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Viral Hepatitis B and C: Epidemiological, Clinical and Paraclinical Aspects in the Internal Medicine Department of KARA University Hospital in Togo
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作者 lihanimpo djalogue Mossi Komi Edem +4 位作者 El Hadj Yacoubou Tchamdja Toyi Djagadou Kodjo Agbeko Balaka Abago Djibril Mohaman Awalou 《Open Journal of Internal Medicine》 2024年第1期131-139,共9页
Introduction: Viral hepatitis B and C constitute real public health problems worldwide. The objective of this work was to describe the epidemiological, clinical and paraclinical aspects of viral hepatitis B and c in t... Introduction: Viral hepatitis B and C constitute real public health problems worldwide. The objective of this work was to describe the epidemiological, clinical and paraclinical aspects of viral hepatitis B and c in the internal medicine department of Kara University Hospital. Method: this was a retrospective descriptive study carried out in the Internal Medicine department of Kara University Hospital, over a period of 3 years from March 2020 to April 2023. It included all patients seen in consultation or hospitalized for hepatitis viral B and/or C. Results: A total of 57 patients were included in our study. The average age was 44.30 years ± 16.75 and the M/F sex ratio was 1.38. Married people were in the majority 63.2%. The circumstances of the discovery of viral hepatitis B and C were dominated by abdominal pain in 35.1% of cases and hepatomegaly in 29.8% of cases and in 33.3% of cases, it was during screening voluntary. Patients with viral hepatitis B only accounted for 64.9% of cases;those with only viral hepatitis C represented 31.6% of cases and 3.5% of cases had HVB/HCV co-infection. We recorded 36.8% complications including 52.4% liver cirrhosis and 47.6% hepatocellular carcinomas. During the evolution, there were 03 deaths. Conclusion: the prevalence of hepatitis B and C virus carriage in patients followed in internal medicine at Kara University Hospital is high. It is therefore essential to put in place treatment and prevention strategies against these viruses. 展开更多
关键词 Hepatitis B Hepatitis C Internal Medicine Kara University Hospital
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Pituitary Adenoma Complicated by Acute Bacterial Meningitis in a Patient in Kara (Togo)
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作者 lihanimpo djalogue Leleng Agba +4 位作者 Komi Edem Mossi Toyi Tchamdja Kodjo Agbeko Djagadou Abago Balaka Mohaman Awalou Djibril 《Open Journal of Internal Medicine》 2023年第4期364-370,共7页
Introduction: In the context of pituitary adenoma, bacterial meningitis is a possible complication of surgical or medical treatment. The occurrence of meningitis before any treatment is exceptional, explained by the e... Introduction: In the context of pituitary adenoma, bacterial meningitis is a possible complication of surgical or medical treatment. The occurrence of meningitis before any treatment is exceptional, explained by the existence of an osteomeningeal breach caused by the adenoma whose main symptom is rhinorrhea. Case Report: We report a case of bacterial meningitis complicating a prolactin pituitary macroadenoma. The patient had been referred for jet vomiting in a febrile context preceded by headaches and visual blurring. There was no rhinorrhea. The examination revealed a meningeal syndrome and the diagnosis of acute bacterial meningitis was made. The isolated germ was the pneumococcus. Faced with headaches and visual blurring, a cerebral scan revealed a pituitary macroadenoma and pituitary hormone dosage had shown hyperprolactinemia. The meningitis was sterilized and the prolactinoma was treated with dopaminergic agonists. This allowed the normalization of prolactinemia and the disappearance of symptoms. Conclusion: The pituitary adenoma was complicated by bacterial meningitis without treatment and the presence of a meningeal breach. Hormonal and bacterial treatments have been successful. 展开更多
关键词 Pituitary Adenoma PROLACTIN MENINGITIS
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Study of the Active Management of the Third Stage of Labor (AMTSL) in Four Maternity Hospitals in the Commune of Kara (Togo)
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作者 Dédé Régine Diane Ajavon Akila Bassowa +8 位作者 Baguilane Douaguibe Ameyo Ayoko Ketevi Kossi Edem Logbo-Akey lihanimpo djalogue Ayékinam Kadjo Enam Ahiave Ameyo Vignona Abidi Mazahalo Baniza Abdoul-Samadou Aboubakari 《Open Journal of Obstetrics and Gynecology》 2021年第9期1151-1160,共10页
<strong>Introduction:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Active management of the third period of labor (AM... <strong>Introduction:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Active management of the third period of labor (AMTSL) significantly prevents postpartum hemorrhage onset. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> To assess the practice of AMTSL in four maternity in the commune of Kara (Kara University Hospital Center, Kara Tomd</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">è </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">Regional Hospital Center, SOS Kara Mother-Child Hospital, and Adabaweré Peripheral Care Unit). </span><b><span style="font-family:Verdana;">Method:</span></b><span style="font-family:Verdana;"> This was a cross-sectional descriptive study over four months, from January 28 to May 28, 2019. Two questionnaires were used for data collection: an observation and evaluation grid AMTSL practice and a questionnaire for providers. The grid was designed and adapted to the RPC repository model for emergency obstetric and neonatal care in Africa 2018. The data was processed using the Epi Info 7 software. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">During the study period, 528 parturients were identified and 30 providers surveyed. No provider had received ongoing training in AMTSL. The practice of AMTSL was systematic at each delivery. The practice was correct in 45.8%. Factors associated with incorrect practice were relationship between caregiver-patient (p = 0.0005), placental examination (p = 0.0003), postpartum monitoring (p = 0.0001). </span><b><span style="font-family:Verdana;">Conclusion and Suggestion:</span></b><span style="font-family:Verdana;"> The practice of AMTSL is systematic, but it was incorrect regardless of the provider’s qualification. Continuing education on AMTSL is necessary to prevent postpartum hemorrhage.</span></span></span></span> 展开更多
关键词 AMTSL Assessment MIDWIVES State Auxiliary Birth Attendants TOGO
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High Blood Pressure and Pregnancy in a Hospital Environment in Lomé: Prognostic and Clinical Epidemiological Aspects
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作者 Abago Balaka Toyi Tchamdja +6 位作者 Kodjo Agbeko Djagadou Akila Bassowa Komi Dzidzonu Némi lihanimpo djalogue Komi Edem Mossi Abou-Bakari Tchala Mohaman Awalou Djibril 《Open Journal of Internal Medicine》 2020年第1期96-101,共6页
Objectives: Study the prognostic, clinical and epidemiological profile of high blood pressure and pregnancy association at the Sylvanus Olympio Teaching Hospital (CHU Sylvanus Olympio) of Lomé. Patients and Metho... Objectives: Study the prognostic, clinical and epidemiological profile of high blood pressure and pregnancy association at the Sylvanus Olympio Teaching Hospital (CHU Sylvanus Olympio) of Lomé. Patients and Method: It is about a retrospective study that is carried out at the gynecology-obstetrics unit from January to December 2016. Pregnant women with High Blood Pressure after delivery were concerned. Results: In total, 767 pregnant women with High Blood Pressure out of 12107 were taken. The frequency of HBP-pregnancy association was 6.33%. The 21 to 30 bracket age was the most represented (53.71%). The most common risk factor was the overweight or over-obseness (41.98%). Other risk factors were the first delivery and maternal age superior to 30 years old. Common clinical cases described in the study are the same as a predominance of preeclampsia. Caesarean has been the common method of delivering with foetal complications of prematurity type, neonatal suffering and hypotrophy. Conclusion: HBP-pregnancy association is a public health concern with serious foetal maternal complications. The prevention of this association is of great importance. 展开更多
关键词 HTA-Pregnancy Complication PROGNOSTIC Lomé (Togo)
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