Objective: To describe the epidemiological, clinical, paraclinical and therapeutic aspects of systemic juvenile idiopathic arthritis observed in Abidjan. Materials and Method: This retrospective and descriptive study ...Objective: To describe the epidemiological, clinical, paraclinical and therapeutic aspects of systemic juvenile idiopathic arthritis observed in Abidjan. Materials and Method: This retrospective and descriptive study covered 13 children suffering from systemic juvenile idiopathic arthritis selected in the Rheumatology Department of University Hospital Center of Cocody in Abidjan (Cote d’Ivoire) from January 2005 to December 2015. We were interested to the sociodemographical, clinical, paraclinical and therapeutic aspects. Results: The systemic form of the juvenile idiopathic arthritis represented 0.2% of the 4608 rheumatologic diseases and 70.58% of the JIA. We selected 6 boys and 7 girls, with an average age of 10.8 years and mostly going to school (84.61%). The diagnostic delay was 18 months. The main clinical signs were fever and joint damage observed each in 100% of cases, impaired general condition (92.30%) and tumor syndrome (83.33%). Biological signs were characterized by hyperleukocytosis (69.20%) and the presence of a biologic inflammatory syndrome (on average, erythrocyte sedimentation rate 59.6 mm and C Reactive Protein 56.4 mg/l). The cervical damage was the essential functional complication (38.46%). The major treatment has been a therapeutic combination based on corticotherapy and methotrexate (100%) with 1 death case by macrophage activation syndrome. Conclusion: Systemic juvenile idiopathic arthritis is rarely diagnosed in the rheumatologic practice in Abidjan. It concerns children relatively big, and is characterized by a febrile polyarthritis with impaired general condition and tumor syndrome. This systemic form is treated by corticotherapy and methotrexate.展开更多
In Western Africa, the growth of cities has led to natural resource pollution, especially air pollution. Urban forests play a key role in filtering atmospheric particles and pollutants through the canopy before reachi...In Western Africa, the growth of cities has led to natural resource pollution, especially air pollution. Urban forests play a key role in filtering atmospheric particles and pollutants through the canopy before reaching the soil. This study aims to quantify heavy metal fluxes in an urban forest in the district of Abidjan in order to assess its role in the protection of natural resources. A monitoring of wet deposition (throughfall and open field rain) and litterfall was carried out for six months in the urban forest of the National Floristic Center located in Abidjan, C<span style="white-space:nowrap;">?</span>te d’Ivoire. The results show that the soil of this urban forest is a ferralsol type characterized by a sandy-clay texture and a low load of coarse elements. The annual litterfall is estimated to 12.16 ± 0.71 t<span style="white-space:nowrap;">·</span>ha<sup>-1</sup><span style="white-space:nowrap;">·</span>yr<sup>-1</sup>, similar to other tropical forests. Annual quantities of rain and throughfall are in the range of the rainfall recorded in the district of Abidjan (2013 ± 152 and 1773 ± 51 mm). Chemical analyses showed that litter and rainfall contain Mn, Zn, Ni, Cr, Cd and Hg. Manganese and Zn are the most abundant elements and Hg the least abundant in both rainfall and litter. The main source of input of the heavy metals into the urban forest soil is associated with biological recycling through the litter. The litterfall contributes to metal fluxes in soil 10<sup>9</sup> times greater than metal fluxes carry by wet depositions (open field rain and throughfall). However, a detailed study of rainfall showed that the forest canopy constitutes a barrier for the transfer of heavy metal to urban soil. This is indicated by a decrease in heavy metal content from open field rain to throughfall. Consequently, this study recommends the creation and maintenance of urban forests to increase biomass canopy and improve atmospheric air quality for West African cities undergoing constant change and development.展开更多
<strong>Aim:</strong> <span style="font-family:;" "=""><span style="font-family:Verdana;">Physical activity and other lifestyle changes are an important part ...<strong>Aim:</strong> <span style="font-family:;" "=""><span style="font-family:Verdana;">Physical activity and other lifestyle changes are an important part of the guidelines for anti-hypertensive therapy. The effect of physical activity on hypertension and heart disease has been well described. No study in our context has been done on this issue. The aim of this study was to evaluate regular physical activity in the management of hypertensive patients at the Cardiology Institute of Abidjan and the National Police Hospital. </span><b><span style="font-family:Verdana;">Material</span></b><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">and</span></b><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">methods:</span></b><span style="font-family:Verdana;"> This was a prospective and descriptive study held in the External Consultations and Rehabilitation Departments of the aforementioned structures. It started on July 20, 2017 and ended on September 7, 2017. The data were analyzed on SPSS version 22. A p-value of less than 0.05 was considered to be statistically significant. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Out of the 190 hypertensive patients recruited and educated, only 70 actually participated in the physical activities that took place in the Rehabilitation Department of Heart Institute. The mean age of the patients was 52 years ± 15 years. The most affected age group was between 40 and 49 years of age (47.40%).</span></span><span style="font-family:;" "=""></span><span style="font-family:;" "=""><span style="font-family:Verdana;">There was a male predominance with a sex ratio of 1.11. 63.16% of the patients had a superior. The follow-up time for Hypertension was more than one year in 73.68% of the cases. Our study highlighted the knowledge of the virtues of regular physical activity on the body in 94.74% of cases. Physical activity was prescribed in 94.74% of cases. It was practiced in 63.16% of cases. The mains reasons given for those who did not practice physical activity were “lack of willpower” (90%) and physical activity considered “too tiring” (70%). Physically active patients had a significant decrease of 17.98 mmHg in systolic blood pressure (p < 0.001) and 11.54 mmHg in diastolic blood pressure (p < 0.001). </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The practice of physical activity in the control of hypertension remains insufficient at the Abidjan Heart Institute. Despite this insufficiency, physical exercise seems to have a positive effect on blood pressure control associated with antihypertensive pharmacological treatment.</span></span>展开更多
The aim of our study is to determine the demographic data, indications, performance, and security of gastroscopy in children in Ivory Coast. Patients and Methods: This is a retrospective analytical study based on repo...The aim of our study is to determine the demographic data, indications, performance, and security of gastroscopy in children in Ivory Coast. Patients and Methods: This is a retrospective analytical study based on reports of upper digestive endoscopy per-formed in children (from 1 day to 15 years included) in 2 university hospitals in Abid-jan from March 2009 to March 2016. Results: 276 upper gastrointestinal endoscopies (UGIE) were performed in children during the study period. UGIE was performed with a diagnostic purpose in most cases (99%). The indications of UGIE were abdominal pains (38.95%), ingestion of caustic substances (29.82%), upper gastrointestinal bleeding (10.87%) and vomiting (10.17%). UGIE was normal in 39.49% of cases for all ages. The main anomalies observed in upper gastrointestinal (GI) endoscopy for all ages were gastropathies (29%);caustic lesions (13.02%) and bile reflux (10.45%). Ul-cers were rarely found (2.54%). Histological examination of biopsies revealed chronic H. pylori gastritis in 67% of gastric samples examined. All endoscopic examinations were performed without incident. Conclusion: Gastroscopy is a harmless examination with a great diagnostic and therapeutic utility in digestive pathology of children in Ivory Coast.展开更多
Energy demand is increasing while we are facing a depletion of fossils fuels, the main source of energy production in the world. These last years, photovoltaic (PV) system technologies are growing rapidly among altern...Energy demand is increasing while we are facing a depletion of fossils fuels, the main source of energy production in the world. These last years, photovoltaic (PV) system technologies are growing rapidly among alternative sources of energy to contribute to mitigation of climate change. However, PV system efficiency researches operating under West African weather conditions are nascent. The first objective of this study is to investigate the sensitivity of common monocrystalline PV efficiency to local meteorological parameters (temperature, humidity, solar radiation) in two contrasted cities over West Africa: Niamey (Niger) in a Sahelian arid area and Abidjan (Cote d’Ivoire) in atropical humid area. The second objective is to quantify the effect of dust accumulation on PV efficiency in Niamey (Niger). The preliminary results show that PV efficiency is more sensitive to high temperature change especially under Niamey climate conditions (warmer than Abidjan) where high ambient temperatures above 33°C lead to an important decrease of PV efficiency. Increase of relative humidity induces a decrease of PV efficiency in both areas (Niamey and Abidjan). A power loss up to 12.46% is observed in Niamey after 21 days of dust accumulation.展开更多
The process by which rainfall reaches the aquifer in a sedimentary area is infiltration. This process could be affected quantitatively or qualitatively by the changes in the land use land cover (LULC) as a result of a...The process by which rainfall reaches the aquifer in a sedimentary area is infiltration. This process could be affected quantitatively or qualitatively by the changes in the land use land cover (LULC) as a result of anthropogenic activities which could affect groundwater reserves. This study focuses on the influence of LULC change on groundwater recharge in the context of urbanization and population growth. Four weather stations data and satellite image data were used in order to evaluate water infiltration which is the amount of water that reaches the piezometric surface from 1990 to 2016. The spatial-temporal LULC change in relation to urbanization sprawl was assessed based on a series of Landsat images for 1990, 2000 and 2016. The maximum likelihood pixel-based on classification method was used to analyze the spatial-temporal LULC dynamics. The Thiessen polygon method was used for the mean area precipitation computation. The recharge was determined using water balance method after determining the runoff based on the Soil Conservation Service curve number method. The results show an increase in built-up and agricultural land, while the forest and shrub areas declined with water body remaining unchanged over the period 1990-2016. The decline in forest could be imputed to the demographic and socio-economic growth as expressed by the expansion of agriculture and urbanization. Groundwater recharge and runoff results are respectively 34%, 20% in 1999;21%, 46% in 2000 and 26%, 14% in 2016 of rainfall and show their strong dependence on precipitation and LULC change.展开更多
The soil samples were collected taking into account the land use in Songon area. The hydraulic conductivity (K) of soils was characterized in-situ when specific yield (Sy), pHw and concentrations of Cooper, Iron, Zinc...The soil samples were collected taking into account the land use in Songon area. The hydraulic conductivity (K) of soils was characterized in-situ when specific yield (Sy), pHw and concentrations of Cooper, Iron, Zinc, Cadmium, Chromium and Lead were measured in the laboratory. Pollution load indices (PLI) were calculated to evaluate the soil contamination levels. The soils were neutral and alkaline (6.7≤ pH ≤ 9.20), permeable (1.9 í 10-5?m·s-1?≤ K ≤ 8.2 í 10-4?m·s-1), with a high specific yield (13.33% ≤ Sy ≤ 33.33%) which can favor the pollutants transfer. The heavy metals (Fe, Cu, Zn, Cd, Cr and Pb) have very high concentrations in soils. The integrated pollution indices (PLI) indicate that almost 70% of Songon soils are moderately contaminated by the investigated heavy metals, with windows presenting high indices of pollution related to the intensive use of fertilizers and pesticides. The establishment of new boreholes in the Songon area should consider these heavy metals, so as to avoid the risk of groundwater pollution due to the physical properties of soils.展开更多
In this study, fourteen physicochemical parameters were monitored at 61 groundwater sampling points located in the southern part of Abidjan District. Each water sampling location was sampled in March and July 2007, re...In this study, fourteen physicochemical parameters were monitored at 61 groundwater sampling points located in the southern part of Abidjan District. Each water sampling location was sampled in March and July 2007, representing respectively the long dry season and the long wet season. Groundwater evaluation index and statistical methods were used to assess Quaternary groundwater physicochemical quality in term of drinking and irrigation purposes. The groundwater samples irrespective of seasons fell in mixed K-Na-HCO3 and K-Na-Cl types. Groundwater quality index values varied from 14.01 to 593.44 and from 20.88 to 567.44, in dry and rainy seasons, respectively. In both seasons, 9.83% exhibited poor water quality and 3.27% indicated unsuitable water for drinking purposes. The studied water wells were heavily contaminated with nitrate, nitrite and ammonium in the strongly urbanized areas at Treichville, Koumassi, Marcory, Port-Bou?t and Grand-Bassam. The degree of correlation between physicochemical parameters suggested that groundwater quality was mainly related to geogenic (rock–water interaction) and anthropogenic sources (domestic sewage), and intrusion of marine and lagoon waters in the study area. Sodium adsorption ratio was generally low during study period, indicating most groundwater sampled was suitable for irrigation purposes.展开更多
<strong>Background: </strong>Parasitic diseases are threat to the development of Ivorian Pig industry. Zoonotic diseases such as Echinococcosis have a significant impact on animal health and production. Li...<strong>Background: </strong>Parasitic diseases are threat to the development of Ivorian Pig industry. Zoonotic diseases such as Echinococcosis have a significant impact on animal health and production. Little is known about Echinococcosis in C<span style="white-space:nowrap;">ô </span>te d’Ivoire. <strong>Aim:</strong> For these reasons, a cross section study was conducted at SIVAC in Yopougon, on pigs (<em>Sus scrofa domesticus</em>), in order to determine the prevalence and associated risk factors of Echinococcosis. <strong>Method:</strong> Paraclinical examinations of pig organs (kidneys, lungs, and liver) were conducted from 5<sup>th</sup> September to 30<sup>th</sup> December 2019 in order to report infection with this parasite. <strong>Results:</strong> Out of the 2425 slaughtered pigs, 63 of them were Echi-nococcosis positive, resulting in overall infection prevalence of 2.6% (95% CI: 1.9% - 3.22%). The kidneys (2.35%) were most infected, followed by lungs (0.21%), and liver (0.04%). <strong>Recommendations: </strong>A more in-depth study on the molecular epidemiology of Echinococcosis in the different regions of C<span style="white-space:nowrap;">ô </span>te d’Ivoire is underway. Also, capacity building of community livestock actors (Veterinarians, health inspectors, breeders and butchers) and sensitization of the population on this disease is necessary in order to improve its diagnosis at the abattoir level and to set up strategies to combat it.展开更多
Introduction: Studies of abnormal ventilatory function in Côte d’Ivoire have been carried out in the workplace and in schools. The objective of this study was to determine the prevalence of respiratory symptoms ...Introduction: Studies of abnormal ventilatory function in Côte d’Ivoire have been carried out in the workplace and in schools. The objective of this study was to determine the prevalence of respiratory symptoms and ventilatory function abnormalities in the population of the lagoon district of Attécoubé in Abidjan. Material and Methods: A cross-sectional study was carried out on 170 people in the municipality of Attécoubé Lagune. A questionnaire was used to collect information on sociodemographic, clinical, and environmental characteristics. A basic spirometry and a beta mimetic test were carried out on all the subjects surveyed. Data analysis was done with the stata 15.1 software. Results: The study population was composed of 103 women and 67 men with a sex ratio (M/F) of 0.65. The average age was 35.92 ± 15.28 years. The most frequent respiratory symptoms were chest tightness (29.41%), dyspnea (28.82%), sneezing (22.94%) and cough (22.35%). The prevalence of ventilatory function abnormalities was 43.24% among residents of Attécoubé Lagune and the most frequent abnormality was ventilatory restriction (35.15%) followed by obstruction (4.85%). The risk factor for ventilatory function abnormalities was heavy pollution [OR = 2.66;IC: 1.053 - 6.743;P = 0.038]. Conclusion: Residents of the Attécoubé Lagune district had many respiratory symptoms and a high prevalence of ventilatory function abnormalities. Improving air quality is urgently needed in this municipality.展开更多
Pott’s disease usually affects two contiguous vertebrae or two spinal levels. The involvement of the three cervicothoracic and lumbar levels is rarely described. Only three cases have been described in the literature...Pott’s disease usually affects two contiguous vertebrae or two spinal levels. The involvement of the three cervicothoracic and lumbar levels is rarely described. Only three cases have been described in the literature to our knowledge. The authors report three new cases of tuberculous spondylodiscitis of cervicothoracic and lumbar site. Our three cases were characterized by symptoms similar to the other topographical forms of Pott’s disease. A predisposing factor is often identified like the infection with human immunodeficiency virus. The definitive diagnosis was made in two cases by identifying acid and alcohol-fast bacilli for one case and by histology for the other case. For the third case, there was a diagnostic presumption reinforced by the satisfactory outcome on tuberculosis chemotherapy for a period of 12 months. The multilevel nature of diseases does not influence the effectiveness of treatment of this form of spinal tuberculosis.展开更多
The sternoclavicular joint is a rare site of osteoarticular tuberculosis. We now report three new cases of sternoclavicular tuberculosis. The report concentrates mostly on immunocompromised patients, notably two with ...The sternoclavicular joint is a rare site of osteoarticular tuberculosis. We now report three new cases of sternoclavicular tuberculosis. The report concentrates mostly on immunocompromised patients, notably two with HIV infection and one case marked by its acute onset which is rather original because, in this case, there was a swollen sternoclavicular joint with normal X-ray and it was the CT-scan which showed the lesions. The etiological diagnosis was made in the first case by polymerase chain reaction and in the second case by identification of Mycobacterium tuberculosis. In the third case, the diagnosis was presumptive and the outcome on anti-tuberculous drugs was satisfactory. Sternoclavicular joint tuberculosis is unusual;the painful swelling of that joint should lead to realize a performed imaging such as CT-scan.展开更多
Patients with breast cancer will develop brain metastases in 15% - 25% of cases. Objective: To identify the profile of patients with breast cancer brain metastasis. Method: Retrospective study over 4 years in the onco...Patients with breast cancer will develop brain metastases in 15% - 25% of cases. Objective: To identify the profile of patients with breast cancer brain metastasis. Method: Retrospective study over 4 years in the oncology department of Treichville Hospital. All patients with breast carcinoma who had a brain metastasis during their cancer management were included. Results: 41 cases of breast carcinoma brain metastasis were collected. Patients were older than 40 years in 78% of cases. Family history of breast cancer was found in 7% of patients. More than 80% of patients had consulted with T3 and T4 tumor masses, with 100% of cases of node involvement. The brain was the second site of metastasis. The tumors were Triple negative in 48%, Her2 positive in 36% and luminal in 16%. Brain metastases were of late onset in the majority of cases (68%). They were clinically characterized by headaches (100%), most often included in an intracranial hypertension syndrome (52%). They were multiple (60%). Therapeutically, no surgery was performed on the metastases. Three patients received whole brain radiation therapy. All patients received systemic therapy. In terms of response, 30 cases of progression were observed after treatment and 2 cases of complete response were obtained. Survival from onset of brain metastasis was of 75% at 3 months and 2% at 12 months. Patients with longer survival rates were over 40 years old with triple negative breast cancer. Conclusion: Brain metastasis from breast cancer most often occurs in a particular clinical and pathological context in our countries.展开更多
Objective: To describe paraclinical, therapeutic and evolutionary aspects of osteoarticular tuberculosis in Abidjan. Materials and Method: We realized a descriptive retrospective study carried out in the Rheumatology ...Objective: To describe paraclinical, therapeutic and evolutionary aspects of osteoarticular tuberculosis in Abidjan. Materials and Method: We realized a descriptive retrospective study carried out in the Rheumatology Department of the University Hospital Center of Cocody in Abidjan about 550 patients over a period of 10 years from January 2004 to December 2013. The paraclinical, therapeutic and evolutionary data had interested us. Results: Osteoarticular tuberculosis represented 12.13% of 4531 rheumatic diseases identified during the study period. The tuberculin skin test was positive in 78.49% of cases. An inflammatory syndrome was present with erythrocyte sedimentation rate and C-reactive protein respectively into 69.45% and 76.54% of cases. The research of Mycobacterium tuberculosis was realized into 176 of cases which 50% was positive. Polymerase chain reaction and biopsy of tissue were performed respectively in 8 and 6 cases. Plain radiography (89.82%) and computed tomography (83.63%) were the most realized imaging. Computed tomography has contributed for the diagnostic in 99.78% of cases. The majority of our patients (82.91%) received anti-tuberculous treatment which consisted of two months of combination of rifampicin (R), isoniazid (H), pyrazinamide (Z) and Ethambutol (E) (2RHZE), followed by 10 months of rifampicin (R) and isoniazid (H) (10 RH). The outcome in patients on this treatment was favorable in 528 cases (96%). Conclusion: This study revealed that the research of Mycobacterium tuberculosis was often realized and positive. On the contrary, polymerase chain reaction and biopsy of tissue were rarely performed. The main imaging is computed tomography. Our protocol of treatment is effective.展开更多
Introduction: Work-aggravated asthma is pre-existing or concomitant asthma whose symptoms are aggravated by the work environment. The aim of this study was to determine the prevalence of this pathology and its associa...Introduction: Work-aggravated asthma is pre-existing or concomitant asthma whose symptoms are aggravated by the work environment. The aim of this study was to determine the prevalence of this pathology and its associated factors among bakery workers in Abidjan. Materials and Methods: This descriptive and analytical cross-sectional study was conducted over a period of four (4) months from 18 December 2019 to 18 April 2020. Two questionnaires were used, one on employees and the other on the indoor environment of bakeries. In addition, a spirometry test was performed on all bakery workers. Statistical analysis was performed using stata 15.1 software. Results: A total of 599 bakery employees, including bakers (59.73%), sales assistants/ cashiers (23.52%), cleaners (6.34%) and administrative staff (10.18%), were investigated. The mean age was 30.8 ± 8 years, with a sex ratio (M/F) = 2.2. Asthma symptoms were found in 95 (15.86%) employees, of whom 74 (77.9%) had work-related asthma and 11 (14.9%) had asthma aggravated by work. The factors associated with work-aggravated asthma were personal or family history of allergy or atopy [ORa = 3.75;CI95%: 1.56 - 8.93;p = 0.003], exposure to dust [ORa = 5.01;CI95%: 1.43 - 7.50;p = 0.011] and humidity level (60% - 70%) [ORa = 1.80;CI 95%: 0.99 - 3.28;p = 0.05]. Conclusion: Work-aggravated asthma is a reality in bakeries in Abidjan, with an estimated prevalence of 14.9%. Two of the three factors associated with this condition suggest a link with indoor air pollution. Combating air pollution in these establishments must therefore be a priority for the relevant authorities, in order to provide employees with a working environment that protects their health.展开更多
Objective: The aim of this study was to describe the epidemiological, clinical and therapeutic features of systemic scleroderma at Cocody UTH. Methodology: We conducted a retrospective and descriptive study over a per...Objective: The aim of this study was to describe the epidemiological, clinical and therapeutic features of systemic scleroderma at Cocody UTH. Methodology: We conducted a retrospective and descriptive study over a period of 10 years (September 15, 2008 to April 15, 2019) on the files of patients hospitalized for systemic scleroderma in the rheumatology unit of the UTH of Cocody. We used the classification criteria of the American Society of Rheumatology (1980) to retain the diagnosis. Results: Nineteen patients’ files had been collected, representing a hospital frequency of 0.32%. The average age was 37.25 ± 13.82 years old. There were 15 women and 4 men. The average consultation time was 26.44 months. The mode of revelation of the disease was mostly cutaneous and articular. All patients had cutaneous sclerosis (average Rodnan score = 27.63/11.61 (min = 4, max = 49).) Scleroderma was diffuse in 70.59% of cases;a Raynaud’s phenomenon was seen in 47.37%. The main clinical manifestations were: cutaneous (100%), articular (89.47%), pulmonary (57.89%) and digestive (63.16%). No renal damage was found. Pulmonary fibrosis (5 cases), pulmonary arterial hypertension (3 cases) and pericardial effusion (2 cases) were sometimes founded in explorations. The positivity of antinuclear antibodies (ANA) was seen in 72% of patients and anti scl70 antibodies in 42.85%. The treatment included corticosteroids and immunosuppressants, respectively used in 84.2% and 63.16% of cases. The outcome was marked by 5 cases of death attributed to respiratory distress. Conclusion: Systemic scleroderma seems to be a very rare condition in Ivorian rheumatology milieu. The main systemic manifestations were digestive and pulmonary. Treatment was very often symptomatic sometimes associated with D-penicillamine.展开更多
Background: Acute kidney injury (AKI) is one of the increasingly described complications of coronavirus infection. Objectives: To identify factors associated with death in patients with acute kidney injury (AKI) durin...Background: Acute kidney injury (AKI) is one of the increasingly described complications of coronavirus infection. Objectives: To identify factors associated with death in patients with acute kidney injury (AKI) during Coronavirus disease (COVID-19) in Abidjan, C?te d’Ivoire. Material and Method: This was a monocentric retrospective analytical study of all patients over 18 years of age with AKI during COVID-19 at the Farah Polyclinic in Abidjan, C?te d’Ivoire. AKI was defined and ranked according to Kidney Disease Improving Global Outcomes (KDIGO) 2012. The data were collected from the medical record and processed using RStudio. Results: Forty-three cases were collected. The average age was 58.5 12 years. The sex ratio (M/F) was 4.4. The main comorbidities were high blood pressure (60.4%) and diabetes (37.2%). AKI was at KDIGO stage 3 in 58%, KDIGO 2 in 21% and KDIGO 1 in 21%. The diagnosis of acute tubular necrosis was retained in 44.2% of patients followed by acute functional kidney injury in 32.6%. Hemodialysis was initiated in 48.8% of cases. The main indication of dialysis was anuria (46.6%). In total, 55.8% of patients died. Factors associated with death were KDIGO stage (p = 0.049), and invasive ventilation (p Conclusion: Mortality is high in patients with AKI during COVID-19 infection.展开更多
Objective: To study the epidemiological and diagnostic features of chronic rheumatic disease (CRD) in a black population in sub-Saharan Africa. Patients and Methods: Retrospective descriptive study over eight years (J...Objective: To study the epidemiological and diagnostic features of chronic rheumatic disease (CRD) in a black population in sub-Saharan Africa. Patients and Methods: Retrospective descriptive study over eight years (January 2005 to December 2012) of patients seen for CRD in rheumatology hospitalization at the CHU de Cocody in Abidjan, Côte d’Ivoire. Results: Of 3147 hospitalized patients, 92 had CRD, a frequency of 2.9%. The mean age of patients was 43.50 ± 15.6 years (extremes: 10 to 79 years). The sex ratio was 0.08 (7 men and 85 women). The socio-economic level was low in 44 patients (47.8%), medium in 44 patients (47.8%), and high in 4 patients (4.4%). The reasons for consultation were polyarthritis (64.1%), polyarthralgia (30.4%), and oligoarthritis (5.4%). The mean duration of symptomatology was 19 months (range: 3 to 20 years). The mean length of hospital stay was 14.2 ± 7.7 days (range: 2 to 36 days). The CRD observed were: rheumatoid arthritis (59.8%), systemic lupus erythematosus (23.9%), mixed connective tissue disease (6.5%), undifferentiated connective tissue disease (3.3%), polymyositis (3.3%), systemic scleroderma (2.2%), and systemic vasculitis (1%). Conclusion: CRD is not uncommon in rheumatology hospitals in Abidjan. Diagnostic delays are long, and rheumatoid arthritis and systemic lupus erythematosus are the most frequently encountered conditions.展开更多
In order to assess public effective dose due to gross alpha and beta in water, 43 tap water samples were collected from different areas in the District of Abidjan. Using the low background Gas-less Automatic Alpha/Bet...In order to assess public effective dose due to gross alpha and beta in water, 43 tap water samples were collected from different areas in the District of Abidjan. Using the low background Gas-less Automatic Alpha/Beta counting system (Canberra iMatic<sup>TM</sup>) for analysis, the gross alpha and beta concentrations found varied from 0.001 ± 0.002 to 0.063 ± 0.050 Bq/l with an average of 0.013 ± 0.012 Bq/l and from 0.067 ± 0.080 to 0.320 ± 0.120 Bq/l with an average of 0.174 ± 0.076 Bq/l, respectively in samples. The public effective dose assessment showed values of dose to ingestion of alpha and beta emitter radionuclides lower than the recommended value of dose for drinking water 0.1 mSv/y, except in 30% of the samples. These results show the need for additional studies to be conducted in order to clarify the hazardousness of these water samples. However, this study still remains important because it has provided necessary data for future tap water quality monitoring studies in the District of Abidjan.展开更多
In this paper,we theorize about the impacts of human resource management（HRM） practices on enterprises＇ performance in Abidjan（Cote d＇Ivoire）.Specifically,we emphasize the correlation between HRM practices and t...In this paper,we theorize about the impacts of human resource management（HRM） practices on enterprises＇ performance in Abidjan（Cote d＇Ivoire）.Specifically,we emphasize the correlation between HRM practices and the perceived enterprise performance.A factor analysis of different HRM practices was utilized.The exploratory factor analysis on the HRM practices for managerial employees revealed three HRM dimensions：employee development,feedback systems,and pay/organization.A separate factor analysis for HRM practices for non-managerial employees led to the same conclusions.These three factors resemble those obtained in previous empirical study and discussed in the theoretical HRM literature.Therefore,the relationship among these three HRM dimensions and their relationship with enterprise performance was examined in the present study to facilitate comparison between managerial and non-managerial employees in the Ivorian context.展开更多
文摘Objective: To describe the epidemiological, clinical, paraclinical and therapeutic aspects of systemic juvenile idiopathic arthritis observed in Abidjan. Materials and Method: This retrospective and descriptive study covered 13 children suffering from systemic juvenile idiopathic arthritis selected in the Rheumatology Department of University Hospital Center of Cocody in Abidjan (Cote d’Ivoire) from January 2005 to December 2015. We were interested to the sociodemographical, clinical, paraclinical and therapeutic aspects. Results: The systemic form of the juvenile idiopathic arthritis represented 0.2% of the 4608 rheumatologic diseases and 70.58% of the JIA. We selected 6 boys and 7 girls, with an average age of 10.8 years and mostly going to school (84.61%). The diagnostic delay was 18 months. The main clinical signs were fever and joint damage observed each in 100% of cases, impaired general condition (92.30%) and tumor syndrome (83.33%). Biological signs were characterized by hyperleukocytosis (69.20%) and the presence of a biologic inflammatory syndrome (on average, erythrocyte sedimentation rate 59.6 mm and C Reactive Protein 56.4 mg/l). The cervical damage was the essential functional complication (38.46%). The major treatment has been a therapeutic combination based on corticotherapy and methotrexate (100%) with 1 death case by macrophage activation syndrome. Conclusion: Systemic juvenile idiopathic arthritis is rarely diagnosed in the rheumatologic practice in Abidjan. It concerns children relatively big, and is characterized by a febrile polyarthritis with impaired general condition and tumor syndrome. This systemic form is treated by corticotherapy and methotrexate.
文摘In Western Africa, the growth of cities has led to natural resource pollution, especially air pollution. Urban forests play a key role in filtering atmospheric particles and pollutants through the canopy before reaching the soil. This study aims to quantify heavy metal fluxes in an urban forest in the district of Abidjan in order to assess its role in the protection of natural resources. A monitoring of wet deposition (throughfall and open field rain) and litterfall was carried out for six months in the urban forest of the National Floristic Center located in Abidjan, C<span style="white-space:nowrap;">?</span>te d’Ivoire. The results show that the soil of this urban forest is a ferralsol type characterized by a sandy-clay texture and a low load of coarse elements. The annual litterfall is estimated to 12.16 ± 0.71 t<span style="white-space:nowrap;">·</span>ha<sup>-1</sup><span style="white-space:nowrap;">·</span>yr<sup>-1</sup>, similar to other tropical forests. Annual quantities of rain and throughfall are in the range of the rainfall recorded in the district of Abidjan (2013 ± 152 and 1773 ± 51 mm). Chemical analyses showed that litter and rainfall contain Mn, Zn, Ni, Cr, Cd and Hg. Manganese and Zn are the most abundant elements and Hg the least abundant in both rainfall and litter. The main source of input of the heavy metals into the urban forest soil is associated with biological recycling through the litter. The litterfall contributes to metal fluxes in soil 10<sup>9</sup> times greater than metal fluxes carry by wet depositions (open field rain and throughfall). However, a detailed study of rainfall showed that the forest canopy constitutes a barrier for the transfer of heavy metal to urban soil. This is indicated by a decrease in heavy metal content from open field rain to throughfall. Consequently, this study recommends the creation and maintenance of urban forests to increase biomass canopy and improve atmospheric air quality for West African cities undergoing constant change and development.
文摘<strong>Aim:</strong> <span style="font-family:;" "=""><span style="font-family:Verdana;">Physical activity and other lifestyle changes are an important part of the guidelines for anti-hypertensive therapy. The effect of physical activity on hypertension and heart disease has been well described. No study in our context has been done on this issue. The aim of this study was to evaluate regular physical activity in the management of hypertensive patients at the Cardiology Institute of Abidjan and the National Police Hospital. </span><b><span style="font-family:Verdana;">Material</span></b><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">and</span></b><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">methods:</span></b><span style="font-family:Verdana;"> This was a prospective and descriptive study held in the External Consultations and Rehabilitation Departments of the aforementioned structures. It started on July 20, 2017 and ended on September 7, 2017. The data were analyzed on SPSS version 22. A p-value of less than 0.05 was considered to be statistically significant. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Out of the 190 hypertensive patients recruited and educated, only 70 actually participated in the physical activities that took place in the Rehabilitation Department of Heart Institute. The mean age of the patients was 52 years ± 15 years. The most affected age group was between 40 and 49 years of age (47.40%).</span></span><span style="font-family:;" "=""></span><span style="font-family:;" "=""><span style="font-family:Verdana;">There was a male predominance with a sex ratio of 1.11. 63.16% of the patients had a superior. The follow-up time for Hypertension was more than one year in 73.68% of the cases. Our study highlighted the knowledge of the virtues of regular physical activity on the body in 94.74% of cases. Physical activity was prescribed in 94.74% of cases. It was practiced in 63.16% of cases. The mains reasons given for those who did not practice physical activity were “lack of willpower” (90%) and physical activity considered “too tiring” (70%). Physically active patients had a significant decrease of 17.98 mmHg in systolic blood pressure (p < 0.001) and 11.54 mmHg in diastolic blood pressure (p < 0.001). </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The practice of physical activity in the control of hypertension remains insufficient at the Abidjan Heart Institute. Despite this insufficiency, physical exercise seems to have a positive effect on blood pressure control associated with antihypertensive pharmacological treatment.</span></span>
文摘The aim of our study is to determine the demographic data, indications, performance, and security of gastroscopy in children in Ivory Coast. Patients and Methods: This is a retrospective analytical study based on reports of upper digestive endoscopy per-formed in children (from 1 day to 15 years included) in 2 university hospitals in Abid-jan from March 2009 to March 2016. Results: 276 upper gastrointestinal endoscopies (UGIE) were performed in children during the study period. UGIE was performed with a diagnostic purpose in most cases (99%). The indications of UGIE were abdominal pains (38.95%), ingestion of caustic substances (29.82%), upper gastrointestinal bleeding (10.87%) and vomiting (10.17%). UGIE was normal in 39.49% of cases for all ages. The main anomalies observed in upper gastrointestinal (GI) endoscopy for all ages were gastropathies (29%);caustic lesions (13.02%) and bile reflux (10.45%). Ul-cers were rarely found (2.54%). Histological examination of biopsies revealed chronic H. pylori gastritis in 67% of gastric samples examined. All endoscopic examinations were performed without incident. Conclusion: Gastroscopy is a harmless examination with a great diagnostic and therapeutic utility in digestive pathology of children in Ivory Coast.
文摘Energy demand is increasing while we are facing a depletion of fossils fuels, the main source of energy production in the world. These last years, photovoltaic (PV) system technologies are growing rapidly among alternative sources of energy to contribute to mitigation of climate change. However, PV system efficiency researches operating under West African weather conditions are nascent. The first objective of this study is to investigate the sensitivity of common monocrystalline PV efficiency to local meteorological parameters (temperature, humidity, solar radiation) in two contrasted cities over West Africa: Niamey (Niger) in a Sahelian arid area and Abidjan (Cote d’Ivoire) in atropical humid area. The second objective is to quantify the effect of dust accumulation on PV efficiency in Niamey (Niger). The preliminary results show that PV efficiency is more sensitive to high temperature change especially under Niamey climate conditions (warmer than Abidjan) where high ambient temperatures above 33°C lead to an important decrease of PV efficiency. Increase of relative humidity induces a decrease of PV efficiency in both areas (Niamey and Abidjan). A power loss up to 12.46% is observed in Niamey after 21 days of dust accumulation.
基金the Federal Ministry of Education and Research(BMBF)and West African Science Centre on Climate Change and Adapted Land Use(WASCAL,www.wascal.org)for providing the scholarship and financial support for this programme.
文摘The process by which rainfall reaches the aquifer in a sedimentary area is infiltration. This process could be affected quantitatively or qualitatively by the changes in the land use land cover (LULC) as a result of anthropogenic activities which could affect groundwater reserves. This study focuses on the influence of LULC change on groundwater recharge in the context of urbanization and population growth. Four weather stations data and satellite image data were used in order to evaluate water infiltration which is the amount of water that reaches the piezometric surface from 1990 to 2016. The spatial-temporal LULC change in relation to urbanization sprawl was assessed based on a series of Landsat images for 1990, 2000 and 2016. The maximum likelihood pixel-based on classification method was used to analyze the spatial-temporal LULC dynamics. The Thiessen polygon method was used for the mean area precipitation computation. The recharge was determined using water balance method after determining the runoff based on the Soil Conservation Service curve number method. The results show an increase in built-up and agricultural land, while the forest and shrub areas declined with water body remaining unchanged over the period 1990-2016. The decline in forest could be imputed to the demographic and socio-economic growth as expressed by the expansion of agriculture and urbanization. Groundwater recharge and runoff results are respectively 34%, 20% in 1999;21%, 46% in 2000 and 26%, 14% in 2016 of rainfall and show their strong dependence on precipitation and LULC change.
基金the International Fund for Science(IFS),the University Agency for Francophonie(AUF)and the Romanian government for the EUGEN IONESCU fellowship and for their support.
文摘The soil samples were collected taking into account the land use in Songon area. The hydraulic conductivity (K) of soils was characterized in-situ when specific yield (Sy), pHw and concentrations of Cooper, Iron, Zinc, Cadmium, Chromium and Lead were measured in the laboratory. Pollution load indices (PLI) were calculated to evaluate the soil contamination levels. The soils were neutral and alkaline (6.7≤ pH ≤ 9.20), permeable (1.9 í 10-5?m·s-1?≤ K ≤ 8.2 í 10-4?m·s-1), with a high specific yield (13.33% ≤ Sy ≤ 33.33%) which can favor the pollutants transfer. The heavy metals (Fe, Cu, Zn, Cd, Cr and Pb) have very high concentrations in soils. The integrated pollution indices (PLI) indicate that almost 70% of Songon soils are moderately contaminated by the investigated heavy metals, with windows presenting high indices of pollution related to the intensive use of fertilizers and pesticides. The establishment of new boreholes in the Songon area should consider these heavy metals, so as to avoid the risk of groundwater pollution due to the physical properties of soils.
文摘In this study, fourteen physicochemical parameters were monitored at 61 groundwater sampling points located in the southern part of Abidjan District. Each water sampling location was sampled in March and July 2007, representing respectively the long dry season and the long wet season. Groundwater evaluation index and statistical methods were used to assess Quaternary groundwater physicochemical quality in term of drinking and irrigation purposes. The groundwater samples irrespective of seasons fell in mixed K-Na-HCO3 and K-Na-Cl types. Groundwater quality index values varied from 14.01 to 593.44 and from 20.88 to 567.44, in dry and rainy seasons, respectively. In both seasons, 9.83% exhibited poor water quality and 3.27% indicated unsuitable water for drinking purposes. The studied water wells were heavily contaminated with nitrate, nitrite and ammonium in the strongly urbanized areas at Treichville, Koumassi, Marcory, Port-Bou?t and Grand-Bassam. The degree of correlation between physicochemical parameters suggested that groundwater quality was mainly related to geogenic (rock–water interaction) and anthropogenic sources (domestic sewage), and intrusion of marine and lagoon waters in the study area. Sodium adsorption ratio was generally low during study period, indicating most groundwater sampled was suitable for irrigation purposes.
文摘<strong>Background: </strong>Parasitic diseases are threat to the development of Ivorian Pig industry. Zoonotic diseases such as Echinococcosis have a significant impact on animal health and production. Little is known about Echinococcosis in C<span style="white-space:nowrap;">ô </span>te d’Ivoire. <strong>Aim:</strong> For these reasons, a cross section study was conducted at SIVAC in Yopougon, on pigs (<em>Sus scrofa domesticus</em>), in order to determine the prevalence and associated risk factors of Echinococcosis. <strong>Method:</strong> Paraclinical examinations of pig organs (kidneys, lungs, and liver) were conducted from 5<sup>th</sup> September to 30<sup>th</sup> December 2019 in order to report infection with this parasite. <strong>Results:</strong> Out of the 2425 slaughtered pigs, 63 of them were Echi-nococcosis positive, resulting in overall infection prevalence of 2.6% (95% CI: 1.9% - 3.22%). The kidneys (2.35%) were most infected, followed by lungs (0.21%), and liver (0.04%). <strong>Recommendations: </strong>A more in-depth study on the molecular epidemiology of Echinococcosis in the different regions of C<span style="white-space:nowrap;">ô </span>te d’Ivoire is underway. Also, capacity building of community livestock actors (Veterinarians, health inspectors, breeders and butchers) and sensitization of the population on this disease is necessary in order to improve its diagnosis at the abattoir level and to set up strategies to combat it.
文摘Introduction: Studies of abnormal ventilatory function in Côte d’Ivoire have been carried out in the workplace and in schools. The objective of this study was to determine the prevalence of respiratory symptoms and ventilatory function abnormalities in the population of the lagoon district of Attécoubé in Abidjan. Material and Methods: A cross-sectional study was carried out on 170 people in the municipality of Attécoubé Lagune. A questionnaire was used to collect information on sociodemographic, clinical, and environmental characteristics. A basic spirometry and a beta mimetic test were carried out on all the subjects surveyed. Data analysis was done with the stata 15.1 software. Results: The study population was composed of 103 women and 67 men with a sex ratio (M/F) of 0.65. The average age was 35.92 ± 15.28 years. The most frequent respiratory symptoms were chest tightness (29.41%), dyspnea (28.82%), sneezing (22.94%) and cough (22.35%). The prevalence of ventilatory function abnormalities was 43.24% among residents of Attécoubé Lagune and the most frequent abnormality was ventilatory restriction (35.15%) followed by obstruction (4.85%). The risk factor for ventilatory function abnormalities was heavy pollution [OR = 2.66;IC: 1.053 - 6.743;P = 0.038]. Conclusion: Residents of the Attécoubé Lagune district had many respiratory symptoms and a high prevalence of ventilatory function abnormalities. Improving air quality is urgently needed in this municipality.
文摘Pott’s disease usually affects two contiguous vertebrae or two spinal levels. The involvement of the three cervicothoracic and lumbar levels is rarely described. Only three cases have been described in the literature to our knowledge. The authors report three new cases of tuberculous spondylodiscitis of cervicothoracic and lumbar site. Our three cases were characterized by symptoms similar to the other topographical forms of Pott’s disease. A predisposing factor is often identified like the infection with human immunodeficiency virus. The definitive diagnosis was made in two cases by identifying acid and alcohol-fast bacilli for one case and by histology for the other case. For the third case, there was a diagnostic presumption reinforced by the satisfactory outcome on tuberculosis chemotherapy for a period of 12 months. The multilevel nature of diseases does not influence the effectiveness of treatment of this form of spinal tuberculosis.
文摘The sternoclavicular joint is a rare site of osteoarticular tuberculosis. We now report three new cases of sternoclavicular tuberculosis. The report concentrates mostly on immunocompromised patients, notably two with HIV infection and one case marked by its acute onset which is rather original because, in this case, there was a swollen sternoclavicular joint with normal X-ray and it was the CT-scan which showed the lesions. The etiological diagnosis was made in the first case by polymerase chain reaction and in the second case by identification of Mycobacterium tuberculosis. In the third case, the diagnosis was presumptive and the outcome on anti-tuberculous drugs was satisfactory. Sternoclavicular joint tuberculosis is unusual;the painful swelling of that joint should lead to realize a performed imaging such as CT-scan.
文摘Patients with breast cancer will develop brain metastases in 15% - 25% of cases. Objective: To identify the profile of patients with breast cancer brain metastasis. Method: Retrospective study over 4 years in the oncology department of Treichville Hospital. All patients with breast carcinoma who had a brain metastasis during their cancer management were included. Results: 41 cases of breast carcinoma brain metastasis were collected. Patients were older than 40 years in 78% of cases. Family history of breast cancer was found in 7% of patients. More than 80% of patients had consulted with T3 and T4 tumor masses, with 100% of cases of node involvement. The brain was the second site of metastasis. The tumors were Triple negative in 48%, Her2 positive in 36% and luminal in 16%. Brain metastases were of late onset in the majority of cases (68%). They were clinically characterized by headaches (100%), most often included in an intracranial hypertension syndrome (52%). They were multiple (60%). Therapeutically, no surgery was performed on the metastases. Three patients received whole brain radiation therapy. All patients received systemic therapy. In terms of response, 30 cases of progression were observed after treatment and 2 cases of complete response were obtained. Survival from onset of brain metastasis was of 75% at 3 months and 2% at 12 months. Patients with longer survival rates were over 40 years old with triple negative breast cancer. Conclusion: Brain metastasis from breast cancer most often occurs in a particular clinical and pathological context in our countries.
文摘Objective: To describe paraclinical, therapeutic and evolutionary aspects of osteoarticular tuberculosis in Abidjan. Materials and Method: We realized a descriptive retrospective study carried out in the Rheumatology Department of the University Hospital Center of Cocody in Abidjan about 550 patients over a period of 10 years from January 2004 to December 2013. The paraclinical, therapeutic and evolutionary data had interested us. Results: Osteoarticular tuberculosis represented 12.13% of 4531 rheumatic diseases identified during the study period. The tuberculin skin test was positive in 78.49% of cases. An inflammatory syndrome was present with erythrocyte sedimentation rate and C-reactive protein respectively into 69.45% and 76.54% of cases. The research of Mycobacterium tuberculosis was realized into 176 of cases which 50% was positive. Polymerase chain reaction and biopsy of tissue were performed respectively in 8 and 6 cases. Plain radiography (89.82%) and computed tomography (83.63%) were the most realized imaging. Computed tomography has contributed for the diagnostic in 99.78% of cases. The majority of our patients (82.91%) received anti-tuberculous treatment which consisted of two months of combination of rifampicin (R), isoniazid (H), pyrazinamide (Z) and Ethambutol (E) (2RHZE), followed by 10 months of rifampicin (R) and isoniazid (H) (10 RH). The outcome in patients on this treatment was favorable in 528 cases (96%). Conclusion: This study revealed that the research of Mycobacterium tuberculosis was often realized and positive. On the contrary, polymerase chain reaction and biopsy of tissue were rarely performed. The main imaging is computed tomography. Our protocol of treatment is effective.
文摘Introduction: Work-aggravated asthma is pre-existing or concomitant asthma whose symptoms are aggravated by the work environment. The aim of this study was to determine the prevalence of this pathology and its associated factors among bakery workers in Abidjan. Materials and Methods: This descriptive and analytical cross-sectional study was conducted over a period of four (4) months from 18 December 2019 to 18 April 2020. Two questionnaires were used, one on employees and the other on the indoor environment of bakeries. In addition, a spirometry test was performed on all bakery workers. Statistical analysis was performed using stata 15.1 software. Results: A total of 599 bakery employees, including bakers (59.73%), sales assistants/ cashiers (23.52%), cleaners (6.34%) and administrative staff (10.18%), were investigated. The mean age was 30.8 ± 8 years, with a sex ratio (M/F) = 2.2. Asthma symptoms were found in 95 (15.86%) employees, of whom 74 (77.9%) had work-related asthma and 11 (14.9%) had asthma aggravated by work. The factors associated with work-aggravated asthma were personal or family history of allergy or atopy [ORa = 3.75;CI95%: 1.56 - 8.93;p = 0.003], exposure to dust [ORa = 5.01;CI95%: 1.43 - 7.50;p = 0.011] and humidity level (60% - 70%) [ORa = 1.80;CI 95%: 0.99 - 3.28;p = 0.05]. Conclusion: Work-aggravated asthma is a reality in bakeries in Abidjan, with an estimated prevalence of 14.9%. Two of the three factors associated with this condition suggest a link with indoor air pollution. Combating air pollution in these establishments must therefore be a priority for the relevant authorities, in order to provide employees with a working environment that protects their health.
文摘Objective: The aim of this study was to describe the epidemiological, clinical and therapeutic features of systemic scleroderma at Cocody UTH. Methodology: We conducted a retrospective and descriptive study over a period of 10 years (September 15, 2008 to April 15, 2019) on the files of patients hospitalized for systemic scleroderma in the rheumatology unit of the UTH of Cocody. We used the classification criteria of the American Society of Rheumatology (1980) to retain the diagnosis. Results: Nineteen patients’ files had been collected, representing a hospital frequency of 0.32%. The average age was 37.25 ± 13.82 years old. There were 15 women and 4 men. The average consultation time was 26.44 months. The mode of revelation of the disease was mostly cutaneous and articular. All patients had cutaneous sclerosis (average Rodnan score = 27.63/11.61 (min = 4, max = 49).) Scleroderma was diffuse in 70.59% of cases;a Raynaud’s phenomenon was seen in 47.37%. The main clinical manifestations were: cutaneous (100%), articular (89.47%), pulmonary (57.89%) and digestive (63.16%). No renal damage was found. Pulmonary fibrosis (5 cases), pulmonary arterial hypertension (3 cases) and pericardial effusion (2 cases) were sometimes founded in explorations. The positivity of antinuclear antibodies (ANA) was seen in 72% of patients and anti scl70 antibodies in 42.85%. The treatment included corticosteroids and immunosuppressants, respectively used in 84.2% and 63.16% of cases. The outcome was marked by 5 cases of death attributed to respiratory distress. Conclusion: Systemic scleroderma seems to be a very rare condition in Ivorian rheumatology milieu. The main systemic manifestations were digestive and pulmonary. Treatment was very often symptomatic sometimes associated with D-penicillamine.
文摘Background: Acute kidney injury (AKI) is one of the increasingly described complications of coronavirus infection. Objectives: To identify factors associated with death in patients with acute kidney injury (AKI) during Coronavirus disease (COVID-19) in Abidjan, C?te d’Ivoire. Material and Method: This was a monocentric retrospective analytical study of all patients over 18 years of age with AKI during COVID-19 at the Farah Polyclinic in Abidjan, C?te d’Ivoire. AKI was defined and ranked according to Kidney Disease Improving Global Outcomes (KDIGO) 2012. The data were collected from the medical record and processed using RStudio. Results: Forty-three cases were collected. The average age was 58.5 12 years. The sex ratio (M/F) was 4.4. The main comorbidities were high blood pressure (60.4%) and diabetes (37.2%). AKI was at KDIGO stage 3 in 58%, KDIGO 2 in 21% and KDIGO 1 in 21%. The diagnosis of acute tubular necrosis was retained in 44.2% of patients followed by acute functional kidney injury in 32.6%. Hemodialysis was initiated in 48.8% of cases. The main indication of dialysis was anuria (46.6%). In total, 55.8% of patients died. Factors associated with death were KDIGO stage (p = 0.049), and invasive ventilation (p Conclusion: Mortality is high in patients with AKI during COVID-19 infection.
文摘Objective: To study the epidemiological and diagnostic features of chronic rheumatic disease (CRD) in a black population in sub-Saharan Africa. Patients and Methods: Retrospective descriptive study over eight years (January 2005 to December 2012) of patients seen for CRD in rheumatology hospitalization at the CHU de Cocody in Abidjan, Côte d’Ivoire. Results: Of 3147 hospitalized patients, 92 had CRD, a frequency of 2.9%. The mean age of patients was 43.50 ± 15.6 years (extremes: 10 to 79 years). The sex ratio was 0.08 (7 men and 85 women). The socio-economic level was low in 44 patients (47.8%), medium in 44 patients (47.8%), and high in 4 patients (4.4%). The reasons for consultation were polyarthritis (64.1%), polyarthralgia (30.4%), and oligoarthritis (5.4%). The mean duration of symptomatology was 19 months (range: 3 to 20 years). The mean length of hospital stay was 14.2 ± 7.7 days (range: 2 to 36 days). The CRD observed were: rheumatoid arthritis (59.8%), systemic lupus erythematosus (23.9%), mixed connective tissue disease (6.5%), undifferentiated connective tissue disease (3.3%), polymyositis (3.3%), systemic scleroderma (2.2%), and systemic vasculitis (1%). Conclusion: CRD is not uncommon in rheumatology hospitals in Abidjan. Diagnostic delays are long, and rheumatoid arthritis and systemic lupus erythematosus are the most frequently encountered conditions.
文摘In order to assess public effective dose due to gross alpha and beta in water, 43 tap water samples were collected from different areas in the District of Abidjan. Using the low background Gas-less Automatic Alpha/Beta counting system (Canberra iMatic<sup>TM</sup>) for analysis, the gross alpha and beta concentrations found varied from 0.001 ± 0.002 to 0.063 ± 0.050 Bq/l with an average of 0.013 ± 0.012 Bq/l and from 0.067 ± 0.080 to 0.320 ± 0.120 Bq/l with an average of 0.174 ± 0.076 Bq/l, respectively in samples. The public effective dose assessment showed values of dose to ingestion of alpha and beta emitter radionuclides lower than the recommended value of dose for drinking water 0.1 mSv/y, except in 30% of the samples. These results show the need for additional studies to be conducted in order to clarify the hazardousness of these water samples. However, this study still remains important because it has provided necessary data for future tap water quality monitoring studies in the District of Abidjan.
文摘In this paper,we theorize about the impacts of human resource management（HRM） practices on enterprises＇ performance in Abidjan（Cote d＇Ivoire）.Specifically,we emphasize the correlation between HRM practices and the perceived enterprise performance.A factor analysis of different HRM practices was utilized.The exploratory factor analysis on the HRM practices for managerial employees revealed three HRM dimensions：employee development,feedback systems,and pay/organization.A separate factor analysis for HRM practices for non-managerial employees led to the same conclusions.These three factors resemble those obtained in previous empirical study and discussed in the theoretical HRM literature.Therefore,the relationship among these three HRM dimensions and their relationship with enterprise performance was examined in the present study to facilitate comparison between managerial and non-managerial employees in the Ivorian context.
