24 research outputs found
Bilateral asynchronous acute epidural hematoma : a case report
BACKGROUND: Bilateral extradural hematomas have only rarely been reported in the literature. Even rarer are cases where the hematomas develop sequentially, one after removal of the other. Among 187 cases of operated epidural hematomas during past 4 years in our hospital, we found one case of sequentially developed bilateral epidural hematoma. CASE PRESENTATION: An 18-year-old conscious male worker was admitted to our hospital after a fall. After deterioration of his consciousness, an emergency brain CT scan showed a right temporoparietal epidural hematoma. The hematoma was evacuated, but the patient did not improve afterwards. Another CT scan showed contralateral epidural hematoma and the patient was reoperated. Postoperatively, the patient recovered completely. CONCLUSIONS: This case underlines the need for monitoring after an operation for an epidural hematoma and the need for repeat brain CT scans if the patient does not recover quickly after removal of the hematoma, especially if the first CT scan has been done less than 6 hours after the trauma. Intraoperative brain swelling can be considered as a clue for the development of contralateral hematoma
Iodine-125 brachytherapy for brain tumours - a review
Iodine-125 brachytherapy has been applied to brain tumours since 1979. Even though the physical and biological characteristics make these implants particularly attractive for minimal invasive treatment, the place for stereotactic brachytherapy is still poorly defined
Origins of the War in the East: Britain, China and Japan, 1937â39. By Aron Shai. London: Croom Helm, 1976. Pp. 267. ÂŁ9.50 - Great Britain and the Origins of the Pacific War: A Study of British Policy in East Asia, 1937â1941. By Peter Lowe. Oxford: Clarendon Press, 1977. Pp. xii + 318. ÂŁ8.50.
Place de la consultation prénatale dans la mortalité périnatel au CHU-Tokoin (Lomé)
No Abstract Available
J. Rech. Sci. Univ. Lomé (Togo) 2002, 6(2) : 217-22
L'influence du niveau socio-economique sur la mortalite perinatale au Chu de Lome-Tokoin
The perinatal mortality rates are the indicators of health service which depend on socio-economic and medical condition of the population. The aim of study is to determine socio-economic profile of the couples touched by perinatal mortality in Lome- Tokoin Teaching Hospital. It is about a forward-looking and descriptive study led over 12 months in the services of Gynaecology and Pediatrics. The new-mothers retained for the study are those who had stillborn or newborn weighing at least 1000g at the birth and dead in the first 7 days of life and whoâs pregnancy lasted at least 28 weeks. The frequency of perinatal mortality amounted to 106,8â°. The women old less than 20 years and more than 35 years had the greatest rate of perinatal mortality (116,8 â° and 120,18â° ). The perinatal mortality of the transferred parturients was the double of that of the parturients followed in the service. The mothers had a weak income profession: 212 cases (55,5%) or had a not remunerated profession: 165 cases (43,2%).The proportion of illiterates was the highest : 37,7% (144 cases). More than the half of spouses : 56,5% (261 cases) had a weak income. The socio-economic level has a very strong influence on perinatal mortality in the Lome Tokoin Teaching Hospital. The improvement of the life condition of the population will contribute much to the perinatal mortality reduction.Les taux de mortalitĂ© pĂ©rinatale sont des indicateurs de santĂ© publique qui dĂ©pendent des conditions socio-Ă©conomiques et sanitaires des populations. Lâobjectif est de dĂ©terminer le profil socio-Ă©conomique des couples touchĂ©s par la mortalitĂ© pĂ©rinatale au CHU-Tokoin. Il sâagit dâune Ă©tude prospective et descriptive menĂ©e sur 12 mois dans les services de GynĂ©cologie de PĂ©diatrie du CHU-Tokoin. Les critĂšres dâinclusion Ă©taient les femmes dont les grossesses sâĂ©taient arrĂȘtĂ©es ou dont les nouveau-nĂ©s Ă©taient dĂ©cĂ©dĂ©s dans les 7 premiers jours de vie, de mĂȘme que les grossesses qui ont durĂ© au moins 28 semaines et les nouveau-nĂ©s qui ont pesĂ© au moins 1000 g Ă la naissance.La frĂ©quence de la mortalitĂ© pĂ©rinatale sâĂ©levait Ă 106,8â°. Les femmes ĂągĂ©es de moins de 20 ans et de plus de 35 ans ont Ă©tĂ© celles avec qui nous avons enregistrĂ© des taux Ă©levĂ©s de mortalitĂ© pĂ©rinatale (116 â° et 120,1 â°). La mortalitĂ© pĂ©rinatale chez les parturientes transfĂ©rĂ©es Ă©tait le double de celle des parturientes suivies dans le service.Au plan de lâemploi, 55,5% des mĂšres (212 cas) exerçaient une profession Ă faible revenu, 43,2% (165 cas) nâavaient pas de profession rĂ©munĂ©ratrice. La proportion des analphabĂštes Ă©tait la plus Ă©levĂ©e (144 cas soit 37,7%). Plus de la moitiĂ© des conjoints avaient un revenu faible (216 cas soit 56,5 %). Le niveau socio-Ă©conomique a une trĂšs forte influence sur la mortalitĂ© pĂ©rinatale au CHU-Tokoin. LâamĂ©lioration des conditions de vie de la population rĂ©duira sans doute les taux de mortalitĂ© pĂ©rinatale dans nos milieux.
Etude morphologique dâun cas de femme XY avec dysgĂ©nĂ©sie gonadique pure
Les auteurs dĂ©crivent le morphogramme dâune femme ĂągĂ©e de 20 ans, ne prĂ©sentant pas dâambiguĂŻtĂ© sexuelle, atteinte dâinversion sexuelle (caryotype 46, XY) et de dysgĂ©nĂ©sie gonadique. La morpho dysplasie est de type androĂŻde et le faciĂšs dâallure infantile. Mots clĂ©s : Etude morphologique, femme XY, dysgĂ©nĂ©sie gonadique pure.The authors describe the morphological features of a twenty years old female, without ambiguous genitalia, presenting a 46,XY karyotype, normal female external genitalia and gonadal dysgenesis. She has an android type of morpho dysplasia and an infantile appearance facies.Key words: Morphoogical study, 46,XY karyotype female, pure gonadal dysgenesis
PrĂ©vention de la transmission du VIH de la mĂšre Ă lâenfant Ă TsĂ©viĂ© (Togo)
But: Evaluer la PrĂ©vention de la Transmission du VIH de la mĂšre Ă lâenfant (PTME) Ă TsĂ©viĂ©. MĂ©thodes: Etude rĂ©trospective du 1er novembre 2008 au 31 Octobre 2009. RĂ©sultats: Parmi les 1124 femmes qui avaient accouchĂ© dans les deux sites PTME, 552 soit 49,11% Ă©taient de statut inconnu. Les mĂšres avaient un Ăąge moyen de 28,4 ans. Seulement 6% des mĂšres avaient fait le lycĂ©e; 72% des femmes ont accouchĂ© par voie basse, 7% des mĂšres avaient Ă©tĂ© mises sous tri prophylaxie (Zidovudine, Lamivudine, NĂ©virapine). Lâallaitement maternel Ă©tait le principal mode dâalimentation; 32% dâenfants perdus de vue aprĂšs leur premier examen. A 12 mois seulement 57,14% des enfants avaient Ă©tĂ© bien vaccinĂ©s et 50% avaient reçu le cotrimoxazole. Le taux de transmission du VIH de la mĂšre Ă lâenfant Ă©tait de 2/15 (13,33%). Conclusion: La PTME doit ĂȘtre promue pour diminuer la contamination des enfants.Mots clĂ©s : PrĂ©vention, transmission, VIH, mĂšre, enfant.Aim: Evaluate the protocol of prevention of HIV/Aids from mother to child. Methods: One year retrospective study was carried out in Tsevie. Result: Among 1124 women who delivered, 552 (49.11%) didnât know their serologic status. The mothersâmean age was 28.4 years olds. Only 6% of mothers reached secondary school; 72% of women delivered naturally, 7% of women received tri prophylaxis (zidovudine, lamivudine, nevirapine). Breast feeding was the most used. There was no follow-up for 32% of the children after the first examination. At one year old, only 57,14% of children were well vaccinated and 50% received cotrimoxazole. The mother to child transmission rate was estimated at 2/15 (13.33%). Conclusion: The HIV transmission mother to child prevention should be encouraged.Key words: Mother to chid HIV-Aids Transmission, Togo