Pan African Medical Journal最新文献

{"title":"[Obstetrical characteristics related to cervical cancer in the Northern Territory of the Rabat-Salé-Kenitra Region, Morocco].","authors":"Mohamed Zraidi, Nadia Kamel, Ghizelane El Belloute, Khalid Abidi","doi":"10.11604/pamj.2025.52.102.44900","DOIUrl":"10.11604/pamj.2025.52.102.44900","url":null,"abstract":"","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"52 ","pages":"102"},"PeriodicalIF":1.0,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107777","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":"[Desmoplastic fibroma of bone: a case report].","authors":"Latifa Doublali, Adnane Adnani, Meriem Belhouari, Mouna Bourhafour, Souha Sahraoui","doi":"10.11604/pamj.2025.52.104.49437","DOIUrl":"10.11604/pamj.2025.52.104.49437","url":null,"abstract":"<p><p>Desmoplastic fibroma, also known as desmoid fibroma of bone, is a rare benign bone tumor, accounting for approximately 0.1 to 0.3% of all bone tumors. It was first described by Jaffe in 1958. This tumor has a slow progression with locally aggressive behavior, without metastasis or malignant transformation. For radiological diagnosis, magnetic resonance imaging (MRI) is the modality of choice to assess local extension within the bone and, when present, into the surrounding soft tissues. The definitive diagnosis is histological: the tumor is composed of tissue poor in fibroblasts and rich in collagen fibers, identical to the histology of desmoid fibromas of the soft tissues. Histological differential diagnosis can be challenging, particularly with low-grade fibrosarcomas. The treatment of choice is surgical, consisting of wide tumor resection whenever the location allows. A high rate of local recurrence characterises post-treatment evolution in cases of intralesional excision.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"52 ","pages":"104"},"PeriodicalIF":1.0,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107694","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":"Food insecurity: a driver of gender disparity in elevated blood pressure among adults in Ondo State, Nigeria (a cross-sectional study).","authors":"Oluwasiji Olabisi Olaitan, Oluwaseun Ariyo","doi":"10.11604/pamj.2025.52.101.46449","DOIUrl":"10.11604/pamj.2025.52.101.46449","url":null,"abstract":"<p><strong>Introduction: </strong>food insecurity is increasing at an alarming rate, contributing to gender variation in illness and undermining the 2030 nutrition goals. Evaluating its components could aid interventions aimed at addressing gender-specific diseases such as hypertension. This study assessed gender differences in food insecurity and its association with elevated blood pressure (EBP) in Ondo State, Nigeria.</p><p><strong>Methods: </strong>this community-based cross-sectional study used a four-stage systematic random sampling to select 769 adults aged 18 years and older. Food insecurity experience scale survey module components (Worried, Healthy, Fewfoods, Skipped, Ateless, Ranout, Hungry, and Wholeday) were defined, and participants were categorized into: food secure (0 point) and food insecure (≥1 point). Obesity and abdominal adiposity were determined by body mass index (≥30kg/m²) and waist-height ratio (≥0.5), respectively. The EBP was defined as BP≥140/90mmHg. Multivariable logistic regression was performed at p<.05.</p><p><strong>Results: </strong>a proportion of 54.9% men and 45.1% women participated in the study. Their mean ages and monthly incomes (±standard deviation) were 32.3±11.6 years, 33.9±11.7 years, and $51.1±41.0, $46.9±37.3, respectively. Women were more food insecure (44.1%, 35.8%) and experienced Worried (34.9%, 23.9%), Healthy (34.3%, 25.8%), Fewfoods (22.8%, 18.0%), Skipped (36.0%, 26.3%), Ateless (25.4%, 20.4%), Ranout (14.4%, 10.2%), Hungry (11.8%, 10.1%) and Wholeday (5.8%, 4.5%) than men, respectively. Men (9.2%) had EBP more than women (8.6%). The EBP was associated with marital status (aOR=2.53, CI=1.09, 5.87, p=.03), worried (aOR=6.33, CI=2.25, 17.78, p=<.001), ranout (aOR=5.98, CI=1.02, 35.01, p=.04) and abdominal adiposity (aOR=2.44, CI=1.38, 5.31, p=.03) among men, but occupation (aOR=1.41, CI=1.04, 1.91, p=.03) and physical inactivity (aOR=3.63, CI=1.04, 14.30, p=0.04) among women.</p><p><strong>Conclusion: </strong>gender difference was observed in food insecurity, which significantly contributed to EBP among men, while occupation and physical inactivity predisposed women to EBP. Interventions in controlling hypertension should incorporate schemes that address lack and inadequate access to food, and maintain a healthy body weight through a quality diet and physical exercise among Nigerian adults.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"52 ","pages":"101"},"PeriodicalIF":1.0,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107917","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":"Tuberculosis sequelae: a rare clinical medicine.","authors":"Ashwin Karnan","doi":"10.11604/pamj.2025.52.100.48609","DOIUrl":"https://doi.org/10.11604/pamj.2025.52.100.48609","url":null,"abstract":"","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"52 ","pages":"100"},"PeriodicalIF":1.0,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203545","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":"Epidemiological patterns of influenza viruses among severe acute respiratory infection patients in Burkina Faso, 2016-2019: a surveillance study.","authors":"Moussa Lingani, Assana Cissé, Abdoul Kader Ilboudo, Brice Bicaba, Issaka Yaméogo, Zékiba Tarnagada","doi":"10.11604/pamj.2025.52.98.43862","DOIUrl":"10.11604/pamj.2025.52.98.43862","url":null,"abstract":"<p><strong>Introduction: </strong>influenza viruses cause acute respiratory infections; however, their importance among severe cases remains poorly documented in Sub-Saharan Africa. This study aimed to describe the burden of influenza among inpatients admitted for severe acute respiratory infections (SARI) in Burkina Faso.</p><p><strong>Methods: </strong>a surveillance study was conducted between 2016 and 2019 by the National Influenza Reference Laboratory (NIRL). Inpatients admitted for SARI from four sentinel surveillance sites were included and tested for influenza using a real-time reverse transcription-polymerase chain reaction (rRT-PCR) with the Fast Track Diagnostics (FTD-33) Kits. Positive samples to influenza virus type A or B were further subtyped using the CDC Primers, probes, and protocols. Descriptive analysis was used to assess the prevalence of influenza according to participants' medical and sociodemographic characteristics using the R statistical package. A p-value less than 0.05 was considered statistically significant.</p><p><strong>Results: </strong>overall, the prevalence of influenza was 20.1% (310/1541). Influenza virus type-specific prevalence was 13.0% (200/1,541), 6.1% (94/1,541), and 1.0% (16/1,541) for type A, B, and C viruses, respectively. Among the cases, type A virus was predominant with 64.4% (52.4% for A(H1N1)pmd09 and 12.0% for A(H3N2)) and type B virus with 30.4% (21.7% for B/Victoria and 8.1% for B/Yamagata). Three waves of increased transmission were observed during the study period, and each was dominated by a specific virus subtype. The distribution of cases according to sociodemographic characteristics showed that children aged 1-4 years were mostly affected (60%), mainly with type A virus (36.9%), followed by infants below 1 year of age (21%), also with type A virus (15.2%). Virus circulation occurred year-round, and transmission peaks occurred during the cold and dry seasons.</p><p><strong>Conclusion: </strong>type A influenza virus was predominant, especially among children under five years old. Prioritizing vaccination among preschool-aged children, particularly during the seasonal peaks, might yield the most public health impact.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"52 ","pages":"98"},"PeriodicalIF":1.0,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203413","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":"A rare clinical image of sacral double crush syndrome with S1-S2 Tarlov cyst and L5-S1 disc disease.","authors":"Gurjeet Kaur, Nikita Gangwani","doi":"10.11604/pamj.2025.52.99.49443","DOIUrl":"https://doi.org/10.11604/pamj.2025.52.99.49443","url":null,"abstract":"","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"52 ","pages":"99"},"PeriodicalIF":1.0,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203466","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":"Stress, coping strategies, and relapse among schizophrenia patients at the psychiatric hospital of Oujda, Morocco.","authors":"Salah-Eddine El Jabiry, Mohammed Amine Bouazzaoui, Mohammed Barrimi, Fatima Elghazouani, Bouchra Oneib","doi":"10.11604/pamj.2025.52.97.44612","DOIUrl":"10.11604/pamj.2025.52.97.44612","url":null,"abstract":"<p><strong>Introduction: </strong>schizophrenic relapse constitutes a formidable challenge in the realm of psychiatric care, often precipitating a cascade of deteriorating symptoms and functional impairment. Addressing this issue necessitates a comprehensive understanding of the factors that contribute to relapse occurrence.</p><p><strong>Methods: </strong>this cross-sectional study, conducted at the Hospital of Mental Health and Psychiatric Diseases in Oujda, sought to explore the intricate interplay between stress, coping mechanisms, and the incidence of relapse among individuals diagnosed with schizophrenia. Over six months, data were collected from three hundred schizophrenia patients, encompassing demographic, clinical, stress, and coping-related variables.</p><p><strong>Results: </strong>analysis of the findings unveiled compelling associations between stress intensity, coping efficacy, and relapse vulnerability. Notably, heightened stress intensity emerged as a significant predictor of relapse occurrence, surpassing the mere exposure to stressors. Furthermore, inadequate coping strategies were found to significantly elevate the risk of relapse, underscoring the pivotal role of adaptive coping skills in mitigating relapse susceptibility. In addition to these associations, the study revealed intriguing insights into the demographic and clinical characteristics of the patient population. Predominantly male and urban-dwelling, the patients exhibited varying levels of education and employment status. A substantial proportion reported a history of substance abuse and psychiatric family history, indicating potential predisposing factors for relapse vulnerability. These findings underscore the imperative of integrating stress management interventions and fostering adaptive coping mechanisms within schizophrenia treatment paradigms. Early identification and targeted interventions aimed at ameliorating stress reactivity and enhancing coping proficiency. Also, it held promise for the reduction of relapse rates and the increase of long-term outcomes for individuals grappling with schizophrenia.</p><p><strong>Conclusion: </strong>by elucidating the nuanced dynamics of stress and coping in relation to relapse, this study contributes valuable insights to the development of tailored interventions and therapeutic strategies in schizophrenia management.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"52 ","pages":"97"},"PeriodicalIF":1.0,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203465","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":"A hidden site: positron emission tomography-computed tomography (PET-CT) unveiling subclinical masseter involvement in follicular lymphoma - case report.","authors":"Sana Ferchichi, Hamida Khémiri Guerbouj, Zahra Jouini, Ghada Kharrat, Wafa Skouri, Haifa Tounsi, Raja Amri","doi":"10.11604/pamj.2025.52.96.49728","DOIUrl":"10.11604/pamj.2025.52.96.49728","url":null,"abstract":"<p><p>Extranodal lymphoma involvement refers to lymphoma arising outside primary lymphatic organs. Muscular involvement is rare. This case report highlights the critical role of positron emission tomography-computed tomography (PET-CT) in detecting underestimated extranodal lesions, especially in muscles. We report the case of a 66-year-old patient with no prior significant medical history who presented with 3 months of cervical lymphadenopathy, asthenia, and night sweats. Examination revealed supracentimetric elastic cervical and inguinal lymphadenopathy and splenomegaly. Computed tomography suggested nodal disease above and below the diaphragm. Biopsy confirmed grade 3B follicular lymphoma and bone marrow infiltration. Positron emission tomography-computed tomography revealed intense fluorodeoxyglucose (FDG) uptake in nodal regions, spleen, bone marrow, and left masseter muscle, which was not visible on CT. The disease was staged as Ann Arbor stage IV, and the patient was planned for 8 cycles of R-CHOP and intrathecal methotrexate. As a final point, ¹⁸F-FDG PET/CT is indispensable for accurate staging and assessment of treatment response in follicular lymphoma, permitting detection of extranodal disease not visible on CT.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"52 ","pages":"96"},"PeriodicalIF":1.0,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203487","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":"A rare association of pulmonary aplasia with cervicomedullary junction anomalies: a clinical image.","authors":"Vaishnavi Yadav, Pallavi Harjpal","doi":"10.11604/pamj.2025.52.95.48957","DOIUrl":"https://doi.org/10.11604/pamj.2025.52.95.48957","url":null,"abstract":"","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"52 ","pages":"95"},"PeriodicalIF":1.0,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203409","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":"Animal bites presenting in the pediatric emergency department at Al Qassimi Women's and Children's Hospital: a cross-sectional study.","authors":"Batool Zaffar Ali, Nader Francis, Amreen Sajith, Amal Sherif, Safiya Saif, Khurshid Khan, Layla Taryam, Sinan Yavuz","doi":"10.11604/pamj.2025.52.91.44242","DOIUrl":"10.11604/pamj.2025.52.91.44242","url":null,"abstract":"<p><p>Animal bites represent a major public health concern that frequently goes underreported. Dogs and cats are the most common culprits. This study aims to gather comprehensive data on patients with animal bites who visited Al Qassimi Women's and Children's Hospital (AQWCH) in the United Arab Emirates (UAE). The research method involves a retrospective chart review of children under 13 years old who visited the hospital's Emergency Department (ED) with a history of animal bites between January 2018 and September 2023. The study aims to identify the high-risk groups for such incidents and provide valuable insights into demographics, types, and locations of animal bites, as well as clinical presentation, management, and outcomes of patients. The majority of patients were male 708 (58%), and domestic animals 701 (72%), particularly cats 1003 (82.08%), were the primary cause of bites. Scratches were the most common type of injury, 942 (77.21%), and often occurred after provocation, 95.5%, with the right upper limb being the most affected, 492 (44.40%). The majority of patients received the rabies vaccine 1030 (84%), and no cases of rabies were recorded during the study period. In conclusion, cat and dog bites make up the majority of animal bites, and the study provides crucial insights into the characteristics and patterns of such incidents.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"52 ","pages":"91"},"PeriodicalIF":1.0,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203464","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}