Medecine tropicale : revue du Corps de sante colonial最新文献_第6页

[Hysterectomy: indications and advantages of the vaginal route in Mali]. [子宫切除术:马里阴道路径的适应症和优势]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

M Traoré, A Togo, Y Traoré, B T Dembélé, I Diakité, S O Traoré, O M Traoré, A Coulibaly, S I Keita, A Diabaté

{"title":"[Hysterectomy: indications and advantages of the vaginal route in Mali].","authors":"M Traoré, A Togo, Y Traoré, B T Dembélé, I Diakité, S O Traoré, O M Traoré, A Coulibaly, S I Keita, A Diabaté","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this report was to determine the frequency of hysterectomy and describe its indications and outcomes. A retrospective, descriptive study related to active hysterectomy of was conducted at the reference health centre of commune V in Bamako, Mali from January 1st, 2004 to December 31st, 2008. All hysterectomy patients with complete medical files were included. A total of 172 files were identified including 152 that were complete. Hysterectomy accounted for 1.38% of all interventions during the study period. The procedure was carried out in emergency in 0.14% and electively in 13.39%. Mean patient age was 47.9 +/- 11.7 years; 89 patients were older than 45 years. The indications for hysterectomy were complicated uterine fibroids in 82 patients, genital prolapse in 44, adenomyosis in 10, obstetrical hysterectomy in 13 and cervical dysplasia in 3. The abdominal route was used in 100 patients (65.8%) and the vaginal rout in 52 (34.2%). The duration of the procedure and hospital stay was longer after hysterectomy by the abdominal (p<0.05). Perioperative complications were observed in 17% of patients after abdominal hysterectomy versus 7.69% after vaginal hysterectomy. Two maternal deaths due to hemorrhagic shock were observed after obstetrical hysterectomy. Hysterectomy is a frequent intervention that is not without complication risks. Choice of route depends on the indication and skill of the operator. Although endoscopic surgery is still difficult to perform in developing countries, development of vaginal hysterectomy is necessary to reduce perioperative complications.","PeriodicalId":18423,"journal":{"name":"Medecine tropicale : revue du Corps de sante colonial","volume":"71 6","pages":"636-7"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40143069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Cardiac stimulation in Africa: necessity must overcome doubt]. [非洲的心脏刺激:必要性必须克服疑虑]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

P-L Massoure, N Roche, L Fourcade

引用次数: 0

[Providing vulnerable populations in subSaharan Africa access to obstetrical care: strategy for improving prenatal services]. [为撒哈拉以南非洲的弱势群体提供产科护理:改善产前服务的战略]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

M Dugas

引用次数: 0

[Rehabilitation of war disabled people in the tropics: example from Colombia]. [热带地区战争残疾人的康复:以哥伦比亚为例]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

D Lagauche

引用次数: 0

[Urinary disorders associated with bilharziasis. Urodynamic evaluation. Findings in 10 cases]. 与血吸虫病相关的泌尿系统疾病。尿动态评估。[10例分析]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

A Guinet, M Jousse, D Verollet, F Le Breton, G Amarenco

引用次数: 0

[Childhood acute lymphoblastic leukemia: 12 cases in Mali]. 儿童急性淋巴细胞白血病:马里12例。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

B Togo, F Traoré, A A Diakité, S Diallo, B Traoré, O Fenneteau, A Touré, F Traoré-Dicko, M Sylla, T Sidibé, G Leverger

{"title":"[Childhood acute lymphoblastic leukemia: 12 cases in Mali].","authors":"B Togo, F Traoré, A A Diakité, S Diallo, B Traoré, O Fenneteau, A Touré, F Traoré-Dicko, M Sylla, T Sidibé, G Leverger","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Data about childhood acute lymphoblastic leukemia, the most common childhood malignancy in industrialized countries, are scarce in African publications. The purpose of this prospective, unicentric study were to assess the socio-demographic, clinic and laboratory characteristics of the children treated for lymphoblastic leukemia in our pediatric oncology unit in Gabriel Touré Teaching Hospital in Bamako, Mali.Patients and methods: This study includes all children between 1 and 15 years old treated for cytologically documented acute lymphoblastic leukemia from January 1, 2007 to September 30, 2009.Results: A total of 12 cases including 8 boys and 4 girls (sex ration, 2) were treated during the study period. Mean age was 92 months. Age was less than 4 years old in 2 cases. 5 (41,7%) were between 5 and 9 years in 5 (41.7%) and between 10 to 15 years in five. At the time of presentation, 9 patients (75%) were in a cachectic state; 10 had lymphadenopathies, splenomegaly and hepatomegaly; and 2 had neurological involvement. The delay for definitive diagnosis was 5 months in 4 cases (33,3 %) and less than 5 months in the remaining cases. Initial white blood cell count was more than 50 000/mm3 in 10 cases and less less than 50 000/mm3 in 2 cases. All patients were treated using the LAL GFAOP protocol including LAL1 in 6 cases, LAL2 in 5 and LAL3 in 1. Treatment complications were included 6 undocumented infections in 6 cases, hemorrhage in 2 and severe anemia in 4. Four patients died. At 5 years follow-up, overall survival rate was 66,7%.Conclusion: A multicentric study including a greater number of children is needed to increase understanding of the characteristics of childhood acute lymphoblastic leukemia in sub-Saharan Africa.","PeriodicalId":18423,"journal":{"name":"Medecine tropicale : revue du Corps de sante colonial","volume":"71 6","pages":"629-31"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40143137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Médecine Tropicale: the new begin]. [热带:新的开始]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

Jean-Jacques Morand

引用次数: 0

[Nocardiosis: 4 cases in Senegal]. [诺卡病:塞内加尔4例]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

K M Ba-Fall, M N Mbaye, A R Niang, M E Faye, K Fall, B Fall, P S Bâ, T O Soko, P S Mbaye

引用次数: 0

[FAV-Africa: a polyvalent antivenom serum used in Africa and Europe]. [FAV-Africa:一种在非洲和欧洲使用的多价抗蛇毒血清]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

A Wolf, C Mazenot, S Spadoni, F Calvet, J P Demoncheaux

{"title":"[FAV-Africa: a polyvalent antivenom serum used in Africa and Europe].","authors":"A Wolf, C Mazenot, S Spadoni, F Calvet, J P Demoncheaux","doi":"","DOIUrl":"","url":null,"abstract":"FAV-Afrique is a polyvalent snake antivenom, elaborated by immunisation of horses with venom from 10 different snake species among the most dangerous in Africa and belonging to Elapidae and Viperidea families. Only F(ab')2 fragments are kept and purified. This serum is able to decrease the quantity of circulating venom and therefore its toxicity. Its use is indicated as soon as the first signs of poisoning are observed (local oedema). Twenty millimetres are administrated via intra-venous route whatever the weight of the patient. Re-administration may be performed if improvement is not sufficient. Treatment should be initiated as soon as possible but can be realized as long as the symptoms are present. Side effects (allergy) should be considered but balanced with the seriousness of poisoning. There is no absolute contraindication or drug interaction reported with FAV-Africa. It is authorized and distributed in several African countries and has a temporary regulatory approval in France. The major limits to its use are high cost and storage conditions (maximum 36 months between +2 degrees C and +8 degrees C). In the future, the new serum Antivipmyn Africa, available as a freeze-dried product, which can be preserved at room temperature, should improve storage conditions and availability of treatment, especially in rural Africa.","PeriodicalId":18423,"journal":{"name":"Medecine tropicale : revue du Corps de sante colonial","volume":"71 6","pages":"537-40"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40144336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Pseudotumoral appearance of hepatic amebiasis]. [肝阿米巴病的假肿瘤表现]。

Medecine tropicale : revue du Corps de sante colonial Pub Date : 2011-12-01

O Baraket, A Berriche, R Zribi, F Chebbi, A Chokki

引用次数: 0