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Mellouki A, Ziba O, Gebreselassie K, Nedjim S, Afolayan A, Traore Y, Kirakoya B, Ouattara A, Kaboré F, Mellas S, El Ammari J, Tazi M, El Fassi M, Kura M, Farih M. The management of adult male anterior urethral strictures in low and middle income countries. Results from a Pan-African survey on male anterior urethral stricture management among urologists (PASUSM). Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00491-8] [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: 02/12/2023]
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2
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Herion FX, Beurton A, Oddos C, Nubret K, Aguerreche C, Faure M, Gerbaud E, Pernot M, Imbault J, Ouattara A. Multidisciplinary shock team approach improves long-term outcomes of patients suffering from cardiogenic shock treated by short term mechanical circulatory support (STMCS). Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.312] [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: 12/31/2022]
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3
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Celarier S, Monziols S, Célérier B, Assenat V, Carles P, Napolitano G, Laclau-Lacrouts M, Rullier E, Ouattara A, Denost Q. Low-pressure versus standard pressure laparoscopic colorectal surgery (PAROS trial): a phase III randomized controlled trial. Br J Surg 2021; 108:998-1005. [PMID: 33755088 DOI: 10.1093/bjs/znab069] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Revised: 01/26/2021] [Accepted: 01/29/2021] [Indexed: 12/19/2022]
Abstract
TRIAL DESIGN This is a phase III, double-blind, randomized, controlled trial. METHODS In this trial, patients with laparoscopic colectomy were assigned to either low pressure (LP: 7 mmHg) or standard pressure (SP: 12 mmHg) at a ratio of 1 : 1. The aim of this trial was to assess the impact of low-pressure pneumoperitoneum during laparoscopic colectomy on postoperative recovery. The primary endpoint was the duration of hospital stay. The main secondary endpoints were postoperative pain, consumption of analgesics and postoperative morbidity. RESULTS Some 138 patients were enrolled, of whom 11 were excluded and 127 were analysed: 62 with LP and 65 with SP. Duration of hospital stay (3 versus 4 days; P = 0.010), visual analog scale (0.5 versus 2.0; P = 0.008) and analgesic consumption (level II: 73 versus 88 per cent; P = 0.032; level III: 10 versus 23 per cent; P = 0.042) were lower with LP. Morbidity was not significantly different between the two groups (10 versus 17 per cent; P = 0.231). CONCLUSION Using low-pressure pneumoperitoneum in laparoscopic colonic resection improves postoperative recovery, shortening the duration of hospitalization and decreasing postoperative pain and analgesic consumption. This suggests that low pressure should become the standard of care for laparoscopic colectomy. TRIAL REGISTRATION NCT03813797.
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Affiliation(s)
- S Celarier
- CHU Bordeaux, Department of Digestive Surgery, Colorectal Unit, Haut-Lévêque Hospital, Pessac, France
| | - S Monziols
- CHU Bordeaux, Department of Anaesthesia and Critical Care, Magellan Medico-Surgical Centre, Bordeaux, France
| | - B Célérier
- CHU Bordeaux, Department of Digestive Surgery, Colorectal Unit, Haut-Lévêque Hospital, Pessac, France
| | - V Assenat
- CHU Bordeaux, Department of Digestive Surgery, Colorectal Unit, Haut-Lévêque Hospital, Pessac, France
| | - P Carles
- CHU Bordeaux, Department of Anaesthesia and Critical Care, Magellan Medico-Surgical Centre, Bordeaux, France
| | - G Napolitano
- CHU Bordeaux, Department of Anaesthesia and Critical Care, Magellan Medico-Surgical Centre, Bordeaux, France
| | - M Laclau-Lacrouts
- CHU Bordeaux, Department of Digestive Surgery, Colorectal Unit, Haut-Lévêque Hospital, Pessac, France
| | - E Rullier
- CHU Bordeaux, Department of Digestive Surgery, Colorectal Unit, Haut-Lévêque Hospital, Pessac, France
| | - A Ouattara
- CHU Bordeaux, Department of Anaesthesia and Critical Care, Magellan Medico-Surgical Centre, Bordeaux, France.,Université de Bordeaux, INSERM, U 1034, Biology of Cardiovascular Diseases, Pessac, France
| | - Q Denost
- CHU Bordeaux, Department of Digestive Surgery, Colorectal Unit, Haut-Lévêque Hospital, Pessac, France
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Mobio MP, Abhe CM, Ouattara A, Coulibaly KT, Olama MC, Netro D, Bedie YV, N'Guessan YF, Tétchi YD, Brouh Y. [Anesthesic practice for gynecological and obstetric emergency in the Cocody CHU]. Mali Med 2021; 36:31-34. [PMID: 37973565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
OBJECTIVE To evaluate the anesthetic practice in the operating theater of gynecological and obstetric emergencies. MATERIAL AND METHOD Prospective, descriptive and analytical study on patients admitted to the operating room for a gynecological and or obstetric emergency over a period of six months. RESULTS We collected 3,486 patients out of 7,574 admissions, or 46.02%. The average age was 27.3 years with extremes of 15 and 45. SFA was the first operative indication for obstetric emergencies while gynecological emergencies were dominated by first trimester bleeding. 99.39% of the patients benefited from a CPA and 45.40% of them, were classified ASA I u. LAR by spinal anesthesia was the most commonly performed anesthetic regimen. Maternal lethality was 0.005. For the mother, the age group [30-45 years], the provenance, the hemorrhagic syndromes, the ASA III and IV classes, the long delays in transfusion and block management were factors of poor prognosis. (P≤0.05) For the fetus, hemorrhagic syndromes and general anesthesia were factors of poor prognosis. (P ≤ 0.05). CONCLUSION Spinal anesthesia was the most widely used anesthetic regimen.
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Bonnet G, Pernot M, Welte N, Peltan J, Seguy B, Dijos M, Laurent F, Ouattara A, Lafitte S, Ritter P, Bordachar P, Labrousse L, Leroux L. Post-TAVR conduction disorders: Membranous septum role. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.158] [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: 10/25/2022]
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Kambé Y, Ouattara A, Biérou Bodé T, Hyda J, Konaté S, Dembélé B. Strategies of blood collection in Cote d'Ivoire: impact of mobile collection methods on the production of the National Blood Transfusion Service, 2014-2016. Med Sante Trop 2019; 29:317-321. [PMID: 31573529 DOI: 10.1684/mst.2019.0905] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Blood product suppliers have two options for blood collection: at fixed sites and mobile collection sites. Those preferring voluntary, unpaid donations must move ever closer to the population by organizing mobile collection. The objective of this study was to analyze the impact of mobile collection in the production of the Côte d'Ivoire's CNTS. Our results, based on data from the CNTS from 2014 through 2016 and interviews with 22 managers of blood transfusion centers, confirm the increasing preponderance of this approach. Thus, our results raise the problem of blood safety in a context where the prevalence of transfusion-transmissible infections is higher in mobile collections, where most donors are giving blood for the first time.
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Affiliation(s)
- Y Kambé
- Institut d'ethno-sociologie, Université Félix Houphouët-Boigny, Abidjan, Côte d'Ivoire
| | - A Ouattara
- Institut Pasteur d'Abidjan, Côte d'Ivoire
| | - T Biérou Bodé
- Centre national de transfusion sanguine, Bouaké, Côte d'Ivoire
| | - J Hyda
- Centre national de transfusion sanguine, Bouaké, Côte d'Ivoire
| | - S Konaté
- Centre national de transfusion sanguine, Bouaké, Côte d'Ivoire
| | - B Dembélé
- Centre national de transfusion sanguine, Bouaké, Côte d'Ivoire
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7
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Degrandi O, Buscail E, Martellotto S, Gronnier C, Collet D, Adam JP, Ouattara A, Laurent C, Dewitte A, Chiche L. Perioperative antibiotherapy should replace prophylactic antibiotics in patients undergoing pancreaticoduodenectomy preceded by preoperative biliary drainage. J Surg Oncol 2019; 120:639-645. [PMID: 31297827 DOI: 10.1002/jso.25622] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Accepted: 06/23/2019] [Indexed: 01/04/2023]
Abstract
BACKGROUND AND OBJECTIVES Pancreaticoduodenectomy (PD) remains a morbid surgery. Preoperative biliary drainage (PBD) is often necessary before surgery but is associated with biliary contamination. We compared the postoperative complications of patients undergoing PBD who received the usual prophylactic antibiotics (PAs) or systematic antibiotherapy (ABT). METHODS All patients who underwent surgery between 2008 and 2017 were included. Systematic perioperative ABT with piperacillin + tazobactam (ABT group) was implemented in 2014 as the standard of care for PBD. Patients treated in the period before such implementation, during which standard cefazolin was given, served as the controls (PAs group). The primary outcomes were postoperative complications. RESULTS We included 122 patients with PBD who underwent surgery. There were no demographic differences between the two groups. Perioperative ABT was associated with a reduction in deep abdominal abscesses (36% vs 10%, P = .0008), respiratory tract infections (15% vs 3%; P = .02), bacteremia (41% vs 6%; P < .0001), and a shorter length of hospital stay (17 [13-27] vs 13 [10-14] days; P < .0001). ABT was a protective factor against the development of deep abdominal abscesses (odds ratio [OR] = 0.16; P = .001) whereas smoking (OR = 3.9) and pancreatic fistula (OR = 19.1) were risk factors. CONCLUSION Systematic perioperative ABT in patients undergoing PD preceded by PBD may reduce deep surgical infections and the length of hospital stay.
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Affiliation(s)
- O Degrandi
- Department of Digestive And Endocrinology Surgery, Centre for Digestive System Diseases, Magellan, University Hospital of Bordeaux, Pessac, France.,Department of tissus engineering, INSERM UMR 1026, University of Bordeaux, Bordeaux, France.,Department of Research, INSERM UMR 1035, University of Bordeaux, Bordeaux, France
| | - E Buscail
- Department of Digestive And Endocrinology Surgery, Centre for Digestive System Diseases, Magellan, University Hospital of Bordeaux, Pessac, France.,Department of Research, INSERM UMR 1035, University of Bordeaux, Bordeaux, France
| | - S Martellotto
- Department of Digestive And Endocrinology Surgery, Centre for Digestive System Diseases, Magellan, University Hospital of Bordeaux, Pessac, France
| | - C Gronnier
- Department of Digestive And Endocrinology Surgery, Centre for Digestive System Diseases, Magellan, University Hospital of Bordeaux, Pessac, France.,Department of tissus engineering, INSERM UMR 1026, University of Bordeaux, Bordeaux, France
| | - D Collet
- Department of Digestive And Endocrinology Surgery, Centre for Digestive System Diseases, Magellan, University Hospital of Bordeaux, Pessac, France.,Department of tissus engineering, INSERM UMR 1026, University of Bordeaux, Bordeaux, France
| | - J P Adam
- Department of Digestive And Endocrinology Surgery, Centre for Digestive System Diseases, Magellan, University Hospital of Bordeaux, Pessac, France
| | - A Ouattara
- Department of Biology of Cardiovascular Diseases, INSERM UMR 1034, University of Bordeaux, Pessac, France.,Department of Anaesthesia and Critical Care, Magellan Medico-Surgical Center, CHU Bordeaux, Bordeaux, France
| | - C Laurent
- Department of Digestive And Endocrinology Surgery, Centre for Digestive System Diseases, Magellan, University Hospital of Bordeaux, Pessac, France.,Department of Research, INSERM UMR 1035, University of Bordeaux, Bordeaux, France
| | - A Dewitte
- Department of Biology of Cardiovascular Diseases, INSERM UMR 1034, University of Bordeaux, Pessac, France.,Department of Anaesthesia and Critical Care, Magellan Medico-Surgical Center, CHU Bordeaux, Bordeaux, France
| | - L Chiche
- Department of Digestive And Endocrinology Surgery, Centre for Digestive System Diseases, Magellan, University Hospital of Bordeaux, Pessac, France.,Department of Research, INSERM UMR 1035, University of Bordeaux, Bordeaux, France
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Freynet A, Decloedt C, Grandet P, Ouattara A, Fleureau C. Décubitus ventral et kinésithérapie respiratoire : y a-t-il une indication ? Description d’un cas clinique. Méd Intensive Réa 2019. [DOI: 10.3166/rea-2019-0107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Contexte : Le décubitus ventral (DV) est appliqué dans un objectif de recrutement alvéolaire, dans le cadre de syndrome de détresse respiratoire aiguë (SDRA). Le DV mobilise parfois des sécrétions bronchiques, interrogeant l’intérêt d’une kinésithérapie de désencombrement.
Matériel et méthode : Une femme de 43 ans, myopathe de Steinert, est hospitalisée pour une insuffisance hépatique aiguë. À j3, elle présente une pneumopathie d’inhalation, suivie d’un SDRA. Le positionnement en DV est réalisé, mobilisant des sécrétions bronchiques. Une séance de kinésithérapie respiratoire est alors appliquée.
Résultats : Après la mise en DVet la séance de kinésithérapie, la quantité de sécrétions recueillies est de 2,4 g. Le rapport entre la pression partielle en oxygène et la fraction inspirée en oxygène (PaO2/FiO2) s’améliore, passant de 64 à 180 au bout de 11 heures de DV. La pression motrice et la pression de plateau sont restées inférieures aux valeurs délétères au cours de la séance de kinésithérapie, celle-ci n’ayant pas généré d’hypoxie pendant ou après la séance.
Discussion : Le positionnement en DV libère les parties postérieures des poumons, permettant une amélioration du rapport PaO2/FiO2. La clairance mucociliaire a été améliorée, mais il n’est pas possible de discriminer les effets du DVou de la kinésithérapie. Dans la littérature, la kinésithérapie respiratoire n’a pas montré son efficacité pour ces patients, même si aucun effet délétère n’a été observé à travers ce cas clinique. Les risques de dé-recrutement alvéolaire restent importants.
Conclusion : Il est difficile de recommander en pratique courante la kinésithérapie respiratoire de désencombrement en DV. Des études ultérieures sont nécessaires, dans un objectif de recherche centré plutôt sur le recrutement alvéolaire que sur le désencombrement, chez ces patients fragiles.
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Quessard A, Cadier G, Imbault J, Rey J, Pernot M, Ouattara A. Assistance ventriculaire gauche par Impella® : indications, gestion et complications. Méd Intensive Réa 2019. [DOI: 10.3166/rea-2019-0093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
L’assistance monoventriculaire Impella® est une assistance microaxiale non pulsatile dépourvue de fonction d’oxygénation et/ou de décarboxylation. Sur le principe de la vis sans fin d’Archimède, elle aspire le sang dans le ventricule gauche pour le réinjecter dans la racine de l’aorte en regard des ostia coronaires. Selon le modèle utilisé, le débit d’assistance antérograde ainsi généré varie de 2,5 à 5 l/min. De par son mode de fonctionnement, l’assistance Impella® permet une décharge ventriculaire efficace. Ses indications sont l’angioplastie coronaire à haut risque et le choc cardiogénique réfractaire aux agents cardiovasoactifs. Chez le patient assisté par une extracorporeal life support (ECLS), la pompe Impella® permet de limiter le risque de surcharge ventriculaire. Chez le patient exclusivement assisté par Impella® soit d’emblée ou après une association avec l’ECLS, la voie d’abord axillaire permet sa réhabilitation active y compris la déambulation et l’activité physique. Elle se révèle alors une mise à l’épreuve cliniquement pertinente du ventricule droit en vue d’une assistance de longue durée de type left ventricular assist device.
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10
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Bonnet G, Pernot M, Zaouter C, Peltan J, Seguy B, Klotz N, Dijos M, Montaudon M, Ouattara A, Lafitte S, Ritter P, Labrousse L, Leroux L. Membranous septal length and valve implantation depth of TAVR: Predictors of new permanent pacemaker implantation after TAVR. Archives of Cardiovascular Diseases Supplements 2019. [DOI: 10.1016/j.acvdsp.2018.10.154] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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11
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Blavo-Kouamé T, Angora KE, Yéo A, Ouattara A, Ira-Bonouman A, Offianan AT, Ouhon J, Faye-Ketté H. Diagnosis of Trichomonas vaginalis using real-time polymerase chain reaction (PCR) among women at Institut Pasteur of Cte dIvoire. ACTA ACUST UNITED AC 2018. [DOI: 10.5897/ajmr2018.8989] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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12
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Mion S, Duval B, Zaouter C, Jecker O, Darné B, Rémy A, Ouattara A. Relationship between preoperative plasma fibrinogen level and severe bleeding after cardiac surgery. J Cardiothorac Vasc Anesth 2018. [DOI: 10.1053/j.jvca.2018.08.125] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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13
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Cosson E, Catargi B, Cheisson G, Jacqueminet S, Ichai C, Leguerrier AM, Ouattara A, Tauveron I, Bismuth E, Benhamou D, Valensi P. Practical management of diabetes patients before, during and after surgery: A joint French diabetology and anaesthesiology position statement. Diabetes Metab 2018; 44:200-216. [PMID: 29496345 DOI: 10.1016/j.diabet.2018.01.014] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2017] [Revised: 01/08/2018] [Accepted: 01/15/2018] [Indexed: 12/12/2022]
Affiliation(s)
- E Cosson
- Département d'endocrinologie-diabétologie-nutrition, CRNH-IdF, CINFO, hôpital Jean-Verdier, université Paris 13, Sorbonne Paris Cité, AP-HP, 93140 Bondy, France; UMR U1153 Inserm, U1125 Inra, CNAM, université Paris 13, Sorbonne Paris Cité, 93000 Bobigny, France
| | - B Catargi
- Service d'endocrinologie-maladies métaboliques, hôpital Saint-André, CHU de Bordeaux, 1, rue Jean-Burguet, 33000 Bordeaux, France.
| | - G Cheisson
- Service d'anesthésie-réanimation chirurgicale, hôpitaux universitaires Paris-Sud, hôpital de Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France
| | - S Jacqueminet
- Institut de cardio-métabolisme et nutrition, hôpital de la Pitié-Salpêtrière, AP-HP, 75013 Paris, France; Département du diabète et des maladies métaboliques, hôpital de la Pitié-Salpêtrière, 75013 Paris, France
| | - C Ichai
- Service de la réanimation polyvalente, hôpital Pasteur 2, CHU de Nice, 30, voie Romaine, 06001 Nice cedex 1, France; IRCAN, Inserm U1081, CNRS UMR 7284, university hospital of Nice, 06000 Nice, France
| | - A-M Leguerrier
- Service de diabétologie-endocrinologie, CHU hôpital Sud, CHU de Rennes, 16, boulevard de Bulgarie, 35056 Rennes, France
| | - A Ouattara
- Department of anaesthesia and critical care II, Magellan medico-surgical center, CHU de Bordeaux, 33000 Bordeaux, France; Inserm, UMR 1034, biology of cardiovascular diseases, université Bordeaux, 33600 Pessac, France
| | - I Tauveron
- Service d'endocrinologie-diabétologie, CHU de Clermont-Ferrand, 58, rue Montalembert, 63000 Clermont-Ferrand, France; UFR médecine, université Clermont-Auvergne, 28, place Henri-Dunant, 63000 Clermont-Ferrand, France; UMR CNRS 6293, Inserm U1103, génétique reproduction et développement, université Clermont-Auvergne, 63170 Aubière, France; Endocrinologie-diabétologie, CHU G.-Montpied, BP 69, 63003 Clermont-Ferrand, France
| | - E Bismuth
- Service d'endocrinologie-pédiatrie-diabète, hôpital Robert-Debré, AP-HP, 75019 Paris, France
| | - D Benhamou
- Service d'anesthésie-réanimation chirurgicale, hôpitaux universitaires Paris-Sud, hôpital de Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France
| | - P Valensi
- Département d'endocrinologie-diabétologie-nutrition, CRNH-IdF, CINFO, hôpital Jean-Verdier, université Paris 13, Sorbonne Paris Cité, AP-HP, 93140 Bondy, France
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Abstract
Methionine restriction (MR) extends the lifespan across several species, such as rodents, fruit flies, roundworms, and yeast. MR studies have been conducted on various rodent organs, such as liver, adipose tissue, heart, bones, and skeletal muscle, to elucidate its benefits to the healthspan; however, studies of the direct effect of MR on kidneys are lacking. To investigate the renal effects of MR, we used young and aged unilateral nephrectomized and 5/6 nephrectomized (5/6Nx) mice. Our studies indicated that MR mice experienced polydipsia and polyuria compared with control-fed counterparts. Urine albumin, creatinine, albumin-to-creatinine ratio, sulfur amino acids, and electrolytes were reduced in MR mice. Kidneys of MR mice up-regulated genes that are involved in ion transport, such as Aqp2, Scnn1a, and Slc6a19, which indicated a response to maintain osmotic balance. In addition, we identified renoprotective biomarkers that are affected by MR, such as clusterin and cystatin C. Of importance, MR attenuated kidney injury in 5/6Nx mice by down-regulating inflammation and fibrosis mechanisms. Thus, our studies in mice show the important role of kidneys during MR in maintaining osmotic homeostasis. Moreover, our studies also show that the MR diet delays the progression of kidney disease.-Cooke, D., Ouattara, A., Ables, G. P. Dietary methionine restriction modulates renal response and attenuates kidney injury in mice.
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Affiliation(s)
- Diana Cooke
- Orentreich Foundation for the Advancement of Science, Cold Spring, New York, USA
| | - Amadou Ouattara
- Orentreich Foundation for the Advancement of Science, Cold Spring, New York, USA
| | - Gene P Ables
- Orentreich Foundation for the Advancement of Science, Cold Spring, New York, USA
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15
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Zamané H, Kiemtoré S, Kain PD, Zongo A, Hounkanri BMG, Sawadogo YA, Ouattara A, Ouédraogo I, Savadogo-Komboigo BE, Ouédraogo CMR. [Evaluation of the Practice of Caesarean Section According to Robson's Classification in a Health District of Ouagadougou, Burkina Faso]. Bull Soc Pathol Exot 2018; 111:263-268. [PMID: 30950589 DOI: 10.3166/bspe-2019-0059] [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] [Subscribe] [Scholar Register] [Received: 01/21/2018] [Accepted: 12/03/2018] [Indexed: 11/20/2022]
Abstract
The control of the caesarean rate is nowadays an important concern for the obstetric world, the priority being to make every effort to practice a caesarean in all the women who need it only instead of reaching a specific rate. The purpose of the present study was to apply the Robson classification to the evaluation of the practice of caesarean section at the maternity of the Bogodogo District Hospital. It turned to be an analytical cross-sectional study which was carried out from January 1st, 2013 till December 31st, 2015. The information sources used included the computer base of caesarean sections, the delivery records, the operating room records, the delivery hall and the monthly activity reports. The overall hospital frequency of caesarean section was 33.3%. The rate of caesarean section expected during the same period according to the C-Model was 9.7%. Patients in groups 5 (with a scar uterus) and 6 (nulliparous with siege presentation) of the Robson classification had all a caesarean section and contributed to the overall rate of caesarean for 30 and 8.6% respectively. Low-risk women (groups 1, 2, 3 and 4) had a relative contribution of 31.3% to the overall rate of caesarean section. Improvement of the antenatal assessment of the prognosis of childbirth, particularly in the case of uterine scar or siege presentation, improvement of the quality of the supervision of the delivery work and the fight against prematurity will help to control the rate of caesarean section at the Bogodogo District Hospital.
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Affiliation(s)
- H Zamané
- Département de gynécologie et d'obstétrique du Centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso.,Unité de formation et de recherche en sciences de la santé, Université Ouaga 1 Pr Joseph KI ZERBO, 01 BP 7021 Ouagadougou 01, Burkina Faso
| | - S Kiemtoré
- Département de gynécologie et d'obstétrique du Centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso.,Unité de formation et de recherche en sciences de la santé, Université Ouaga 1 Pr Joseph KI ZERBO, 01 BP 7021 Ouagadougou 01, Burkina Faso
| | - P D Kain
- Département de gynécologie et d'obstétrique du Centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso.,Unité de formation et de recherche en sciences de la santé, Université Ouaga 1 Pr Joseph KI ZERBO, 01 BP 7021 Ouagadougou 01, Burkina Faso
| | - A Zongo
- Ministère de la Santé, Burkina Faso
| | - B M G Hounkanri
- Département de gynécologie et d'obstétrique du Centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso
| | - Y A Sawadogo
- Département de gynécologie et d'obstétrique du Centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso.,Unité de formation et de recherche en sciences de la santé, Université Ouaga 1 Pr Joseph KI ZERBO, 01 BP 7021 Ouagadougou 01, Burkina Faso
| | - A Ouattara
- Département de gynécologie et d'obstétrique du Centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso.,Unité de formation et de recherche en sciences de la santé, Université Ouaga 1 Pr Joseph KI ZERBO, 01 BP 7021 Ouagadougou 01, Burkina Faso
| | - I Ouédraogo
- Unité de formation et de recherche en sciences de la santé, Université Ouaga 1 Pr Joseph KI ZERBO, 01 BP 7021 Ouagadougou 01, Burkina Faso.,Centre hospitalier universitaire régional de Ouahigouya, Burkina Faso
| | - B E Savadogo-Komboigo
- Département de gynécologie et d'obstétrique du Centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso
| | - C M R Ouédraogo
- Unité de formation et de recherche en sciences de la santé, Université Ouaga 1 Pr Joseph KI ZERBO, 01 BP 7021 Ouagadougou 01, Burkina Faso.,Hôpital de District de Bogodogo, Burkina Faso
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16
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Kambou T, Ouattara A, Zare C, Pare A, Kabore F, Zango B, Bako A, Konate M, Toledo H. Prise en charge des corps étrangers des voies urinaires basses à Bobo-Dioulasso (Burkina Faso): Plaidoyer pour un accès aux moyens endoscopiques. African Journal of Urology 2017. [DOI: 10.1016/j.afju.2016.06.005] [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: 11/17/2022] Open
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17
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Richard F, Ahmed W, Denholm N, Dawson A, Varol N, Essén B, Johnsdotter S, Bukuluki P, Ahmed W, Naeema AGH, eltayeb D, Shell-Duncan B, Njue C, Muteshi J, Lamy C, Neyrinck P, Richard F, Verduyckt P, Alexander S, Kimani S, Esho T, Kimani V, Kigondu C, Karanja J, Guyo J, Touré M, Guindo YG, Samaké D, Camara L, Traoré Y, Traoré AA, Samaké A, Johnson-Agbakwu CE, Jordal M, Jirovsky E, Wu S, Fitzgerald K, Mishori R, Reingold R, Ismail EA, Say L, Uebelhart M, Boulvain M, Dallenbäch P, Irion O, Petignat P, Abdulcadir J, Farina P, Leye E, Ortensi L, Pecorella C, Novak L, Abdulcadir J, Cuzin B, Delmas FB, Papingui A, Bader D, Wahlberg A, Johnsdotter S, Selling KE, Källestål C, Essén B, Ibraheim AHHI, Elawad NAM, Ahmed W, Gasseer A, Naeema H, Maison E, Hussein H, Albagir AM, Bukuluki P, Albirair MT, Salih SAS, Ahmed W, Gasseer A, Naeema H, Maison E, Hussein H, Albagir AM, Albirair MT, Bukuluki P, Dawson A, Varol N, Esho T, Kimani S, Kimani V, Muniu S, Kigondu C, Nyamongo I, Guyo J, Ndavi P, Reingold R, Mishori R, Fitzgerald K, Wu S, Hedley H, Kuenzi R, Malavé-Seda L, Clare C, Greenfield J, Augustus P, Ukatu N, Manu E, Altonen B, Caillet M, Richard F, Foldès P, Cuzin B, Delmas FB, Papingui A, Wylomanski S, Vital M, De Visme S, Dugast S, Hanf M, Winer N, Johnsdotter S, Essén B, Seifeldin A, Mishori R, Fitzgerald K, Reingold R, Wu S, Villani M, Johnsdotter S, Essén B, Seinfeld R, Earp B, Cappon S, L’Ecluse C, Clays E, Tency I, Leye E, Johansen RE, Ouédraogo CM, Madzou S, Simporé A, Combaud V, Ouattara A, Millogo F, Ouédraogo A, Kiemtore S, Zamane H, Sawadogo YA, Kaien P, Dramé B, Thieba B, Lankoandé J, Descamps P, Catania L, Mastrullo R, Caselli A, Cecere R, Abdulcadir O, Abdulcadir J, Vogt S, Efferson C, O’Neill S, Dubour D, Florquin S, Bos M, Zewolde S, Richard F, Varol N, Dawson A, Turkmani S, Hall JJ, Nanayakkara S, Jenkins G, Homer CS, McGeechan K, Vital M, de Visme S, Hanf M, Philippe HJ, Winer N, Wylomanski S, Johnson-Agbakwu C, Warren N, Macfarlane A, Dorkenoo W, Lien IL, Schultz JH. Female Genital Mutilation/Cutting: sharing data and experiences to accelerate eradication and improve care: part 2. Reprod Health 2017. [PMCID: PMC5607483 DOI: 10.1186/s12978-017-0362-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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18
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Sow A, Diagne G, Keita Y, Sow O, Ndiath A, Ouattara A, Sarr ML, Sylla A, Moreira C. [Fatal female genital mutilation in a 10-year-old girl]. Arch Pediatr 2017; 24:991-994. [PMID: 28870818 DOI: 10.1016/j.arcped.2017.08.008] [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: 11/12/2016] [Revised: 12/24/2016] [Accepted: 08/05/2017] [Indexed: 10/18/2022]
Abstract
Female genital mutilation (FGM) comprises all procedures involving partial or total removal of the external genitalia and/or any other procedures affecting the female genitalia, for cultural or religious reasons or for nontherapeutic purposes in general. FGM is responsible for a number of short-, medium-, and long-term complications that can engage the vital and functional prognosis, especially in African countries. We report on a case in a 10-year-old girl who underwent genital mutilation, a traditional type of total excision during the neonatal period. She was followed for urethral meatus stenosis, which then was complicated by obstructive chronic kidney failure and urinary sepsis, whose progression was fatal.
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Affiliation(s)
- A Sow
- Service de pédiatrie, centre hospitalier universitaire (CHU) Aristide le Dantec, BP 3001, Dakar-Fann, Sénégal.
| | - G Diagne
- Service de pédiatrie, centre hospitalier universitaire (CHU) Aristide le Dantec, BP 3001, Dakar-Fann, Sénégal
| | - Y Keita
- Service de pédiatrie, centre hospitalier universitaire (CHU) Aristide le Dantec, BP 3001, Dakar-Fann, Sénégal
| | - O Sow
- Service d'urologie de l'hôpital Aristide le Dantec, Dakar-Fann, Sénégal
| | - A Ndiath
- Service d'urologie de l'hôpital Aristide le Dantec, Dakar-Fann, Sénégal
| | - A Ouattara
- Service de pédiatrie, centre hospitalier universitaire (CHU) Aristide le Dantec, BP 3001, Dakar-Fann, Sénégal
| | - M-L Sarr
- Service de pédiatrie, centre hospitalier universitaire (CHU) Aristide le Dantec, BP 3001, Dakar-Fann, Sénégal
| | - A Sylla
- Service de pédiatrie, centre hospitalier universitaire (CHU) Aristide le Dantec, BP 3001, Dakar-Fann, Sénégal
| | - C Moreira
- Service de pédiatrie, centre hospitalier universitaire (CHU) Aristide le Dantec, BP 3001, Dakar-Fann, Sénégal
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19
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Amour J, Garnier M, Szymezak J, Le Manach Y, Helley D, Bertil S, Ouattara A, Riou B, Gaussem P. Prospective observational study of the effect of dual antiplatelet therapy with tranexamic acid treatment on platelet function and bleeding after cardiac surgery. Br J Anaesth 2016; 117:749-757. [DOI: 10.1093/bja/aew357] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2016] [Indexed: 12/20/2022] Open
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20
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Ouédraogo CMR, Ouattara A, Sana A, Ouédraogo A, Kain DP, Komboigo E, Sangaré L, Lankoandé J. [Obstetric endometritis at the UTH-Yalgado Ouedraogo of Ouagadougou (Burkina Faso): about the management of 102 cases]. Bull Soc Pathol Exot 2016; 109:334-339. [PMID: 27448579 DOI: 10.1007/s13149-016-0514-1] [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] [Received: 12/08/2015] [Accepted: 05/17/2016] [Indexed: 06/06/2023]
Abstract
This is a descriptive cross-sectional study over a nine months period conducted at the UTH-Yalgado Ouédraogo from all patients in whom the diagnosis of endometritis at obstetrical been laid. Endo-cervical and vaginal swabs were taken from all these patients. Commensal bacteria and anaerobes were investigated in the laboratory. During the study period, 102 cases of obstetric endometritis were recorded that to say a frequency of 1.4% of admissions. The average age of patients was 25.2 years [17-43]. The childbirth mean was 2.5 ± 2 [0-7]. The reason for consultation was dominated by hyperthermia in 98% of cases. The bacterial ecosystem was mainly dominated by Escherichia coli (49.2%), Staphylococcus aureus (29.5%), Streptococcus sp (4.9%). The acid + amoxicillin clavulanic showed low activity on most germs. The average hospital stay of patients was 6.30 days [1-33]. A maternal death was recorded in 3 patients that to say fatality rate of 2.9%. The lethality of endometritis at the UTH-Yalgado Ouedraogo is greater than the rate of 1% allowed by WHO. The resistance of germs is high enough with amoxicillin. The systematization of the bacteriological study is expected to guide the antibiotic to help better fight against maternal mortality.
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Affiliation(s)
- C M R Ouédraogo
- Université de Ouagadougou, Burkina Faso, 04 BP 8201, Ouagadougou 04, Burkina Faso.
| | - A Ouattara
- Département de gynécologie et d'obstétrique du CHU-YO, Ouagadougou, Burkina Faso
| | - A Sana
- Département de gynécologie et d'obstétrique du CHU-YO, Ouagadougou, Burkina Faso
| | - A Ouédraogo
- Département de gynécologie et d'obstétrique du CHU-YO, Ouagadougou, Burkina Faso
| | - D P Kain
- Département de gynécologie et d'obstétrique du CHU-YO, Ouagadougou, Burkina Faso
| | - E Komboigo
- Département de gynécologie et d'obstétrique du CHU-YO, Ouagadougou, Burkina Faso
| | - L Sangaré
- Département de bactériologie et de virologie du CHU-YO, Ouagadougou, Burkina Faso
| | - J Lankoandé
- Département de gynécologie et d'obstétrique du CHU-YO, Ouagadougou, Burkina Faso
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21
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Ouédraogo C, Madzou S, Simporé A, Combaud V, Ouattara A, Millogo F, Ouédraogo A, Kiemtore S, Zamane H, Sawadogo Y, Kaien P, Dramé B, Thieba B, Lankoandé J, Descamps P. Reconstruction clitoridienne après mutilation génitale féminine au CHU Yalgado de Ouagadougou, Burkina Faso. À propos de 68 patientes opérées. ACTA ACUST UNITED AC 2016; 45:1099-1106. [DOI: 10.1016/j.jgyn.2016.08.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2016] [Revised: 07/07/2016] [Accepted: 08/30/2016] [Indexed: 10/20/2022]
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22
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Brouh Y, Jean KK, Ouattara A, Tétchi Y, Pete Y, Koffi N, Abhé C, Kane M. Brain lesions in eclampsia: A series of 39 cases admitted in an Intensive Care Unit. Indian J Crit Care Med 2016; 20:178-81. [PMID: 27076731 PMCID: PMC4810897 DOI: 10.4103/0972-5229.178183] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
The aim of this study was to identify the encephalic lesions in the eclampsia occurrences. Within a period of 18 months, computed tomography (CT) of the brain was performed in all patients admitted in intensive care for eclampsia. These CTs were analyzed and intracerebral lesions were identified. Thirty-nine patients were included. We noted 10 cases of ischemic stroke, 9 cases of cerebral edema, and 3 cases of hemorrhagic stroke and subarachnoid hemorrhage. The CT scan came back to normal in 20 eclamptic patients. Overall, delays in obstetric and intensive care and time of completion of the CT were long. CT has allowed highlighting in patients with eclampsia varied intracerebral lesions. The early performance of the CT is therefore essential for a better support of patients.
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Affiliation(s)
- Y Brouh
- Anaesthesia and Intensive Care Unit, University Hospital of Cocody, Abidjan, Cote d'Ivoire
| | - Konan Kouassi Jean
- Emergency Department and, Anaesthesia and Intensive Care Unit, University Hospital of Yopougon, Abidjan, Cote d'Ivoire
| | - A Ouattara
- Anaesthesia and Intensive Care Unit, University Hospital of Cocody, Abidjan, Cote d'Ivoire
| | - Y Tétchi
- Anaesthesia and Intensive Care Unit, University Hospital of Cocody, Abidjan, Cote d'Ivoire
| | - Y Pete
- Anaesthesia and Intensive Care Unit, University Hospital of Bouaké, Cote d'Ivoire
| | - N Koffi
- Anaesthesia and Intensive Care Unit, University Hospital of Bouaké, Cote d'Ivoire
| | - C Abhé
- Anaesthesia and Intensive Care Unit, University Hospital of Cocody, Abidjan, Cote d'Ivoire
| | - M Kane
- Anaesthesia and Intensive Care Unit, University Hospital of Cocody, Abidjan, Cote d'Ivoire
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23
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Ouattara A, Cooke D, Gopalakrishnan R, Huang TH, Ables GP. Methionine restriction alters bone morphology and affects osteoblast differentiation. Bone Rep 2016; 5:33-42. [PMID: 28326345 PMCID: PMC4926829 DOI: 10.1016/j.bonr.2016.02.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Revised: 01/20/2016] [Accepted: 02/08/2016] [Indexed: 12/22/2022] Open
Abstract
Methionine restriction (MR) extends the lifespan of a wide variety of species, including rodents, drosophila, nematodes, and yeasts. MR has also been demonstrated to affect the overall growth of mice and rats. The objective of this study was to evaluate the effect of MR on bone structure in young and aged male and female C57BL/6J mice. This study indicated that MR affected the growth rates of males and young females, but not aged females. MR reduced volumetric bone mass density (vBMD) and bone mineral content (BMC), while bone microarchitecture parameters were decreased in males and young females, but not in aged females compared to control-fed (CF) mice. However, when adjusted for bodyweight, the effect of MR in reducing vBMD, BMC and microarchitecture measurements was either attenuated or reversed suggesting that the smaller bones in MR mice is appropriate for its body size. In addition, CF and MR mice had similar intrinsic strength properties as measured by nanoindentation. Plasma biomarkers suggested that the low bone mass in MR mice could be due to increased collagen degradation, which may be influenced by leptin, IGF-1, adiponectin and FGF21 hormone levels. Mouse preosteoblast cell line cultured under low sulfur amino acid growth media attenuated gene expression levels of Col1al, Runx2, Bglap, Alpl and Spp1 suggesting delayed collagen formation and bone differentiation. Collectively, our studies revealed that MR altered bone morphology which could be mediated by delays in osteoblast differentiation. MR affected the growth rates of males and young females, but not aged females. CF and MR mice had similar intrinsic strength properties. Low methionine media attenuated bone differentiation genes in MC3T3-E1 preosteoblast cells. The lower bone mass in MR mice is appropriate for its smaller body size.
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Key Words
- Aged mice
- BMC, bone mineral content
- BS, bone surface
- BV, bone volume
- CF, control-fed
- CTX-1, C-terminal telopeptide of type 1 collagen
- Conn.Dn., connectivity density
- FGF21, fibroblast growth factor-21
- HFD, high-fat diet
- HHCy, hyperhomocysteinemia
- IDI, indentation depth increase
- IGF-1, insulin-like growth factor-1
- Imax, maximal MOI
- Imin, minimal MOI
- LPD, low protein diet
- MC3T3-E1 subclone 4
- MOI, moment of inertia
- MR, methionine restriction
- Methionine restriction
- Micro-computed tomography
- Nanoindentation
- OC, osteocalcin
- OPG, osteoprotegerin
- P1NP, N-terminal propeptide of type 1 procollagen
- RANKL, receptor activator for nuclear factor κB ligand
- SMI, structure model index
- TV, total volume
- Tb.N, trabecular number
- Tb.Sp, trabecular separation
- Tb.Th, trabecular thickness
- pMOI, polar MOI
- vBMD, volumetric bone mass density
- μCT, micro-computed tomography
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Affiliation(s)
- Amadou Ouattara
- Orentreich Foundation for the Advancement of Science, Inc, 855 Route 301, Cold Spring, NY 10516, USA
| | - Diana Cooke
- Orentreich Foundation for the Advancement of Science, Inc, 855 Route 301, Cold Spring, NY 10516, USA
| | - Raj Gopalakrishnan
- School of Dentistry, University of Minnesota, Minneapolis, MN 55455, USA
| | - Tsang-hai Huang
- Institute of Physical Education, Health and Leisure Studies, National Cheng Kung University, Tainan City, Taiwan
| | - Gene P. Ables
- Orentreich Foundation for the Advancement of Science, Inc, 855 Route 301, Cold Spring, NY 10516, USA
- Corresponding author at: Orentreich Foundation for the Advancement of Science, Inc., 855 Route 301, Cold Spring, NY 10516, USA.Orentreich Foundation for the Advancement of Science, Inc.855 Route 301Cold SpringNY10516USA
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24
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Ouattara A, Ouédraogo CMR, Ouédraogo A, Kain DP, Zamané H, Kiemtoré S, Sawadogo Y, Millogo-Traoré FD, Thieba-Bonané B, Lankoandé J. [Eclampsia at the University hospital Yalgado of Ouagadougou (Burkina Faso) from 1 April 2013 to 31 March 2014]. ACTA ACUST UNITED AC 2015; 108:316-23. [PMID: 26608270 DOI: 10.1007/s13149-015-0456-z] [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] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2014] [Accepted: 08/28/2015] [Indexed: 11/26/2022]
Abstract
The objective of this study was to describe the epidemiological, clinical, therapeutic and prognostic aspects of the eclampsia in the obstetrics and gynecology department at the University Teaching Hospital Yalgado Ouedraogo of Ouagadougou. It has been a descriptive crosssectional study over a period of 12 months from 1 April 2013 to 31 March 2014. The main criterion for inclusion in our sample was the occurrence of seizures in a pregnant more than 20 weeks of gestation or recently delivered with elevation of blood pressure and the presence of albumin in the urine. The patients were followed from the onset of the crisis until hospital discharge. Data were collected and analyzed using Epi Info 3.5.1. The significance level of 5% was used for data comparison. We identified 203 cases of eclampsia for 6063 deliveries that to say a frequency of 3.3%. The average age of patients was 27.5 years [14-46]. In socio-demographic terms, patients were housewives in 62.5% of cases, the average rate of the past-deliver number was 4.2 [0-11] and 47.7% of patients were living as married. Clinically, they were referred in 72.4% of cases and were initially admitted into the service for elevation of blood pressure in 40.3% of cases. The mean gestational age was 31.5 weeks [23-41]; diastolic blood pressure exceeded 110 mmHg in 63.1% of cases. Therapeutically, all the patients benefited from a treatment based in anticonvulsant by magnesium sulfate and antihypertensive therapy by nicardipine, clonidine or alpha-methyl-dopa. Maternal prognosis was marked by significant morbidity in 46 cases (22.6%) and mortality in 13 patients that to say a fatality rate of 6.4%. The fetal one was dominated by a perinatal lethality in 31.5% of the cases. Eclampsia is a major cause of maternal and perinatal mortality in the University Teaching Hospital of Ouagadougou. The adoption of strategies for screening during antenatal consultations and early management should contribute to the reduction of the mortality in the mother and child couple in Burkina Faso.
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Affiliation(s)
- A Ouattara
- CHU-YO de Ouagadougou, Ouagadougou, Burkina Faso.
| | - C M R Ouédraogo
- UFR/SDS de l'Université de Ouagadougou, Ouagadougou, Burkina Faso
| | - A Ouédraogo
- UFR/SDS de l'Université de Ouagadougou, Ouagadougou, Burkina Faso
| | - D P Kain
- CHU-YO de Ouagadougou, Ouagadougou, Burkina Faso
| | - H Zamané
- CHU-YO de Ouagadougou, Ouagadougou, Burkina Faso
| | - S Kiemtoré
- CHU-YO de Ouagadougou, Ouagadougou, Burkina Faso
| | - Y Sawadogo
- CHU-YO de Ouagadougou, Ouagadougou, Burkina Faso
| | | | - B Thieba-Bonané
- UFR/SDS de l'Université de Ouagadougou, Ouagadougou, Burkina Faso
| | - J Lankoandé
- UFR/SDS de l'Université de Ouagadougou, Ouagadougou, Burkina Faso
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25
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Ouattara A, Ouédraogo A, Ouédraogo CM, Lankoande J. [Unsafe abortions in countries that restrict legal abortions. Epidemiologic, clinical, and prognostic aspects at the University Hospital Center Yalgado-Ouédraogo of Ouagadougou]. Med Sante Trop 2015; 25:210-214. [PMID: 26102452 DOI: 10.1684/mst.2015.0464] [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] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE to describe the epidemiologic, clinical, and prognostic aspects of the management of the complications of women who had unsafe (illegal) abortions. MATERIAL AND METHODS this prospective, descriptive cross-sectional study took place the Yalgado Ouédraogo University Hospital Center (UHC-YO) in Ouagadougou during the 12-month period from June 2012 to May 2013. The study included all women admitted to the obstetrics-gynecology department during the study period and diagnosed after clinical examination with complications of an unsafe abortion. Data were collected with standardized case report forms. The analysis was conducted with Epi Info 3.5.1 software and Student's, Fisher's, and Pearson's Chi-square tests to compare the data. The threshold for statistical significance was set at 5%. RESULTS during the study period, 111 women were admitted for complications of unsafe abortions, for a rate of 1 per 47 deliveries. The women's mean age was 23.6 years and ranged from 15 to 45 years. More than half the women (n=62, 55%) were pregnant for the first time. Hemorrhage was the primary reason for admission: 78 women, or 75%. Only 18 women (16%) admitted to having had an illegal intentional abortions. Complications included endometritis in 10 women (11%), anemia in 6 (5%), and hepatonephritis, also in 6 (5%). Six women died, for a mortality rate of 24%. CONCLUSION the epidemiologic profile of women with complications from unsafe abortions is that of a young women pregnant for the first time, who has no income-producing activity. Morbidity is dominated by infectious or hemorrhagic complications and mortality is high. Strengthening activities for prevention, health and sex education, and dissemination of knowledge of and access to contraceptive methods will help to reduce these abortions and their consequences.
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Affiliation(s)
- A Ouattara
- Centre hospitalier universitaire Yalgado Ouédraogo, UFR/SDS de l'université de Ouagadougou, 01 BP 676, 226 Ouagadougou, Burkina Faso
| | - A Ouédraogo
- Centre hospitalier universitaire Yalgado Ouédraogo, UFR/SDS de l'université de Ouagadougou, 01 BP 676, 226 Ouagadougou, Burkina Faso
| | - C M Ouédraogo
- Centre hospitalier universitaire Yalgado Ouédraogo, UFR/SDS de l'université de Ouagadougou, 01 BP 676, 226 Ouagadougou, Burkina Faso
| | - J Lankoande
- Centre hospitalier universitaire Yalgado Ouédraogo, UFR/SDS de l'université de Ouagadougou, 01 BP 676, 226 Ouagadougou, Burkina Faso
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26
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Ables GP, Ouattara A, Hampton TG, Cooke D, Perodin F, Augie I, Orentreich DS. Dietary methionine restriction in mice elicits an adaptive cardiovascular response to hyperhomocysteinemia. Sci Rep 2015; 5:8886. [PMID: 25744495 PMCID: PMC4351514 DOI: 10.1038/srep08886] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2014] [Accepted: 02/10/2015] [Indexed: 01/01/2023] Open
Abstract
Dietary methionine restriction (MR) in rodents increased lifespan despite higher heart-to-body weight ratio (w/w) and hyperhomocysteinemia, which are symptoms associated with increased risk for cardiovascular disease. We investigated this paradoxical effect of MR on cardiac function using young, old, and apolipoprotein E-deficient (ApoE-KO) mice. Indeed, MR animals exhibited higher heart-to-body weight ratio (w/w) and hyperhomocysteinemia with a molecular pattern consistent with cardiac stress while maintaining the integrity of cardiac structure. Baseline cardiac function, which was measured by non-invasive electrocardiography (ECG), showed that young MR mice had prolonged QRS intervals compared with control-fed (CF) mice, whereas old and ApoE-KO mice showed similar results for both groups. Following β-adrenergic challenge, responses of MR mice were either similar or attenuated compared with CF mice. Cardiac contractility, which was measured by isolated heart retrograde perfusion, was similar in both groups of old mice. Finally, the MR diet induced secretion of cardioprotective hormones, adiponectin and fibroblast growth factor 21 (FGF21), in MR mice with concomitant alterations in cardiac metabolic molecular signatures. Our findings demonstrate that MR diet does not alter cardiac function in mice despite the presence of hyperhomocysteinemia because of the adaptive responses of increased adiponectin and FGF21 levels.
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Affiliation(s)
- Gene P Ables
- The Orentreich Foundation for the Advancement of Science, Inc., Cold Spring-on-Hudson, NY
| | - Amadou Ouattara
- The Orentreich Foundation for the Advancement of Science, Inc., Cold Spring-on-Hudson, NY
| | | | - Diana Cooke
- The Orentreich Foundation for the Advancement of Science, Inc., Cold Spring-on-Hudson, NY
| | - Frantz Perodin
- The Orentreich Foundation for the Advancement of Science, Inc., Cold Spring-on-Hudson, NY
| | - Ines Augie
- The Orentreich Foundation for the Advancement of Science, Inc., Cold Spring-on-Hudson, NY
| | - David S Orentreich
- The Orentreich Foundation for the Advancement of Science, Inc., Cold Spring-on-Hudson, NY
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Joannes-Boyau O, Dewitte A, Ouattara A. [Multimodal approach to enhance filter lifespan: are all actions equal?]. Ann Fr Anesth Reanim 2014; 33:619-620. [PMID: 25497172 DOI: 10.1016/j.annfar.2014.10.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- O Joannes-Boyau
- Unité de réanimation polyvalente de la Maison du Haut-Lévêque, service d'anesthésie réanimation 2, hôpital Haut Lévêque, CHU de Bordeaux, avenue Magellan, 33600 Pessac, France.
| | - A Dewitte
- Unité de réanimation polyvalente de la Maison du Haut-Lévêque, service d'anesthésie réanimation 2, hôpital Haut Lévêque, CHU de Bordeaux, avenue Magellan, 33600 Pessac, France; Bioingénierie tissulaire, université Bordeaux, U1026, 33000 Bordeaux, France
| | - A Ouattara
- Unité de réanimation polyvalente de la Maison du Haut-Lévêque, service d'anesthésie réanimation 2, hôpital Haut Lévêque, CHU de Bordeaux, avenue Magellan, 33600 Pessac, France; Inserm U1034 adaptation cardiovasculaire à l'ischémie, université Bordeaux, 33600 Pessac, France
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Rozé H, Germain A, Perrier V, Dewitte A, Joannes-Boyau O, Fleureau C, Ouattara A. Effect of flumazenil on diaphragm electrical activation during weaning from mechanical ventilation after acute respiratory distress syndrome. Br J Anaesth 2014; 114:269-75. [PMID: 25416275 DOI: 10.1093/bja/aeu374] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Diaphragm electrical activation (EAdi) and the ratio of tidal volume to EAdi (VT/EAdi) may provide clinical information on neuroventilatory efficiency (NVE) in patients being weaned from mechanical ventilation. We tested the hypothesis that residual sedation could interfere with respiratory recovery, by assessing the effects of flumazenil on EAdi and VT/EAdi ratio. METHODS This observational study included 13 patients breathing with pressure-support ventilation (PSV) after a long period of controlled mechanical ventilation (i.e. >4 days) plus midazolam-based sedation for acute respiratory distress syndrome. EAdi and respiratory patterns were compared before and after a bolus of flumazenil, which was given because neurological status needed to be evaluated. RESULTS Flumazenil induced a significant increase in EAdi [+71 (41-123)%, P=0.0002] and VT [+17 (8-32)%, P=0.0005], resulting in significantly decreased NVE [-34 (15-43)%]. The increased VT was significantly correlated with the increased EAdi (ρ=0.70, P=0.009). CONCLUSIONS During weaning from mechanical ventilation, the diaphragmatic contribution to the breathing process may be reduced by residual midazolam-induced ventilatory depression. The increased EAdi with reversal of residual sedation was associated with a proportional increase in VT. These findings should be considered by the attending physician when interpreting daily EAdi and VT changes during weaning from mechanical ventilation.
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Affiliation(s)
- H Rozé
- CHU de Bordeaux, Service d'Anesthésie-Réanimation II, Unité de Réanimation polyvalente de la Maison du Haut-Lévêque, Hôpital Haut Lévêque, Avenue Magellan, F-33600 Pessac, France University of Bordeaux, Adaptation cardiovasculaire à l'ischémie, U1034, F-33600 Pessac, France INSERM, Adaptation cardiovasculaire à l'ischémie, U1034, F-33600 Pessac, France
| | - A Germain
- CHU de Bordeaux, Service d'Anesthésie-Réanimation II, Unité de Réanimation polyvalente de la Maison du Haut-Lévêque, Hôpital Haut Lévêque, Avenue Magellan, F-33600 Pessac, France
| | - V Perrier
- CHU de Bordeaux, Service d'Anesthésie-Réanimation II, Unité de Réanimation polyvalente de la Maison du Haut-Lévêque, Hôpital Haut Lévêque, Avenue Magellan, F-33600 Pessac, France
| | - A Dewitte
- CHU de Bordeaux, Service d'Anesthésie-Réanimation II, Unité de Réanimation polyvalente de la Maison du Haut-Lévêque, Hôpital Haut Lévêque, Avenue Magellan, F-33600 Pessac, France University of Bordeaux, Bioingénierie tissulaire, U1026, F-33000 Bordeaux, France
| | - O Joannes-Boyau
- CHU de Bordeaux, Service d'Anesthésie-Réanimation II, Unité de Réanimation polyvalente de la Maison du Haut-Lévêque, Hôpital Haut Lévêque, Avenue Magellan, F-33600 Pessac, France
| | - C Fleureau
- CHU de Bordeaux, Service d'Anesthésie-Réanimation II, Unité de Réanimation polyvalente de la Maison du Haut-Lévêque, Hôpital Haut Lévêque, Avenue Magellan, F-33600 Pessac, France
| | - A Ouattara
- CHU de Bordeaux, Service d'Anesthésie-Réanimation II, Unité de Réanimation polyvalente de la Maison du Haut-Lévêque, Hôpital Haut Lévêque, Avenue Magellan, F-33600 Pessac, France University of Bordeaux, Adaptation cardiovasculaire à l'ischémie, U1034, F-33600 Pessac, France INSERM, Adaptation cardiovasculaire à l'ischémie, U1034, F-33600 Pessac, France
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Abstract
Extensive literature describes the suitability of dynamic parameters to predict responsiveness in fluid. However, based on heart-lung interactions, these parameters can have serious limitations, including the use of protective lung ventilation. Although the latter seems to be beneficial for healthy patients undergoing high-risk surgery, the intraoperative interpretation of dynamic parameters to predict fluid responsiveness can be hazardous. In this context, the attending physician could, alternatively, titrate the need of fluids with a small fluid challenge, which remains unaffected by low tidal volume, the presence of arrhythmia, or the presence of spontaneous ventilation. When intraoperative prediction of fluid responsiveness is required in mechanically ventilated patients, "improved" titration should be preferred to a hypothetical prediction.
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Affiliation(s)
- A Ouattara
- Université de Bordeaux, adaptation cardiovasculaire à l'ischémie, U1034, 33600 Pessac, France; Inserm, adaptation cardiovasculaire à l'ischémie, U1034, 33600 Pessac, France; Service d'anesthésie-réanimation II, maison du Haut-Lévêque, groupe hospitalier Sud, CHU de Bordeaux, avenue Magellan, 33600 Pessac, France.
| | - A Dewitte
- Université de Bordeaux, adaptation cardiovasculaire à l'ischémie, U1034, 33600 Pessac, France; Service d'anesthésie-réanimation II, maison du Haut-Lévêque, groupe hospitalier Sud, CHU de Bordeaux, avenue Magellan, 33600 Pessac, France; Université de Bordeaux, bioingénierie tissulaire, U1026, 33000 Bordeaux, France
| | - H Rozé
- Université de Bordeaux, adaptation cardiovasculaire à l'ischémie, U1034, 33600 Pessac, France; Inserm, adaptation cardiovasculaire à l'ischémie, U1034, 33600 Pessac, France; Service d'anesthésie-réanimation II, maison du Haut-Lévêque, groupe hospitalier Sud, CHU de Bordeaux, avenue Magellan, 33600 Pessac, France
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Kaboré FA, Kambou T, Zango B, Ouattara A, Simporé M, Lougué-Sorgho C, Lechevalier E, Karsenty G. [Epidemiology of a cohort of 450 urolithiasis at the Yalgado Ouédraogo university hospital of Ouagadougou (Burkina Faso)]. Prog Urol 2014; 23:971-6. [PMID: 24224198 DOI: 10.1016/j.purol.2013.04.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
OBJECTIVE To report the epidemiological and diagnosis characteristics of urolithiasis in the city of Ouagadougou (Burkina Faso). PATIENTS AND METHODS We performed a retrospective and descriptive study of a cohort of urolithiasis patients from January 2009 to December 2011 at the department of urology of the Yalgado Ouédraogo University hospital of Ouagadougou. The minimum required data were: age, gender, occupation, residence, complete medical observation and medical imaging results. RESULTS Four hundred and fifty patients with a median age of 35 years were included in this study. Urinary stones prevalence was 12.5%. There was a male predominance with a sex ratio of 1.91. Renal colic found in 32% of patients was the main pattern of consultation. Urinary schistosomiasis was the main etiological factor correlated with the occurrence of urolithiasis (P < 0.05). The majority of urinary stones in this study were located in the upper urinary tract (86.5%). Complications were dominated by urinary tract infections (45.2%) and obstructive renal failure (8.9%). CONCLUSION The characteristics of urolithiasis in our center were similar to those reported in the developing world but seem to evolve toward those of industrialized countries.
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Aristide Kaboré F, Kambou T, Ouattara A, Zango B, Yaméogo C, Kirakoya B, Franquebalme JP, Eglin G, Thoreau F, Chuzel JL, Albert P, Alimi JC, Colas JM, Bibault A, Paul O, Corcos J, Karsenty G. [Epidemiology, etiology and psychosocial impact of urogenital fistulas in a cohort of 170 consecutive patients managed in three treatment centers in Burkina Faso from 2010 to 2012]. Prog Urol 2014; 24:526-32. [PMID: 24875572 DOI: 10.1016/j.purol.2014.03.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2013] [Revised: 03/02/2014] [Accepted: 03/04/2014] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To describe the socio-demographical aspects, etiologies and psychosocial consequences of urogenital fistula patients (UGF) in Burkina Faso (BF). PATIENTS AND METHODS Descriptive study of a cohort of consecutive patients during a period of 18 months (December 1st 2010 to August 31st 2012) in three centers of treatment in BF. Each patient has had a standardized complete medical observation focused on sociodemographics, clinical finding, past medical history and etiologies of UGF. Some patients had an interview with a psychologist. RESULTS One hundred and seventy patients with mean age 35 years (minimum: 16, maximum: 70) were enrolled during the study period. The majority of patients were housewives (90.5%, n=152) and illiterates (92.9%, n=158). Among the patients, 62.4% (n=106) lived in rural zones. Obstetrical fistula was the most common cause of UGF (87.6%, n=149) in our study and prolonged labor occurred in 93.3% (n=139) of cases with 17.5% (n=26) who delivered at home. The majority of our cases were vesico-vaginal fistula (70.6%, n=120). Fifty-five patients (32.4%) were divorced after the fistula. The sensation of humiliation and sadness were noted at all the patients who had a psychological evaluation and 87.5% (n=14) of them have had suicidal ideas. CONCLUSION The UGF are frequent in Burkina Faso and obstetrical etiology is dominant. The physical and psychosocial repercussions are important for the women victims of this pathology. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- F Aristide Kaboré
- Service d'urologie-andrologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso.
| | - T Kambou
- Service d'urologie-andrologie, CHU Souro Sanou, BP 676, Bobo-Dioulasso, Burkina Faso
| | - A Ouattara
- Service d'urologie-andrologie, CHU Souro Sanou, BP 676, Bobo-Dioulasso, Burkina Faso
| | - B Zango
- Service d'urologie-andrologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - C Yaméogo
- Service d'urologie-andrologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - B Kirakoya
- Service d'urologie-andrologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso
| | - J-P Franquebalme
- Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France
| | - G Eglin
- Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France
| | - F Thoreau
- Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France
| | - J-L Chuzel
- Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France
| | - P Albert
- Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France
| | - J-C Alimi
- Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France
| | - J-M Colas
- Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France
| | - A Bibault
- Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France
| | - O Paul
- Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France
| | - J Corcos
- Département d'urologie, université Mc Gill, hôpital Général Juif, 3755, chemin de la Côte-Sainte-Catherine, Montréal, Québec, Canada
| | - G Karsenty
- Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France; Service d'urologie et transplantation rénale, hôpital de la Conception, AP-HM, 147, boulevard Baille, 13385 Marseille cedex 05, France; Aix-Marseille université, 13284 Marseille, France
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Fanny A, Coulibaly F, Ouattara A, Sangaré Y, Bérété-Coulibaly R, Gbé K, Boni S. [Cataracts related to the extended application of dermocorticosteroids. A study of 8 cases in Abidjan]. J Fr Ophtalmol 2014; 37:388-92. [PMID: 24703192 DOI: 10.1016/j.jfo.2013.11.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2013] [Revised: 11/17/2013] [Accepted: 11/22/2013] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Cataract induced by corticosteroids is an entity, which has been well described for a relatively long time, but this eventuality caused by the cutaneous application of corticosteroids remains inadequately reported. The purpose of this study was to describe cataract as one of the complications of the misuse of cutaneous application of corticosteroids. MATERIALS AND METHODS In eight patients seen for visual loss, bilateral cataract was discovered. The only probable etiology in these cases appeared to be the cutaneous application of corticosteroids. Indeed, the work-up and careful history performed did not uncover any other etiology. RESULTS Eight patients, six women and two men, exhibited cataracts related to the application of topical corticosteroids. The age of the patients ranged between 39 and 45 years. The cataracts were bilateral and posterior subcapsular alone or combined. The period of use of corticosteroids ranged from 5 to 10 years. The products used consisted of a variety of chemicals including corticosteroids mainly in the form of traditionally manufactured soap, but also as ointment or other types of mixtures. CONCLUSION Topical corticosteroids induce posterior subcapsular cataract. The mechanism of action is direct access to the eye without any hepatic-first pass effect on the corticosteroid in question. The increasingly frequent use of corticosteroids in African blacks for skin lightening raises concern regarding the risk of epidemic cataracts in young women attempting to lighten their skin to be beautiful. Increased public awareness should be undertaken to prevent this growing and harmful phenomenon.
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Affiliation(s)
- A Fanny
- Service d'ophtalmologie, CHU de Treichville, boulevard de Marseille, 01 BP V 03, Abidjan 01, Côte d'Ivoire
| | - F Coulibaly
- Service d'ophtalmologie, CHU de Treichville, boulevard de Marseille, 01 BP V 03, Abidjan 01, Côte d'Ivoire
| | - A Ouattara
- Service d'ophtalmologie, CHU de Treichville, boulevard de Marseille, 01 BP V 03, Abidjan 01, Côte d'Ivoire.
| | - Y Sangaré
- Hôpital des fonctionnaires, angle du boulevard Angoulvan et de l'avenue Terrasson de Fougères, Abidjan, Côte d'Ivoire
| | - R Bérété-Coulibaly
- Service d'ophtalmologie, CHU de Treichville, boulevard de Marseille, 01 BP V 03, Abidjan 01, Côte d'Ivoire
| | - K Gbé
- Service d'ophtalmologie, CHU de Treichville, boulevard de Marseille, 01 BP V 03, Abidjan 01, Côte d'Ivoire
| | - S Boni
- Service d'ophtalmologie, CHU de Treichville, boulevard de Marseille, 01 BP V 03, Abidjan 01, Côte d'Ivoire
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Zaré C, Ouangré E, Ouattara A, Ouédraogo I, Nikièma Z, Kambou T, Agossou-Voyèmè AK. [Urachal cyst: contribution of ultrasound (about a case at Sourou Sanou Sobo-Dioulasso university hospital)]. Mali Med 2014; 29:64-66. [PMID: 30049119] [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] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Urachal cyst is difficult to diagnose and is a rare malformation and the authors report a case in a 10-month old boy. The malformation was associated with posterior urethral valve and simple surgical treatment was successful. The authors emphasize the contribution of perineal ultrasound in the diagnosis of associated posterior urethral valves.
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Affiliation(s)
- C Zaré
- Service de chirurgie générale
| | - E Ouangré
- Service de chirurgie viscérale CHU Yalgado Ouédraogo, Ouagadougou, Burkina Faso
| | - A Ouattara
- service d'urologie: CHU Sourou Sanou, Bobo-Dioulasso, Burkina-Faso
| | - I Ouédraogo
- Service de chirurgie pédiatrique CHU Charles Dégaule, Ouagadougou, Burkina Faso
| | | | - T Kambou
- service d'urologie: CHU Sourou Sanou, Bobo-Dioulasso, Burkina-Faso
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Tetchi YD, Ouattara A, Coulibaly KT, Abhé CM, N’guessan YF, Brouh Y. Difficultés de prise en charge des intoxications au méthanol en Afrique subsaharienne. Ann Fr Med Urgence 2014. [DOI: 10.1007/s13341-014-0402-2] [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: 10/25/2022]
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Lohouès-Kouacou MJ, Assi C, Nigué L, Biékré AR, Ouattara A, Koné S, Soro D, Allah-Kouadio E, Okon JBA, Diakité M, Doffou S, Camara BM. [Hepatitis B: cross-sectional study of knowledge and immunization among students at University of Cocody, Ivory Coast]. Rev Epidemiol Sante Publique 2013; 61:494-8. [PMID: 24042047 DOI: 10.1016/j.respe.2013.04.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2012] [Revised: 03/14/2013] [Accepted: 04/18/2013] [Indexed: 10/26/2022] Open
Abstract
BACKGROUND To evaluate knowledge about hepatitis B and vaccination coverage among students at Cocody's University, Ivory Coast. MATERIALS AND METHODS A cross-sectional study was conducted during the academic year 2005-2006 (2557 students). Parameters were collected by interview using a survey chart. Factors influencing knowledge and vaccination against hepatitis B were analyzed by logistic regression. RESULTS The majority of students (n=1174, 69.4% [95% CI 68-71]) knew about hepatitis B. Only 17.5% and 26.1% of students respectively were aware of sexual and blood transmission. None of the students were aware of maternal-fetal transmission. Factors associated with knowledge of hepatitis B were enrollment in health sciences (Odds Ratio=24.19 [95% CI 8.65-76.63]) and having a scholarship (Odds Ratio=2.34 [95% CI 1.54-3.56]). Vaccination coverage against hepatitis B was low (Odds Ratio=3.7% [95% CI 3-4]). Factors associated with vaccination were: knowledge of hepatitis B (Odds Ratio=6.83 [95% CI 4.57-10.27]), enrollment in health sciences (Odds Ratio=3.59 [95% CI 2.60-4.96]), marriage (Odds Ratio=2.04 [95% CI 1.13-3.64]) and having a scholarship (Odds Ratio=1.60 [95% CI 1.09-2.35]). CONCLUSION Knowledge and vaccination coverage against hepatitis B among students at Cocody's University is low. Students should be given information about hepatitis B and access to free vaccination. Students enrolled in health sciences should be vaccinated before admission because of specific risks of contamination, for themselves and for their patients.
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Affiliation(s)
- M-J Lohouès-Kouacou
- Service de gastroentérologie, centre hospitalier universitaire de Cocody, BP V 13, Abidjan, Côte d'Ivoire
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Rozé H, Repusseau B, Perrier V, Germain A, Séramondi R, Dewitte A, Fleureau C, Ouattara A. Neuro-ventilatory efficiency during weaning from mechanical ventilation using neurally adjusted ventilatory assist. Br J Anaesth 2013; 111:955-60. [PMID: 23959781 DOI: 10.1093/bja/aet258] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Neuro-ventilatory efficiency (NVE), defined as the tidal volume to electrical diaphragm-activity ratio (VT/EAdi) at the beginning and end of the weaning process after acute hypoxaemic respiratory failure, may provide valuable information about patient recovery. METHODS This observational study included 12 patients breathing with neurally adjusted ventilatory assist (NAVA). When a spontaneous breathing trial (SBT) with pressure support of 7 cm H2O and PEEP was unsuccessful, NAVA was used and the level was adjusted to obtain an EAdi of ∼60% of maximal EAdi during SBT. VT and EAdi were recorded continuously. We compared changes in NVE between NAVA and SBT at the first failed and first successful SBT. RESULTS When patients were switched from NAVA to SBT, NVE was significantly reduced during both unsuccessful and successful SBT (-56 and -38%, respectively); however, this reduction was significantly lower when SBT was successful (P=0.01). Between the first and last day of weaning, we observed that NVE decreased with NAVA [40.6 (27.7-89.5) vs 28.8 (18.6-46.7); P=0.002] with a significant decrease in NAVA level, whereas it remained unchanged during SBT [15.4 (10.7-39.1) vs 19.5 (11.6-29.6); P=0.50] with significant increases in both EAdi and VT and no difference in respiratory rhythm. CONCLUSIONS These results suggest that in patients after respiratory failure and prolonged mechanical ventilation, changes in VT and NVE, between SBTs are indicative of patient recovery. Larger clinical trials are needed to clarify whether changes in NVE reliably predict weaning in patients ventilated with NAVA.
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Affiliation(s)
- H Rozé
- CHU de Bordeaux, Service d'Anesthésie-Réanimation II, F-33600 Pessac, France
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Puymirat Y, Hachouf M, Doassans-Cazaban G, Poullenot F, Lefévre L, Winnock S, Ouattara A. [Predictive factors of organ failure in patients admitted in intensive care unit for acute gastrointestinal bleeding]. ACTA ACUST UNITED AC 2013; 32:560-4. [PMID: 23948027 DOI: 10.1016/j.annfar.2013.06.009] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2012] [Accepted: 06/14/2013] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Gastrointestinal hemorrhage is an emergency requiring usually an admission in intensive care unit (ICU), which may prove abusive secondarily. The aim of this study was to identify predictive risk factors of organ failure in patients admitted for GH in our ICU. DESIGN Retrospective and observational METHODS AND MEASUREMENTS Between January 2008 and December 2011, all patients admitted in our ICU for gastrointestinal hemorrhage were consecutively included. The primary endpoint was the occurrence of at least an organ failure. We realized an univariate analysis then a backward regression to identify independent risk factors associated with the occurrence of at least one organ failure during the ICU hospitalization. RESULTS During this period study, 441 consecutive patients with a mean age of 67±15years were included. The median ICU length of stay was of 4 (3-7) days and 116 (26% [IC95%: 22-30]) patients presented at least one organ failure. The multivariate analysis identified predictive risk factors of organ failure: history of cirrhosis (OR=3.5 [IC95%: 1.9-6.7], P<0.001) and an increase in troponin at the admission above the 99th percentile (OR=3.1 [IC95%: 1.8-5.5], P<0.001). CONCLUSION Our results confirmed that a large proportion of patients admitted in ICU for the primary diagnosis of gastrointestinal hemorrhage developed any organ failure. The history of cirrhosis and the systemic consequences of the hemorrhagic syndrome as myocardial damage represents important risk factors of morbidity and mortality and thus should be considered during the management.
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Affiliation(s)
- Y Puymirat
- Service d'anesthésie-réanimation II, hôpital du Haut-Lévêque, CHU de Bordeaux, avenue Magellan, 33000 Bordeaux, France; U1034, adaptation cardiovasculaire à l'ischémie, université de Bordeaux, 33000 Bordeaux, France
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Moisan M, Lafargue M, Calderon J, Oses P, Ouattara A. Pulmonary alveolar proteinosis requiring “hybrid” extracorporeal life support, and complicated by acute necrotizing pneumonia. ACTA ACUST UNITED AC 2013; 32:e71-5. [DOI: 10.1016/j.annfar.2013.02.013] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2012] [Accepted: 02/11/2013] [Indexed: 11/25/2022]
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Lohouès-Kouacou MJ, Assi C, Ouattara A, Bonao SG, Koné S, Soro D, Allah-Kouadio E, Okon AJB, Diakité M, Doffou S, Nigué L, Camara BM. [Hepatitis B knowledge among secondary school students in Côte d'Ivoire]. Sante Publique 2013; 25:227-232. [PMID: 23964548] [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: 06/02/2023]
Abstract
AIM The purpose of this study was to assess hepatitis B knowledge among secondary school students' in Côte d'Ivoire in order to promote the inclusion of hepatitis B education in school curricula. MATERIAL AND METHODS a single cross-sectional survey involving six schools (7,376 students) was conducted. Data were collected using a self-administered questionnaire. RESULTS All students present on the day of the survey agreed to participate in the study (100%, n = 3,352). The mean age of the participants was 17.9 years (10-26 years), with a male-to-female sex ratio of 1.68. Among them, 2,552 (76.6%) had heard of the HVB. School was the main source of information (12%), after the mass media (62%). The causative agent of the disease was known by 74.1% of students (n = 2,484), sexual transmission by 39.3% (n = 1316), and blood-borne transmission by 57.2% (n = 1919). Respectively 29%, 40% and 41% of the students were aware that acupuncture, body piercing and tattooing are high-risk practices. Only 35.7% of the students knew that there was an effective vaccine. The factors associated with hepatitis B knowledge were: being aged 16 to 20 years (OR = 1.73 [95% CI 1.198 to 2.49]), living in a permanent house or apartment (OR = 1.58 [95% CI 1.234 to 2.02]) or in a house or apartment with no more than 2 persons per room (OR = 1.41 [95% CI 1.15 to 1.74]), being in terminale (final year of high school) (OR = 2.54 [2.01 to 3, 20IC95%]), and having two working parents (OR =1.54 [95% CI 1.25 to 1.88]). CONCLUSION The students' knowledge of the hepatitis B virus was found to be inadequate and superficial. Early awareness programs provided as part of the official curriculum and measures to improve the social conditions of students should help to improve knowledge in this area.
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Affiliation(s)
- Marie-Jeanne Lohouès-Kouacou
- Service de médecine et de gastroentérologie - Centre hospitalier universitaire de Cocody - BP V 13 Abidjan, Côte d'Ivoire
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Niang L, Ndoye M, Ouattara A, Jalloh M, Labou M, Thiam I, Kouka SC, Diaw JJ, Gueye SM. [Management of prostate cancer in Senegal: what is being done?]. Prog Urol 2013; 23:36-41. [PMID: 23287482 DOI: 10.1016/j.purol.2012.09.002] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2012] [Revised: 08/18/2012] [Accepted: 09/09/2012] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To evaluate the management of patients with prostate cancer in Senegal. MATERIALS AND METHODS We performed a retrospective descriptive study, based on the medical records of patients managed for prostate cancer during a period of six years and a half from January 1, 2004, to June 30, 2010. All records of inpatients and outpatients managed for prostate cancer were collected. Data collection was performed through a standardized survey form, and included the following parameters: age, presence or absence of known history of prostate cancer in siblings, circumstances of discovery, clinical and paraclinical examination, histology and therapeutic modalities. RESULTS We studied the records of 164 patients with prostate cancer. The mean age of our patients was 65years, ranging from 43 to 96years. The circumstances of diagnosis were mostly due to lower urinary tract symptoms. Digital rectal examination was suggestive in 87% of cases, and PSA levels were high in 100% of cases, ranging from 5.88ng/ml to 21,660ng/ml, with a mean of 1447.57ng/ml. Half of the patients had PSA levels greater than or equal to 100ng/ml. The most common histological type was adenocarcinoma. During the study period, 49 radical prostatectomies were performed. The mean PSA levels of patients who underwent a prostatectomy were 23.4ng/ml. Radical retropubic prostatectomy was performed in 35 patients, and radical perineal prostatectomy was performed in 10 cases. Pulpectomy was the method most commonly used in metastatic prostate cancer; it was performed in 48 patients. After resistance to castration, antiandrogens were reintroduced in 13 patients, and diethylstilbestrol in four patients. Only two patients underwent a taxane-based chemotherapy regimen. CONCLUSION The diagnosis of prostate cancer was usually tardive in Senegal. Treatment often involves surgical castration. Prostatectomy was only very seldom indicated.
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Affiliation(s)
- L Niang
- Service d'urologie-andrologie, hôpital Général-du-Grand-Yoff, BP 3270, Dakar, Sénégal.
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Soro D, Lohoues Kouacou MJ, Ouattara A, Koné S, Kouassi AM, Diakité M, Camara BM. [Tolerance and Acceptability of Gastroscopy in Adults in Ivory Coast: 300 Cases]. Mali Med 2013; 28:37-40. [PMID: 30049090] [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] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The purpose of this study was to report the real-life experience of oesophagogastroduodenoscopy (OGD) patients in order to note apprehensions and postoperative feedback. This prospective study involving 300 patients of the Cocody Teaching Hospital, was carried out over a four month period. It included 158 men and 142 women with an average age of 40 years. OGD was performed on outpatients (78%) and hospitalized patients (22%). The feelings of patients before EGD were marked by anxiety (91%) or serenity (9%). 88% of the patients received premedication versus 12% who did not. This premedication was based on midazolam in 69.31% of cases and diazepam in 30.69%. No incident or accident related to the procedure or to the premedication was reported. The tolerance of the patients regarding OGD, as reported by the patients and doctors, was good (78% vs 78% respectively), acceptable (17% vs 16.67%) or bad (5% vs 5.33%). Patients found the examination to be unpleasant (43.34%), painful (30.33%) or painless (26.33%). Doctors reported that patients' attitudes were marked by anxiety (91%) and serenity (9%). Age, sex, previous information on the examination, psychological preparation, the feelings of the patients before the examination and premedication with hypnovel or valium did not influence the tolerance of patients since the differences were not statistically significant (p>0.05). 89.33% of our patients would accept a repeat of the digestive endoscopy versus 10.67% who would not. Almost all the patients (99.33%), would recommend an OGD to another person versus only 0.67% who would not. 83.33% of patients were satisfied with the OGD versus 16.67% who were not. The OGD remains bearable with 78% of patients presenting a good tolerance despite the important number of patients (91%) who felt anxious before the examination.
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Affiliation(s)
- D Soro
- Unité d'endoscopie digestive du service d'Hépato - Gastroentérologie CHU Cocody Abidjan Côte d'ivoire
| | - M J Lohoues Kouacou
- Unité d'endoscopie digestive du service d'Hépato - Gastroentérologie CHU Cocody Abidjan Côte d'ivoire
| | - A Ouattara
- Unité d'endoscopie digestive du service d'Hépato - Gastroentérologie CHU Cocody Abidjan Côte d'ivoire
| | - S Koné
- Unité d'endoscopie digestive du service d'Hépato - Gastroentérologie CHU Cocody Abidjan Côte d'ivoire
| | - A M Kouassi
- Unité d'endoscopie digestive du service d'Hépato - Gastroentérologie CHU Cocody Abidjan Côte d'ivoire
| | - M Diakité
- Unité d'endoscopie digestive du service d'Hépato - Gastroentérologie CHU Cocody Abidjan Côte d'ivoire
| | - B M Camara
- Unité d'endoscopie digestive du service d'Hépato - Gastroentérologie CHU Cocody Abidjan Côte d'ivoire
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Lohouès-Kouacou MJ, Assi C, Ouattara A, Gohean Bonao S, Koné S, Soro D, Allah-Kouadio E, Okon AJB, Diakité M, Doffou S, Nigué L, Camara BM. Connaissance de l'hépatite virale B par les élèves des écoles secondaires en Côte d'Ivoire. Santé Publique 2013. [DOI: 10.3917/spub.132.0227] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Niang L, Thiam I, Ndoye M, Ouattara A, Magloire Y, Jalloh M, Labou I, Gueye SM. La fracture de verge à Dakar. À propos de 25 cas. Basic Clin Androl 2012. [DOI: 10.1007/s12610-012-0203-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Résumé
Buts
Présenter les caractéristiques épidémiologiques, cliniques et thérapeutiques des fractures de verge dans le service d’urologie-andrologie de l’hôpital général de Grand Yoff de Dakar.
Matériels et méthode
Il s’agit d’une étude descriptive portant sur 25 cas de fracture de verge pris en charge dans le service d’urologie-andrologie de l’hôpital général de Grand Yoff de Dakar entre janvier 2001 et décembre 2011. Les paramètres suivant ont été étudiés: l’âge, la résidence, les antécédents, les données cliniques, les données de l’exploration chirurgicale et les résultats du traitement.
Résultats
En dix ans, 25 cas de fractures de verge ont été enregistrés soit une moyenne de 2,5 cas par an. L’âge moyen de survenue était de 36 ans avec des extrêmes de 22 et 60 ans. Les circonstances de survenue sont dominées par les manipulations forcées (52 %) et les rapports sexuels (32 %). La douleur associée à une latérodéviation controlatérale de la verge, une tuméfaction localisée de la verge ou extensive à la région sus-pubienne ou périnéale sont les principaux signes retrouvés. Une prise en charge urgente (délai moyen de prise en charge de deux heures avec des extrêmes de 45 minutes et 48 h) en milieu chirurgical avec réparation des corps caverneux et albuginorraphie a été la règle.
Conclusion
La fracture de verge est une urgence urologique relativement peu fréquente dans notre contexte. Son diagnostic reste aisé et est essentiellement clinique. Une prise en charge précoce et correcte en milieu chirurgical est garante d’un bon résultat fonctionnel et esthétique.
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Jurgens CK, Morrow G, Boggiano C, Panis M, Coleman J, Powell R, Yuan M, Kemelman M, Tamot N, Lopez M, Ouattara A, Iyer S, Backer M, Wright K, Domi A, Chiuchiolo M, King CR, Caulfield M, Parks C. Evaluation of a replication-competent VSV-SIV vaccine candidate. Retrovirology 2012. [PMCID: PMC3441803 DOI: 10.1186/1742-4690-9-s2-p329] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Mégret F, Perrier V, Fleureau C, Germain A, Dewitte A, Rozé H, Ouattara A. [Changes in kaliemia following rapid sequence induction with succinylcholine in critically ill patients]. ACTA ACUST UNITED AC 2012; 31:788-92. [PMID: 22925939 DOI: 10.1016/j.annfar.2012.06.024] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2011] [Accepted: 06/18/2012] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Evaluate the changes in potassium following rapid sequence induction with succinylcholine in critically ill-patients and determine whether hospital length of stay could influence the succinylcholine-induced hyperkaliemia. STUDY DESIGN Prospective and observational study. PATIENTS AND METHODS After approval by our local ethical committee, we prospectively included 36 patients admitted from more than 24hours in ICU and who required succinylcholine for rapid tracheal intubation (1mg/kg). Serum potassium was measured before, 5 and 30min after succinylcholine. The incidence of life-threatening hyperkaliemia (≥6.5mmol/L) was noted. RESULTS We could observe significant and transient increase in serum potassium (median increase of 0.45 [0.20-0.80] mmol/L at five minutes). A significant relationship was observed between the ICU length of stay and arterial potassium increase (r=0.37, P<0.05). From the ROC curve, a threshold of 12 days had an 86% sensitivity and 69% specificity in discriminating patients in whom the potassium increase was more than 1.5mmol/L. CONCLUSION Induction with succinylcholine is followed by significant but transient hyperkaliema. The ICU length of stay before giving succinylcholine could influence significantly the amplitude of potassium increase.
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Affiliation(s)
- F Mégret
- Service d'anesthésie-réanimation II, hôpital du Haut-Lévêque, CHU de Bordeaux, avenue Magellan, 3300 Bordeaux, France
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Rozé H, Lafargue M, Perez P, Tafer N, Batoz H, Germain C, Janvier G, Ouattara A. Reducing tidal volume and increasing positive end-expiratory pressure with constant plateau pressure during one-lung ventilation: effect on oxygenation. Br J Anaesth 2012; 108:1022-7. [DOI: 10.1093/bja/aes090] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Rozé H, Sigonney R, Barandon L, Jougon J, Ouattara A. [Place of traditional CBP in bipulmonary transplantation]. Ann Fr Anesth Reanim 2012; 31 Suppl 1:S8-S11. [PMID: 22721523 DOI: 10.1016/s0750-7658(12)70046-1] [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] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Initially double-lung transplantation (DLT) was performed with airway anastomosis at the tracheal bifurcation requiring a cardiopulmonary bypass (CBP). Complications related to ischemia of the bronchi and trachea around the carina prompted adoption of sequential single lung implantations as the method of choice for DLT. In different studies, CPB was associated with an increase in postoperative morbidity but this was probably due to the selection of more severe patients. Moreover, important progress in the technology of CPB has occurred. Therefore, the systematic use of CPB during sequential lung transplantation might have some interest by limiting the occurrence of ventilation and perfusion injuries. This article discusses the potential beneficial effects of CPB during double-lung transplantation.
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Affiliation(s)
- H Rozé
- CHU de Bordeaux, Service d'anesthésie réanimation 2, F-33600 Pessac, France. hadrien.roze@chu- bordeaux.fr
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Tavernier B, Ouattara A. [Prediction of fluid responsiveness: a new step towards a totally non invasive assessment]. Ann Fr Anesth Reanim 2012; 31:414-415. [PMID: 22515937 DOI: 10.1016/j.annfar.2012.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Ouattara A, Hodonou R, Avakoudjo J, Cisse D, Zango B, Gandaho I, Hodonou F, Yevi M, Vodonou A, Hounnasso P, Akpo C. Épidémiologie des cancers urologiques au Centre national hospitalier universitaire Hubert Koutoukou Maga Cotonou, Bénin. Analyse d’une série hospitalière de 158 cas. Prog Urol 2012; 22:261-5. [DOI: 10.1016/j.purol.2011.12.003] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2011] [Revised: 12/16/2011] [Accepted: 12/19/2011] [Indexed: 01/08/2023]
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