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Introduction.L'endométriose est une pathologie mal connue et sous explorée en Afrique en particulier en Côte d'Ivoire. L'objectif de notre étude était d'étudierles caractéristiques épidémio-cliniques et à l'imagerie par résonnance magnétique(IRM)de l'endométriose pelvienne à Abidjan.Méthodologie. Il s'agissait d'une étude prospective et descriptive qui s'est déroulée à Abidjan sur une durée 15 mois. Les examens ont été réalisés sur une IRM 1,5 T avec les séquences conventionnelles. Les patientes retenues ont réalisé une IRM du pelvis pour suspicion d'endométriose pendant la période. N'ont pas été retenues les patientes qui ont réalisés l'examen pour d'autres affections gynécologiques. L'ensemble des données ont été recueillies à partir des comptes rendus d'IRM des patientes. Les paramètres épidémio-cliniques; les paramètres IRM des lésions endométriosiques ont été étudiés. Nous avons utilisé le test de khi carré pour vérifier le lien entre certains facteurs.Résultats.Nous avons enregistré 68 patientes dont l'âge moyen était de 38,61 ans. L'adénomyose représentait la localisation la plus fréquente (67,65%) suivi de l'atteinte ovarienne (35,29%). Dans l'adénomyose, la zone jonctionnelle était inférieure à 20 mm dans 44,19%. L'endométriose ovarienne a été objectivée chez 24 patientes, soit 35,29% des cas. Une endométriose sous péritonéale a été objectivée dans 19,12% des cas. L'atteinte tubaire était de 10,29%. L'association endométriose et fibrome a été observé chez 44,12% des patientes. Le risque d'adénomyose était élevé après 40 ans p < 0,005.Conclusion.L'IRM apparait comme l'examen d'imagerie de référence dans le diagnostic et le bilan d'extension de l'endométriose pelvienne. A Abidjan, le diagnostic d'endométriose se fait à un âge avancé.
Introduction.Endometriosis is a poorly understood and under-explored condition in Africa, particularly in Ivory Coast. The aim of our study was to investigate the epidemiological and clinical characteristics, as well as magnetic resonance imaging (MRI) features of pelvic endometriosis in Abidjan. Methodology.This was a prospective and descriptive study conducted in Abidjan over a period of 15 months. The examinations were performed on a 1.5 T MRI machine using conventional sequences. Patients who underwent pelvic MRI for suspected endometriosis during the study period were included, while those who underwent the examination for other gynecological conditions were excluded. All data were collected from the MRI reports of the patients. Epidemiological and clinical parameters, as well as MRI parameters of endometriotic lesions, were analyzed. The chi-square test was used to verify the association between certain factors. Results.We included 68 patients with a mean age of 38.61 years. Adenomyosis was the most common localization (67.65%), followed by ovarian involvement (35.29%). In adenomyosis, the junctional zone was less than 20 mm in 44.19% of cases. Ovarian endometriosis was documented in 24 patients, accounting for 35.29% of cases. Subperitoneal endometriosis was observed in 19.12% of cases. Tubal involvement was seen in 10.29% of cases. The co-occurrence of endometriosis and fibroids was observed in 44.12% of patients. The risk of adenomyosis was higher after the age of 40 (p < 0.005). Conclusion.MRI appears to be the imaging modality of choice for diagnosing and assessing the extent of pelvic endometriosis. In Abidjan, endometriosis is diagnosed at an older age.
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Humanos , Masculino , Femenino , EndometriosisRESUMEN
Hydraulic characterization of aquifer systems is important for the development of exploitation scenarios and groundwater management strategies. Especially in lithologically heterogeneous aquifers, local scale variations in transmissivity (T) may not be neglected. Field scale transmissivity values are usually derived from pumping tests, but in most cases their number and availability are rather limited. Thus, direct measurement of transmissivity over an entire aquifer is expensive and technically almost impossible. In such situations, inverse hydrodynamic modelling is the appropriate solution. In this article, the real transmissivity field of the aquifer of the Continental Terminal of Abidjan is investigated by a multi-scale parametrization that allows to bypass the problem of scale change and to determine this hydrodynamic parameter over the entire aquifer. This hydrogeological modelling of the Continental Terminal aquifer identified a structure of 153 nodes in size as the closest structure to that of the Continental Terminal aquifer. The transmissivity field associated with this optimal size, ranging from 5.4.10-5 to 1 m2s-1, has been compared with values published in other studies in Africa and the world. These identified values are plausible and have a good overall structure. The success of this modeling is strongly linked to the quantity, quality and spatial distribution of authentic informations on the parameters sought.
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Aims: Birth weight is a powerful predictor of infant growth and survival and depends on the fetal growth environment, which is influenced by maternal nutritional status. However, the association between maternal anthropometric and nutritional factors and birth weight is not well characterized in Côte d'Ivoire. The objective of this study was to determine the maternal anthropometric and nutritional characteristics associated with birth weight. Study Design: This was a retrospective study. Place and Duration of Study: This study was done in maternity hospitals of three municipalities in Abidjan, Côte d'Ivoire, from 1st October to 30 November 2018. Methodology: It consisted in collecting birth data from 146 newborns born from a monofetal pregnancy, whose mothers aged 20 to 42 had participated in a previous survey. Also, the relationship between birth weight, maternal anthropometry and maternal nutrition factors has been studied. Univariate, bivariate and multivariate data analysis was done using SPSS version 25 software. Results: The results indicate mean birth weight of 3118.48±515.39 g and 7.6% and 5.5% respectively of low and excessive birth weight. In a multivariate linear regression, the mean birth weight of newborns of women with medium and high dietary diversity score was higher than those newborn of women with low dietary diversity score (AOR=0.386, 95% confidence interval (CI): 0.072-0.699; p=0.017 and AOR=0.233, 95% CI: 0.016-0.450; p=0.036). Similarly, women with gestational weight gain greater than 7 kg and high stature (>1.55 cm) gave birth to heavier children (AOR=0.551, 95% CI: 0.346-0.756; p=0.000 and AOR=0.633, 95% CI: 0.207-1.059; p=0.004, respectively). Conclusion: Although it revealed the presence of low and excess birth weight, this study has shown that maternal anthropometry and dietary diversity score were associated with birth weight of the baby.
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Aims:The purpose of this study is to identify the medicinal plants used in the bistros and to determine the preference between the consumption of Koutoukou alone or the Koutoukou mixture associated with medicinal plants in the city of Abidjan.Place and Duration: Pharmacodynamic Biochemical Laboratory, Faculty of Biosciences, University Félix Houphouët-Boigny, between December 2017 and June 2018.Methodology: The investigation took place in the neighborhoods of Abobo, Cocody, Koumassi and Yopougon. This is an open-ended questionnaire intended for consumers of Koutoukou alone and association of medicinal Plants-Koutoukou. The identity, the region, the marital and professional status of the consumers on the one hand, the ethnobotany of the medicinal plants used and their associations with Koutoukou on the other hand were consideredResults: This study identified 12 species of medicinal plants commonly used in bistros. 70% of the surveyed population prefer and consume more cocktails at the expense of simple koutoukou. The Garcinia kola-Koutoukou combination is the most significantly consumed cocktail (Number of treated illnesses greater than 10). Conclusion:This descriptive study resulted in the identification of 12 medicinal plants commonly used in the bistros of 4 Commune of the city of Abidjan and consumed in association with Koutoukou. The populations of these municipalities (70%) greatly appreciate. TheMost consumed is the association of Garcinia kola-Koutoukou for his righ rate of healing.
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Background: Juvenile idiopathic arthritis is the most common rheumatic disease in children. Compared to Western countries, very few studies have been devoted to this disease in black sub-Saharan Africa. The aim is to describe the epidemiological, clinical, paraclinical and therapeutic features of juvenile idiopathic arthritis observed in Abidjan and identify the clinical forms. Methodology: This descriptive retrospective study covered 17 children (11 girls and 6 boys, age range: 3-15 years) suffering from juvenile idiopathic arthritis which met the Durban criteria of 1997 revised in Edmonton in 2001. The children have been selected in the rheumatology department of University Hospital Center of Cocody in Abidjan from January 2005 to December 2013. We were interested to sociodemographic, clinical, biological, radiological and therapeutic parameters. Results: The frequency of juvenile idiopathic arthritis was 0.03% that was 17 children among the 4608 rheumatic diseases identified during the study period. The number of patients was dominated by females (64.7%) and the average age at the time of diagnosis was 11 years. The average delay at the time of diagnosis was 15 months. The main complaints of patients were fever, joint involvement and impaired general condition observed each in 12 cases. It was noted the presence of radiographic erosions in 4 cases and 1 case of coxitis on Computer tomography scan. The clinical forms identified were systemic form (12 cases), oligoarticular form (1 case), polyarticular form with positive rheumatoid factors (3 cases), enthesitis-related arthritis (1 case). The vast majority of our patients (15 of 17) was treated with the combination therapy corticosteroid and methotrexate. Conclusion: Juvenile idiopathic arthritis appears very uncommon and affects female children. It is expressed by febrile arthritis with an impaired general condition and is dominated by the systemic form.