Hypertension high blood pressure (HTN) and diabetes Type 2 diabetes mellitus (T2DM) are noncommunicable diseases (NCDs) growing in sub-Saharan Africa, under the effect of urbanization, changes in socio-economic and li...Hypertension high blood pressure (HTN) and diabetes Type 2 diabetes mellitus (T2DM) are noncommunicable diseases (NCDs) growing in sub-Saharan Africa, under the effect of urbanization, changes in socio-economic and lifestyle-related factors. This study aimed to assess the prevalence of these conditions in the urban commune of Dubréka, in Guinea, and to assess the role of demographic and cultural factors in their incidence and management. A cross-sectional study was conducted with 287 participants (174 women and 113 men) in Dubréka. Data were summer collected on the characteristics of sociodemographics, BMI, blood pressure and fasting blood glucose. The prevalence of hypertension and diabetes was determined, and participants’ knowledge and treatment practices were assessed in the summer. The prevalence of hypertension in the study population was 73.52%, affecting both sexes, with women presenting a higher prevalence. The prevalence of diabetes is slightly higher (75.29%) than that of men (70.79%) was 36.59%, with men (38.05%) being slightly more affected than women (35.63%). Obesity and overweight were contributory important factors, affecting respectively 25.78% and 37.28% of the population. Among the hypertensive people, 84.83% were aware of their condition, but only 7.26% received treatment, with no case-controlled hypertension having no summer observed. Socio-economic factors, including the urban setting and proximity to the capital, have probably contributed to these results. The high prevalence of hypertension and diabetes in Dubréka reflects the broader epidemiological transition in sub-Saharan Africa, with women being disproportionately affected by hypertension linked to obesity. Access limited to health care, especially in terms of treatment and care, further aggravates the burden of these diseases. Public health interventions are urgently needed to improve awareness, treatment accessibility and culturally appropriate management strategies adapted to fight against the growing burden of NCDs in Guinea peri-urban.展开更多
Introduction: Foreign bodies (FB) in the lower airways (LAs) constitute a potentially life-threatening emergency requiring immediate management. The objective of our study was to describe the patient pathway and manag...Introduction: Foreign bodies (FB) in the lower airways (LAs) constitute a potentially life-threatening emergency requiring immediate management. The objective of our study was to describe the patient pathway and management of foreign bodies in the lower airways. Methodology: This was a descriptive study with retrospective data collection conducted over a 6-year period (January 1, 2014, to December 31, 2019) in the ENT and Head and Neck Surgery Department of Donka National Hospital. Results: We observed a prevalence of 1.79%. The average age was 5.71 years, with a sex ratio of 1.2. However, 82.61% of the cases originated from rural areas. We noted that 78.83% of patients were referred after visiting 1 to 2 healthcare facilities (75.36%). The consultation delay was 3 days. Penetration syndrome was present in 98.56% of cases. The foreign body incidents occurred during play in 54.84% and during meals in 29.09% of cases. Radiographs were performed in 93.9% of cases. Endoscopy was used for both diagnostic and therapeutic purposes in all patients. The foreign bodies were located in the trachea (37.68%), larynx (26.08%), and bronchi (21.73%). Non-organic foreign bodies were predominant (52.17%). Postoperative outcomes were uncomplicated in 95.98% of cases, and the lethality rate was 2.85%. Conclusion: The pathway of patients with foreign bodies in the airways remains unpredictable in our context due to parental hesitations. Early management reduces morbidity and mortality rates.展开更多
Introduction: Urethral prolapse, a rare benign lesion of the female urethra, is considered unusual in children, but it is far from exceptional in girls aged 18 to 24. African origin. The diagnosis is clinical but can ...Introduction: Urethral prolapse, a rare benign lesion of the female urethra, is considered unusual in children, but it is far from exceptional in girls aged 18 to 24. African origin. The diagnosis is clinical but can be overlooked or confused with other pathologies. Treatment remains controversial. The aim of this work is to study the epidemiological, clinical and therapeutic data of urethral mucosal prolapse in young girls in our department. Materials and methods: Retrospective and descriptive study on urethral mucosal prolapse in little girls identified from the hospitalization records of the Sino-Guinean Friendship Hospital in Conakry. The study period was 5 years. Patients were selected randomly. Outcome assessment focused on the occurrence of recurrences and urinary incontinence. The mean follow-up duration was 24 months. The parameters studied were: Age, clinical and histological findings, therapeutic data and patient outcomes. Results: The incidence of urethral mucosal prolapse in girls in the urology department was 2.2 cases/year. The mean age of the patients was 6.7 years (with extremes of 5 months and 10 years). The age group of 7 to 10 years was the most represented, observed in 63.63% of patients. The most frequent reason for consultation was vulvar bleeding in 7 patients, or 63.63%. Malpighian hyperplasia with a congested chorion was the most observed histological type, in 4 patients. Surgical treatment consisting of complete excision of the prolapsed part had given excellent results. Conclusion: Urethral prolapse is a rare pathology, observed mainly in young black girls. Its diagnosis is based mainly on clinical examination. Surgical treatment gives satisfactory results, both clinically and aesthetically.展开更多
The application of legal texts in the context of digital television is a process that relies on several normative instruments,ranging from international treaties,such as those of the ITU(International Telecommunicatio...The application of legal texts in the context of digital television is a process that relies on several normative instruments,ranging from international treaties,such as those of the ITU(International Telecommunications Union),to national regulations defining the obligations of audiovisual operators and the modalities of consumer support.Many countries have introduced specific laws and regulations to organize the gradual switch-off of analog broadcasting and encourage the adoption of new digital standards.Consequently,the digitization of Guinea’s broadcasting network cannot be carried out without taking into account the legal framework:allocation of resources and broadcasting players.Analog and digital broadcasting,according to regulatory texts,shows the relationships between the different communication management structures.As for digital broadcasting,we note the appearance of a new service,multiplex.展开更多
In the Republic of Guinea,rodents are an important reservoir and vector for numerous zoonoses.However,the mechanisms of transmission and the influence of environmental and anthropogenic factors remain poorly understoo...In the Republic of Guinea,rodents are an important reservoir and vector for numerous zoonoses.However,the mechanisms of transmission and the influence of environmental and anthropogenic factors remain poorly understood.The present study aimed to analyse the dynamics of circulation of rodentborne zoonotic agents in order to propose effective strategies for the surveillance,prevention and control of emerging and re-emerging diseases.Between 10 July 2023 and 15 August 2024,an inventory of small mammal fauna was carried out in several prefectures of the country(N’Zérékoré,Lola,Yomou,Beyla,Macenta,Gueckédou,Faranah,Kindia,Kankan,Siguiri,Labé,Dalaba and Dubréka).A total of 1855 individuals belonging to 18 species,including Rattus rattus,Mus musculus and Mastomys natalensis,were captured using Sherman and Formizon traps.The specimens collected underwent biometric and pathological analyses,supplemented by blood and tissue samples subjected to molecular investigations(PCR,centrifugation and sequencing).The results revealed the presence of Lassa virus RNA in Mastomys natalensis,as well as Coxiella burnetii infections in Xerus erythropus,representing a potential risk to human health.In addition,Borrelia spp.,Leptospira spp.,Anaplasma spp.and Ehrlichia spp.were detected,indicating active circulation of these pathogens within the rodent populations studied.These results highlight the need to strengthen surveillance of small mammals in Guinea and to adopt appropriate biosecurity measures,particularly in areas of high interaction between wildlife and human communities.展开更多
AIM:To investigate the refractive and the histological changes in guinea pig eyes after posterior scleral reinforcement with scleral allografts.METHODS:Four-week-old guinea pigs were implanted with scleral allografts,...AIM:To investigate the refractive and the histological changes in guinea pig eyes after posterior scleral reinforcement with scleral allografts.METHODS:Four-week-old guinea pigs were implanted with scleral allografts,and the changes of refraction,corneal curvature and axis length were monitored for 51d.The effects of methylprednisolone(MPS)on refraction parameters were also evaluated.And the microstructure and ultra-microstructure of eyes were observed on the 9d and 51d after operation.Repeated-measures analysis of variance and one-way analysis of variance were used.RESULTS:The refraction outcome of the implanted eye decreased after operation,and the refraction change of the 3 mm scleral allografts group was significantly different with control group(P=0.005)and the sham surgical group(P=0.004).After the application of MPS solution,the reduction of refraction outcome was statistically suppressed(P=0.008).The inflammatory encapsulation appeared 9d after surgery.On 51d after operation,the loose implanted materials were absorbed,while the adherent implanted materials with MPS group were still tightly attached to the recipient’s eyeball.CONCLUSION:After implantation of scleral allografts,the refraction of guinea pig eyes fluctuated from a decrease to an increase.The outcome of the scleral allografts is affected by implantation methods and the inflammatory response.Stability of the material can be improved by MPS.展开更多
Objective:This study aims to establish an economically viable and easily accessible adult animal model for optogenetic activation of auditory neurons using adeno-associated viruses(AAVs)carrying Ch R2(H134R)to explore...Objective:This study aims to establish an economically viable and easily accessible adult animal model for optogenetic activation of auditory neurons using adeno-associated viruses(AAVs)carrying Ch R2(H134R)to explore the potential of cochlear optogenetics as a hearing restoration technology.Methods:Healthy adult guinea pigs were used in the experiments.The viral vector AAV2/8-Ch R2(H134R)-h Syn-e YFP was administered to the right cochlea via the round window membrane.The confocal microscopy and reverse transcription polymerase chain reaction(RT-PCR)were utilized to analyze the Ch R2(H134R)expression localized to spiral ganglion neurons(SGNs).The auditory pathway activation was assessed by recording the optical compound action potential(oCAP)and acoustic compound action potential(a CAP)at various laser intensities.Results:The Ch R2(H134R)-e YFP expression was confirmed in 90%of the tested animals,localized to the SGNs of the injected ear.Higher m RNA levels of Ch R2(H134R)and e YFP were observed in the injected ear compared to the non-injected ear,while actin(Actb)m RNA levels were not significantly different.The o CAP was successfully elicited by a 470 nm blue light laser stimulus,with similar amplitudes and latency periods to those of a CAPs when the o CAP was evoked by 5.80 m W blue light and the a CAP was evoked by a 40 d B SPL click.The amplitudes of o CAPs increased with increasing laser intensity.Conclusion:This study demonstrates the viability of optogenetic activation of the auditory system in adult guinea pigs through the transduction of AAV-Ch R2(H134R)in SGNs.Cochlear optogenetics demonstrates potential as a hearing restoration technology,providing a basis for further clinical research and opening new avenues for investigation.展开更多
Information about whether genetic information requires special treatment in law varies around the world and many aspects are not clear.In this study,we draw upon knowledge gained from various disciplines,such as genet...Information about whether genetic information requires special treatment in law varies around the world and many aspects are not clear.In this study,we draw upon knowledge gained from various disciplines,such as genetics,medicine,law,philosophy,psychology,sociology,anthropology,insurance,and economics,which have all contributed to the study of genetic information,and discrimination based on genetic traits.With this in mind,we are able to set this research study into perspective.We make no claim on behalf of any field of study.Nevertheless,we say the development in the field of genetics is in its infancy and that knowledge of an individual genome would be essential not only for counseling but could also be used for stigmatization and discrimination.The purpose of the study is to help provide useful links concerning legal and ethical issues in human genetics and particularly where it deals with the laws,regulations,and policies concerning genetic information.We deal with the legal and ethical aspects in human genetics that influence genetic information.We examine government policies and the existing legislation in Papua New Guinea(PNG)that deal with genetic information and analyze discrimination cases due to genetic traits and describe its magnitude in PNG.This study places importance on the examination of qualitative data collected by a questionnaire survey from individual subjects representing various organizations in PNG including Department of Health,Insurance companies,General Federation of Employers’Associations,Trade Unions,and professional workers such as lawyers,District Court magistrates,medical doctors,healthcare workers,students,and private individuals.The study was conducted in towns in PNG although the majority of the participants live in the National Capital District.A sample of individuals(patients)were enrolled in a cross-sectional questionnaire survey.Individual information was obtained to describe the situation of the area.However,this study did not use administrative records based on health information from the Department of Health which describes the prevalence of genetically disordered individuals.All selected individuals or subjects were interviewed or completed a questionnaire.The data were assessed to characterize the study subsets.The findings of this study are made available to clinical practice in law,medical and public health,and private and public institutions including insurance companies,employers’federation,mining companies,and workers’unions in PNG,and academics and researchers.Educational programs on the basic principles of genetics,ethics,and law in relation to insurance will have to be developed to improve the knowledge of insurance,medical,and the cost of long-term care.展开更多
Swells are critical concerns regarding safety,marine transportation,and coastal engineering construction of coastal countries along the Gulf of Guinea and have been scientific problems due to the lack of systematic th...Swells are critical concerns regarding safety,marine transportation,and coastal engineering construction of coastal countries along the Gulf of Guinea and have been scientific problems due to the lack of systematic theoretical,numerical,and observational research.In this study,a double nesting numerical model was constructed and validated from the Atlantic Ocean to the Gulf of Guinea based on simulating waves nearshore(SWAN)to explore the swell characteristics and source tracing in the Gulf of Guinea in winter and summer seasons from 2020 to 2021.Simulation results reveal that swells are stronger and deflect more to the west in winter than summer,even though they dominate in both seasons in the Gulf of Guinea in the S-SW directional range.Simulated two-dimensional(2D)wave spectral patterns not only clarify wave composition,variation,and propagation properties from the central South Atlantic Ocean to the Gulf of Guinea,but also distinguish swell strength and directional range in winter and summer.The NW wind events induce swells which spread toward the SSE-ESE direction from the North Atlantic Ocean,big wind source generates sustained and stable S-SW swells from the South Atlantic Ocean,and corresponding swell-influenced areas are discussed.The strongest swell event in the Gulf of Guinea during the simulation was used as a case study to trace its source.A strong clockwise wind vortex within the Roaring Forties induced these large swells in the Gulf of Guinea approximately 5.5 days later,and swell propagation formed a regular isoline of peak period distribution from the South Atlantic Ocean to the Gulf of Guinea in the SSW-SW direction.展开更多
The concentrations of polycyclic aromatic hydrocarbons(PAHs),their sources and toxic equivalent(TEQ)in soil,suspended matter and bottom sediments in the Fatala River Basin ecosystem were obtained for the fi rst time t...The concentrations of polycyclic aromatic hydrocarbons(PAHs),their sources and toxic equivalent(TEQ)in soil,suspended matter and bottom sediments in the Fatala River Basin ecosystem were obtained for the fi rst time to our knowledge.Determination of 14 PAHs(ΣPAHs)was carried out using high-performance liquid chromatography.TheΣPAH content in soil ranged from 13 to 50,920(Me=820)ng/g.The composition of PAHs(high proportion of low-molecular-weight compounds and values of individual PAHs ratios)refl ected the signifi cant oil pollution of soil.Contaminated soil was localated in the central part of the Fatala River Basin.The median benzo(a)pyrene toxic equivalent of soil at the study site was 1.08(range,0.05 to 53.16)ngTEQ/g,showing generally low soil toxicity.TheΣPAH content in suspended matter was in the range of 33 to 1316(Me=309)ng/L.TheΣPAH content in bottom sediments ranged from 36 to 6943(Me=478)ng/L,corresponding to clean and moderately contaminated sediments.TheΣPAH content in bottom sediments depended on the anthropogenic impact on the Fatala River Basin territory and the bottom sediment features.Bottom sediments and suspended matter had a low toxic equivalent.展开更多
The variability of ocean circulation and sea surface temperature (SST) in the tropical Atlantic, especially in the Gulf of Guinea (GG), defines this region as exceptionally rich from an oceanographic perspective. The ...The variability of ocean circulation and sea surface temperature (SST) in the tropical Atlantic, especially in the Gulf of Guinea (GG), defines this region as exceptionally rich from an oceanographic perspective. The Guinea Current (GC), as the major surface current, plays a significant role in marine productivity and coastal upwelling in the GG. This coastal upwelling is known to influence the climate of the surrounding region, primary productivity and local fisheries. Studies on GC variability and its impact on this coastal upwelling have highlighted that the upwelling downstream of Cape Palmas is influenced by GC detachment, topographic variations and advective processes leading to significant vertical mixing. This study aims to analyze the interannual variability of the GC and its impact on coastal upwelling using the Coastal and Regional Ocean COmmunity model (CROCO). The model’s evaluation is conducted using observational data, specifically Geostrophic and EKman Current Observatory (GEKCO) and Ocean Surface Current Analysis (OSCAR) for currents, and Air-sea Fluxes for the global Tropic ocean-description (TROPFLUX) and Optimum Interpolation-Sea Surface Temperature (OI-SST) for temperature. Thus, the model evaluation indicates that it accurately replicates ocean circulation and SST patterns in the tropical Atlantic and the GG. The joint analysis of upwelling indices (surface and intensity) and the position of the GC core allowed us to conclude that the displacement of the GC core does indeed influence the upwelling indices in the northern part of GG. However, other oceanic and atmospheric mechanisms such as vertical diffusion and horizontal advection as proposed by previous studies may also affect the year-by-year variability of coastal upwelling in the northern GG.展开更多
The main objective of this study was to evaluate the pharmacological potential of the hydroethanol extract of Strychnos camptoneura trunk bark on reproductive functions in male guinea pigs exposed to cypermethrin. The...The main objective of this study was to evaluate the pharmacological potential of the hydroethanol extract of Strychnos camptoneura trunk bark on reproductive functions in male guinea pigs exposed to cypermethrin. The results showed that administration of the hydroethanolic extract (100 and 250 mg/kg) of Strychnos camptoneura trunk bark after exposure of the animals to cypermethrin induced a highly significant (p Strychnos camptoneura trunk bark produced a highly significant (p Strychnos camptoneura trunk bark may have protective effects against cypermethrin-induced male infertility due to its androgenic, spermatogenic and antiradical properties.展开更多
AIM:To quantitatively measure ocular morphological parameters of guinea pig with Python technology.METHODS:Thirty-six eyeballs of eighteen 3-weekold guinea pigs were measured with keratometer and photographed to obtai...AIM:To quantitatively measure ocular morphological parameters of guinea pig with Python technology.METHODS:Thirty-six eyeballs of eighteen 3-weekold guinea pigs were measured with keratometer and photographed to obtain the horizontal,coronal,and sagittal planes respectively.The corresponding photo pixels-actual length ratio was acquired by a proportional scale.The edge coordinates were identified artificially by ginput function.Circle and conic curve fitting were applied to fit the contour of the eyeball in the sagittal,coronal and horizontal view.The curvature,curvature radius,eccentricity,tilt angle,corneal diameter,and binocular separation angle were calculated according to the geometric principles.Next,the eyeballs were removed,canny edge detection was applied to identify the contour of eyeball in vitro.The results were compared between in vivo and in vitro.RESULTS:Regarding the corneal curvature and curvature radius on the horizontal and sagittal planes,no significant differences were observed among results in vivo,in vitro,and the keratometer.The horizontal and vertical binocular separation angles were 130.6°±6.39°and 129.8°±9.58°respectively.For the corneal curvature radius and eccentricity in vivo,significant differences were observed between horizontal and vertical planes.CONCLUSION:The Graphical interface window of Python makes up the deficiency of edge detection,which requires too much definition in Matlab.There are significant differences between guinea pig and human beings,such as exotropic eye position,oblique oval eyeball,and obvious discrepancy of binoculus.This study helps evaluate objectively the ocular morphological parameters of small experimental animals in emmetropization research.展开更多
Blood transfusion saves lives and reduces morbidity and mortality for a large number of diseases and clinical conditions, but it is not without danger. The aim of this study was to determine the seroprevalence of HIV ...Blood transfusion saves lives and reduces morbidity and mortality for a large number of diseases and clinical conditions, but it is not without danger. The aim of this study was to determine the seroprevalence of HIV and hepatitis B in blood donors received at the regional Blood Transfusion Centre of N’Zérékoré (Guinea). This was a 5-year retrospective analytical study. We included records of blood donors aged 18 to 60 years admitted to the N’Zérékoré Regional Blood Transfusion Centre for blood donation from January 2016 to December 2020. We performed a descriptive analysis followed by Chi-2 or Fish-er-exact tests and the Student or Wilcoxon test, followed by multivariate logistic regression. In this study, donor age ranged from 18 - 60 years, with a pre-dominance of donors aged 25 - 34 (44.2%). Male donors were the most represented in our study (79.0% versus 21.0% female). More than half of the donors were blood group O (55.6%). We observed a seroprevalence of 3.6% for HIV, 13.4% for HBsAg and 0.2% for co-infection. In our series, age 25 - 34 (OR = 1.89 and P = 0.001) and 35 - 44 for HIV (OR = 2.01 and P = 0.001), HBsAgserostatus (OR = 3.04 and P = 0.001) and blood donation history (OR of 3.04 and P = 0.001) were factors associated with HIV positivity (P < 0.05). In our study, HIV serostatus (OR = 3.04 and P = 0.001) and blood donation history (OR = 0.01 and P = 0.001) were factors associated with HBsAgseropositivity. We reported a high prevalence of HIV and HBsAg. Sex, serological status and blood donation history were associated factors.展开更多
The antiretroviral treatment (ART) has significantly reduced the number of new HIV/AIDS infections and related deaths. However, cases of immunovirological discordance (IVD) are found in various locations. The objectiv...The antiretroviral treatment (ART) has significantly reduced the number of new HIV/AIDS infections and related deaths. However, cases of immunovirological discordance (IVD) are found in various locations. The objective of this study was to determine the profile of People living with HIV (PLHIV) with IVD and to identify associated factors. We conducted a cross-sectional study based on the records of PLHIV under ART for at least 6 months, followed at Hpital de Jour Donka from 2015 to 2017, and having both viral load (CV) and CD4 T-cell count. Prevalence of IVD was 34.57%, with 23.87% for immunological discordance (ID) and 10.7% for virological discordance (VD). Females were predominant (66.26%), and male gender influenced IVD with a statistically significant difference (p = 0.006) and was associated with VD (p = 0.007). The average age was 38.77 11.30 years. PLHIV were classified at WHO stages 3 and 4 (86.01%). The median initial haemoglobin level was 11.5 g/L [3.2 - 12]. The mean initial CD4 T-cell count was 272.84 cells/mm3 201.6. The median initial viral load (VL) was 147,337 copies/mL [1092 - 31,675,000]. The initial CD4 T-cell count 3 was associated with IVD with a statistically significant difference (p = 0.0009) and correlated with ID (p = 0.000). Prurigo was associated with IVD with a statistically significant difference (p = 0.003). Cerebral toxoplasmosis was not associated with IVD but was associated with ID (p = 0.04). This study allowed us to describe the profile of PLHIV with IVD. The main associated factors were male gender, initial CD4 T-cell count 3, toxoplasmosis, prurigo, and herpes zoster.展开更多
Introduction: Acute diarrhoea is a real public health problem worldwide and is responsible for considerable mortality in developing countries. The aim of this study was to evaluate the management of acute diarrhoea in...Introduction: Acute diarrhoea is a real public health problem worldwide and is responsible for considerable mortality in developing countries. The aim of this study was to evaluate the management of acute diarrhoea in children aged 0 - 59 months hospitalised in the paediatric ward of the Ratoma CMC. Material and Methods: This was a descriptive cross-sectional study lasting 6 months, from 01 July to 31 December 2023, including all children aged 0-59 months admitted for diarrhoea lasting no more than 14 days and whose parents agreed to take part in the study. Sociodemographic, clinical, therapeutic and evolutionary data were studied. Results: 79 children were seen for acute diarrhoea out of 330 consulted, i.e., a frequency of 23.9%. The age group 0 - 11 months was the most represented, at 54.4%. Males predominated: 62% with a sex ratio of 1.6. The average consultation time was 3 days, with extremes of 0 to 10 days. The number of bowel movements per day varied from 3 to 12. The stools were liquid in 82.27% of cases. All hospitalised children were dehydrated, with 68.4% suffering from moderate dehydration, 21.5% from mild dehydration and 10.1% from severe dehydration. Malaria was the condition most frequently associated with diarrhoea (27.8%). Malnutrition was found in only 2.5%. 82% of the children had received oral rehydration with ORS and 18% intravenous rehydration. Almost all the children (93.67%) had a favourable outcome. We recorded one case of death, a rate of 1.26%. Conclusion: Acute diarrhoea in children is one of the most frequent reasons for consultation in the paediatric department of the Ratoma CMC. Often accompanied by fever and vomiting, it is frequently observed in children aged 0 to 11 months, with a predominance of males. The overall management of acute diarrhoea in children involves improving people’s standard of living, combating faecal peril, drinking water consumption, promoting vaccination, the use of oral rehydration solutions and zinc, and training healthcare staff.展开更多
As part of the national strategy to further develop the wind energy sector,the eight prefectures of Upper Guinea have been selected.Using meteorological data recorded over thirty years(1991-2021)at a height of 20 m,we...As part of the national strategy to further develop the wind energy sector,the eight prefectures of Upper Guinea have been selected.Using meteorological data recorded over thirty years(1991-2021)at a height of 20 m,we assessed wind resources in terms of characteristic speeds,power and available energy.To this end,the Weibull distribution method was used and the following values were obtained:3.66 m/s for the average speed;1,102.83 W/m^(2)for the available power and 8,747.06 kWh/m^(2)/year for the annual available energy.展开更多
Introduction: Corticosteroid therapy used in rheumatology is effective but can lead to complications. The objective was to describe the complications of corticosteroid therapy in rheumatological practice at Ignace Dee...Introduction: Corticosteroid therapy used in rheumatology is effective but can lead to complications. The objective was to describe the complications of corticosteroid therapy in rheumatological practice at Ignace Deen University Hospital (Conakry). Methods: Cross-sectional study from July 1, 2022 to March 31, 2023. All patients who had been diagnosed with a rheumatological disease and who had received corticosteroid therapy were included. Results: Of the 1489 patients suffering from rheumatological diseases, 238 (15.9%) had received corticosteroid therapy. The average age of the patients was 48.5 ± 17.16 years with a female predominance (70.5%). The main indications for corticosteroid therapy were lower back pain due to probable disco-radicular impingement (35.8%) followed by rheumatoid arthritis (21.9%). The predominant method of administration was infiltration (56.9%). The average dosage was 24.2 ± 13.5 mg prednisone equivalent (range: 5 mg and 40 mg). Complications were present in 26 patients (10.9%) such as muscle cramps (3.8%), hypocalcemia (3.4%), edema of the lower limbs (3%), stimulation of appetite and weight gain (3%), high blood pressure (2.5%), hyperglycemia (2.5%). The occurrence of complications was associated with the high dose of corticosteroid (p = 0.014) and long-term use (p = 0.000). Conclusion: Corticosteroid therapy used in 15.9% of consultations in the rheumatology department of Ignace Deen University Hospital led to 10.9% of complications. These complications were related to the dose and duration of corticosteroid therapy.展开更多
Thoraco-brachial outlet syndrome (TDSD) or cervical rib brings together all the clinical symptoms (arterial, neurological and/or venous) due to extrinsic, intermittent or permanent compression of the vascular-nervous ...Thoraco-brachial outlet syndrome (TDSD) or cervical rib brings together all the clinical symptoms (arterial, neurological and/or venous) due to extrinsic, intermittent or permanent compression of the vascular-nervous elements of the root of the upper limb during cervico-thoraco-brachial crossing syndrome. This pathology is relatively common but often overlooked;it affects women more often (between 4/1 and 2/1) and is rare in children. We report the case of a 59-year-old female patient seen in the department for paresthesia and muscular weakness of the upper limbs rated 3/5 on the right and 4/5 on the left progressively evolving over 39 years, electromyography (EMG) showed indicated compression of the brachial plexus and the CT scan confirmed the presence of bilateral cervical ribs fused with the first on the left. She benefited from physiotherapy while awaiting her surgery, and unfortunately, she died of a stroke in the traumatology department. This pathology is the first in our department to be supported by a review of the literature.展开更多
Introduction: Cystic lymphangiomas are rare benign malformative tumors of the lymphatic system of obscure etiopathogenesis. The cervico-facial location remains the most common (75%). Although benign, these tumors rema...Introduction: Cystic lymphangiomas are rare benign malformative tumors of the lymphatic system of obscure etiopathogenesis. The cervico-facial location remains the most common (75%). Although benign, these tumors remain potentially fatal, due to possible compression of the upper aero-digestive tract. The aim of this work is to study the epidemiological, diagnostic and therapeutic characteristics of cervico-mandibular congenital cystic lymphangiomas in the pediatric surgery department of the Donka National Hospital (HND) Conakry. Patients and methods: This is a retrospective and descriptive study of 13 files lasting 7 years from January 2015 to December 31, 2021. The files of children whose age is less than or equal to 15 years operated on cervical tumor with histological evidence of cystic lymphangioma were retained. The data were analyzed using SPSS statistical software 21 and anonymously. Results: The incidence of this study was 1.86 cases per year and a sex ratio of 0.62 in favor of girls. The average age was 8 months 19 days. In the antecedents, we only find poorly monitored pregnancies. The average size of the tumors was 11.85 cm. Cervical ultrasound and standard x-ray of the cervical mass were the only examinations performed. Total surgical excision of the cervical tumor was performed in all patients. The mass was polycystic on exploration. The histological examination of the surgical specimens was in favor of a cystic lymphangioma. The surgical consequences were simple in 11 patients (84.62%) and complicated by parietal suppuration in 2 cases (15.38%). There were no cases of recurrence after one year of follow-up. Conclusion: Cervico-mandibular cystic lymphangiomas are the most frequent locations of congenital lymphangiomas in children. Their severity is linked to the risk of compression of the aero-digestive tracts. Their diagnosis must be confirmed by the histology of the surgical specimen. Despite the therapeutic arsenal, excision of the cystic mass remains the only effective alternative in our socio-economic conditions to avoid recurrences and loss of follow-up of patients.展开更多
文摘Hypertension high blood pressure (HTN) and diabetes Type 2 diabetes mellitus (T2DM) are noncommunicable diseases (NCDs) growing in sub-Saharan Africa, under the effect of urbanization, changes in socio-economic and lifestyle-related factors. This study aimed to assess the prevalence of these conditions in the urban commune of Dubréka, in Guinea, and to assess the role of demographic and cultural factors in their incidence and management. A cross-sectional study was conducted with 287 participants (174 women and 113 men) in Dubréka. Data were summer collected on the characteristics of sociodemographics, BMI, blood pressure and fasting blood glucose. The prevalence of hypertension and diabetes was determined, and participants’ knowledge and treatment practices were assessed in the summer. The prevalence of hypertension in the study population was 73.52%, affecting both sexes, with women presenting a higher prevalence. The prevalence of diabetes is slightly higher (75.29%) than that of men (70.79%) was 36.59%, with men (38.05%) being slightly more affected than women (35.63%). Obesity and overweight were contributory important factors, affecting respectively 25.78% and 37.28% of the population. Among the hypertensive people, 84.83% were aware of their condition, but only 7.26% received treatment, with no case-controlled hypertension having no summer observed. Socio-economic factors, including the urban setting and proximity to the capital, have probably contributed to these results. The high prevalence of hypertension and diabetes in Dubréka reflects the broader epidemiological transition in sub-Saharan Africa, with women being disproportionately affected by hypertension linked to obesity. Access limited to health care, especially in terms of treatment and care, further aggravates the burden of these diseases. Public health interventions are urgently needed to improve awareness, treatment accessibility and culturally appropriate management strategies adapted to fight against the growing burden of NCDs in Guinea peri-urban.
文摘Introduction: Foreign bodies (FB) in the lower airways (LAs) constitute a potentially life-threatening emergency requiring immediate management. The objective of our study was to describe the patient pathway and management of foreign bodies in the lower airways. Methodology: This was a descriptive study with retrospective data collection conducted over a 6-year period (January 1, 2014, to December 31, 2019) in the ENT and Head and Neck Surgery Department of Donka National Hospital. Results: We observed a prevalence of 1.79%. The average age was 5.71 years, with a sex ratio of 1.2. However, 82.61% of the cases originated from rural areas. We noted that 78.83% of patients were referred after visiting 1 to 2 healthcare facilities (75.36%). The consultation delay was 3 days. Penetration syndrome was present in 98.56% of cases. The foreign body incidents occurred during play in 54.84% and during meals in 29.09% of cases. Radiographs were performed in 93.9% of cases. Endoscopy was used for both diagnostic and therapeutic purposes in all patients. The foreign bodies were located in the trachea (37.68%), larynx (26.08%), and bronchi (21.73%). Non-organic foreign bodies were predominant (52.17%). Postoperative outcomes were uncomplicated in 95.98% of cases, and the lethality rate was 2.85%. Conclusion: The pathway of patients with foreign bodies in the airways remains unpredictable in our context due to parental hesitations. Early management reduces morbidity and mortality rates.
文摘Introduction: Urethral prolapse, a rare benign lesion of the female urethra, is considered unusual in children, but it is far from exceptional in girls aged 18 to 24. African origin. The diagnosis is clinical but can be overlooked or confused with other pathologies. Treatment remains controversial. The aim of this work is to study the epidemiological, clinical and therapeutic data of urethral mucosal prolapse in young girls in our department. Materials and methods: Retrospective and descriptive study on urethral mucosal prolapse in little girls identified from the hospitalization records of the Sino-Guinean Friendship Hospital in Conakry. The study period was 5 years. Patients were selected randomly. Outcome assessment focused on the occurrence of recurrences and urinary incontinence. The mean follow-up duration was 24 months. The parameters studied were: Age, clinical and histological findings, therapeutic data and patient outcomes. Results: The incidence of urethral mucosal prolapse in girls in the urology department was 2.2 cases/year. The mean age of the patients was 6.7 years (with extremes of 5 months and 10 years). The age group of 7 to 10 years was the most represented, observed in 63.63% of patients. The most frequent reason for consultation was vulvar bleeding in 7 patients, or 63.63%. Malpighian hyperplasia with a congested chorion was the most observed histological type, in 4 patients. Surgical treatment consisting of complete excision of the prolapsed part had given excellent results. Conclusion: Urethral prolapse is a rare pathology, observed mainly in young black girls. Its diagnosis is based mainly on clinical examination. Surgical treatment gives satisfactory results, both clinically and aesthetically.
文摘The application of legal texts in the context of digital television is a process that relies on several normative instruments,ranging from international treaties,such as those of the ITU(International Telecommunications Union),to national regulations defining the obligations of audiovisual operators and the modalities of consumer support.Many countries have introduced specific laws and regulations to organize the gradual switch-off of analog broadcasting and encourage the adoption of new digital standards.Consequently,the digitization of Guinea’s broadcasting network cannot be carried out without taking into account the legal framework:allocation of resources and broadcasting players.Analog and digital broadcasting,according to regulatory texts,shows the relationships between the different communication management structures.As for digital broadcasting,we note the appearance of a new service,multiplex.
文摘In the Republic of Guinea,rodents are an important reservoir and vector for numerous zoonoses.However,the mechanisms of transmission and the influence of environmental and anthropogenic factors remain poorly understood.The present study aimed to analyse the dynamics of circulation of rodentborne zoonotic agents in order to propose effective strategies for the surveillance,prevention and control of emerging and re-emerging diseases.Between 10 July 2023 and 15 August 2024,an inventory of small mammal fauna was carried out in several prefectures of the country(N’Zérékoré,Lola,Yomou,Beyla,Macenta,Gueckédou,Faranah,Kindia,Kankan,Siguiri,Labé,Dalaba and Dubréka).A total of 1855 individuals belonging to 18 species,including Rattus rattus,Mus musculus and Mastomys natalensis,were captured using Sherman and Formizon traps.The specimens collected underwent biometric and pathological analyses,supplemented by blood and tissue samples subjected to molecular investigations(PCR,centrifugation and sequencing).The results revealed the presence of Lassa virus RNA in Mastomys natalensis,as well as Coxiella burnetii infections in Xerus erythropus,representing a potential risk to human health.In addition,Borrelia spp.,Leptospira spp.,Anaplasma spp.and Ehrlichia spp.were detected,indicating active circulation of these pathogens within the rodent populations studied.These results highlight the need to strengthen surveillance of small mammals in Guinea and to adopt appropriate biosecurity measures,particularly in areas of high interaction between wildlife and human communities.
基金Supported by the Scientific Research Project of Shanghai Municipal Health Commission(No.202140416)the Clinical Research Boosting Program of the Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine(No.JYLJ202117).
文摘AIM:To investigate the refractive and the histological changes in guinea pig eyes after posterior scleral reinforcement with scleral allografts.METHODS:Four-week-old guinea pigs were implanted with scleral allografts,and the changes of refraction,corneal curvature and axis length were monitored for 51d.The effects of methylprednisolone(MPS)on refraction parameters were also evaluated.And the microstructure and ultra-microstructure of eyes were observed on the 9d and 51d after operation.Repeated-measures analysis of variance and one-way analysis of variance were used.RESULTS:The refraction outcome of the implanted eye decreased after operation,and the refraction change of the 3 mm scleral allografts group was significantly different with control group(P=0.005)and the sham surgical group(P=0.004).After the application of MPS solution,the reduction of refraction outcome was statistically suppressed(P=0.008).The inflammatory encapsulation appeared 9d after surgery.On 51d after operation,the loose implanted materials were absorbed,while the adherent implanted materials with MPS group were still tightly attached to the recipient’s eyeball.CONCLUSION:After implantation of scleral allografts,the refraction of guinea pig eyes fluctuated from a decrease to an increase.The outcome of the scleral allografts is affected by implantation methods and the inflammatory response.Stability of the material can be improved by MPS.
基金supported by the Beijing Natural Science Foundation of China under Grant 7222185。
文摘Objective:This study aims to establish an economically viable and easily accessible adult animal model for optogenetic activation of auditory neurons using adeno-associated viruses(AAVs)carrying Ch R2(H134R)to explore the potential of cochlear optogenetics as a hearing restoration technology.Methods:Healthy adult guinea pigs were used in the experiments.The viral vector AAV2/8-Ch R2(H134R)-h Syn-e YFP was administered to the right cochlea via the round window membrane.The confocal microscopy and reverse transcription polymerase chain reaction(RT-PCR)were utilized to analyze the Ch R2(H134R)expression localized to spiral ganglion neurons(SGNs).The auditory pathway activation was assessed by recording the optical compound action potential(oCAP)and acoustic compound action potential(a CAP)at various laser intensities.Results:The Ch R2(H134R)-e YFP expression was confirmed in 90%of the tested animals,localized to the SGNs of the injected ear.Higher m RNA levels of Ch R2(H134R)and e YFP were observed in the injected ear compared to the non-injected ear,while actin(Actb)m RNA levels were not significantly different.The o CAP was successfully elicited by a 470 nm blue light laser stimulus,with similar amplitudes and latency periods to those of a CAPs when the o CAP was evoked by 5.80 m W blue light and the a CAP was evoked by a 40 d B SPL click.The amplitudes of o CAPs increased with increasing laser intensity.Conclusion:This study demonstrates the viability of optogenetic activation of the auditory system in adult guinea pigs through the transduction of AAV-Ch R2(H134R)in SGNs.Cochlear optogenetics demonstrates potential as a hearing restoration technology,providing a basis for further clinical research and opening new avenues for investigation.
文摘Information about whether genetic information requires special treatment in law varies around the world and many aspects are not clear.In this study,we draw upon knowledge gained from various disciplines,such as genetics,medicine,law,philosophy,psychology,sociology,anthropology,insurance,and economics,which have all contributed to the study of genetic information,and discrimination based on genetic traits.With this in mind,we are able to set this research study into perspective.We make no claim on behalf of any field of study.Nevertheless,we say the development in the field of genetics is in its infancy and that knowledge of an individual genome would be essential not only for counseling but could also be used for stigmatization and discrimination.The purpose of the study is to help provide useful links concerning legal and ethical issues in human genetics and particularly where it deals with the laws,regulations,and policies concerning genetic information.We deal with the legal and ethical aspects in human genetics that influence genetic information.We examine government policies and the existing legislation in Papua New Guinea(PNG)that deal with genetic information and analyze discrimination cases due to genetic traits and describe its magnitude in PNG.This study places importance on the examination of qualitative data collected by a questionnaire survey from individual subjects representing various organizations in PNG including Department of Health,Insurance companies,General Federation of Employers’Associations,Trade Unions,and professional workers such as lawyers,District Court magistrates,medical doctors,healthcare workers,students,and private individuals.The study was conducted in towns in PNG although the majority of the participants live in the National Capital District.A sample of individuals(patients)were enrolled in a cross-sectional questionnaire survey.Individual information was obtained to describe the situation of the area.However,this study did not use administrative records based on health information from the Department of Health which describes the prevalence of genetically disordered individuals.All selected individuals or subjects were interviewed or completed a questionnaire.The data were assessed to characterize the study subsets.The findings of this study are made available to clinical practice in law,medical and public health,and private and public institutions including insurance companies,employers’federation,mining companies,and workers’unions in PNG,and academics and researchers.Educational programs on the basic principles of genetics,ethics,and law in relation to insurance will have to be developed to improve the knowledge of insurance,medical,and the cost of long-term care.
基金The National Key R&D Program of China under contract No.2023YFE0126300the National Natural Science Foundation of China under contract Nos 42066002 and U20A2099.
文摘Swells are critical concerns regarding safety,marine transportation,and coastal engineering construction of coastal countries along the Gulf of Guinea and have been scientific problems due to the lack of systematic theoretical,numerical,and observational research.In this study,a double nesting numerical model was constructed and validated from the Atlantic Ocean to the Gulf of Guinea based on simulating waves nearshore(SWAN)to explore the swell characteristics and source tracing in the Gulf of Guinea in winter and summer seasons from 2020 to 2021.Simulation results reveal that swells are stronger and deflect more to the west in winter than summer,even though they dominate in both seasons in the Gulf of Guinea in the S-SW directional range.Simulated two-dimensional(2D)wave spectral patterns not only clarify wave composition,variation,and propagation properties from the central South Atlantic Ocean to the Gulf of Guinea,but also distinguish swell strength and directional range in winter and summer.The NW wind events induce swells which spread toward the SSE-ESE direction from the North Atlantic Ocean,big wind source generates sustained and stable S-SW swells from the South Atlantic Ocean,and corresponding swell-influenced areas are discussed.The strongest swell event in the Gulf of Guinea during the simulation was used as a case study to trace its source.A strong clockwise wind vortex within the Roaring Forties induced these large swells in the Gulf of Guinea approximately 5.5 days later,and swell propagation formed a regular isoline of peak period distribution from the South Atlantic Ocean to the Gulf of Guinea in the SSW-SW direction.
基金support of the Project of the Russian Federation represented by the Ministry of Science and Higher Education of the Russian Federation:assistance in the form of grants in accordance with paragraph 4 of article 78.1 of the Budget Code of the Russian Federation(agreement No.075-15-2023-592 on subject No.13.2251.21.0216)CEREMAC-G own research fund and a Support special fi nancier of the Ministry of Higher Education,Scientifi c Research and Innovation(MESRSI)of the Republic of Guinea.
文摘The concentrations of polycyclic aromatic hydrocarbons(PAHs),their sources and toxic equivalent(TEQ)in soil,suspended matter and bottom sediments in the Fatala River Basin ecosystem were obtained for the fi rst time to our knowledge.Determination of 14 PAHs(ΣPAHs)was carried out using high-performance liquid chromatography.TheΣPAH content in soil ranged from 13 to 50,920(Me=820)ng/g.The composition of PAHs(high proportion of low-molecular-weight compounds and values of individual PAHs ratios)refl ected the signifi cant oil pollution of soil.Contaminated soil was localated in the central part of the Fatala River Basin.The median benzo(a)pyrene toxic equivalent of soil at the study site was 1.08(range,0.05 to 53.16)ngTEQ/g,showing generally low soil toxicity.TheΣPAH content in suspended matter was in the range of 33 to 1316(Me=309)ng/L.TheΣPAH content in bottom sediments ranged from 36 to 6943(Me=478)ng/L,corresponding to clean and moderately contaminated sediments.TheΣPAH content in bottom sediments depended on the anthropogenic impact on the Fatala River Basin territory and the bottom sediment features.Bottom sediments and suspended matter had a low toxic equivalent.
文摘The variability of ocean circulation and sea surface temperature (SST) in the tropical Atlantic, especially in the Gulf of Guinea (GG), defines this region as exceptionally rich from an oceanographic perspective. The Guinea Current (GC), as the major surface current, plays a significant role in marine productivity and coastal upwelling in the GG. This coastal upwelling is known to influence the climate of the surrounding region, primary productivity and local fisheries. Studies on GC variability and its impact on this coastal upwelling have highlighted that the upwelling downstream of Cape Palmas is influenced by GC detachment, topographic variations and advective processes leading to significant vertical mixing. This study aims to analyze the interannual variability of the GC and its impact on coastal upwelling using the Coastal and Regional Ocean COmmunity model (CROCO). The model’s evaluation is conducted using observational data, specifically Geostrophic and EKman Current Observatory (GEKCO) and Ocean Surface Current Analysis (OSCAR) for currents, and Air-sea Fluxes for the global Tropic ocean-description (TROPFLUX) and Optimum Interpolation-Sea Surface Temperature (OI-SST) for temperature. Thus, the model evaluation indicates that it accurately replicates ocean circulation and SST patterns in the tropical Atlantic and the GG. The joint analysis of upwelling indices (surface and intensity) and the position of the GC core allowed us to conclude that the displacement of the GC core does indeed influence the upwelling indices in the northern part of GG. However, other oceanic and atmospheric mechanisms such as vertical diffusion and horizontal advection as proposed by previous studies may also affect the year-by-year variability of coastal upwelling in the northern GG.
文摘The main objective of this study was to evaluate the pharmacological potential of the hydroethanol extract of Strychnos camptoneura trunk bark on reproductive functions in male guinea pigs exposed to cypermethrin. The results showed that administration of the hydroethanolic extract (100 and 250 mg/kg) of Strychnos camptoneura trunk bark after exposure of the animals to cypermethrin induced a highly significant (p Strychnos camptoneura trunk bark produced a highly significant (p Strychnos camptoneura trunk bark may have protective effects against cypermethrin-induced male infertility due to its androgenic, spermatogenic and antiradical properties.
基金Supported by the National Natural Science Foundation of China(No.81400428)Self-selected Projects of Shanghai Children’s Hospital(No.2020R124)Shanghai Children’s Hospital Hospital-level Project Clinical Research Cultivation Special Focus Project(No.2021YLYZ03).
文摘AIM:To quantitatively measure ocular morphological parameters of guinea pig with Python technology.METHODS:Thirty-six eyeballs of eighteen 3-weekold guinea pigs were measured with keratometer and photographed to obtain the horizontal,coronal,and sagittal planes respectively.The corresponding photo pixels-actual length ratio was acquired by a proportional scale.The edge coordinates were identified artificially by ginput function.Circle and conic curve fitting were applied to fit the contour of the eyeball in the sagittal,coronal and horizontal view.The curvature,curvature radius,eccentricity,tilt angle,corneal diameter,and binocular separation angle were calculated according to the geometric principles.Next,the eyeballs were removed,canny edge detection was applied to identify the contour of eyeball in vitro.The results were compared between in vivo and in vitro.RESULTS:Regarding the corneal curvature and curvature radius on the horizontal and sagittal planes,no significant differences were observed among results in vivo,in vitro,and the keratometer.The horizontal and vertical binocular separation angles were 130.6°±6.39°and 129.8°±9.58°respectively.For the corneal curvature radius and eccentricity in vivo,significant differences were observed between horizontal and vertical planes.CONCLUSION:The Graphical interface window of Python makes up the deficiency of edge detection,which requires too much definition in Matlab.There are significant differences between guinea pig and human beings,such as exotropic eye position,oblique oval eyeball,and obvious discrepancy of binoculus.This study helps evaluate objectively the ocular morphological parameters of small experimental animals in emmetropization research.
文摘Blood transfusion saves lives and reduces morbidity and mortality for a large number of diseases and clinical conditions, but it is not without danger. The aim of this study was to determine the seroprevalence of HIV and hepatitis B in blood donors received at the regional Blood Transfusion Centre of N’Zérékoré (Guinea). This was a 5-year retrospective analytical study. We included records of blood donors aged 18 to 60 years admitted to the N’Zérékoré Regional Blood Transfusion Centre for blood donation from January 2016 to December 2020. We performed a descriptive analysis followed by Chi-2 or Fish-er-exact tests and the Student or Wilcoxon test, followed by multivariate logistic regression. In this study, donor age ranged from 18 - 60 years, with a pre-dominance of donors aged 25 - 34 (44.2%). Male donors were the most represented in our study (79.0% versus 21.0% female). More than half of the donors were blood group O (55.6%). We observed a seroprevalence of 3.6% for HIV, 13.4% for HBsAg and 0.2% for co-infection. In our series, age 25 - 34 (OR = 1.89 and P = 0.001) and 35 - 44 for HIV (OR = 2.01 and P = 0.001), HBsAgserostatus (OR = 3.04 and P = 0.001) and blood donation history (OR of 3.04 and P = 0.001) were factors associated with HIV positivity (P < 0.05). In our study, HIV serostatus (OR = 3.04 and P = 0.001) and blood donation history (OR = 0.01 and P = 0.001) were factors associated with HBsAgseropositivity. We reported a high prevalence of HIV and HBsAg. Sex, serological status and blood donation history were associated factors.
文摘The antiretroviral treatment (ART) has significantly reduced the number of new HIV/AIDS infections and related deaths. However, cases of immunovirological discordance (IVD) are found in various locations. The objective of this study was to determine the profile of People living with HIV (PLHIV) with IVD and to identify associated factors. We conducted a cross-sectional study based on the records of PLHIV under ART for at least 6 months, followed at Hpital de Jour Donka from 2015 to 2017, and having both viral load (CV) and CD4 T-cell count. Prevalence of IVD was 34.57%, with 23.87% for immunological discordance (ID) and 10.7% for virological discordance (VD). Females were predominant (66.26%), and male gender influenced IVD with a statistically significant difference (p = 0.006) and was associated with VD (p = 0.007). The average age was 38.77 11.30 years. PLHIV were classified at WHO stages 3 and 4 (86.01%). The median initial haemoglobin level was 11.5 g/L [3.2 - 12]. The mean initial CD4 T-cell count was 272.84 cells/mm3 201.6. The median initial viral load (VL) was 147,337 copies/mL [1092 - 31,675,000]. The initial CD4 T-cell count 3 was associated with IVD with a statistically significant difference (p = 0.0009) and correlated with ID (p = 0.000). Prurigo was associated with IVD with a statistically significant difference (p = 0.003). Cerebral toxoplasmosis was not associated with IVD but was associated with ID (p = 0.04). This study allowed us to describe the profile of PLHIV with IVD. The main associated factors were male gender, initial CD4 T-cell count 3, toxoplasmosis, prurigo, and herpes zoster.
文摘Introduction: Acute diarrhoea is a real public health problem worldwide and is responsible for considerable mortality in developing countries. The aim of this study was to evaluate the management of acute diarrhoea in children aged 0 - 59 months hospitalised in the paediatric ward of the Ratoma CMC. Material and Methods: This was a descriptive cross-sectional study lasting 6 months, from 01 July to 31 December 2023, including all children aged 0-59 months admitted for diarrhoea lasting no more than 14 days and whose parents agreed to take part in the study. Sociodemographic, clinical, therapeutic and evolutionary data were studied. Results: 79 children were seen for acute diarrhoea out of 330 consulted, i.e., a frequency of 23.9%. The age group 0 - 11 months was the most represented, at 54.4%. Males predominated: 62% with a sex ratio of 1.6. The average consultation time was 3 days, with extremes of 0 to 10 days. The number of bowel movements per day varied from 3 to 12. The stools were liquid in 82.27% of cases. All hospitalised children were dehydrated, with 68.4% suffering from moderate dehydration, 21.5% from mild dehydration and 10.1% from severe dehydration. Malaria was the condition most frequently associated with diarrhoea (27.8%). Malnutrition was found in only 2.5%. 82% of the children had received oral rehydration with ORS and 18% intravenous rehydration. Almost all the children (93.67%) had a favourable outcome. We recorded one case of death, a rate of 1.26%. Conclusion: Acute diarrhoea in children is one of the most frequent reasons for consultation in the paediatric department of the Ratoma CMC. Often accompanied by fever and vomiting, it is frequently observed in children aged 0 to 11 months, with a predominance of males. The overall management of acute diarrhoea in children involves improving people’s standard of living, combating faecal peril, drinking water consumption, promoting vaccination, the use of oral rehydration solutions and zinc, and training healthcare staff.
文摘As part of the national strategy to further develop the wind energy sector,the eight prefectures of Upper Guinea have been selected.Using meteorological data recorded over thirty years(1991-2021)at a height of 20 m,we assessed wind resources in terms of characteristic speeds,power and available energy.To this end,the Weibull distribution method was used and the following values were obtained:3.66 m/s for the average speed;1,102.83 W/m^(2)for the available power and 8,747.06 kWh/m^(2)/year for the annual available energy.
文摘Introduction: Corticosteroid therapy used in rheumatology is effective but can lead to complications. The objective was to describe the complications of corticosteroid therapy in rheumatological practice at Ignace Deen University Hospital (Conakry). Methods: Cross-sectional study from July 1, 2022 to March 31, 2023. All patients who had been diagnosed with a rheumatological disease and who had received corticosteroid therapy were included. Results: Of the 1489 patients suffering from rheumatological diseases, 238 (15.9%) had received corticosteroid therapy. The average age of the patients was 48.5 ± 17.16 years with a female predominance (70.5%). The main indications for corticosteroid therapy were lower back pain due to probable disco-radicular impingement (35.8%) followed by rheumatoid arthritis (21.9%). The predominant method of administration was infiltration (56.9%). The average dosage was 24.2 ± 13.5 mg prednisone equivalent (range: 5 mg and 40 mg). Complications were present in 26 patients (10.9%) such as muscle cramps (3.8%), hypocalcemia (3.4%), edema of the lower limbs (3%), stimulation of appetite and weight gain (3%), high blood pressure (2.5%), hyperglycemia (2.5%). The occurrence of complications was associated with the high dose of corticosteroid (p = 0.014) and long-term use (p = 0.000). Conclusion: Corticosteroid therapy used in 15.9% of consultations in the rheumatology department of Ignace Deen University Hospital led to 10.9% of complications. These complications were related to the dose and duration of corticosteroid therapy.
文摘Thoraco-brachial outlet syndrome (TDSD) or cervical rib brings together all the clinical symptoms (arterial, neurological and/or venous) due to extrinsic, intermittent or permanent compression of the vascular-nervous elements of the root of the upper limb during cervico-thoraco-brachial crossing syndrome. This pathology is relatively common but often overlooked;it affects women more often (between 4/1 and 2/1) and is rare in children. We report the case of a 59-year-old female patient seen in the department for paresthesia and muscular weakness of the upper limbs rated 3/5 on the right and 4/5 on the left progressively evolving over 39 years, electromyography (EMG) showed indicated compression of the brachial plexus and the CT scan confirmed the presence of bilateral cervical ribs fused with the first on the left. She benefited from physiotherapy while awaiting her surgery, and unfortunately, she died of a stroke in the traumatology department. This pathology is the first in our department to be supported by a review of the literature.
文摘Introduction: Cystic lymphangiomas are rare benign malformative tumors of the lymphatic system of obscure etiopathogenesis. The cervico-facial location remains the most common (75%). Although benign, these tumors remain potentially fatal, due to possible compression of the upper aero-digestive tract. The aim of this work is to study the epidemiological, diagnostic and therapeutic characteristics of cervico-mandibular congenital cystic lymphangiomas in the pediatric surgery department of the Donka National Hospital (HND) Conakry. Patients and methods: This is a retrospective and descriptive study of 13 files lasting 7 years from January 2015 to December 31, 2021. The files of children whose age is less than or equal to 15 years operated on cervical tumor with histological evidence of cystic lymphangioma were retained. The data were analyzed using SPSS statistical software 21 and anonymously. Results: The incidence of this study was 1.86 cases per year and a sex ratio of 0.62 in favor of girls. The average age was 8 months 19 days. In the antecedents, we only find poorly monitored pregnancies. The average size of the tumors was 11.85 cm. Cervical ultrasound and standard x-ray of the cervical mass were the only examinations performed. Total surgical excision of the cervical tumor was performed in all patients. The mass was polycystic on exploration. The histological examination of the surgical specimens was in favor of a cystic lymphangioma. The surgical consequences were simple in 11 patients (84.62%) and complicated by parietal suppuration in 2 cases (15.38%). There were no cases of recurrence after one year of follow-up. Conclusion: Cervico-mandibular cystic lymphangiomas are the most frequent locations of congenital lymphangiomas in children. Their severity is linked to the risk of compression of the aero-digestive tracts. Their diagnosis must be confirmed by the histology of the surgical specimen. Despite the therapeutic arsenal, excision of the cystic mass remains the only effective alternative in our socio-economic conditions to avoid recurrences and loss of follow-up of patients.
