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Open Journal of Obstetrics and Gynecology 2022年第11期12卷 1134-1139页

作者： Rahamatou Madeleine Garba Hamidou Soumana Diaouga Nafiou Idi Bibata Boukari Bako Salamatou Guédé Maina Oumara Madi Nayama niger-turkey friendship hospital Niamey Niger Abdou Moumouni University Niamey Niger Issaka Gazobi Maternity hospital Niamey Niger General Reference hospital of Niamey Niamey Niger

Adnexal torsion is defined by the existence of a partial or complete torsion of the ovary and a tubal portion around its vascular pedicle. It is a rare gynecological emergency. We report the case of adnexal torsion on a large postpartum ovarian cyst in a 40-year-old patient. The diagnosis was suspected based on clinical and ultrasound signs and confirmed by exploratory laparotomy. The appearance of the cyst was suggestive of a mucinous cystadenoma of the ovary. The treatment was radical by performing an adnexectomy. The surgical piece weighed 5.2 kg. The postoperative course was simple. Anatomopathological examination had not been carried out;the parents had buried the operating piece.

关键词： Pelvic Pain Adnexal Torsion Postpartum Period Mucinous Cystadenoma

Experience of Menopause for Women in the Niamey Region, Republic of niger

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Open Journal of Obstetrics and Gynecology 2022年第11期12卷 1147-1154页

作者： Rahamatou Madeleine Garba Daddy Gaoh Nassira Salamatou Guédé Hamidou Soumana Diaouga Nafiou Idi Maina Oumara Madi Nayama niger-turkey friendship hospital Niamey Niger Abdou Moumouni University Niamey Niger Issaka Gazobi Maternity hospital in Niamey Niger General Reference hospital of Niamey Niamey Niger

Introduction: Menopause is poorly documented in Africa. For most of the women living there, the experience of this period does not seem to be very problematic. For women living in rural areas, other concerns are more prominent. Methods: The study was prospective, quantitative and qualitative about 500 cases collected over a period of 6 months. The study involved postmenopausal women in the Niamey region of public services, in certain residential areas, or accompanying people in health structures. Parameters taken into account were sociocultural, antecedents, experience, knowledge, and management of menopause. The data was entered and analyzed using Microsoft Office Word 2010 and Microsoft Office Excel 2010 software. Results: The average age was 56.4 years with extremes of 40 and 80 years;57% were still living with their husbands and 39% widows;60.2% housewives;53% uneducated, 17% have higher education;60.2% had had at least 6 children and 39.6% had used contraception. The comorbidities observed were arterial hypertension (24.4%) and diabetes (7%). As for the representation that women made of menopause, for all of them, this stage is the beginning of old age. The most frequent signs were asthenia (86.2%) and mood disorders (70.6%). Almost all of the patients (99.8%) had not used hormonal treatment for the menopause and among them 27% the management of the menopause was with traditional means. Conclusion: Menopausal disorders are certainly a reality in our socio-cultural context. They are not a primary concern either through ignorance or resignation of the women concerned.

关键词： Menopausal Experience Climacteric Syndrome HTM Niamey

Vesico-Vaginal and Recto-Vaginal Fistula and Death Caused by a Vaginal Foreign Body in a Body-Packer

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Open Journal of Obstetrics and Gynecology 2022年第10期12卷 1056-1061页

作者： Hamidou Soumana Diaouga Maimouna Chaibou Yacouba Madeleine Garba Rahamatou Nafiou Idi Madi Nayama Obstetrics and Gynecology Service Maternity Issaka Gazobi in Niamey Abdou Moumouni University Niamey Niger Obstetrics and Gynecology Service Niger-Turkey Friendship Hospital Abdou Moumouni University Niamey Niger Obstetrics and Gynecology Service Maternity of the Regional Hospital of Niamey Abdou Moumouni University Niamey Niger

Foreign body retained for long duration sometimes causes vesico-vaginal and recto-vaginal fistula. We report a 60-year-old woman with vaginal foreign body causing vesico-vaginal and recto-vaginal fistula;she died after foreign body removal due to septic shock. The patient had vaginal purulent discharge, abdominal pain, and a septic shock. A fragment of stone (limestone) was present in the vagina, which was removed. The patient developed urinary incontinence and fecal incontinence after removal of the foreign body. The examination demonstrated the presence of vesico-vaginal and recto-vaginal fistula. The patient died four days after removal of the foreign body due to septic shock and multi-visceral failure. During the extraction foreign body, bacteria could be disseminated into the systemic circulation and might cause septic shock. Thus, wide-spectrum antibiotic therapy must be used before the procedure, which may decrease the chance of septic shock.

关键词： Vaginal Foreign Body Vaginal Discharge Vesicovaginal Fistula Rectovaginal Fistula

Isolation and Identification of Aspergillus spp. During One Year in the hospitals

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Journal of Life Sciences 2012年第11期6卷 1220-1224页

作者： Iskender Karalti Gunay Tulay Colakoglu Nutrition and Dietetics Department Faculty of Health Sciences Yeditepe University Istanbu134755 Turkey Biology Department Faculty of Arts and Sciences Marmara University istanbu134722 Turkey

The aim of the present study was monitoring ofAspergillus spp. in six different hospitals in ｜stanbul. The authors know that disease like aspergillosis illness caused by Aspergillus spp. is very dangerous for people＇s health. Therefore, the present work has been performed to evaluate the hospitals＇ environment. Petri-plate method has been performed for isolation. Samples were taken at six different hospitals and various locations of each. 13 different Aspergillus species and 141 Aspergillus colonies have been isolated in totally. Maximally isolated species are： Aspergillus niger （29.1%）. A. nidulans （21.3%）, A. candidus （12.8%）, A. ochraceus （9.2%）, and A. versicolor （7.8%）. A. fumigates, A. flavus are the most pathogen species in human which have been isolated minimally.

关键词： Aspergillus hospital air Istanbul.