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Kombila UD, Oumar Toure N, Nzengue EE, Mounguengui D, Mackanga JR, Iba Ba J, Boguikouma JB. [Behavior and attitudes towards smoking among student midwives in Libreville]. Rev Mal Respir 2019; 36:342-349. [PMID: 30902446 DOI: 10.1016/j.rmr.2018.08.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2018] [Accepted: 08/26/2018] [Indexed: 12/01/2022]
Abstract
BACKGROUND The midwife, in taking on a public health role, is one of the most important resources for the prevention of smoking and in helping smoking cessation among women of childbearing age thanks to their numerous contacts with pregnant women. With this in mind, we conducted a study among student midwives to examine their smoking behavior, their attitudes towards smoking, and their participation in prevention. METHOD This was a descriptive cross-sectional study conducted from 15 January to 15 February 2018 using a self-administered questionnaire and included the student midwives of the University of Health Science at Libreville (Gabon). RESULTS A total of 188 student midwives completed the questionnaires (70.7% of students of the 1st year, 15.0% of students of the 2nd year and 14.3% of students of the 3rd year). Gaps exist in the knowledge of student midwives regarding the risks of cigarette smoking in pregnancy and its role in the development of complications for the mother and foetus. Overall, 17.1% of student midwives think that smoking is responsible for the occurrence of ectopic pregnancies, 20.3% believe it is responsible for retro-placental haematoma, 17.6% for premature rupture of the membranes. The prevalence of smoking was 11.1% and was most frequent in 2nd year students (25.0%) and 3rd year students (14.8%) (P<0.023). The mean age of beginning smoking was 19.0±4.4 years. The main initiating factors were peer influence (28.6%), pleasure (19.0%) and stress (14.3%). Nicotine dependence was weak to moderate among 48.8% of smokers and absent in 52.2%. CONCLUSION Gaps exist in the knowledge of student midwives regarding the risks of cigarette smoking to complications of pregnancy. There is need therefore to include formal training on tobacco control strategies at an early stage in the medical curriculum.
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Affiliation(s)
- U D Kombila
- Service de médecineinterne, centre hospitalier universitaire de Libreville (CHUL), Libreville, Gabon; Département de médecine interne et spécialités médicales, faculté de médecine des sciences de la santé (FMSS), université des sciences de la santé (USS), Libreville, Gabon.
| | - N Oumar Toure
- Clinique de pneumologie, centre national hospitalier universitaire de Fann (CNHUF), Avenue Cheikh ANTA DIOP, BP 5035, Dakar, Sénégal
| | - E E Nzengue
- Service de cardiologie, centre hospitalier universitaire de Libreville (CHUL), Libreville, Gabon; Département de médecine interne et spécialités médicales, faculté de médecine des sciences de la santé (FMSS), université des sciences de la santé (USS), Libreville, Gabon
| | - D Mounguengui
- Service de médecine polyvalente, hôpital d'instructions des armées Omar Bongo Ondimba (HIA OBO), Libreville, Gabon
| | - J R Mackanga
- Service de médecineinterne, centre hospitalier universitaire de Libreville (CHUL), Libreville, Gabon; Département de médecine interne et spécialités médicales, faculté de médecine des sciences de la santé (FMSS), université des sciences de la santé (USS), Libreville, Gabon
| | - J Iba Ba
- Service de médecineinterne, centre hospitalier universitaire de Libreville (CHUL), Libreville, Gabon; Département de médecine interne et spécialités médicales, faculté de médecine des sciences de la santé (FMSS), université des sciences de la santé (USS), Libreville, Gabon
| | - J B Boguikouma
- Service de médecineinterne, centre hospitalier universitaire de Libreville (CHUL), Libreville, Gabon; Département de médecine interne et spécialités médicales, faculté de médecine des sciences de la santé (FMSS), université des sciences de la santé (USS), Libreville, Gabon
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Kombila U, Mounguengui D, Mackanga J, Boukou Moussavou R, Iba Ba J, Boguikouma J. Évaluation des connaissances des médecins du centre hospitalier universitaire de Libreville sur la broncho-pneumopathie chronique obstructive. Rev Mal Respir 2019. [DOI: 10.1016/j.rmr.2018.10.195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Iba Ba J, Nseng Nseng I, Ntsame N, Igala M, Kombila U, Malekou D, Nziengui Madjinou M, Ledaga Letombo L, Boguikouma J. Expérience du CHU de Libreville de grossesses au cours de maladies auto-immunes. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.10.364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Iba Ba J, Ouédraogo M, Oliveira YS, Nseng Nseng I, Abo Ekomie A, Boguikouma JB. Patients' Families' Perceptions of Lupus in Sub-Saharan Africa. Med Sante Trop 2017; 27:407-410. [PMID: 29313509 DOI: 10.1684/mst.2017.0747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Lupus is an autoimmune disease affecting the connective tissue. Its clinical and biological polymorphism is often misunderstood by patients and families and can lead to treatment interruption and a decision to turn to alternative medicine. We used a questionnaire to assess the degree of knowledge of this disease of family members living with lupus patients. Of the 56 lupus patients receiving regular follow-up at our hospital, 123 members of 30 of their families (53.5%) participated. Overall, among these families, 81.5% of the participants perceived the disease as predominantly non-mystical, 72.3% as hereditary, 87.9% as non-contagious, and 60.9% as curable ; 90.2% considered it compatible with pregnancy, another 90.2% with work, and 73.9% with sports activity. The principal clinical signs mentioned involved joint (22.7%), skin (13%), and finger-related (11.3%) disorders, with renal disease (9.7%), heart disease (8.1%), and general signs (8.1%) mentioned most frequently as the main complications. The best-known medications for disease control were corticosteroids (20.3%) and hydroxychloroquine (17%). Family members considered non-adherence (53.6%) the most frequent factor in disease flares. More than half were unaware of the life expectancy associated with this disease, but 30.1 % thought it was lower than that of the national population of Gabon - 70 years. Only 64 (52%) of the respondents had seen documentation about lupus, mostly through the Internet (65.6%). Lupus is not a disease that families know and understand well.
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Affiliation(s)
- J Iba Ba
- CHU Libreville, BP2228 Libreville, Gabon
| | | | - Y S Oliveira
- Hôpital d'instructions des armées, Libreville, Gabon
| | | | - A Abo Ekomie
- Direction générale de la statistique du ministère de l'Économie de la prospective et de la programmation du développement durable, Gabon
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Oliveira Y, Iba Ba J, Mba Angoué JM, Emery Itoudi Bignoumba P, Nzenze JR. Déficit en cuivre et neuropathie périphérique compliquant une gastrectomie. Rev Med Interne 2013; 34:234-6. [DOI: 10.1016/j.revmed.2012.12.019] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2011] [Revised: 11/19/2012] [Accepted: 12/22/2012] [Indexed: 11/28/2022]
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Iba Ba J, Mipinda JB, Makanga R, Bignoumba Ibouili R, Coniquet S, Moussavou Kombila JB, Boguikouma JB. [Purple extremities in black-skinned patients: blue toe syndrome as presenting sign of antiphospholipid antibody syndrome]. Med Trop (Mars) 2010; 70:283-284. [PMID: 20734601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Although acral ischemia can involve several underlying mechanisms, suspicion of lupus warrants testing for antiphospholipid antibodies in patients with blue toe syndrome.
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Affiliation(s)
- J Iba Ba
- Service de Médecine A, Centre Hospitalier, Libreville, Gabon.
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Iba Ba J, Missounga L, Bignoumba Ibouili R, Beraud G, Mipinda JB, Coniquet S, Moussavou Kombila JB, Boguikouma JB. [Association myositis and hepatocellular carcinoma: one case and review of literature]. Rev Med Interne 2010; 31:e4-6. [PMID: 20510486 DOI: 10.1016/j.revmed.2009.08.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2009] [Revised: 08/19/2009] [Accepted: 08/22/2009] [Indexed: 11/30/2022]
Abstract
Association inflammatory myopathies and tumors are not fortuitous but association with hepatocellular carcinoma is rarely reported in literature. We described a case of association polymyositis hepatocellular carcinoma in 37-year-old black African patient, with fatal issue.
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Affiliation(s)
- J Iba Ba
- Service de médecine A, centre hospitalier de Libreville, BP 2228, Libreville, Gabon.
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Iba Ba J, Nzenze JR, Missounga L, Bignoumba Ibouili R, Anquetil C, Moussavou Kombila JB, Boguikouma JB. [Kikuchi-Fujimoto disease in Gabon. Description of first 2 cases in Gabon]. Med Trop (Mars) 2010; 70:175-176. [PMID: 20486357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Kikuchi-Fujimoto disease is a rare disorder sometimes associated with systemic lupus. It has rarely been reported in the black African population. The purpose of this report is to describe the first two cases in Gabon. In patients presenting enlarged cervical lymph nodes, it is first necessary to rule out infectious disease. Histology can allow diagnosis by demonstrating necrotizing histiocyte lymphadenitis.
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Affiliation(s)
- J Iba Ba
- Service de Médecine A, Centre hospitalier de Libreville, Gabon.
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Béraud G, Iba Ba J, Legout L, Senneville E, Yazdanpanah Y, Mouton Y. [Primary Salmonella vascular graft infection and conservative treatment]. Med Mal Infect 2008; 38:671-3. [PMID: 18950972 DOI: 10.1016/j.medmal.2008.09.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2008] [Revised: 06/11/2008] [Accepted: 09/11/2008] [Indexed: 10/21/2022]
Abstract
The authors report an unusual case of prosthetic vascular graft infection due to Salmonellatyphimurium. The initial treatment combined antibiotherapy and surgical replacement of the arteriovenous graft. The infection relapsed within 6 weeks and was successfully treated with antibiotics only. Five cases of vascular graft infection due to Salmonella have been reported so far, but only one occurred in a previously healthy man and was not related to local infection, but to bacteremic seeding. Specific features of vascular graft infection and importance of prevention are discussed.
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Affiliation(s)
- G Béraud
- Unité de maladies infectieuses, CHRU Huriez 5E, 2, avenue Oscar-Lambret, 59037 Lille cedex, France.
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Iba Ba J, Mwanyombet L, Nkoghe D, Assengone Zeh Y, Chouteau PY, Loembe PM. [Surgical treatment of spondylolisthesis in Gabon]. Neurochirurgie 2006; 52:339-46. [PMID: 17088714 DOI: 10.1016/s0028-3770(06)71228-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
PURPOSE Spondylolisthesis is a spinal disease revealed by lombalgia and/or lombosciatalgia, which may persist under medical treatment and physiotherapy. Indications for surgery are impairing symptoms and emergency conditions. We report outcome in 21 patients (14 women, 7 men, aged from 30 to 60 years old) who underwent surgery for isthmic (n = 10) and degenerative (n = 11) spondylolisthesis. Radiographic staging was: I in seven patients, II in ten, and III in four. METHOD Many techniques were used: simple laminectomy (n = 4), Gill's operation (n = 4), Lapras' technique (n = 4), and Roy-Camille instrumentation (n = 9). RESULTS Immediate and long-term postoperative follow-up of sixteen patients confirm good results: excellent outcome in eleven patients, good in four, and fair in one. CONCLUSION Considering social and economic factors, we prefer Lapras' technique which provides very satisfactory results.
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Affiliation(s)
- J Iba Ba
- Service de Neurochirurgie, Fondation Jeanne-Ebori, BP 212, Libreville, Gabon.
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Iba Ba J, Toung Mve M, Nkoghe D. [Management strategies for patients with HIV/AIDS in the emergency room of the University Hospital Centre in Libreville, Gabon]. Med Trop (Mars) 2005; 65:400. [PMID: 16548504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
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Nkoghe D, Formenty P, Leroy EM, Nnegue S, Edou SYO, Ba JI, Allarangar Y, Cabore J, Bachy C, Andraghetti R, de Benoist AC, Galanis E, Rose A, Bausch D, Reynolds M, Rollin P, Choueibou C, Shongo R, Gergonne B, Koné LM, Yada A, Roth C, Mve MT. [Multiple Ebola virus haemorrhagic fever outbreaks in Gabon, from October 2001 to April 2002]. Bull Soc Pathol Exot 2005; 98:224-9. [PMID: 16267965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Outbreaks of Ebola virus haemorrhagic fever have been reported from 1994 to 1996 in the province of Ogooué Ivindo, a forest zone situated in the Northeast of Gabon. Each time, the great primates had been identified as the initial source of human infection. End of November 2001 a new alert came from this province, rapidly confirmed as a EVHV outbreak. The response was given by the Ministry of Health with the help of an international team under the aegis of WHO. An active monitoring system was implemented in the three districts hit by the epidemic (Zadié, Ivindo and Mpassa) to organize the detection of cases and their follow-up. A case definition has been set up, the suspected cases were isolated at hospital, at home or in lazarets and serological tests were performed. These tests consisted of the detection of antigen or specific IgG and the RT-PCR. A classification of cases was made according to the results of biological tests, clinical and epidemiological data. The contact subjects were kept watch over for 21 days. 65 cases were recorded among which 53 deaths. The first human case, a hunter died on the 28th of October 2001. The epidemic spreads over through family transmission and nosocomial contamination. Four distinct primary foci have been identified together with an isolated case situated in the South East of Gabon, 580 km away from the epicenter. Deaths happened within a delay of 6 days. The last death has been recorded on the 22nd of March 2002 and the end of the outbreak was declared on the 6th of May 2002. The epidemic spreads over the Gabon just next. Unexplained deaths of animals had been mentionned in the nearby forests as soon as August 2001: great primates and cephalophus. Samples taken from their carcasses confirmed a concomitant animal epidemic.
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Affiliation(s)
- D Nkoghe
- Ministère de la santé publique, Libreville, Gabon
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Nkoghe D, Nnegue S, Mve MT, Formenty P, Thompson G, Iba Ba J, Okome Nkoumou M, Leroy E. [Isolated case of haemorrhagic fever observed in Gabon during the 2002 outbreak of Ebola but distant from epidemic zones]. Med Trop (Mars) 2005; 65:349-54. [PMID: 16548488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
During the last outbreak of Ebola virus haemorrhagic fever that occurred concurrently in Gabon and Congo, several primary foci were identified in the Ogooue Ivindo province (Northeast Gabon), where previous outbreaks had occurred. A 48-year-old woman living in Franceville located 580 Km from the epicentre presented fever with haemorrhagic signs. She was evacuated to Libreville where Ebola infection was suspected. Diagnosis was confirmed at the Centre International de Recherches Médicales of Franceville on the basis of detection of specific antibodies. Symptoms had already subsided by the time diagnosis was documented. An epidemiological investigation was undertaken to identify the source of contamination and detect secondary cases. No human or nonhuman primate source of contamination could be formally identified. Direct contact with the virus reservoir could not be ruled out. No secondary cases were detected. The favourable outcome, absence of secondary, and failure to identify a source of contamination suggest that epidemiologically undefined cases may go unnoticed during and outside of outbreaks.
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Affiliation(s)
- D Nkoghe
- Ministère de la Santé Publique, Libreville, Gabon
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Fauchais AL, Iba Ba J, Maurage P, Kyndt X, Bataille D, Hachulla E, Parent D, Queyrel V, Lambert M, Michon Pasturel U, Hatron PY, Vanhille P, Devulder B. Polymyosites induites ou associées aux traitements hypolipémiants ? Rev Med Interne 2004; 25:294-8. [PMID: 15050796 DOI: 10.1016/j.revmed.2003.10.013] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2002] [Accepted: 10/02/2003] [Indexed: 11/28/2022]
Abstract
PURPOSE Rhabdomyolysis and myositis are rare, dose-related complications of statins and fenofibrates. The outcome is favorable as a rule with rapid regression after stopping the responsible drug. Recently, various auto-immune disease with evidence of hypersensitivity to HMG-CoA reductase inhibitors or fibrates drugs have been reported. Less than ten cases of dermatomyositis and polymyositis due to cholesterol-lowering drugs (CLD) have been previously reported. Five more cases polymyositis associated with CLD are reported. METHODS Symptoms were compatible with diagnosis of polymyositis according to Bohan and Peter and with previous reported criteria for drug-induced myopathy in all cases. None of these patients had previous other connective tissue disorders. RESULTS Five patients (median age 68 [54-78], female N =4) with CLD treatment (statin N =4, fenofibrates N =1) have developed iatrogenic polymyositis. All of them presented both proximal muscular weakness and increased muscle enzyme levels. One patient had iatrogenic antisynthetase syndrome characterized by mechanic's hand, Raynaud's phenomenon and anti JO1 antibodies. One other had sclerodermic hand oedema. Antinuclear antibodies were positive in 4 cases and muscle biopsy revealed polymyositis infiltrate in 4 cases. CLD treatment was discontinued with partial clinical improvement in 3 cases. Clinical remission was obtained with corticosteroid (N =5) in association with immunosuppresive agents in 3 cases. CONCLUSION Muscular symptoms in patient with CLD treatment could be the first symptom of a polymyositis revealed or increased by this treatment and must encourage physician with antinuclear antibodies screening especially in case of proximal muscular weakness and increased muscle enzyme levels.
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Affiliation(s)
- A-L Fauchais
- Service de médecine interne A, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.
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Ba JI, Yazdanpanah Y, Ajana F, Nguyen S, Gerard Y, Jude M, Obert G, Mouton Y. Hydatidose pulmonaire : prise en charge médicochirurgicale. Rev Med Interne 2004; 25:247-9. [PMID: 14990301 DOI: 10.1016/j.revmed.2003.12.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2003] [Accepted: 12/05/2003] [Indexed: 01/04/2023]
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Iba Ba J, Fauchais A, Kyndt X, Lambert M, Michon-Pasturel U, Queyrell V, Hachulla E, Hatron P, Vanhille P, Parent M, Devulder B, Maurage C. Myosites inflammatoires et hypolipémiants. À propos de 4 cas, dont 2 syndromes des antisynthétases. Rev Med Interne 2001. [DOI: 10.1016/s0248-8663(01)80104-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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