La craniectomie decompressive dans la prise en charge des traumatismes craniens graves avec signes radiologiques d’engagement cerebral.

Introduction La craniectomie décompressive peut- elle améliorer le pronostic des patients victimes d’un traumatisme crânien fermé grave avec engagement cérébral ? Objectif Le but de la présente étude était d’évaluer l’efficacité de la craniectomie décompressive dans la prise en charge du traumatisme crânien grave, isolé et fermé avec signes radiologiques d’engagement cérébral. Méthodes Il s’agissait d’une étude réalisée à l’Hôpital Général de Douala pendant 36 mois, de janvier 2007 à décembre 2009, incluant 13 patients victimes d’un traumatisme crânien grave, isolé et fermé, présentant les signes radiologiques d’engagement cérébral. La craniectomie décompressive était indiquée devant l’aggravation ou la persistance du tableau clinique et radiologique malgré le traitement médical conventionnel. Résultats Après deux à dix mois de suivi, l’évolution fut classée selon le score du coma évolutif ; "Glasgow outcome scale (GOS) score ". Dix patients (76, 93 %) ont évolué favorablement GOS (4-5).Un patient (07,69%) est resté végétatif GOS3. Deux décès (15,38%) ont été observé GOS1. Les principales complications étaient : une hydrocéphalie, une hernie cérébrale à travers le foramen de craniectomie, un abcès du cerveau et un état de mal convulsif. Conclusion La craniectomie décompressive est une méthode efficace pouvant améliorer le pronostic des patients victimes de traumatisme crânien grave avec signes radiologiques d’engagement cérébral.Mots clés : craniectomie-décompressive-engagement cérébral-traumatisme crânien

Domestication of Dacryodes edulis in West and Central Africa: characterisation of genetic variation

New initiatives in agroforestry are seeking to integrate trees with marketable products into farming systems. This is being done in order to provide marketable timber and non-timber forest products from farms that will enhance rural livelihoods by generating cash for subsistence farmers. Dacryodes edulis (Safou) is one of the candidate tree species in West and Central Africa for domestication, which has commercial potential in local, regional or even international markets. This paper describes: (i) the characterisation of tree-to-tree variation in fruit traits and the opportunities for selecting D. edulis cultivars based on the intraspecific variation found in local populations in Cameroon and Nigeria, (ii) the identification of multi-trait ideotypes for potential cultivar development, (iii) the organoleptic attributes which are important traits for selection, and (iv) an assessment of the relationships between fruit mass and market prices in fruit samples from three markets, at the peak of season, in Cameroon

Factors associated with extra-articular manifestations of rheumatoid arthritis in Abidjan, Côte d’Ivoire

Objective: The aim of this study was to identify factors associated with extra-articular manifestations of rheumatoid polyarthritis in Abidjan, Côte d'Ivoire. Design: A descriptive and analytical retrospective study. Methods: The study was conducted at the Rheumatology Department of Cocody’s University Teaching Hospital in Abidjan from January 2009 to December 2018. The study participants were 106 patients with rheumatoid arthritis diagnosed on the basis of ACR 1987 and ACR/EULAR 2010 criteria, with extra articular manifestations. Results: The study included 129 cases of rheumatoid polyarthritis and 106 of them had extra-articular manifestations. The hospital frequency of extra-articular manifestations in rheumatoid arthritis was 82.17%. Our sample population were 92 females (86.79%) and 14 males (13.21%) with an average age of 44.69 years. The average duration of disease progression was 62.36 months. Extra-articular manifestations observed were largely dominated by general signs (83.86%) and haematological manifestations (78%). Other cases included rheumatoid nodules (10%), abarticular manifestations (7.62%) and dry syndrome in 8.70% of cases. Visceral manifestations were cardiovascular (3.77%), neurological (1.89%) and pulmonary in 1% of cases. Only articular deformities (OR=2.4; IC 95% = [1.4-6.3]; P=0.03) were significantly associated to the presence of extra-articular manifestations. Conclusions: Extra-articular manifestations are very common during the rheumatoid arthritis in Abidjan. Joint deformities are the major factors significantly associated to the presence of extra-articular manifestations

Contribution of honeybees to soybean yield

Despite the economic importance of soybean [Glycine max (L.) Merr.], knowledge on the contribution of entomological pollination on seed yield is scarce. This study estimates the production of soybean resulting from pollination by honeybees (Apis mellifera L.) in two consecutive growing seasons in Paraná (Argentina). Experiments had two treatments: excluded flower-visiting insects (EV) and non-excluded flower-visiting insects (NEV). The abundance of honeybees was similar in both years, although soybean production differed significantly (P < 0.05) between years. The NEV treatment out-yielded (P < 0.001) the EV treatment by 18% (5224 vs. 4415 kg ha−1) in year 1, which was associated with an increase in the seeds per unit area but not with individual seed weight. In contrast, seed yield (on average 3830 kg ha−1) and seeds per unit area did not differ between treatments in year 2. Individual seed weight was 3–5% (P < 0.05) higher in EV than in NEV in both years. The mechanisms involved in the seed yield increase could be related with pollen sterility in relegated flowers in secondary racemes or in distal locations of primary racemes under favorable conditions, as recorded in year 1. Thus, the action of honeybees carrying pollen from fertile flowers to relegated flowers may have increased the pod and seed set in treatment NEV in year 1.EEA ParanáFil: Blettler, Diego César. Provincia de Entre Ríos. Centro de Investigaciones Científicas y Transferencia de Tecnología a la Producción. Universidad Autónoma de Entre Ríos. Centro de Investigaciones Científicas y Transferencia de Tecnología a la Producción. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Centro de Investigaciones Científicas y Transferencia de Tecnología a la Producción; ArgentinaFil: Fagundez, Guillermina Andrea. Provincia de Entre Ríos. Centro de Investigaciones Científicas y Transferencia de Tecnología a la Producción. Universidad Autónoma de Entre Ríos. Centro de Investigaciones Científicas y Transferencia de Tecnología a la Producción. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Centro de Investigaciones Científicas y Transferencia de Tecnología a la Producción; ArgentinaFil: Caviglia, Octavio. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Paraná. Grupo Ecología Forestal; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Entre Ríos. Facultad de Ciencias Agropecuarias; Argentin