Pan African Medical Journal最新文献

{"title":"[Characterization of injuries among elite football players during a sports season in Burkina Faso: the 2019-2020 sports season].","authors":"Adama Tiama, Alain Traoré, Abdoul Rahamane Cissé, André Kaboré, Amidou Sawadogo, Brigitte Nana, Bertin Koné, Zakaridja Soré","doi":"10.11604/pamj.2024.48.33.39254","DOIUrl":"https://doi.org/10.11604/pamj.2024.48.33.39254","url":null,"abstract":"<p><strong>Introduction: </strong>injuries are a major undesirable event in sportsmen's career and prevention depends on their characteristics. The aim of this study was to determine the characteristics of injuries suffered by elite footballers in Burkina Faso during the 2019-2020 sports season.</p><p><strong>Methods: </strong>we conducted a cross-sectional study among 160 players who were administered a questionnaire. Proportion and χ² tests were used to calculate frequencies and determine associated factors, respectively.</p><p><strong>Results: </strong>a total of 157 injuries were recorded in 143 players (89.4%). Muscle injuries (45.85%) and sprains (30.6%) were common. The majority of injuries (52%) were of medium severity. The thigh (30%), ankle (26.5%) and knee (18%) were the most affected areas. The frequency of injuries was higher after physical contact than without physical contact with another player (69.5% versus 30.5; p = 0.009), during matches than during training (82% versus 28%; p = 0.003) and during the return leg than the first leg of the championship (58.5% versus 41.5%; p = 0.02).</p><p><strong>Conclusion: </strong>the frequency of injuries suffered by footballers during the 2019-2020 season was high. These injuries were mostly muscular and tendinous, and the lower limbs were mostly affected. They were associated with physical contact, matches and the return phase of the championship. To be effective, preventive measures should take these characteristics into account.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11399456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298852","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 case of ulnar deviation (drift) in a patient with chronic rheumatoid arthritis.","authors":"Amol Madhav Deshpande, Mayuri Amol Deshpande","doi":"10.11604/pamj.2024.48.35.40672","DOIUrl":"https://doi.org/10.11604/pamj.2024.48.35.40672","url":null,"abstract":"","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11399459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298855","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":"Diabetic mastopathy: about two cases.","authors":"Karam Harou, Amirath Adoufè Sanni, Illyass Essaoudy, Soukaina El Aziz, Abderrahim Aboulfalah, Hamid Asmouki, Abderraouf Soummani","doi":"10.11604/pamj.2024.48.28.42960","DOIUrl":"10.11604/pamj.2024.48.28.42960","url":null,"abstract":"<p><p>Diabetic mastopathy is a rare and benign pathology affecting young individuals with type 1 diabetes or autoimmune diseases. It clinically resembles breast cancer, necessitating a histological examination for a definitive diagnosis. These cases underscore the diagnostic challenges and the importance of histological examination. This report details two cases of diabetic mastopathy at Mohammed VI Hospital in Marrakech. The first case involved a 35-year-old with type 1 diabetes and mastodynia, revealing a 4 x 3 cm nodule in the left breast. Biopsies confirmed fibrous breast tissue with lymphocytic infiltrates, characteristic of diabetic mastopathy, with no recurrence during follow-up. The second case featured a 38-year-old with trisomy 21 and type 1 diabetes presenting with a right breast abscess. Drainage revealed lymphocytic infiltrates, confirming diabetic mastopathy. Though diagnostically challenging, diabetic mastopathy lacks a direct link to breast cancer. Long-term cancer risks in affected patients mirror the general population.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113455","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":"Association of bullous pemphigoid with acquired hemophilia A: a case report.","authors":"Ouadii Abakarim, Fatima Ezzahra Lahlimi, Illias Tazi","doi":"10.11604/pamj.2024.48.27.43722","DOIUrl":"10.11604/pamj.2024.48.27.43722","url":null,"abstract":"<p><p>Acquired hemophilia A, a rare condition resulting in spontaneous bleeding without prior bleeding disorders, arises due to autoantibody-mediated inhibition of coagulation factor VIII and is typically associated with autoimmune, neoplastic, drug, or obstetric factors. We present the case of a 31-year-old woman with bullous pemphigoid, managed with corticosteroids since 2013, who presented spontaneous hemorrhagic manifestations. Upon admission, laboratory tests revealed hypochromic microcytic anemia, prolonged activated partial thromboplastin time, and a factor VIII level < 1%, indicative of acquired hemophilia A. Further assessments showed elevated Ristocetin cofactor activity, von Willebrand factor antigen, and a factor VIII inhibitor level of 665 BU. This underscores the importance of considering acquired hemophilia A in autoimmune dermatological conditions like bullous pemphigoid, highlighting the association between autoimmune disorders and coagulation abnormalities, particularly in cases of spontaneous hemorrhagic events.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113453","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":"Bilateral claw hand deformity: a rare image.","authors":"Angan Ghosh, Sanjot Ninave","doi":"10.11604/pamj.2024.48.26.43370","DOIUrl":"10.11604/pamj.2024.48.26.43370","url":null,"abstract":"","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113454","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":"Systems issues limiting acute fracture care delivery at a tertiary care hospital in Northern Tanzania.","authors":"Papa Kwadwo Morgan-Asiedu, George William Fryhofer, William Mack Hardaker, Ajay Premkumar, Max Shin, Sireesh Ramesh, Christian Pean, Mubashir Alavi Jusabani, Rogers Temu, Honest Massawe, Neil Perry Sheth","doi":"10.11604/pamj.2024.48.29.41286","DOIUrl":"10.11604/pamj.2024.48.29.41286","url":null,"abstract":"<p><strong>Introduction: </strong>sub-Saharan Africa experiences a significant musculoskeletal trauma burden. Among patients who receive surgical treatment, there have been no reports as to how often surgical care is determined to be \"adequate\" or, if \"inadequate\", then what hospital and orthopaedic specialty-specific systems limitations might be prohibitive.</p><p><strong>Methods: </strong>data from patients presenting to the orthopaedic trauma service at a tertiary care center in sub-Saharan Africa were prospectively collected over a 6-week period and then retrospectively reviewed to determine whether the surgical treatment was \"adequate\" (or otherwise, \"inadequate\") according to the principle of restoring length, alignment, and rotation. Exclusion criteria included insufficient clinical information; isolated spinal injury; infection; cases involving only removal of hardware; soft-tissue procedures; tumor cases; and medical (non-surgical) conditions.</p><p><strong>Results: </strong>112 cases were included for analysis. Surgery was indicated in 106 of 112 cases (94.6%), and of those, surgery was performed in 62 cases (58.4%). Among patients who underwent surgery with available post-operative imaging (n=56), surgical treatment was \"inadequate\" in 24 cases (42.9%). The most common reasons treatment was deemed \"inadequate\" included unavailability of appropriate implants (n=16), unavailability of intraoperative fluoroscopy (n=10) and incomplete intraoperative evaluation of injury (n=5).</p><p><strong>Conclusion: </strong>several systems limitations prevent the delivery of adequate surgical treatment in patients with acute orthopaedic traumatic injuries, including lack of intraoperative fluoroscopy and lack of implant availability. This study will serve as a useful baseline for ongoing efforts seeking to improve orthopaedic specialty resource availability and facilitate more effective fracture care in this region.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113469","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":"Knowledge, attitude and practices on intermittent preventive treatment in pregnant women with malaria: a mixed method facility-based study in Western Kenya.","authors":"Joseph Mukala, Dominic Mogere, Peter Kirira, Bernard Kanoi, Violet Akisa, Francis Kobia, Harrison Waweru, Jesse Gitaka","doi":"10.11604/pamj.2024.48.22.42196","DOIUrl":"10.11604/pamj.2024.48.22.42196","url":null,"abstract":"<p><strong>Introduction: </strong>intermittent preventive treatment remains a core strategy for malaria prevention in pregnancy. Sulfadoxine-pyrimethamine is recommended for all pregnant women in malaria-prone zones. It is scheduled monthly at each antenatal care visit for up to 36 weeks. Here, we sought to assess the knowledge, attitude, and practices of intermittent preventive treatment among pregnant women with malaria in Webuye Hospital.</p><p><strong>Methods: </strong>a total of 140 participants aged between 18 and 49 years and at approximately 16 weeks of gestation were enrolled in this study, which utilized a mixed qualitative-quantitative method. Before enrollment, malaria testing was conducted using microscopy, and participants were divided into two cohorts: malaria-positive and malaria-negative. Close-ended and open-ended questionnaires were used. Qualitative-quantitative data analyses were performed.</p><p><strong>Results: </strong>our analysis revealed a significant difference between the proportion of mothers in the negative and positive groups in terms of their knowledge about side effects (p ≤ 0.001) and different doses (p ≤ 0.012) of intermittent preventive treatment. The proportion of mothers who knew side effects and different doses was higher among the malaria-positive group as compared to malaria-negative group with 37(52.9%, n=70) versus 18(25.7%, n=70) and 14(20.0%, n=70) versus 4(5.7%, n=70) respectively. Additionally, there was also a significant difference in knowledge about intermittent preventive treatment before administration (p ≤ 0.003) between the two groups.</p><p><strong>Conclusion: </strong>good knowledge, attitude and practices on intermittent preventive treatment (IPT) benefits, side effects, safety, doses and other prior information should be leveraged to empower pregnant women in malaria-endemic zones.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113467","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":"Seroprevalence of brucellosis in sheep and goats from Al Jufrah district in Libya.","authors":"Khawla Aldweni Alshekh, Aisha Mohamed Shahlol, Kholoud Khaled Ben Mostafa, Aeshah Abdulrrazaq Othman, Murad Ali Hiblu, Yousef Mohamed Abouzeed, Mohamed Ali Daw, Mohamed Omar Ahmed","doi":"10.11604/pamj.2024.48.23.38566","DOIUrl":"10.11604/pamj.2024.48.23.38566","url":null,"abstract":"<p><strong>Introduction: </strong>brucellosis is a global neglected zoonotic disease affecting mainly livestock, causing communicable and zoonotic infections. This study aimed to investigate the seroprevalence and determine epidemiological risk factors associated with Brucella infection in sheep and goats in Al Jufrah central district of Libya.</p><p><strong>Methods: </strong>sera samples from 555 animals (goats (n=320) and sheep (n=235)) sheep) were obtained and subjected to the Rose Bengal Plate Test (RBPT) then further confirmed by a validated Enzyme Linked Immunosorbent assay (ELISA). Collected data was analyzed using Statistical Package for the Social Sciences (SPSS).</p><p><strong>Results: </strong>in total, 2.7% were ELISA seropositive for brucellosis with the highest seropositivity rate among the studied animals from Sokna with 5.8% (n=13/225) followed by 0.7% (n=2/285) in Waddan and 0% (n=0/45) in Houn. Only location was identified as a significant risk and no significant differences were identified between seropositivity and the age studied groups, species of animals, gender, and size of farms (p-value>0.05).</p><p><strong>Conclusion: </strong>the present study provides important information on the epidemiological status of Brucella infection in an important region in North Africa. Prevention control systems adopting \"One Health\" concept, and regional and international collaboration are important to control brucellosis and other zoonotic and transboundary diseases.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113468","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":"Effect of short-term exposure to Raag Bilawal of North Indian classical music on young Indian adults: a high-density electroencephalogram microstate study.","authors":"Abhisek Sahoo, Prashant Tayade, Suriya Prakash Muthukrishnan, Simran Kaur, Ratna Sharma, Madhavi Nayyar","doi":"10.11604/pamj.2024.48.24.40977","DOIUrl":"10.11604/pamj.2024.48.24.40977","url":null,"abstract":"<p><strong>Introduction: </strong>the objective of the study was to find out the microstate map topographies and their parameters generated during the resting state and during listening to North Indian classical Music Raag 'the Raag Bilawal'. It was hypothesized that in the resting state and during listening to music conditions, there would be a difference in microstate parameters i.e. mean duration, global explained variance (GEV), and time coverage.</p><p><strong>Methods: </strong>a 128-channel electroencephalogram (EEG) was recorded for 12 Indian subjects (average age 26.1+1.4 years) while resting and listening to music using the EEG microstate investigation. Investigation and comparison of the microstate parameters were the mean duration, global explained variance (GEV), and time coverage between both conditions were performed.</p><p><strong>Results: </strong>seven microstate maps were found to represent the resting state and listening to music condition, four canonical and three novel maps. No statistically significant difference was found between the two conditions for time coverage and mean duration. The statistical significance levels of the map-1, map-2, map-3, map-4, map-5, map-6, and map-7 for the mean duration were 0.4, 0.6, 0.97, 0.34, 0.32, 0.69, and 0.29 respectively; and for time coverage were 0.92, 0.92, 0.96, 0.64, 0.78, 0.38, and 0.76 respectively. Map-1, map-4, and map-7 were the three novel maps we found in our study.</p><p><strong>Conclusion: </strong>similarities regarding stability and predominance of maps with small vulnerability exist in both conditions indicating that phonological, visual, and dorsal attention networks may be activated in both resting state and listening to music condition.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113456","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":"Tarlov cyst: a rare image.","authors":"Angan Ghosh, Sanjot Ninave","doi":"10.11604/pamj.2024.48.25.43278","DOIUrl":"10.11604/pamj.2024.48.25.43278","url":null,"abstract":"","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113470","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}