Pan African Medical Journal最新文献_第6页

[Refusal and hesitation regarding vaccination against COVID-19 in Douala, Cameroon]. [喀麦隆杜阿拉对 COVID-19 疫苗接种的拒绝和犹豫]。

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Pan African Medical Journal Pub Date : 2024-06-14 eCollection Date: 2024-01-01 DOI: 10.11604/pamj.2024.48.61.39880

André Arsène Bita Fouda, Verdiane Félécité Metagne Kengne, Dieudonné Adiogo, Léon Jules Owona Manga

{"title":"[Refusal and hesitation regarding vaccination against COVID-19 in Douala, Cameroon].","authors":"André Arsène Bita Fouda, Verdiane Félécité Metagne Kengne, Dieudonné Adiogo, Léon Jules Owona Manga","doi":"10.11604/pamj.2024.48.61.39880","DOIUrl":"10.11604/pamj.2024.48.61.39880","url":null,"abstract":"Introduction: vaccination is one of the strategies the World Health Organization recommends to reduce the burden of COVID-19. However, many African countries like Cameroon have low COVID-19 vaccination coverage. The purpose of this study was to investigate the reasons for the refusal of the population of the city of Douala to be vaccinated against COVID-19.Methods: we conducted a cross-sectional and analytical study in Douala from February 10 to May 31, 2022. Participants, aged at least 21 years and residing in the city of Douala, were interviewed. Associations between the variables of interest were measured using Chi-square and Fisher tests, with a 95% confidence interval.Results: a total of 1555 people were included in the study. Only 168 (11%) had been vaccinated. The proportion of vaccine refusal was high, with 711 (45.7%) refusing, 640 participants (41.1%) hesitating, and 204 people (13.2%) being in favor of COVID-19 vaccination. The main reasons for refusing anti-COVID-19 vaccination were fear of adverse effects (406; 44.8%), lack of information about vaccines (331; 36.5%), and lack of confidence (302; 33.3%). Factors associated with vaccine refusal were religion (p=0.026) and level of education (p=0.002).Conclusion: this study revealed low COVID-19 vaccination coverage in Douala, with a significant proportion of refusal and hesitation towards vaccination. Communication strategies should take into account the reasons and factors associated with refusal.","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362305","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}

引用次数: 0

A randomized comparative study of serial membrane sweeping at term for vaginal birth after caesarean section in two tertiary hospitals in Delta State. 在德尔塔州的两家三级医院进行的一项随机比较研究，对剖腹产后阴道分娩的临产连续扫膜术进行了比较。

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Pan African Medical Journal Pub Date : 2024-06-14 eCollection Date: 2024-01-01 DOI: 10.11604/pamj.2024.48.60.37918

Innocent Okoacha, Patrick Ifeanyi Okonta, Osamudia Okhionkpamwonyi

{"title":"A randomized comparative study of serial membrane sweeping at term for vaginal birth after caesarean section in two tertiary hospitals in Delta State.","authors":"Innocent Okoacha, Patrick Ifeanyi Okonta, Osamudia Okhionkpamwonyi","doi":"10.11604/pamj.2024.48.60.37918","DOIUrl":"10.11604/pamj.2024.48.60.37918","url":null,"abstract":"Introduction: postdate pregnant women with one previous caesarean section that are planned for vaginal birth after caesarean sections are faced with adverse pregnancy outcomes. This trial was conducted to determine the effect of serial membrane sweeping from 38 weeks gestation in pregnant women planned for vaginal birth after caesarean section.Methods: this randomized controlled trial (RCT) was conducted on 90 women at 38 weeks with one previous caesarean section. In the study group, membranes sweeping commenced at 38 weeks and repeated weekly till labour onset. If no labour onset at 41 weeks and 3 days, elective caesarean section was done. In the control group, patients awaited labour onset till 41 weeks and 3 days, after which elective caesarean section was done. Data collected were analyzed using the Statistical Package for Social Sciences (SPSS ver. 22). All analyses were done at p<0.05.Results: labour onset before 41 weeks and 3 days was statistically significantly higher in the study group compared to the control group (RR= 1.5; 95% CI: 1.1 - 2.0; P=0.006). Likewise, successful vaginal birth after caesarean section was statistically significantly higher in the study group (RR=1.7; 95% CI: 1.2-2.5; P = 0.001).Conclusion: serial membrane sweeping from 38 weeks gestation has significant beneficial effect on labour onset and successful vaginal delivery in women with one previous caesarean section.","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11419578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308792","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}

引用次数: 0

Metastatic myxoid round cell liposarcoma of the buttock: a case report. 臀部转移性肌圆细胞脂肪肉瘤：病例报告。

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Pan African Medical Journal Pub Date : 2024-06-13 eCollection Date: 2024-01-01 DOI: 10.11604/pamj.2024.48.56.40400

Niare Ndour, Mamadou Sarr, Assane Diop, Mamadou Diouldé Kanté, Coumba Ndiaye, Astou Diouf, Fatou Diagne, Moussa Diallo, Fatimata Ly

{"title":"Metastatic myxoid round cell liposarcoma of the buttock: a case report.","authors":"Niare Ndour, Mamadou Sarr, Assane Diop, Mamadou Diouldé Kanté, Coumba Ndiaye, Astou Diouf, Fatou Diagne, Moussa Diallo, Fatimata Ly","doi":"10.11604/pamj.2024.48.56.40400","DOIUrl":"10.11604/pamj.2024.48.56.40400","url":null,"abstract":"Liposarcoma is a rare primitive mesenchymal tumor, developed at the expense of adipose tissue and with a preferential location in the thigh. We report an observation of liposarcoma in the buttock. A 56-year-old man, presented with a tumor of the right buttock for 2 years. Examination revealed an inflammatory, ulcerated tumor in the upper-external quadrant of the right buttock, measuring about 8 cm. Bilateral inguinal adenopathies were associated. The diagnostic hypotheses were: a squamous cell carcinoma, a cutaneous lymphoma, and cutaneous metastases. An anatomical examination confirmed the diagnosis of myxoid round-cell liposarcoma. The extension work-up appeared compatible with secondary pleuropulmonary, hepatic, cutaneous, and lymph node neoplastic localizations. The patient was treated with chemotherapy with the Adriamycin-carboplatin protocol. The evolution was rapidly fatal after a few weeks after the first course of chemotherapy. It should be evoked in front of any ulcerated tumor of the buttock.","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11419573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308798","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}

引用次数: 0

Constricted pathways: esophageal and laryngeal stenosis. 狭窄通道：食道和喉狭窄。

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Pan African Medical Journal Pub Date : 2024-06-13 eCollection Date: 2024-01-01 DOI: 10.11604/pamj.2024.48.58.43863

Jay Dinesh Bhanushali

引用次数: 0

A unique finding of Henoch-Schönlein purpura in adults. 成人白癜风的独特发现。

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Pan African Medical Journal Pub Date : 2024-06-13 eCollection Date: 2024-01-01 DOI: 10.11604/pamj.2024.48.59.43884

Jay Dinesh Bhanushali

引用次数: 0

Extensive scrofuloderma with recurrent tubercular lymphadenitis diagnosed as drug-resistant tuberculosis. 大面积瘰疬伴复发性结核性淋巴结炎，被诊断为耐药性结核病。

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Pan African Medical Journal Pub Date : 2024-06-13 eCollection Date: 2024-01-01 DOI: 10.11604/pamj.2024.48.57.43896

Jay Dinesh Bhanushali

引用次数: 0

Closing gaps in the oxygen supply chain in nations with limited resources. 在资源有限的国家缩小氧气供应链的差距。

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Pan African Medical Journal Pub Date : 2024-06-12 eCollection Date: 2024-01-01 DOI: 10.11604/pamj.2024.48.55.43770

Fabrice Humura, Theogene Uwizeyimana, Josiane Kabayundo, Eric Rucogoza

引用次数: 0

Clinico-epidemiological characteristics of adolescents and young adults living with HIV in Ghana. 加纳青少年艾滋病毒感染者的临床流行病学特征。

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Pan African Medical Journal Pub Date : 2024-06-11 eCollection Date: 2024-01-01 DOI: 10.11604/pamj.2024.48.54.37911

Vincent Ganu, Oluwakemi Oladele, Emmanuella Amankwa, Rafiq Okine, Peter Puplampu

{"title":"Clinico-epidemiological characteristics of adolescents and young adults living with HIV in Ghana.","authors":"Vincent Ganu, Oluwakemi Oladele, Emmanuella Amankwa, Rafiq Okine, Peter Puplampu","doi":"10.11604/pamj.2024.48.54.37911","DOIUrl":"10.11604/pamj.2024.48.54.37911","url":null,"abstract":"Introduction: sub-Saharan Africa is experiencing a boom in the number of adolescents and young adults living with HIV (AYALHIV). Existing HIV intervention programs are mainly for children and adults living with HIV, with little attention paid to AYALHIV. Characterizing this population is necessary for planning, and designing, AYALHIV-centered HIV intervention programs.Methods: a retrospective single-center, hospital-based chart review was conducted at the largest HIV clinic in Ghana. We examined routinely collected data for AYALHIV (aged 10-24 years) on antiretroviral therapy (ART) for at least 1 year and in active care from 1st January to 31st December 2019. Data was collected using a structured data extraction form. The Chi-square and the Student´s t-test were used to compare characteristics between adolescents and young adults.Results: of 252 AYALHIV, 68% (172/252) were adolescents with a median age of 17 years (IQR 13-19); 32% were young adults with a median age of 22 years (IQR: 20-24). Most (56.7% (143/252)) AYALHIV were female. Almost 40% were orphans. Eighty-six percent of AYALHIV had HIV type I infection. The commonest mode of HIV acquisition among adolescents was vertical transmission (70.5%) and that among young adults was via unprotected sex (31.3%). Eighty-eight percent (88%) of AYALHIV were on non-nucleoside reverse transcriptase inhibitors-based regimen. The viral suppression rate among AYALHIV was 78%.Conclusion: the study shows there is a growing population of AYALHIV most of which are adolescents. About two-fifths were orphans. Policymakers and HIV programs should ensure AYALHIV-centred interventions are developed for this vulnerable population.","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11419576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309720","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}

引用次数: 0

Schmidt´s syndrome found by tan: a case report. 通过晒太阳发现的施密特综合征：病例报告。

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Pan African Medical Journal Pub Date : 2024-06-10 eCollection Date: 2024-01-01 DOI: 10.11604/pamj.2024.48.53.35130

Gabriela Venade, Catarina Almeida, Nídia Oliveira, Luis Costa Matos

引用次数: 0

Aplasia cutis congenita of the trunk in a newborn: a rare case report. 新生儿躯干先天性皮肤增生症：罕见病例报告。

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Pan African Medical Journal Pub Date : 2024-06-09 eCollection Date: 2024-01-01 DOI: 10.11604/pamj.2024.48.52.43784

El Mouloua Ahmed, Aballa Najoua, Foura Salma, Kamili Elouafi Elaouni, Fouraiji Karima, Oulad Saiad Mohamed

引用次数: 0