Annales Africaines de Medecine最新文献_第8页

Scanographic profile tumors from 3 radiology division in Kinshasa: retrospective serial cases 金沙萨3个放射科肿瘤的扫描图:回顾性系列病例

Annales Africaines de Medecine Pub Date : 2022-09-23 DOI: 10.4314/aamed.v15i4.6

A. Molua, E. Matondo, Michel Tshikuela Lelo, J. Mukaya, A. Mbongo, T. Mazoba

{"title":"Scanographic profile tumors from 3 radiology division in Kinshasa: retrospective serial cases","authors":"A. Molua, E. Matondo, Michel Tshikuela Lelo, J. Mukaya, A. Mbongo, T. Mazoba","doi":"10.4314/aamed.v15i4.6","DOIUrl":"https://doi.org/10.4314/aamed.v15i4.6","url":null,"abstract":"Context and objective. The pancreas being a deep organ, its clinical exploration is sometimes limited and inefficient. The diagnosis of pancreatic pathologies is mainly based on the dosage of pancreatic enzymes (lipasemia in particular) and medical imaging. The objective of the present study was to describe the scanographic profile of pancreatic tumors in 3 radiology departments in Kinshasa. Methods. It was a retrospective serial case study conducted in 3 radiology departments in Kinshasa from January 2016 to June 2021, having retained 86 reports of abdominal computed tomography (CT) scan of patients with pancreatic pathology. Results. 66 cases of pancreatic tumors were involved. Male patients were predominant (sex-ratio M/F=1.6) and the mean age of 55.7 ± 14.7 years (range: 16 to 92 years). Cholestasis syndrome (50 %) and abdominal (epigastric) pain were the most common indications. In tumors, the contours were lobulated (56.1 %). The Wirsung duct was dilated in most tumors. The tumors were resectable in 26 % of cases. Conclusion. The abdominal CT-scan contributes to the diagnosis of pancreatic pathologies. These pathologies mostly affect male elderly subjects, are predominantly tumoral and generally diagnosed in late unresectable stage.","PeriodicalId":31055,"journal":{"name":"Annales Africaines de Medecine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82001181","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

About one observation of an acute Klebsiella pneumoniae tonsillitis 急性肺炎克雷伯菌扁桃体炎1例

Annales Africaines de Medecine Pub Date : 2022-09-23 DOI: 10.4314/aamed.v15i4.13

Smail Kharoubi

引用次数: 0

Socio-economic aspects of the management of chronic viral hepatitis in Côte-d’Ivoire Côte-d科特迪瓦慢性病毒性肝炎管理的社会经济方面

Annales Africaines de Medecine Pub Date : 2022-09-23 DOI: 10.4314/aamed.v15i4.3

H. Anzouan-Kacou, Maire Dehinsala, A. Bangoura, D. H. Kouamé, Adjéka Stanislas Doffou, A. Mahassadi, F. B. Yao, A. Attia

{"title":"Socio-economic aspects of the management of chronic viral hepatitis in Côte-d’Ivoire","authors":"H. Anzouan-Kacou, Maire Dehinsala, A. Bangoura, D. H. Kouamé, Adjéka Stanislas Doffou, A. Mahassadi, F. B. Yao, A. Attia","doi":"10.4314/aamed.v15i4.3","DOIUrl":"https://doi.org/10.4314/aamed.v15i4.3","url":null,"abstract":"Context and objectives. Chronic viral hepatitis is a public health problem in Côte-d’Ivoire. A significant number of patients have little access to treatment due to the high costs of assessment and treatment. The objective of our study was to evaluate the costs of assessments and treatment of chronic viral hepatitis. Methods. This was an analytical cross-sectional observational study from March 1, 2019 to July 31, 2019 in the Hepato- Gastroenterology Consultation Service at the Yopougon University Hospital. The variables studied were socio-demographic and economic parameters. Results. 136 patients (men 53.6 %, average age 42 ± 12.2 years) were included. More than half of the patients (63.3 %) had a monthly income not exceeding 490.39 USD. The cost ofthe initial assessment was 223.13 USD and 351.14 USD for viral hepatitis B and C, respectively. Tenofovir and pegylated interferon were free of charge. Treatment with sofosbuvir + velpastavir cost 593.37 USD. The annual follow-up assessment was estimated at 237.02 USD for viral hepatitis B and 225.58 USD for viral hepatitis C. Conclusion. The assessment and treatment of chronic viral hepatitis have a cost that remains high for patients despite the universal health coverage.","PeriodicalId":31055,"journal":{"name":"Annales Africaines de Medecine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84019167","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

Spermogram abnormalities correlate with epididymo-vesicular biochemical markers in infertile men: an analytical cross-sectional study 精子图异常与不育男性附睾-泡生化标志物相关:一项分析性横断面研究

Annales Africaines de Medecine Pub Date : 2022-09-23 DOI: 10.4314/aamed.v15i4.5

Philémon Matumo Mumbere, Jean Sihalikyolo Juakali, Etienne Kakule Ndungo, Olivier Mulisya, Albin Baraka Mulyanderu, L. Muhindo, A. Modia, O. L. Ahuka, G. B. Katenga

{"title":"Spermogram abnormalities correlate with epididymo-vesicular biochemical markers in infertile men: an analytical cross-sectional study","authors":"Philémon Matumo Mumbere, Jean Sihalikyolo Juakali, Etienne Kakule Ndungo, Olivier Mulisya, Albin Baraka Mulyanderu, L. Muhindo, A. Modia, O. L. Ahuka, G. B. Katenga","doi":"10.4314/aamed.v15i4.5","DOIUrl":"https://doi.org/10.4314/aamed.v15i4.5","url":null,"abstract":"Context and objective. The sperm tests explore testicular spermatogenesis, epididymal maturation and storage, prostate and seminal vesicle secretions and genital tract patency. The aim of this study was to establish a correlation between spermogram abnormalities and epididymalvesicular biomarkers of spouses in infertile couples. Methods. An analytical cross-sectional study was conducted from November 15, 2020 to October 15, 2021 at the Centre Universitaire de Diagnostic du Graben in Butembo, DRCongo. The correlation between spermogram abnormalities and epididymal biomarkers was investigated by determining the Pearson correlation coefficient. Results. One hundred ninety-two patients were involved. The alphaglucosidase concentration was low in 31.2 % of cases of altered spermograms against 7.3 % of the spouses with normal spermograms. The fructose concentration was also low in 37.5 % of cases of altered spermograms against 4.2% of normal spermograms. Semen volume was associated with reduced fructose concentration while sperm concentration, motility, vitality and morphology were correlated with reduced alphaglucosidase levels. Chlamydia (OR: 13.7), Gonorrhoea (OR: 3.8), anti-sperm antibody serology (OR: 6.05), history of STI (OR: 3.61), smoking (OR: 5.62), leukocytospermia (OR: 6.23) as well as varicocele and obesity were significantly correlated with spermogram abnormalities. The latter were dominated by oligoasthenoteratozoospermia (39.6%) and consisted of various types of abnormalities including azoospermia (15.6 %). Conclusion. The functional status of the epididymo-vesicular and genital tract influences semen quality. Genitou-inary tract infections, even if asymptomatic, are the major etiological factor of infertility. The topographical diagnosis requires the contribution of sperm biochemical markers for a judicious therapeutic approach. ","PeriodicalId":31055,"journal":{"name":"Annales Africaines de Medecine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72603694","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

Eosinophilic granulomatosis with Anti-MPO-C-ANCA-associated polyangitis: a case report illustrating the diagnosis difficulty 嗜酸性肉芽肿伴抗mpo - c - anca相关性多血管炎1例，诊断困难

Annales Africaines de Medecine Pub Date : 2022-09-23 DOI: 10.4314/aamed.v15i4.9

Indretsy Mahavivola Ernestho-ghoud, Ny Ony Narindra Lova Hasina Rajaonarison, Ahmad Ahmad

引用次数: 0

Violence against health personnel in Mexico in the context of the COVID-19 pandemic: a systematic review 2019冠状病毒病大流行背景下墨西哥针对卫生人员的暴力行为:系统回顾

Annales Africaines de Medecine Pub Date : 2022-09-23 DOI: 10.4314/aamed.v15i4.8

Ángeles Leyda Avilés García, Eliezer Morales Rojas, M. Piña, H. Zerón

引用次数: 0

Spiegel's hernia, a rare weakness of the abdominal wall 斯皮格尔疝，一种罕见的腹壁弱点

Annales Africaines de Medecine Pub Date : 2022-09-23 DOI: 10.4314/aamed.v15i4.12

Taoufik Elabbassi, Abdeladime Zouhair, A. Elkarouachi, Bachar Amine, M. Lefriyekh

引用次数: 0

A peripheral osteoma of the mandible: a case report 下颌骨周围性骨瘤1例

Annales Africaines de Medecine Pub Date : 2022-09-23 DOI: 10.4314/aamed.v15i4.10

I. Turki

引用次数: 0

Prevalence of chronic viral hepatitis B in Bangui and Bimbo in the Central African Republic: cases of regular voluntary donors not eligible for blood donations 中非共和国班吉和宾博的慢性乙型病毒性肝炎流行情况:不符合献血条件的定期自愿献血者病例

Annales Africaines de Medecine Pub Date : 2022-09-23 DOI: 10.4314/aamed.v15i4.7

C. M. Pamatika, C. D. Mossoro-Kpinde, Aint-Calvaire Henri Dieme, Geoffroy Ndakouzou Kongo, Régina Edwige Lenguetama Kodia, Hyacinthe Nguida, J. D. D. Longo

{"title":"Prevalence of chronic viral hepatitis B in Bangui and Bimbo in the Central African Republic: cases of regular voluntary donors not eligible for blood donations","authors":"C. M. Pamatika, C. D. Mossoro-Kpinde, Aint-Calvaire Henri Dieme, Geoffroy Ndakouzou Kongo, Régina Edwige Lenguetama Kodia, Hyacinthe Nguida, J. D. D. Longo","doi":"10.4314/aamed.v15i4.7","DOIUrl":"https://doi.org/10.4314/aamed.v15i4.7","url":null,"abstract":"Context and objective. Viral hepatitis B (VHB) by its evolution can lead to recovery or to a chronic form. This chronic form, a source of new contaminations, is not documented among voluntary blood donors (VBD) in Bangui and Bimbo. The present study aimed to determine the prevalence of chronic VHB among VBD in the two cities in the Central African Republic (CAR). Methods. The study carried out at the Bangui National Blood Transfusion Center was retrospective and focused on serological control data from VBD from Bangui, capital of CAR and Bimbo. The exhaustive sampling is from July 2013 to December 2019. A VBD carries a chronic infection if the VHB surface antigen persists for more than six months. Results. Serological control data from 702 VBD aged 18 to 62 years were analyzed. Male sex predominated at inclusion (n = 598). The prevalence of chronic VHB was 70.5 %. This prevalence was higher among young VBD aged 25 to 34 years (30.4 %), the male gender (58.4 %) and VBD residing in Bangui (61.2 %). The chronic form was significantly associated with young age (18 to 44 years) and male sex (p< 5%). Co-infection with HIV and hepatitis C was found in 5.5 % of cases (39/702). Conclusion. The prevalence of chronic VHB is very high in VBD from Bangui and Bimbo. The chronic form was significantly associated with age and sex. Free viral load and antiviral treatment are prospects to be implemented.","PeriodicalId":31055,"journal":{"name":"Annales Africaines de Medecine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88116846","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

Cerebral toxoplasmosis, miliary tuberculosis and HIV co-infection with CD4 count of 446 cells/mm3: an unsual case report 脑弓形虫病、军队结核和HIV合并感染CD4计数446细胞/mm3 1例不寻常报告

Annales Africaines de Medecine Pub Date : 2022-09-23 DOI: 10.4314/aamed.v15i4.11

O. Loua, Dramane Ouedraogo, Dramane Ouadraogo, M. Soumaré, Amayi Essénam Allé Akapko, Y. Cissoko

引用次数: 0