Medecine tropicale et sante internationale最新文献

{"title":"[OCULO-ORBITAL TUMOURS AT THE NATIONAL UNIVERSITY HOSPITAL CENTRE OF BANGUI (CNHUB), CENTRAL AFRICAN REPUBLIC, IN 2022].","authors":"Rodrigue Romuald Elien Gagnan Yan Zaou Tou, Jean Michel Mbaïkoua, Jess Elio Kosh Komba Palet, Nouhoum Guirou","doi":"10.48327/mtsi.v3i3.2023.396","DOIUrl":"10.48327/mtsi.v3i3.2023.396","url":null,"abstract":"<p><strong>Introduction: </strong>Oculo-orbital tumors are common. Their clinical and histological features are multiple. The management of oculo-orbital tumors is a real challenge in sub-Saharan Africa, especially in our context. The aim of this study was to contribute to the improvement of the management of oculo-orbital tumors at the Bangui Teaching Hospital (CNHUB).</p><p><strong>Methodology: </strong>This was a prospective, observational study of oculo-orbital tumors over 12 months from January 1 to December 31, 2022 in the ophthalmology department of the CNHUB. All consenting patients with histologically proven tumors of the eyeball and/or its adnexa were included in this study, regardless of age and sex.The parameters studied were:epidemiological: age, sex, occupation, origin;clinical: time of consultation, functional signs and associated signs, physical examination signs, risk factors;paraclinical: report of the anatomopathological examination of the operating room;therapeutic: treatment modalities (chemotherapy, surgery, palliative treatment, radiotherapy).These data were collected on a pre-established survey form for direct administration. The processing and the production of the results were carried out with Excel and Epi Info 7.0 software.</p><p><strong>Results: </strong>We included 97 patients with a mean age of 37.5 years, ranging from 2 to 70 years. There was a male predominance (sex-ratio = 1.8). Almost all patients lived in Bangui (96%). Patients under 40 years of age were most commonly affected (55%). The majority of tumors were benign (55%). Ocular pain (24%), lacrimation (22%) and orbital swelling (16%) were the main symptoms. Risk factors were mainly age (23%), diabetes (22%), HIV infection (16%) and alcohol and tobacco use (37%). The most common treatments were surgical removal (68%) and enucleation (16%). Chemotherapy was combined with surgery in 37% of cases.</p><p><strong>Conclusion: </strong>Oculo-orbital tumors are frequent in our context. Their morpho-histological presentations are varied. A multidisciplinary approach is important for a good management.</p>","PeriodicalId":101416,"journal":{"name":"Medecine tropicale et sante internationale","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10714605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138816204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[HIV communication paradigms must be changed in Africa].","authors":"B Seytre,&nbsp;B M Yoro,&nbsp;M A Djedou,&nbsp;O C Madiarra,&nbsp;K Mamey,&nbsp;A Diabagate,&nbsp;K B Kouamé,&nbsp;F Simaga","doi":"10.48327/JNZG-J383","DOIUrl":"https://doi.org/10.48327/JNZG-J383","url":null,"abstract":"<p><p>We conducted a socio-anthropological study in Ivory Coast to determine recommendations for a communication strategy aimed at increasing HIV testing, especially among young men. The study results showed that the existence of HIV testing is widely known as are the reasons for getting tested. Fear of death and of stigmatization is the main obstacle to testing. Men are more likely than women to be reluctant to undergo HIV testing, and the fear of dying of AIDS is especially strong among young people. Perceptions of HIV treatments are contradictory: while most of those interviewed know about HIV treatments and say that treatment makes it possible to maintain good health, HIV infection is still frequently associated with death. We recommend reinitiating the mass communication campaign around HIV that was abandoned in order to focus on targeted programs, in order to change perceptions of HIV infection and encourage people who are sexually active to get tested, especially those practicing risky behaviors. We also recommend developing communication messages targeting young men.</p>","PeriodicalId":101416,"journal":{"name":"Medecine tropicale et sante internationale","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9128461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71490998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}