L'INTERET DE L'AUTOTRANSFUSION PRE-OPERATOIRE DANS LA PRISE EN CHARGE MEDICO-CHIRURGICALE DES HEMOTHORAX TRAUMATIQUES GRAVES DRAINES EN URGENCE : Apport d'une technique simplifiée en milieu africain.

L'auteur rapporte une simple procédure utile et salvatrice d'autotransfusion pré-opératoire pouvant être indiquée dans la prise en charge médico-chirurgicale des hémothorax traumatiques graves en milieu africain.MOTS CLES : Technique - Autotransfusion pré-opératoire - Hémothorax traumatique - Milieu africain.THE IMPORTANCE OF PRE-OPERATIVE AUTOTRANSFUSION IN THE MEDICO-SURGICAL MANAGEMENT OF SEVERE TRAUMATIC HEMOTHORAX DRAINED AS AN EMERGENCY  Proposal of a simplified technique in the African milieu.SUMMARY:The author describes a simple but salvaging procedure for pre-operative autotransfusion, which might be well indicated in the medico-surgical management of severe traumatic hemothorax in the African milieu.KEY WORDS: Technique - Pre-operative auto transfusion - Traumatic hemothorax - African milieu

UN PROCEDE SIMPLE D'AUTOTRANSFUSION AUTOLOGUE PRE-OPERATOIRE DANS LES HEMOPERITOINES TRAUMATIQUES ET GYNECOLOGIQUES GRAVES EN MILIEU AFRICAIN.

L'auteur rapporte un procédé simple d'autotransfusion autologue pré-opératoire utile dans la prise en charge médicochirurgicale des hémopéritoines traumatiques et gynécologiques en milieu africain. La méthode est illustrée par une iconographie et la littérature médicale est révisée.MOTS CLES : Procédé - Autotransfusion pré-opératoire - Hémopéritoine - Milieu africain.A SIMPLIFIED PROCEDURE OF AUTOLOGOUS INTRA OPERATIVE AUTOTRANSFUSIONIN SEVERE TRAUMATIC AND GYNECOLOGICAL HEMOPERITONIUM IN THE AFRICAN MILIEU.SUMMARY:The author describes a simple procedure of autologous intra operative auto transfusion useful in the medico-surgical management of traumatic and gynecological hemoperitonium in the African milieu. The method is illustrated by iconography and medical literature reviewed.KEY WORDS : Procedure - Auto transfusion - Intra operative - Hemoperitonium - African milieu

Le textilome intra-abdominal chez la femme: A propos de deux observations cliniques en milieu Africain

L'oubli d'instruments chirurgicaux ou de compresses dans la cavité péritonéale fait partie des fautes médicales les plus médiatisées et les plus graves. Les auteurs rapportent deux cas de textilome intra abdominal chez la femme en milieu africain, colligés dans le service de chirurgie de l'Hôpital Gynéco- Obstétrique et Pédiatrique de Yaoundé (HGOPY). Cette étude rend compte de l'existence de cette complication dans notre pratique. Elle souligne les difficultés diagnostiques et le rôle primordial de la prévention pour y remédier. La littérature médicale est révisée et les moyens de prévention sont proposés. Clinics in Mother and Child Health Vol. 3(1) 2006: 497-50

Confection D’une Colostomie De Maydl (Sur Baguette) En Situation De Precarite

Nous avions présenté une procédure simplifiée et reproductible de réalisation d’une colostomie sur baguette de Maydl, en conditions de précarité. Il s’agissait d’utiliser une seringue stérile de 10 cc et un fil à peau

Hypertrophic pyloric stenosis in infants: is it a congenital or acquired disorder? Reflections on 2 cases

Based on evidence from two collected and treated clinical observations of hypertrophic pyloric stenosis in children of 5 and 12 months of age, the authors give their point of view on the unresolved issue of the etiology of hypertrophic pyloric stenosis. They emphasize that there are more and more factors to prove this is an acquired condition

Central African Field Epidemiology and Laboratory Training Program: building and strengthening regional workforce capacity in public health

The Central African Field Epidemiology and Laboratory Training Program (CAFELTP) is a 2-year public health leadership capacity building training program. It was established in October 2010 to enhance capacity for applied epidemiology and public health laboratory services in three countries: Cameroon, Central African Republic, and the Democratic Republic of Congo. The aim of the program is to develop a trained public health workforce to assure that acute public health events are detected, investigated, and responded to quickly and effectively. The program consists of 25% didactic and 75% practical training (field based activities). Although the program is still in its infancy, the residents have already responded to six outbreak investigations in the region, evaluated 18 public health surveillance systems and public health programs, and completed 18 management projects. Through these various activities, information is shared to understand similarities and differences in the region leading to new and innovative approaches in public health. The program provides opportunities for regional and international networking in field epidemiology and laboratory activities, and is particularly beneficial for countries that may not have the immediate resources to host an individual country program. Several of the trainees from the first cohort already hold leadership positions within the ministries of health and national laboratories, and will return to their assignments better equipped to face the public health challenges in the region. They bring with them knowledge, practical training, and experiences gained through the program to shape the future of the public health landscape in their countries

Fifteen Years of Annual Mass Treatment of Onchocerciasis with Ivermectin Have Not Interrupted Transmission in the West Region of Cameroon

We followed up the 1996 baseline parasitological and entomological studies on onchocerciasis transmission in eleven health districts in West Region, Cameroon. Annual mass ivermectin treatment had been provided for 15 years. Follow-up assessments which took place in 2005, 2006, and 2011 consisted of skin snips for microfilariae (mf) and palpation examinations for nodules. Follow-up Simulium vector dissections for larval infection rates were done from 2011 to 2012. mf prevalence in adults dropped from 68.7% to 11.4%, and nodule prevalence dropped from 65.9% to 12.1%. The decrease of mf prevalence in children from 29.2% to 8.9% was evidence that transmission was still continuing. mf rates in the follow-up assessments among adults and in children levelled out after a sharp reduction from baseline levels. Only three health districts out of 11 were close to interruption of transmission. Evidence of continuing transmission was also observed in two out of three fly collection sites that had infective rates of 0.19% and 0.18% and ATP of 70 (Foumbot) and 300 (Massangam), respectively. Therefore, halting of annual mass treatment with ivermectin cannot be done after 15 years as it might escalate the risk of transmission recrudescence

Nordic consensus report on asthma management

AbstractThe work with the Nordic consensus report on asthma management started some years ago. The Nordic countries have common socioeconomic conditions. We acknowledge the international as well as other European guidelines providing valuable recommendations. Nevertheless, we felt the need to combine the common Nordic experiences in order to have a local statement of asthma and asthma care, based upon Nordic clinical science and tradition. The work has been rewarding and we acknowledge many valuable contributions from paediatricians, allergologists and lung physicians in all Nordic countries. The response has so far been positive and we feel that the present material reflects the main opinion of Nordic physicians taking care of asthma patients of all ages. However, the asthma and allergy research field is rapidly developing. Thus, this document should merely be regarded as a time-limited contribution to the continuing scientific discussion of this fascinating field

La technique de lytle dans la cure chirurgicale des hernies crurales non compliquees chez la femme: Regain d'intérêt en milieu Africain.

Les auteurs rapportent la technique de Lytle comme un procédé chirurgical simple adapté à la cure des hernies crurales chez la femme en milieu africain. La technique est décrite et illustré par une abondante iconographie.The authors describe Lytle's technique as a simple surgical procedure adapted to the management of femoral hernias in females in the African milieu. The technique is described and illustrations given. Keywords: Lytle's technique - Hernies crurales -Femme - Milieu africain. Clinics in Mother and Child Health Vol. 3(2) 2006: pp. 617-61