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Open Journal of Obstetrics and Gynecology 2024年第1期14卷 1-6页

作者： Millogo Jean De La Croix Sanou Jean de Dieu Gadigbé Akofa Méré Godé Sabi Tokobou William Ouédraogo André Togbé Eric Serge Alihonou Yaméogo Rélwendé Barnabé Dembélé Adama Somé Der Adolphe Ouattara Souleymane Obstetrics-Gynecology and Reproductive Medecine Departement of Sourô Sanou Teaching Hospital Bobo-Dioulasso Burkina Faso Higher Institute of health Sciences (inssa) Université nazi Boni Bobo-Dioulasso Burkina Faso

Diastasis of the symphysis pubis is a rare postpartum complication. We report two cases of symphysis diastasis after dystocic delivery, in two patients who presented in the postpartum period with functional impotence, pubalgia and acute urine retention. A frontal radiograph of the pelvis confirmed the diagnosis, showing a symphyseal separation of 12 mm and 18 mm. In our case, management was mainly medical, with a favorable clinical outcome.

关键词： Pelvis Symphyseal Disjunction/Diastasis Post-Partum Burkina Faso

Cholinesterase Activity as an Indicator of Health Risks among Kou Valley Farmers

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Journal of Biosciences and Medicines 2024年第7期12卷 71-86页

作者： Thiombiano Cherileila Hien S. Aristide Koevi Nadège Bayili Bazoma Ouattara Abdoulaye Traore Patrice Traore T. Isidore Hien Herve Centre Muraz Institut National de Sant Publique (INSP) Bobo-Dioulasso Burkina Faso Institut Suprieur des Science de la Sant (inssa) University of Nazi Boni Bobo-Dioulasso Burkina Faso Institut de Recherche en Science de la Sant (IRSS) Centre National de Recherche Scientifique et Technologique (CNRST) Ouagadougou Burkina Faso

Introduction: Pesticides are currently an essential component of agricultural production techniques for controlling pests and weeds. In Burkina Faso, non-compliance with good practice in the use of pesticides poses a real health problem for the population. This study examines the health risks associated with pesticide management in rice-growing areas. Material and Methods: A field survey was conducted in Bama, involving farmers, focusing on their socio-demographic characteristics, pesticide usage, and health effects. Cholinesterase levels were measured in subsample of farmers using a portable device. Data were analysed using Microsoft Excel, calculating means and percentages for various practices. Health consultations, protection methods, and pesticide management were studied. Erythrocyte acetylcholinesterase activity was compared before and after treatment. Data were categorised into classes based on inhibition levels, and correlation analyses determined relationships between variables such as age, years of experience, and cholinesterase activity. Results: The results indicate that rice cultivation is mainly carried out by a fairly young population, with nearly 63% being under the age of 50. Common poor practices in pesticide use include improper storage and reuse of leftover pesticides. Seven types of pesticides were identified, including organophosphates such as glyphosate, which was used in 26.7% of cases. This organophosphate has resulted in class B poisoning, causing a 30% - 50% reduction in erythrocyte cholinesterase activity. The health effects of pesticide use are felt by agricultural farmers through various symptoms of poisoning. Conclusion: To reduce the occurrence of pesticide poisoning, it is essential to launch information and awareness campaigns among the population and farmers to promote safe practices in pesticide use in Bama, Burkina Faso.

关键词： Pesticides Environmental Sanitary Risk Acetylcholinesterase Farmers Bama Burkina Faso

Situation of Artificial Depigmentation among Women in 2016 to Bobo-Dioulasso, Burkina Faso

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Journal of Cosmetics, Dermatological Sciences and Applications 2017年第2期7卷 189-198页

作者： Jean-Baptiste Andonaba Nina Nessiné Korsaga-Somé Boukary Diallo Etienne Yabré Issouf Konaté Amina Nomtondo Ouédraogo Pascal Niamba Adama Traoré inssa Université Nazi Boni de Bobo-Dioulasso Bobo-Dioulasso Burkina Faso UFR/SDS Université Ki-Zerbo de Ouagadougou Ouagadougou Burkina Faso

INTRODUCTION: The artificial depigmentation (DA) is a practice that aims to reduce the natural pigmentation of the skin by the use of depigmenting products (DP). In Burkina Faso, few studies have been made on the issue and the last date of 2003. The objective of the study is to realize an overview of the DA phenomenon in women population in Bobo-Dioulasso City. METHODS: This is a descriptive cross-sectional study held from April 16th to April 30th 2016 including 437 women aged from 13 to 55 years old. A multi-stage random sampling was realized A chi-square test was used to compare groups with significant threshold of 5%. RESULTS: The prevalence of the use of DP (67.28% with IC95 = [63.52 - 71.03]). The mean age of users was 27.5 years old;the typical profile was women from 30 to 35 years old (85.7%), with elementary study level, (73.47%), housewife’s (75.19%) and monogamous (71.98%). the products used was those made of hydroquinone (81.6%), EDTA (8.33%), kojic acid (4.86%), mixtures (11.12%) or unknown products (14.58%). The origin of the product was doubtful for almost all the cases (98.96%). The monthly mean cost of this practice for a single user is 1710 CFA. Complications were reported in 62.5% of users, and the most found was dyschromia (85.87%), acne (17.39%) and burns (10.32%). DISCUSSION: The DA is in great progress in Bobo-Dioulasso (2 out of 3 women) compared to half, thirteen years ago. The hydroquinone was markedly the most frequent DP while there was an apparent lack of corticosteroids and mercuries replaced by the new depigmenting agent such as EDTA and kojic acid. This result contrasted with the classic combination hydroquinone-dermocorticoid-mercuries reported by previous studies. CONCLUSION: The low-cost of DP could explain the magnitude of the artificial depigmentation phenomenon. Other studies should be conducted in order to establish with precision the composition of these products and their causality in the occurrence of common complications. Re

关键词： Artificial Depigmentation Products Women Bobo-Dioulasso

Premature Puberty Revealing an Ovarian Tumor in a Five-Year-Old Girl

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Open Journal of Pediatrics 2023年第2期13卷 153-157页

作者： Senkaye-Lagom Aimée Kissou Yacouba Traoré Oumar Ganamé Aïda Traoré/Tankoano Mariane Kabré Emile Bandré Departement of Pediatrics CHU Sourô SANOU (CHUSS) Bobo-Dioulasso Burkina Faso Higher Institute of Health Sciences (inssa) Nazi Boni University (UNB) Bobo-Dioulasso Burkina Faso Pediatric Surgery Service CHUSS Bobo-Dioulasso Burkina Faso Medical Imaging Service CHUSS Bobo-Dioulasso Burkina Faso Anatomical Pathology Service CHU-YO Bobo-Dioulasso Burkina Faso

Background: Ovarian tumors in the girl child are sometimes revealed by the development of secondary sexual characteristics. The authors report the case of a five-year-old girl in whom the disease was revealed by early puberty. Case presentation: A five-year-old girl with an enlarged abdomen for about four months. The onset of pain and the sensation of a mass prompted the consultation. The development of secondary sexual characteristics (SSC) noted by the family had not been mentioned. The patient was classified as pubertal stage 2 according to the Tanner classification. An abdominal ultrasound and a CT scan showed a large left ovarian mass, an enlarged uterus for the patient’s age and a normal right ovary. The hormonal workup was not contributive. The treatment consisted only of a left salpingo-ovarectomy, without complementary chemotherapy. Anatomic pathological examination of the surgical specimen concluded to a juvenile tumor of the granulosa. The evolution was good with a beginning of regression of the HSC one month after the ovarectomy. Discussion: Granulosa tumors are sometimes secretory cancers, generally with a low potential for malignancy and therefore a very good prognosis. Surgery based on total adnexectomy is the first-line treatment. The large size of the tumor, the presence of ascites and capsular rupture are factors of poor prognosis, hence the importance of early diagnosis. Conclusion: Routine comprehensive physical examination should be de rigueur for abdominal masses in girls, especially in the context of various beliefs that may impede early referral to care.

关键词： Ovarian Tumor Juvenile Granulosa Tumor Early Puberty Early Diagnosis Surgery

Skin Damage and Aesthetic Disadvantage Observed in Women in the Hand Craft Shelling Chain of Cashew Nuts in a Factory to Bobo-Dioulasso, Burkina Faso

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Journal of Cosmetics, Dermatological Sciences and Applications 2017年第3期7卷 211-220页

作者： Jean-Baptiste Andonaba Sandrine Sanou Lompo Vincent Ouédraogo Flore Ouédraogo Muriel S. Ouédraogo Issouf Konaté Boukary Diallo Adama Traoré inssa Université Nazi Boni de Bobo-Dioulasso Bobo-Dioulasso Burkina Faso UFR/SDS Université Joseph Ki-Zerbo de Ouagadougou Ouagadougou Burkina Faso

Introduction: Occupational dermatitis has long been an unforeseen consequence of industrial progress. Today, most occupational diseases are dermatosis throughout the world. The morbidity and the various prejudices concern different actors, especially those of the cashew industry in Bobo-Dioulasso to Burkina Faso. We considered it appropriate to conduct this study in women who handle cashew nuts in the cashew nut shelling station at a factory. The aim is to contribute to the search for preventive and curative solutions adapted to this health risk. Methods: This was a prospective cross-sectional study with a descriptive purpose in May 2016. The study involved 112 women present in the factory in the shelling unit and having given their approval during our visit. This station is occupied by 118 women. Results: The prevalence of all dermatosis and dermatitis was estimated respectively at 98.21% and 88.39%. The manual shelling station with a shearing machine was exclusively occupied by illiterate women (72.3%) without personal protective equipment, with an average age of 33.74 ± 8.49 years. Among the clinical forms of contact dermatitis, the erythematous contact dermatitis was most observed (86.4%), followed by palmar keratoderma (70.9%), nail disorders (33.6%) and chemical burns (30%). The implication of Cashew Nut Shell Liquid (CNSL) was established with identified promoting factors. Aesthetic damage related to hand injuries had a significant psychosocial impact in 97.32% of cases. Discussion: Few studies exist on dermatitis and the health impacts in the reality of cashew because they reach vulnerable subjects without social welfare and health protection. The cashew nuts shell contains a highly irritating brown oily liquid. Dermatitis occurs during contact with this oily juice. The international literature reports this corrosive effect throughout the history of the chain. Human factors, technical factors and work environment aggravate the situation and compromize workwo

关键词： Dermatitis Aesthetic Shelling Unit Cashew Anacardic Acid Burkina Faso

Food Behavior of Pupils in the City of Bobo-Dioulasso (Burkina Faso)

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Open Journal of Pediatrics 2018年第2期8卷 134-140页

作者： Té né Marceline Yamé ogo Bazoumana Coulibali Aimé e Senkaye-Lagom Kissou Issiaka Sombié Carole Gilberte Kyelem Mireille Marie D. Tapsoba Alassane Ilboudo Omar Guira Djingri Lankoandé Abraham Bagbila Marina Birba Macaire Sampawindé Oué draogo Youssouf Joseph Drabo inssa University Nazi Boni Bobo-Dioulasso Burkina Faso CHU Souro Sanon Bobo-Dioulasso Burkina Faso UFR-SDS University Joseph Ki Zerbo Ouagadougou Burkina Faso

Introduction: Diet is a determinant of chronic non transmissible diseases. The aim of this study was to describe pupils’ diet in the city of Bobo-Dioulasso (Burkina Faso). Methods: This was a descriptive cross-sectional study that took place from March to April 2016, among 1st, 4th and 7th form pupils of public and private schools in the city of Bobo-Dioulasso. Diet survey methods were a reminder of the last 24 hours and the questionnaire of consumption frequency. Results: A total of 1993 pupils were surveyed. The mean age was 17.5 ± 3.6 years and the sex ratio 0.7. The majority of pupils (90.5%) reported eating at least 3 meals a day. Dietary recommendations were different according to food groups. For example, vegetables (90.0%), fruits (75.4%) and dairy products (79.3%) were the least well consumed foods compared to recommendations. Protein and starch intake were inadequate among these pupils with 39.7% and 58.2% respectively. Almost 1/4 had a regular weekly alcohol consumption (23.4%) while an excessive consumption of sweet drinks and fried foods was noted in 12.7% and 28.2% of them, respectively. Conclusion: This study has revealed a general insufficiency in the recommended dietary intakes of fruit, vegetables, proteins, starchy foods and dairy products among pupils, and on the other hand, a regular consumption of fatty, sugary and alcoholic foods for about a fifth of them. An intervention program such as “Communication for Continuous Behavior Change” would help improve these habits.

关键词： Food Behavior Pupils Burkina Faso

Too Sweet/Too Fatty Food Consumption: Determinants among Secondary School Pupils in the City of Bobo-Dioulasso (Burkina Faso)

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Open Journal of Pediatrics 2018年第2期8卷 126-133页

作者： Té né Marceline Yamé ogo Mireille Marie Dé borah Tapsoba Aimé e Senkaye-Lagom Kissou Bazoumana Coulibali Issiaka Sombié Carole Gilberte Kyelem Alassane Ilboudo Omar Guira Djingri Lankoandé Abraham Bagbila Marina Birba Macaire Sampawindé Oué draogo Youssouf Joseph Drabo CHU SouroSanon Bobo-Dioulasso Burkina Faso inssa University Nazi Boni Bobo-Dioulasso Burkina Faso UFR-SDS University Joseph Ki Zerbo Ouagadougou Burkina Faso

Introduction: Nutrition, particularly when too sweet or too fatty, is a major determinant of chronic diseases. This study aims to determine the frequency and associate factors of the excessive consumption of sweet drinks and fried food among secondary school pupils. Methods: It is cross-sectional study which was conducted from March to April 2016 among 1st, 4th and 7th form pupils of public and private schools in the city of Bobo-Dioulasso. Nutritional investigation methods consisted in a reminder of the last 24 hours associated with a questionnaire on food consumption frequency. Excessive consumption of sweet drinks was defined as a consumption of more than 3 sweet drinks (soda) or sugary juice per day (~33 cl × 3);and excessive consumption of fried food as a consumption of more than 1 intake of fried food per day. Results: In total, 1993 pupils were interviewed. The mean age was 17.5 ± 3.6 years and sex-ratio 0.7. Excessive consumption of sweet drinks and fried food was recorded in 12.7% (n = 253) and 28.2% (n = 561) of pupils, respectively. The factors associated with excessive consumption of sweet drinks were: sex/female, sedentarily, desire to gain weight, lean or normal corpulence of the mother and breakfast intake;those associated with excessive consumption of fried food were: sex/female, being in 1st or 4th form, physical exercise practice and breakfast intake. But the fact to attend a private secondary school, to have a mother of normal corpulence and a concordance between self-image and actual weight status, were protective against excessive consumption of fried foods. Conclusion: This study has displayed prominently the fact that eating too sweet and too fatty concerned respectively 1/10 and 3/10 of pupils in the city of Bobo-Dioulasso. The main modifiable factors of these eating habits included the level of education, the composition of breakfast and the influence of mothers. An intervention program in the form of a Communication for Continuous Behaviora

关键词： Too Sweet/Too Fatty Food Consumption Young Subject Pupils

Determinants of Fruit and Vegetables Intake among Secondary School Pupils in the City of Bobo-Dioulasso (Burkina Faso): A Cross-Sectional Study

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Open Journal of Internal Medicine 2018年第1期8卷 1-9页

作者： Téné Marceline Yaméogo Issiaka Sombié Carole Gilberte Kyelem Oumar Guira Djingri Lankoandé Bazoumana Coulibali Mireille Marie Déborah Tapsoba Alassane Ilboudo Aimée Sankaye-Lagom Kissou Abraham Bagbila Apollinaire Sawadogo Macaire Sampawinde Ouédraogo Youssouf Joseph Drabo inssa Université Nazi Boni Bobo-Dioulasso Burkina Faso CHU Souro Sanon Bobo-Dioulasso Burkina Faso UFR-SDS Université Joseph Ki-Zerbo Ouagadougou Burkina Faso

According to WHO, eating at least five portions of fruit and vegetables a day at an early age is protective against cancers, cardiovascular diseases and diabetes. The purpose of this study was to determine among secondary school pupils in the city of Bobo-Dioulasso, the level of observation of this recommendation and the associated factors. Methods: This was a cross-sectional study conducted from March to April 2016, among secondary school pupils in 1st Form, 4th Form and 7th Form of public and private secondary schools. The diet survey methods were the recalling of the last 24 hours associated with intake frequency questionnaire. An intake of less than one fruit (or a slice of a big fruit) per day and for vegetables, less than one portion of raw or cooked vegetables per day was considered insufficient. Results: A total of 1993 pupils were surveyed. The mean age was 17.5 ± 3.6 years and the sex ratio 0.7;75.4% and 90.0% of pupils had insufficient daily intake of fruit and vegetables respectively. The determinants of this consumption deficiency were: Sex (male, OR = 1.7 (1.3 - 2.2)), secondary school (public, OR = 1.6 (1.3 - 2.0)), class (4th Form, OR = 2.5 (1.5 - 4.2)/7th Form, OR = 3.7 (2.7 - 5.1)), the mother (thin build, OR = 3.2 (2.0 - 5.3)/overweight/obesity, OR = 2.8 (1.6 - 4.7)) and physical inactivity (OR = 1.5 (1.2 - 2.0)). Conclusion: The promotion of a healthy diet among secondary school pupils should take into account the type of school, sex, educational level, physical activity and mothers’ influence.

关键词： Fruit and Vegetables Intake Cardiovascular Prevention Young Subject

Audit of Diabetes Knowledge among Adults with Diabetes in Bobo-Dioulasso(Burkina Faso):A Cross-Sectional Study Prior to Intervention Strategy

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Open Journal of Internal Medicine 2018年第1期8卷 10-17页

作者： Tene Marceline Yameogo Carole Gilberte Kyelem Oumar Guira Issiaka Sombié Djingri Lankoandé Annick Raissa Ouelhore Sidibé Alassane Ilboudo Aimée Sankaye-Lagom Kissou Abraham Bagbila Apollinaire Sawadogo Macaire Sampawinde Ouédraogo Youssouf Joseph Drabo inssa University Nazi Boni de Bobo-DioulassoBobo-DioulassoBurkina Faso CHU Souro Sanou de Bobo-Dioulasso Bobo-DioulassoBurkina Faso UFR-SDS University Ouaga I Joseph Ki ZerboOuagadougouBurkina Faso

Several studies have shown the importance of therapeutic education in the management of diabetes. Its implementation requires a prior assessment of the level of patients’ knowledge. The objective of this study was to assess the level of diabetics’ knowledge about their disease. Methods: This was a cross-sectional study conducted between 2013 and 2015;consenting diabetics, followed for at least one year in medicine department of Souro Sanou Hospital, have been surveyed. The data were collected using a 51-item questionnaire, adapted from “Audit of Diabetes Knowledge” and administered by an interviewer. The level of knowledge was satisfactory/good if at least 80% of the set items or a topic were known. Results: A total of 268 diabetics were surveyed. Their mean age was 54.3 ± 1.4 years and the sex ratio 0.8. The majority (80.9%) lived in urban areas and half (50.4%) were uneducated. Type 2 diabetics accounted for 93.3% of the population;the average seniority was 6.0 ± 0.7 years. The level of knowledge was generally insufficient, with an average total score of 25.4 ± 1.0/51. The topics which were not well mastered related to diet (0.8%), glycated haemoglobin (4.5%), and signs of hypoglycemia (7.8%). The main relatively well-known topics related to the effect of physical exercise on glycemia = 37.7%, the effect of food on glycemia = 36.9% and glycemia target = 32.8%. Conclusion: This study revealed a lack of knowledge from diabetic patients who are followed in the medicine department of the Teaching Hospital Souro SANON (CHUSS). The implementation of a therapeutic education program for diabetics is necessary and urgent.

关键词： Diabetes Knowledge Education Burkina

Lipoprotein (a) Cut-Off in Chronic Kidney Disease Patients with a History of Cardiovascular Disease in Center Hospital University Souro SANOU, Burkina Faso

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Advances in Biological Chemistry 2023年第6期13卷 228-235页

作者： Ollo Da Aoua Semde Arnaud Kouraogo Emmanuel Zongo Amidou Sawadogo Aristide Zongo Fatou Gueye Tall Souleymane Fofana Sanata Bamba Georges Anicet Ouedraogo Department of Medical Biochemistry Center Hospital University Souro SANOU Bobo-Dioulasso Burkina Faso Higher Institute of Health Sciences (inssa) Nazi BONI University (UNB) Bobo-Dioulasso Burkina Faso Nephrology-Dialysis Department Center Hospital University Souro SANOU Bobo-Dioulasso Burkina Faso Department of Pharmaceutical Biochemistry Faculty of Medicine Pharmacy and Odontostomatology Cheikh Anta Diop University Dakar Senegal Department of Pharmacy Center Hospital University Souro SANOU Bobo-Dioulasso Burkina Faso Laboratory of Research in Health Science and Animal Biotechnology (LARESBA) Nazi BONI University (UNB) Bobo-Dioulasso Burkina Faso

Patients living with chronic kidney disease (CKD) are at high risk of cardiovascular events. Our aim in this study was to assess the cut-off value for lipoprotein (a) (Lp(a)) in CKD patients with a history of cardiovascular disease (CVD). This was a cross-sectional study. Variables including age, sex, history of CVD, body mass index and CKD stage, were collected during CKD patient’s first admission in the nephrology dialysis department. Blood samples were collected for quantitative determination of Lp(a) by immunoturbidimetric method. They were divided into two groups: CKD patients without history of CVD and CKD patients with history of CVD. Fisher’s exact test was used to assess associations with a significance level of 0.05%. Area under the curve (AUC) and new cut-off value for Lp(a) were identified by drawing Receiver Operating Characteristic (ROC) curve. A total of seventy CKD patients with median age of 43 years [minimum-maximum = 15 - 78 years] were included. Patients with history of CVD were 65.71% (46/70). New Lp(a) cut-off point in CKD patients with history of CVD was 66.50 nmol/L [sensitivity, 87.00%;specificity, 58.30%;AUC = 0.727;p = 0.000]. ROC curve demonstrated good performance of Lp(a) to screen CKD patients with history of CVD. Further research is needed to determine an LPA gene polymorphism’s contribution to increasing risk for CVD at each kidney disease stage.

关键词： Lipoprotein (a) Cut-Off Chronic Kidney Disease Cardiovascular Disease