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Epidemiological and Clinical Aspects of Abnormal Movements in Children from 2 Months to 15 Years in the Pediatric Department of Gabriel Toure university hospital centre of Bamako

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Open Journal of Pediatrics 2022年第1期12卷 170-178页

作者： Karamoko Sacko Djeneba Konaté Amadou Touré Belco Maiga Fousseyni Traoré Adama Dembelé Pierre Togo Abdoul Karim Doumbia Andoule Guindo Rokia Togola Oumar Coulibaly Diakite Fatoumata Léonie Francois Ibrahima Ahamadou Kalirou Traoré Abdoul Aziz Diakité Boubacar Togo Gabriel Toure university hospital centre Bamako Mali university hospital centre Point G Bamako Mali

Introduction: Abnormal or involuntary movements correspond to a disorder in the programming and/or execution of movement. They have two characteristics;they are hardly or not at all controlled by the will and occur in the absence of any paralysis. Objective: To determine the epidemiological, clinical and etiological characteristics of abnormal (involuntary) movements in children aged 2 months to 15 years. Patients and Methods: This was a prospective, descriptive study from January 2016 to December 2018 of children aged 2 months to 15 years seen in neuropediatric consultations for abnormal movements. Results: During the study period 1920 children were seen in neuropediatric consultations and 57 presented with abnormal movements, i.e. a frequency of 2.96%. Children aged between 6 and 60 months were the most affected (54.4%). The sex ratio was 1.53. Movement abnormality was the most common reason for consultation (45.7%), followed by apyretic convulsions (28%), and laxity (5.3%). The onset was progressive in 68.4% of children. The main types of abnormal movements were chorea (31.6%), dystonia (26.3%), myoclonus (17.5%), tremor in 10.5%. The causes were infectious (73.68%). Conclusion: Abnormal movements are rare in paediatric practice. They have multiple causes and their management is urgent in certain situations that can jeopardise the future of children.

关键词： Abnormal Movements Convulsions Children Bamako

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Factors Influencing the Resumption of Postpartum Female Sexuality in Women Who Have Given Birth Once or Several Times at the Ignace Deen Maternity hospital of the Conakry university hospital centre (Guinea)

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Open Journal of Obstetrics and Gynecology 2023年第10期13卷 1759-1769页

作者： I. Conté D. W. A. Leno O. Sylla A. F. M. Soumah I. Sylla B. A. Diallo I. S. Baldé T. Sy Department of Obstetrics and Gynaecology Ignace Deen National Hospital University Hospital Centre Conakry Guinea Department of Obstetrics and Gynaecology Donka National Hospital University Hospital Centre Conakry Guinea

Introduction: Sexuality in the postpartum period is a taboo subject that raises many questions, especially among women. The aim of this study was to evaluate the influence of factors such as mode of delivery, parity, type of household and level of education on the resumption of sexuality, by comparing our results with those in the literature. Methods: This is a prospective descriptive and analytical study, which took place from 3 April to 2 June 2023 in the maternity ward of the Ignace Deen National hospital of the university hospital centre of Conakry. The sample included married women who had given birth once or several times. Results: Of 118 married women who had given birth once or several times and who were questioned about their sexuality in the postpartum period, 75.42% (89 cases) stated that they had resumed sexual activity in the postpartum period. (The majority were aged 20 - 29 years (46.61%), pauci pares (51.69%), living in a monogamous household (88.14%), with secondary education (44.92%) and self-employed (38.98%). More than half (58.47%) of these women had a normal vaginal delivery with vulvo-perineal tear (5.80%), episiotomy (15.94%) and instrumental extraction (8.69%). The main reasons for resuming sexual activity were the desire to satisfy their partner (50.56%) and to maintain the harmony of the couple (29.21%). Resumption of sexual activity was more common in patients who had given birth by caesarean section (p = 0.007) and in patients with a higher level of education (p = 0.03). However, it was not influenced by parity or household type. Conclusion: Sexuality remains a taboo subject, and its resurgence in the postpartum period is influenced by the mode of delivery and the level of education and perception of women. Certain practices and complications related to childbirth can also influence the resumption of sexuality in the postpartum period.

关键词： Female Sexuality Post Partum Resumption Influencing Factors

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Frontal Sinus Fractures: Management at the Yalgado Ouedraogo university hospital centre (Burkina Faso)

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Open Journal of Stomatology 2024年第1期14卷 42-54页

作者： Arsène Coulibaly Patrik Gane-Bang Joseph Wend-Toin Biogo Ibraïma Traoré Tarcissus Konsem Department of Maxillofacial Surgery Regional University Hospital Centre of Ouahigouya Ouahigouya Burkina Faso Department of Stomatology and Maxillofacial Surgery Regional Hospital Centre of Banfora Banfora Burkina Faso Department of Neurosurgery Regional University Hospital Centre of Ouahigouya Ouahigouya Burkina Faso Department of Stomatology and Maxillofacial Surgery Souro SANOU University Hospital Centre Bobo Dioulasso Burkina Faso Department of Stomatology and Maxillofacial Surgery Yalgado OUEDRAOGO University Hospital Centre Ouagadougou Burkina Faso

Introduction: Frontal sinus fractures are potentially serious. They are defined as a solution of continuity, open or closed, of one or both bone tables of the frontal sinus. This study aims to report on the management of them at the Yalgado OUEDRAOGO university hospital centre. Methodology: It is a descriptive cross-sectional study with retrospective collection from January 01, 2016 to December 31, 2018. Patients with frontal sinus fractures were managed at the Yalgado OUEDRAOGO university hospital centre through CT-scan proof. Results: Over three years, a total of 102 cases of frontal sinus fractures were collected with 29.9 years as average age. There were 96 men. Workers in the informal sector and pupils/students represented 58.90% of patients. The residence of the patients was urban in 68.80% of cases and rural in 31.40%. Road traffic accidents (RTAs) happened in 90.20%, and involved 2-wheelers in 98.20%. None of these drivers was wearing a helmet. The type III frontal fracture of Ioannides et al. represented 51.9% of cases. In 89.21% of cases, other facial and/or cranioencephalic injuries were compounded to frontal sinus fractures. No surgical management was observed in 82 (80.39%) patients and surgical management in 20 (19.61%) patients. The outcome was favourable, but sequelae and/or complications were noted in 10 patients who had surgery and 30 patients who did not. Conclusion: These results enforce helmet wearing for all riders of two-wheeled machines. In addition, vaccinations to prevent meningitis in frontal sinus fractures with dural breach should be systematic.

关键词： Management Frontal Sinus Fracture Burkina Faso

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Endovascular Repair of Symptomatic （Non-ruptured） Abdominal Aortic Aneurysm in the university hospital centre Split

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Journal of Pharmacy and Pharmacology 2018年第5期6卷 509-514页

作者： S. Penovic L. Cambj-Sapunar T. Batinic T. Boric I. Ribicic A. Kanjer R. Opacak F. Simic D.Mestanek Clinic for Surgery University Hospital Centre Split Split 21000 Croatia Clinical Institute for Diagnostic and Interventional Radiology University Hospital Centre Split Split 21000 Croatia

The aim of this study is overview of endovascular university hospital centre Split. The sAAA refers to a number sAAA （symptomatic abdominal aortic aneurysm） treatment in the of symptoms associated with aneurysm. EVAR （endovascular aortic repair） is increasingly used as an alternative to an open method that cmTies a number of advantages. Between January 2016 and February 2017, eight patients were admitted to the university hospital centre Split due to sAAA, following clinical and diagnostic treatment by a team of vascular surgeons and emergency radiologists, and ultimately treated with EVAR. Two patients had femoral endarterectomy. One patient had fistula of the right external iliac artery with left common iliac vein. After EVAR with embolization of the right internal iliac artery, the fistula was resolved. Also, one patient had occluded left external iliac artery and femoral-femoral bypass graft was made. After the procedure, two patients had endoleak of type II. Perioperative mortality was zero. On control examinations, all patients were with good general condition and without complications. A prompt diagnosis of sAAA and good team working will result of emergency endovascular procedure and resolve the risk for abdominal aortic aneurysm rupture.

关键词： sAAA EVAR type II endoleak.

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Management of Priapism in Sickle Cell Patients: Experience of the Urology Department of the university hospital centre of Libreville

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Open Journal of Urology 2021年第3期11卷 87-94页

作者： Adiren Mougougou Steevy Ndang Ngou Milama Jean Félix Ngomas Natacha Boumas Francine Chimelle Mbana Boukoulou Dimitri Mbethe Izoudine Bissiriou Jean Massande Mouyendi Urology Department University Hospital Center of Libreville Libreville Gabon Emergency and Anaesthesia Department University Hospital Center of Libreville Libreville Gabon Paediatric Surgery Department University Hospital Centre—Mother and Child—Jeanne Ebori Foundation Libreville Gabon

Introduction: Priapism is a rare pathology, known since antiquity. Sickle cell disease is the main aetiology in Africa. The aim of our work was to report our experience in its treatment. Material and Methods: This is a prospective, descriptive study carried out at the urology department of the Libreville university hospital from January 2018 to December 2020. All sickle cell patients admitted to urology for priapism were included. The parameters studied were socio-demographic, clinical and therapeutic parameters as well as the evolution after treatment. Result: We collected 19 priapisms in sickle cell patients. The average age was 20.9 years with extremes of 4 and 53 years. Fifteen patients were homozygous SS. All patients had stasis priapism. The average consultation time was 22.4 hours. All patients had perioperative medical management combining hyperhydration, analgesia and antibiotic prophylaxis. A vasoactive drug was administered to 13 patients. Sixteen patients had a puncture of the corpus cavernosum. A distal cavernosal-spongiosum shunt under penile block was performed in 6 patients. The outcome was favorable from the outset in 12 cases, marked by complete detumescence of the corpus cavernosum. Partial detumescence was noted in 7 patients with the need for a new puncture of the cavernous body. A complication such as edema of the penis was in only one of our patients. A recurrence was noted in 2 patients. After an average follow-up of 6 months, no sequelae erectile dysfunction was observed. Conclusion: Priapism is a frequent complication among sickle cell patients in Libreville. Medical management associated with a cavernous puncture with administration of vasoactive drugs allows a favourable evolution without after-effects.

关键词： Priapism Sickle Cell Disease Vasoactive Drug Cavernous Puncture Libreville

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Psychomotor Development of Low Birth Weight Infants at the “Mère-Enfant” university hospital centre (UHC) of Libreville

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Open Journal of Pediatrics 2023年第1期13卷 113-124页

作者： Kuissi Kamgaing Eliane Minto’o Rogombe Steeve Mintsa-Mi-Nkama Edmée Mabery Grodet Eyang Adriana Mino Lembet Mikolo Aude Koumba Maniaga Raïssa Kiba Live Boungani Morgane Loulouga Badinga Pascal Simon Ategbo Children’s Ward Neonatal Medicine Department University Hospital Centre “Mère-Enfant” Jeanne Ebori Foundation (UHCME-JEF) of Libreville Libreville Gabon Department of Pediatrics Faculty of Medicine UHS (University of Health Sciences) of Gabon Libreville Gabon

Introduction: Low birth weight is a key indicator of newborn health. The objective of this study was to contribute to the reduction of low birth weight-related morbidity and mortality. Patients and Methods: cohort study conducted from January 2019 to July 2020 at the “Mère-Enfant” university hospital centre (UHC) of Libreville. All newborns with a birth weight 2500 g were included. The clinical data of patients were studied. They were followed over a period of 12 months and assessed psychomotorly by the Brunet-Lézine scale. Results: 1260/9035 births of low birth weight (14.0%) were observed, and 300 among them were included. The mortality rate was 27.0% (81) and 219 were followed for 12 months. The sex ratio was 0.8, the average birth weight was 2008.6 ± 215.2 g. The average gestational age was 34 ± 12 weeks with 75.3% prematurity. An infant disease was observed in 61.6% of cases and respiratory pathologies were more observed except at 3 months of age where the proportion of digestive pathologies was 20.5%. At the time of the last consultation at 12 months of life, 76.2% of infants had no pathology. The quotients of postural development, language and coordination were normal (between 110 - 70) respectively in 75.4%, 99.1% and 68% of cases at the age of 12 months. The psychomotor development quotient was correlated with the birth weight in the language area r = 0.15 (p = 0.024), posture r = 0.15 (p = 0.015) and coordination r = 0.15 (p = 0.026) respectively. Conclusion: Low birth weight is a public health problem at UHCME-JEF. Despite the fact that psychomotor development can be said to be satisfactory, many efforts remain to be made to reduce low birth weight levels and improve survival.

关键词： Hypotrophy Psychomotor Development UHCME-JEF Libreville-Gabon

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Tumours of salivary glands in the stomatology and maxillo-facial surgery unit at the university hospital centre —Yalgado Ouédraogo

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Open Journal of Stomatology 2013年第9期3卷 465-470页

作者： Mathieu Millogo Tarcissus Konsem Haréfétéguén Bissa Rasmané Béogo Dieudonné Ouédraogo Service of Stomatology and Maxillo-Facial Surgery of the university hospital of Tokoin Lomé Togo Service of Stomatology and Maxillo-Facial Surgery of the university hospital Souro SANOU Bobo-Dioulasso Burkina Faso Service of Stomatology and Maxillo-Facial Surgery of the university hospital Yalgado Ouédraogo Ouagadougou Burkina Faso

The aim of this study was to contribute to strengthening the efficiency in the treatment of the salivary gland tumours in the Stomatology and Maxillo-facial surgery service at the university hospital centre/Yalgado OUEDRAOGO of Ouagadougou. It has been a retrospective and descriptive study covering seven (7) years [January 2006-December 2012] on epidemiology and the treatment of 54 cases of the salivary glands tumours histologically confirmed. Benign tumours (non-malignant tumours were prevalent (61.11% of cases). The annual incidences were 4.71 cases for non malignant tumours and 3 cases for malignant tumours. The average age was 34-45 years for non malignant tumours and 44-33 years for malignant ones. In both groups, the tumour was discovered lately with an average 32-48 months before consulting in case of non malignant tumours and 18-29 months for malignant tumours. The location of non malignant tumours was very often the parotid (42.42%), under mandible gland (27.28%). Malignant tumours very often concerned the parotid (76.18%) and the under mandible gland (14.29%). The histology has revealed that pleomorphic adenoma was the leading type of non-malignant tumours (93.94% of cases) whereas carcinoma was predominant in malignant tumours (80.95% of cases). Long term track keeping was difficult and it has been complicated by the loss of contact with some patients. The low living standard, the time wasted before consulting, limited human resources and therapeutic means constitute handicaps to the treatment in our African context.

关键词： Tumours Salivary Glands Epidemiology Histology Treatment

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Toxoplasmic Chorioretinitis: About a Case in an Immunocompetent Adult at the Renaissance university hospital centre (UHC) in N’Djamena (Chad) and Review of the Literature

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World Journal of Neuroscience 2024年第1期14卷 1-5页

作者： Mahamat Ali Bolti M. Lobe Régis Oumaima Djarma Siddick Oumar Koyo Yusra Aboulbachar Alain Hernandez Department of Internal Medicine Renaissance University Hospital N’Djamena Chad Ophthalmology Department Renaissance University Hospital N’Djamena Chad Research Laboratory of the Faculty of Human Health Sciences in N’Djamena Farcha Provincial Hospital N’Djamena Chad Emergency Department N’Djamena Renaissance University Hospital N’Djamena Chad

Toxoplasmic chorioretinitis also known as ocular toxoplasmosis is a parasitic infection caused by the obligately intracellular multiplying protozoan called Toxoplasma gondii. Active toxoplasmic chorioretinitis is a rare condition in immunocompetent people. We report a case of a 47-year-old patient who received reduced right visual acuity, left hemiparesis and eye pain. Examination of the right anterior segment of the eye is unremarkable. In the fundus of the right eye, there was a focus of active toxoplasmic chorioretinitis located in the macula at 1.5 mm papillary diameter next to old scar lesions. The ophthalmological examination of the left eye was unremarkable. The paraclinical assessment carried out on the patient shows a positive Remington test on two occasions three weeks apart. The clinical outcome after initiation of treatment was favorable with a healing of the active site within four weeks.

关键词： Chorioretinitis Toxoplasmosis N’Djamena Chad

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Management of Urological Lesions Secondary to Obstetrical Gyneco Surgery in the Urology Department of the Gabriel Toure university hospital centre

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Surgical Science 2018年第7期9卷 203-209页

作者： Amadou Berthé Mamadou Tidiane Coulibaly Adama Toutou Diallo Moumine Zié Diarra Ibrahim Yattara Zanafon Outtara Amidou Domegué Ouattara Thièrno Madane Diop Urology Service Gabriel Touré University Hospital Bamako Mali Urology Service of the CHU du Point G Bamako Mali Anesthesia Unit Resuscitation at Gabriel Touré University Hospital Bamako Mali

Summarizes: The objective of this work was to study the clinical, diagnostic, therapeutic and evolutionary aspects of urological lesions secondary to gynaeco-obstetrical surgery in the urology department of the Gabriel Touré university hospital. Material and method: It was a transversal and retrospective study carried out in the urology department of the Gabriel Touré university hospital centre in Bamako over 8 years. It focused on the files of 25 patients operated on for a urological lesion secondary to gynaeco-obstetrical surgery. Sociodemographic, epidemiological, diagnostic, therapeutic and evolutionary parameters were analysed. Results: Urologic lesions secondary to gynaeco-obstetrical surgery were found in 0.72% of urologically operated patients. The mean age of the patients was 39 ± 10.4 years (extremes: 18 and 60 years). The average time to diagnosis was 121, 88 ± 15 days (extremes: 0 and 365 days). Clinical signs were: oligo anuria (16%), urine leakage (52%), lumbar pain (24%). The diagnosis was made by the methylene blue test in 56% of patients, by the uro-scanner (20%) and by intravenous urography (16%). In 8% of patients, the diagnosis was made during surgery. The surgical interventions involved were: hysterectomy (48%), cesarean section (40%), genital prolapse cure (8%), ovarian cystectomy (4%). Lesions were dominated by vaginal vesico fistulas (48%) followed by ureterovaginal fistulas (20%), ureteral ligatures (16%). Treatment consisted of ureterovesical reimplantation according to Lich Gregory with ureteral intubation (36%), fistulography (48%). Healing was achieved in 92% of patients. Conclusion: Hysterectomy for cervical malignancy and cesarean section are the main etiologies of urological lesions secondary to gynaeco-obstetrical surgery. Open surgery is the only alternative for the management of these lesions in our context. Controlling anatomy is the main preventive measure.

关键词： Urologic Lesions Gyneco-Obstetrical Surgery

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Risk Factors for Mortality Upper Digestive Haemorrhages at the university hospital centre of Brazzaville

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Open Journal of Gastroenterology 2020年第12期10卷 341-348页

作者： Rody Stéphane Ngami Pétula Moulene Jile Florient Mimiesse Arnaud Mongo-Onkouo Ngala Akoa Itoua-Ngaporo Marlyse Ngalessami Péres Mardochée Motoula Latou Céline Sandra Adoua Philestine Clausina Mikolele Ahoui Apendi Deby Gassaye Blaise Irénée Atipo Ibara Jean-Rosaire Ibara Department of Gastroenterology and Internal Medicine Brazzaville University Hospital Brazzaville Congo Faculty of Health Sciences Marien Ngouabi University Brazzaville Congo

In the absence of interventional endoscopy, the treatment of upper digestive haemorrhages (HDH) at Brazzaville university hospital is essentially medicinal. The objective of this work was to identify the risk factors for HDH mortality at Brazzaville university hospital by conducting a retrospective prognostic case-control study over a period of 2 years, from January 2017 to December 2018. The 180 patients included in the study for an HDH were divided into 2 groups according to their evolutionary modality: deceased patients (cases) and non deceased patients (controls). The mortality risk factors were studied by logistic regression. Mortality related to upper digestive haemorrhages was 36.6%;the risk factors for death were age between 30 and 60 years with a (OR: 9.79;95% CI [1.24 - 76.83];p = 0.003);male sex (OR: 2.03;95% CI [1.03 - 4];p = 0.0393);late consultation beyond 24 hours (OR: 6.30;95% CI [2.12 - 18.72];p = 0.0009), blood transfusions (OR: 3.5;95% CI [1.66 - 7.40];p = 0.0001). Protective factors were haemoglobin greater than 7 g/dL (OR: 0.28;95% CI [0.14 - 0.54];p = 0.0001);treatment with proton pump inhibitors (OR: 0.36;95% CI [0.15 - 0.84];p = 0.0191). In conclusion, the reduction of the still high mortality rate in our country requires taking into account the identified risk factors and the acquisition of endoscopic haemostasis equipment.

关键词： Upper Digestive Haemorrhage Mortality Haemostasis Brazzaville

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