effects of vaccines (27.0%), forgetfulness (18%), and shortage of vaccines supplies (5.0%). Conclusions: Occupation was not a hindrance to the vaccination of children of live-stock retailers. The problem of absent or incomplete vaccination could be overcome by improving the strategies of social mobilisation, permitting the sensitisation of mothers hesitant to vaccinate their children. A regular supply of vaccines will reduce the missed opportunities, thus maintaining high vaccination coverage in this social group.

关键词： Vaccination Coverage Factors Complete Occupation Mothers Children

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Psychomotor Development of Children Born Premature at the Yaounde Gynaeco-Obstetric and Pediatric Hospital (Cameroon)

引用

Open Journal of Pediatrics 2020年第1期10卷 147-158页

作者： Séraphin Nguefack Eric G. Ananfack Evelyn Mah Daniel Kago sandra tatah F. Puepi Yolande Dominique Enyama Diomede Noukeu Andreas Chiabi Felicité Dongmo Nguefack Department of Pediatric Yaoundé Gynaeco-Obstetric and Pediatric Hospital Yaounde Cameroon Departement of Paediatrics Faculty of Medecine and Biomedical Sciences University of Yaounde I Yaounde Cameroon Faculty of Health Sciences University of Buea Buea Cameroon Faculty of Medecine and Pharmaceutical Sciences University of Dschang Dschang Cameroon

Premature infants are at risk for developmental delay. We assessed the psychomotor development of children born before 37 weeks of gestation.?Methods:?This was a descriptive cross-sectional study conducted in the Pediatric Department of the Yaounde Gynaeco-Obstetric and Pediatric Hospital from January to May 2018. We used the Denver II scale to assess the psychomotor development of children born premature aged 9 months to 6 years. Children born between January 2012 and April 2017 at a gestational age strictly below 37 weeks of gestation were included. Using logistic regression, we searched for perinatal factors associated with abnormalities of psychomotor developmental.?Results:?We included 50 children in our study, 60% of whom were boys, giving a sex ratio of 1.5. The mean age was 25 ± 19.5 months. The mean gestational age was 33 ± 2.2 weeks and the mean birth weight was 2178.68 ± 748.01 g. The average Developmental Quotient of the population was 108. Six children (12%) had a global developmental delay (DQ ?70), 22% of the children had a language delay. Convulsion was associated with motor delay (OR = 16;P = 0.03), and pregnancy monitoring a protective factor for language delay (P = 0.02).?Conclusion:?Improving perinatal care remains a preoccupying issue. The assessment of psychomotor development should be done until early childhood to enable early diagnosis of learning disabilities.

关键词： Premature Babies Psychomotor Development Yaounde Cameroon

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Sustaining the community dispensation strategy of HIV antiretroviral through community participation

引用

Infectious Diseases of Poverty 2019年第1期8卷 69-74页

作者： Bibiane Siaheu Kameni Jobert Richie Nansseu sandra Ayuk tatah Jean Joel Bigna HIV day care Unit Ngaoundere Regional Hospital and Adamawa Regional Technical Group for the fight against HIV/AIDSNgaoundereCameroon Department of Public Health Faculty of Medicine and Biomedical SciencesUniversity of Yaounde IYaoundeCameroon Department for the Control of Disease Epidemics and PandemicsMinistry of Public HealthYaoundeCameroon Department of Pediatrics Douala Laquintinie HospitalDoualaCameroon Department of Epidemiology and Public Health Centre Pasteur of CameroonRue Henry DunantP.O1274 YaoundeCameroon School of Public Health Faculty of MedicineUniversity of Paris Sud XILe Kremlin BicetreFrance

Background:The advent and widespread use of antiretroviral therapy(ART)has remarkably changed the paradigm of HIV infection,increasing substantially the lifespan and quality of life of people *** and responding to policy makers and international directives,many strategies were put in place in Cameroon to accelerate ART uptake,including the community dispensation of ART through community-based organizations(CBOs).Main body:In its strategic plan to curb the burden of HIV/AIDS and as part of accelerating and reinforcing the provision of ART to all people living with HIV(PLWH),Cameroon opted for different strategies including the dispensation of ART in the community through well identified and tutored ***,financing of ART in Cameroon is mainly the conjugation of resources from the Government and its technical and financial partners,basically the Global Funds supplemented by supports from the Unitaid initiative which allows PLWH residing in Cameroon to benefit from continuous ART without spending a ***,this external funding will end-up by ***,there is urgent need to think of alternative and efficient strategies to sustain the fight against HIV/AIDS in Cameroon,especially the provision of ART to patients through community *** studies carried out in sub-Saharan African countries have shown that mutual health insurance seems to be a solution with great potential to improve access to quality care,mobilize the necessary funds,improve efficiency of the health sector,and promote dialogue and democratic governance in the health sector along with social and institutional development of the ***:The pooling of associations of PLWH in Cameroon and other countries of sub-Saharan Africa in line with the Bamako Initiative constitutes a promising strategy that would undoubtedly help to offset the withdrawal of funding from external sources,and allow an appropriation of the fight against HIV/AIDS by those concer

关键词： HIV/AIDS Community dispensation Sustainability Mutual Cameroon

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：