EAS Journal of Medicine and Surgery最新文献

{"title":"Study of Macrosomic Deliveries in the Gynaecology and Obstetrics Department of the \"Major Moussa Diakite\" Reference Health Center in Kati, Koulikoro, Republic of Mali","authors":"Camara Daouda, Sylla Yacouba, Coulibaly Ouazoun, T. Salia, Fané Seydou, Ouologem Aly Daouda, Samaké Bintou, Koné Bocary Sidi, D. Z, Saye Amaguiré, Diarra Dessé, Diarra Sirama, Koné Diakaridia, Bocoum Amadou","doi":"10.36349/easjms.2024.v06i01.002","DOIUrl":"https://doi.org/10.36349/easjms.2024.v06i01.002","url":null,"abstract":"The delivery of a macrosomic baby remains a concern for obstetricians and neonatologists, especially when the delivery is vaginal, because of the risk of maternal and perinatal complications. The aim of this article is to study macrosomic deliveries in the gynaecology and obstetrics department of the Kati reference health center. Method: This was a prospective, cross-sectional study which ran from 1 November 2020 to 31 October 2022, a period of 24 months. It concerned all deliveries in which the birth weight of the newborn was greater than or equal to 4000 grams, excluding cases of foetal malformations. Results: Out of a total of 4676 deliveries, we recorded 127 cases of macrosomia, a frequency of 2.7%. The average age of the women was 28.5 years, ranging from 16 to 47 years. The main risk factors identified were high multiparity (29.1%), maternal obesity (28.4%), overdue delivery (19.7%), previous delivery with the presentation was cephalic in 93.7% of cases, and delivery was by vaginal route in 63.8% of cases, compared with caesarean section in 36.2%. Maternal complications were dominated by perineal tears in thirteen cases (10.2%), cervical tears in two cases (1.6%), endometritis in two cases (1.6%), vaginal tears in one case (0.8) and haemorrhage during delivery in one case (0.8%). However, no complications were found in 108 out of 127 deliveries (85%). The Apgar score was less than eight at 1 minute in 12.6% of newborns. We observed serosanguineous hump (8.7%), brachial plexus paralysis (4.7%), clavicle fracture (1.6%) and early neonatal death (2.4%) due to neonatal distress. Conclusion: Macrosomic delivery carries very real risks, and the indications for vaginal delivery must be restricted in order to improve maternal and foetal prognosis.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"71 4-5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140494713","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}

{"title":"Evaluation of the Quality of CPNS between October 2017 and March 2018 at the Hospital of Gao (Mali)","authors":"Kalifa Traore, B. S. Kone, M. Coulibaly, Séma Kéita, C. Sylla, Yacouba Sylla, I. Guindo, Bamba Brehima, M. Haïdara, D. Fomba, Yacouba Aba Coulibaly, M. Dicko, Seydo Seydo","doi":"10.36349/easjms.2024.v06i01.001","DOIUrl":"https://doi.org/10.36349/easjms.2024.v06i01.001","url":null,"abstract":"The aim was to evaluate antenatal consultations at the maternity ward of the hospital in Gao (Mali). Materials and methods: This was a cross-sectional descriptive evaluative study that involved a randomly selected sample of 122 cases of antenatal consultations carried out over a period of (6 months). Results: In our study, the 21 to 30 age group was the most represented with a rate of 67%; 23% of pregnant women were between 14 and 20 years old and 10% were over 30 years old. The Sonrhaïs were mostly represented. In fact, more than one in two pregnant women belonged to this socio-cultural group, 53.2%. The majority of our pregnant women were out of school or in high school, i.e. 55% respectively; 38%. The household profession was the most represented in our study, accounting for 60% of cases. During this study, most pregnancies were seen in the third trimester with a rate of 72%, less than % of pregnancies had had 4 PNCs. The objective of comparing the quality index of so-called high-risk pregnancies with others could not be explored due to the very limited number of these pregnancies in our sample.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"25 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139390301","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}

{"title":"Post-Traumatic Dissection of the Right Common Carotid Artery: A Case Report","authors":"I. M. Niandou, I. Kouzmane, S.A. A Amar, S. E. Youbi, H. Naouli, H. Jiber, A. Bouarhroum","doi":"10.36349/easjms.2023.v05i11.003","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i11.003","url":null,"abstract":"Arterial injuries in neck trauma often result in serious consequences that can compromise the patient's vital prognosis. Artery dissection injuries are not uncommon in traumatic events in this region. The diagnosis is based on a combination of clinical signs and confirmed by imaging. The management of neck arterial injuries is now based on algorithms based on the patient's clinical presentation at admission. We report the case of a patient who suffered a penetrating neck injury and whose imaging confirmed a dissection of the common carotid artery with occlusion of the internal carotid artery and for whom surgery was indicated based on clinical and radiologic findings.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"6 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139009151","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}

{"title":"Study of Childbirth with A Single Scar Uterus at the \"Major Moussa Diakite\" Reference Health Center in Kati, Mali","authors":"Camara Daouda, Sylla Yacouba, Coulibaly Ouazoun, Ouologem Aly, Fané Seydou, Koné Alfousseyni, Samaké Bintou, Traoré Mamadou, Bocoum Amadou, Saye Amaguiré, Diarra Dessé, Coulibaly Mahamoudou, Keita Sem","doi":"10.36349/easjms.2023.v05i11.002","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i11.002","url":null,"abstract":"The management of childbirth in a scarred uterus is one of the most debated subjects in modern obstetrics, due to the considerable increase in caesarean section rates and many other risks of complication such as disunion of the old scar. Objective: To study childbirth with a single scar uterus at the Kati Reference Health Center. Method: This was a prospective cross-sectional study, which ran from 1 January to 31 December 2021. It focused on parturients with a single myometrial scar, a vertex presentation of the foetus, a clinically normal pelvis, a uterine height of less than 36 centimeters, a single foetal pregnancy and an intergenesic interval of more than one year. Results: Out of a total of 2521 deliveries, seventy (70) women met the criteria of our study, or a frequency of 28%. The average age of parturients was 30, with extremes ranging from 18 to 42. Only 20% of our parturients had completed four antenatal consultations. They were carried out in 78.5% of cases by qualified staff. Eight out of ten of our parturients (81.4%) came on their own, and in seven out of ten cases (70.0%) in the active phase of childbirth. Delivery was by natural route in almost seven out of ten cases (65.7%), compared with caesarean section in 34.3% of cases. The indications for caesarean section were dominated by dynamic dystocia (66.7%), followed by failure to engage (12.5%), acute foetal distress (12.5%) and umbilical cord prolapse (8.3%). Previous vaginal delivery prior to caesarean section was associated with a successful uterine test (P=0.019). Maternal complications were haemorrhage due to uterine atony (1 case) and disunion of the old caesarean scar (1 case). We recorded two macerated stillbirths and one case of early neonatal death linked to extreme prematurity, and six cases of neonatal suffering. Conclusion: Childbirth in a scar uterus is a high-risk delivery, and strict adherence to the conditions under which it is carried out is essential to improve the maternal and ....","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"497 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139011198","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}

{"title":"Factors Associated with Pediatric Constipation- A Single Center Study","authors":"Md. Rezaul Karim, Shoyaib Samir, Abu Saleh Musa","doi":"10.36349/easjms.2023.v05i11.001","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i11.001","url":null,"abstract":"Introduction: Constipation or difficulty in bowel movement is a common problem in children. It is often results from without any previous illness or previous painful bowel movements. Dietary influences such as low fiber intake and inadequate hydration play a role too. Many factors have been associated with the occurrence of constipation. Aim of the study: The aim of this study was to investigate the factors associated with pediatric constipation and its management. Methods: This cross-sectional study was conducted in out-patient Department of Pediatrics surgery in Enam Medical College and Hospital, Savar, Dhaka, Bangladesh, during the period from July to December 2022. Total 180 patients with constipation were included in this study. Result: Our study of 180 children, average age was 2.4 years and slightly more in females, investigated factors relating to constipation. Most of the children had constipation for 6-12 months and more; and some children had constipation for 3-4 years, with symptoms such as large hard stool (95.0%), painful defecation (88.3%), and abdominal pain or crying (71.1%). Some children had per rectal bleeding and perianal mass or growth that is sentinel piles. A large number of clinical and therapeutic factors were associated with chronic constipation. Conclusion: The findings of this study highlighted the prominence of symptoms like large, hard, and painful defecation of children. With notable findings such as inadequate fluid and fiber intake and change in dietary habit during weaning period and lack of toilet training play an important role in producing constipation.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"25 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138984154","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}

{"title":"The Effects of Backpack on Muscle Activity and Back Pain in Adolescents","authors":"Xuanchen Zheng","doi":"10.36349/easjms.2023.v05i07.005","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i07.005","url":null,"abstract":"The purpose of the study: To explore the impact of backpack on adolescent muscle activity, and the relationship between it and adolescent back pain, to provide theoretical basis for domestic scholars in this field of in-depth research. Research methods: Literature related to backpack, muscle activity and back pain were searched, and the research results were analyzed. Results: The studies mainly focused on the effects of backpack type a nd mode on muscle activity, while few reports focused on the location and walking time of backpack. The main muscles studied were the upper trapezius muscle, the erector spinalis muscle and the rectus abdominis muscle, while the other muscles were not studied enough. Conclusion: The type and way of backpack, the weight of backpack, the design of backpack strap, the position of backpack and the time of backpack all have different degrees of influence on the muscle activity of various parts of teenagers, and these effects may lead to back pain, which is one of the factors that cannot be ignored.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126577409","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}

{"title":"Prevalence of Depression and Patterns among Adult Hypertensive Patients Attending a Primary Care Clinic in South-South, Nigeria","authors":"D. C, I. C, Grend E. A, Wifa-Oweredaba N. A, N. N, Yoko I, Ikurayeke J, Elenwo M. O. N, Famba D. F, Sokolo E. J, Amaechi G. I","doi":"10.36349/easjms.2023.v05i07.004","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i07.004","url":null,"abstract":"Depression is a chronic mental illness, an important health problem and a leading cause of ill health and disability worldwide. Depressed patients present with a depressed mood, loss of interest in pleasurable activities, decreased energy, feelings of low self-worth or guilt, appetite or sleep disturbances, and poor concentration. Depressive symptoms are common in chronic medical illnesses like hypertension but are not recognized and treated. This study evaluated the prevalence and pattern of depression among hypertensive patients in a primary care clinic in South-South, Nigeria. This is a descriptive cross-sectional study involving 312 adult hypertensive patients attending the Family Medicine clinic of the Rivers State University Teaching Hospital, Port Harcourt selected by a systematic random sampling method. A specially designed questionnaire was used to record participants' characteristics and Patient Health Questionnaire 9 was used to evaluate for depressive symptoms. The data collected were analysed using the statistical package for social sciences (SPSS) version 20. The study lasted for 3 months and ethical approval was obtained from the ethical committee of the Rivers State University Teaching Hospital. The study showed that the prevalence of depression was 26.6%. The respondents with ages ranging between 50 – 59 years had the highest frequency of depression, 30.1% (25). More female respondents 71.1% (59) were depressed. The highest proportion of the respondents that were depressed 42.2% (35) had secondary education. More than half of the depressed respondents were married 57.8% (48). More than half of the respondents, 62.7% (52) had a monthly income below ₦50,000.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"135 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115535128","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}

{"title":"Volvulus of the Sigmoїde Colon: Epidemiological Aspects and Management in the General Surgery Department of the Hôpital National Ignace Deen, CHU de Conaky (Guinea)","authors":"Ansoumane Condé, N. Fofana, Mohamed Saliou Bangour, Djiba Camara, Marcelin Haba, A. Fofana, Labilé Togba Soumaoro, A. Touré","doi":"10.36349/easjms.2023.v05i07.003","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i07.003","url":null,"abstract":"Introduction: The aim of this study was to report our experience in the management of Volvulus of the sigmoїde colon in the general surgery department of the Ignace Deen National Hospital, CHU de Conaky, Guinea. Patients and Methods: This was a retrospective study, descriptive type, covering a 5-year period (January 2018 to December 2022), concerning the records of patients admitted and operated on for Volvulus of the sigmoїde colon at the general surgery department of the Ignace Deen National Hospital, Guinea. Results: We collected 72 cases representing 4% of digestive surgical emergencies (n=1800) and 25.35% of intestinal obstructions (n=284). The mean age was 49.4± 15.8 years (extremes: 18 and 74 years); we noted a male predominance (80.6%) with a sex ratio of 4.14. Merchants were predominant (34.7%). Abdominal pain was the main symptom in all patients. Ideal colostomy was performed in 84.7% of patients, followed by Hartmann colostomy (12.5%). Overall morbidity was 12.5%, with Surgical site infection was the only post-operative complication observed. Overall mortality was 2.8%. Average hospital stay was 11.5 ± 5.7 days. Conclusion: Volvulus of the sigmoїde colon is a common condition. Therapeutic methods are numerous, but ideal colectomy remains a procedure of choice in our context due to difficult socio-economic conditions.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125881266","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}

{"title":"Breast Carcinoma and Tuberculosis in Axillary Lymph Nodes: A Case Report","authors":"Nadim Abdelhak Soualili, Meriem El Batoul Bourouba, Yacine Nacereddine, Sihem Boussafsaf, Nabila Talbi, Ibtissem Selmani, Oualid Nebbar, M. Zárat, N. Lemdaoui","doi":"10.36349/easjms.2023.v05i07.002","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i07.002","url":null,"abstract":"The coexistence of tuberculosis with axillary lymph node metastases in breast carcinoma is rare. Axillary lymph node metastasis is the most important factor in the staging of breast carcinoma, this can mimic or complicate the staging of a malignant disease. Dual organ pathology can lead to interpretation difficulties and inappropriate treatment of tuberculosis as well as breast carcinoma. We report an observation of infiltrating carcinoma of the non-specific type of the breast in woman aged 39, where tuberculosis was found in the axillary lymph nodes in addition to metastases. The possible and simultaneous occurrence of breast carcinoma and tuberculosis should be mentioned in order to avoid difficulties of interpretation and allow adequate management of axillary tuberculous lymphadenitis and breast carcinoma.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121709319","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}

{"title":"Strangulated Littré Hernia Apropos of a Case in the Department of General and Visceral Surgery of the National Hospital Ignace Deen CHU Conakry","authors":"Bangoura Mohamed Saliou, G. Ii, K. Mariame, B. Boubacar","doi":"10.36349/easjms.2023.v05i06.007","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i06.007","url":null,"abstract":"Littré's hernia is the presence of Mekel's diverticulum in the hernial sac. Meckel's diverticulum is the most common birth defect of the digestive tract. It results from the involution of the omphalomesenteric or vitelline duct which normally becomes obliterated around the sixth week of intrauterine life. Although this condition is common, its presence in the hernial sac during the cure of a hernial strangulation is an extremely rare case in our practice. We report a case concerning a 42-year-old sportsman, admitted to the general and visceral surgery department of the Ignace Deen National Hospital for painful, irreducible, non-impulsive and non-expansive right inguino-scrotal swelling on coughing in whom, at the end of the clinical examination the diagnosis of a strangulated right inguino-scrotal hernia was made, he benefited from a surgical management during which the exploration revealed a hernial sac containing hail with a formation oblong on the antemesenteric surface without necrosis with peritoneal fluid. We proceeded to a resection carrying the diverticulum followed by the end-to-end ileal-ileal anastomosis plus the cure of the hernia according to Desarda. The medium-term follow-up with a follow-up of six months did not note any particularity. The diagnosis of this condition is difficult and often arises intraoperatively and the treatment is surgical.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133834262","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}