Bacteriologie de l’otite moyenne suppuree chronique de l’enfant au mali

Introduction: L’otite moyenne suppurée chronique est une affection fréquente chez l’enfant. Plusieurs facteurs peuvent favoriser l’installation d’un tel processus infectieux (rhinopharyngites, otites mal traitées …). L’identification du germe causal de l’otite est une étape essentielle pour mener un traitement adéquat. But : Déterminer l’écologie bactérienne des otites purulentes chroniques de l’enfant dans notre unité. Patients et méthodes : L’étude menée de novembre 2010 à octobre 2011 a concerné 76 jeunes patients (40 filles et 36 garçons âgés de 6 à 180 mois avec une moyenne d’âge de 52,73 mois) présentant une otite moyenne suppurée chronique. L’otorrhée purulente des 76 patients (80 oreilles) a été prélevée. Celle-ci était recueillie à l’oreille d’un écouvillon stérile après nettoyage du conduit auditif externe et conduit le même jour au laboratoire pour examen bactériologique. Résultats : 94,74% des prélèvements étaient positifs et 5,26% étaient stériles. Parmi les prélèvements positifs 75% étaient monomicrobiens et 25% plurimicrobiens. Staphylococcus aureus (41,31%), proteus mirabilis (34,79%) sont les principales espèces bactériennes responsables d’otite moyenne suppurée chronique chez l’enfant dans notre unité. Conclusion : Ainsi le rôle pathogène de staphylococcus aureus est prépondérant dans les otites moyennes suppurées chroniques de l’enfant dans notre unité. Mots-clés : bactériologie - otite moyenne suppurée chronique - enfant.

Analisis Kesediaan Membayar Iuran Kebersihan terhadap Kepuasan Masyarakat di Lingkungan Kelurahan Labuh Baru Barat

The purpose of this research to determine the willingness to pay and the factors that affect willingness to pay in Kelurahan Labuhbaru Barat. The sample used in this research is 98 KK. Data analysis method used in this research is descriptive. In this research the population is around the Kelurahan Labuhbaru Barat which amounts to 4746 KK. The sampling technique used was accidental.From the research conducted in the know that value of willingness to pay in Kelurahan Labuhbaru Barat is different. With the lowest WTP Rp 5000 and highest WTP Rp 30000. Total willingness to pay for the public to environmental hygiene is of 63.521.285,72. And the average value of the publics willingness to pay per month in Kelurahan Labuhbaru Barat of 13384 per KK.Income variable(X1) effect on WTP(Y), while education variable(X2) and weight of household waste variable (X3) does not affect the WTP. This indication give the sence that determines the value of the magnitude of WTP (Y) in Kelurahan Labuhbaru Barat is income.Keywords : willingness to pay, Income, Education, Weight of household wast

Fetal death in utero: epidemiological aspects, management and maternal prognosis in the obstetrics and gynecology department of the community medical centre of Ratoma

Background: Fetal death in utero (FDIU) often represents a tragedy badly lived, sometimes incomprehensible. It is considered as a failure of pregnancy's progress and monitoring. It is a frequent problem in obstetrical practice. Objective of study was to contribute to the study of FDIU in the maternity ward of the Ratoma municipal medical center.Methods: This was a prospective study of analytical type conducted over a period of 6 months from 1 January to 30 June 2017.Results: During this study period, we recorded 54 cases of FDIU out of a total of 1256 deliveries, or a frequency of 4.3%. The average age of our patients was 28.5 years with extremes of 16 to 39 years, the most represented age group was 25 to 34 years, with a frequency of 44.4%. The absence of active fetal movement was the main reason for consultation, with a frequency of 51.9%, and housewives were the most affected, with a frequency of 61.1%. The 70.4% of our patients gave birth by vaginal delivery and oxytocin was the most commonly used drug for induction of labor, i.e., 77.8%. The immediate maternal prognosis was 100% favorable and no case of maternal death was recordedConclusions: In-utero fetal death is a frequent obstetrical pathology, the awareness of women for the realization of ANC as well as the early management of risk factors detected during ANC constitutes an element of great importance. Therefore, a regular follow-up of all pregnant women even in the absence of risk factors proves necessary

Usage of pet bottle wastes in textile industry and contribution to sustaynabylyty [Pet {thorn}y{thorn}e atiklarinin tekstyl endüstrysynde de{eth}erlendyrylmesy ve sürdürülebylyrly{eth}e katkisi]

Developments in plastics recycling enabled a new raw material for textile industry which creates economical and ecological advantages. Polyethyleneterephthalate (PET),which is the most consumed polymer in textiles recently, is recycled into PET flakes from bottles which have been used for water; oil, drinks etc. packaging. It is possible to spin fibers from melted PET flakes. In this study, usage of PET flakes in textile industry was explained. Based on this explanation, some information about the conditions of Turkish plants which produces PET flakes and fibers from these flakes were given. Moreover, Turkish recycle plants of PET fiber are compared with similar foreign plants in terms of technological background. In this context, some advices are given about developments which have to be accomplished and strategies in this field that should be followed

Management as A Necessary Tool for the Prevention of Violence Against Women

The chair "Women, family and Guantanamo society" in the Guantánamo province as part of its functions intends the following investigation that addresses the theme of the prevention of violence against women from its management. This has the purpose of contributing to the educational preparation of agencies and social agents as an effective response to the demands of today's Cuban society. The study assumes the methodological-materialist and historical dialectical conception with the use of general research methods, with references, aspects of historical and theoretical-methodological evolution in the sociological, psychological, pedagogical and legal areas. The diagnostic results of the study made it possible to design as a methodological proposal a management strategy for the prevention of violence against women, which is strengthened from the integration of agencies and social agents, which places the University as the most important educational agency of the community