[Appendiceal Duplication In A Patient Operated For Chilled Appendix Breastplate At Gao Regional Hospital]. / Duplication Appendiculaire Chez Une Patiente Operee Pour Plastron Appendiculaire Refroidi A L'Hopital Regional De Gao, A Propos D'Un Cas.

Appendiceal duplication is the very rare malformation. It was first described by Picoli in 1892. It is a condition that is most often seen in the first years of life, sometimes some forms may remain asymptomatic and only occur in adulthood. We report the case of appendiceal duplication in a patient operated for chilled appendix breastplate at Gao Regional Hospital. CONCLUSION: appendiceal duplication is a rare abnormal abnormality of intraoperative discovery in general. Each surgeon must think about it during an appendectomy.

La duplication appendiculaire est une malformation très rare. Elle a été décrite pour la première fois par Picoli en 1892. C'est une affection qui se manifeste le plus souvent dans les premières années de vie, parfois certaines formes peuvent rester asymptomatiques et ne s'expriment qu'à l'âge adulte. Nous rapportons le cas de duplication appendiculaire chez une patiente opérée pour plastron appendiculaire refroidi à l'hôpital régional de Gao. CONCLUSION: la duplication appendiculaire est une anomalie malformative rare de découverte per opératoire en général. Chaque chirurgien doit y penser au cours d'une appendicectomie.

Inactivation of Escherichia coli in a baffled pond with attached growth: treating anaerobic effluent under the Sahelian climate.

This study aimed to investigate and understand the zero-level detection of Escherichia coli (E. coli) at the outlet of an improved waste stabilization pond. Wastewaters were collected from the International Institute for Water and Environmental Engineering (2iE) campus and were subjected to biological treatment. The system included two-stage Anaerobic Reactors followed by a Baffled Pond (AR-BP) with recycled plastic media as a medium for attached growth and a control pond (CP). Three vertical baffles were installed, giving four compartments in the baffled pond (BP). The research was conducted on the pilot scale from March to July 2014, by monitoring E. coli, pH, temperature, dissolved oxygen (DO) and chlorophyll-a in each compartment and at different depths. The results show that E. coli concentrations were lower in top layers of all compartments with an undetectable level in the last compartment up to 0.60 m deep. E. coli mean removal efficiencies and decay rates were achieved by significant difference in BP (4.5 log-units, 9.1 day(-1)) and CP (1.1 log-units, 1.1 day(-1)). Higher values of pH (≥9), temperature (≥32°C), DO (≥ 8 mg/L) and chlorophyll-a (≥ 1000 µg/L) were observed at the surface of BP, whereas lower values were shown at the bottom. Sedimentation combined with the synergetic effects of the physicochemical parameters and environmental factors would be responsible for the inactivation of E. coli in BP. It was concluded that the AR-BP could be applied as an alternative low-cost wastewater treatment technology for developing countries and recommended for reuse of their effluent for restricted peri-urban irrigation.

Designing slanted soil system for greywater treatment for irrigation purposes in rural area of arid regions.

To solve the unpleasant disposal of greywater in rural area and allow its collection for reuse in gardening, a slanted soil treatment system (SSTS) was designed and installed in two households. Granitic gravel of 1-9 mm size was used as the filter medium. The aim of this study was to design a SSTS and assess its suitability as a treatment system allowing greywater reuse in gardening. The efficiency of the SSTS was assessed based on organic matter and bacterial pollution removal. The developed SSTS allowed the collection of greywater from three main sources (shower, dishwashing and laundry) in rural area. The SSTS is efficient in removing at least 50% of suspended solids, chemical oxygen demand and biological oxygen demand. The study highlighted that, contrary to the common perception, greywater streams in rural area are heavily polluted with faecal indicators. The removal efficiency of faecal indicators was lower than 2 log units, and the bacteriological quality of the effluents is generally higher than the WHO reuse guidelines for restricted irrigation. Longer retention time is required to increase the efficiency. The possibility of reusing the treated greywater as irrigation water is discussed on the basis of various qualitative parameters. The SSTS is a promising greywater treatment system for small communities in the rural area in the Sahelian region. To increase the treatment efficiency, future research will focus on the characteristics of the SSTS, the grain size and the establishment of a pretreatment step.

Inactivation mechanisms of pathogenic bacteria in several matrixes during the composting process in a composting toilet.

This study aimed to compare the inactivation rate and the mechanisms of pathogenic bacteria in three matrixes (sawdust, rice husk and charcoal) during the composting process. The inactivation rate was evaluated with Escherichia coli strain and the damaged parts and/or functions were evaluated with three different media. Normalized inactivation rate constant in three media and from three matrixes had no significant difference in each process (pure, 1 month and 2 months). The value in rice husk was relatively increased during 2 months but there was no significant difference. The inactivation rate constants of Tryptic Soy Agar (TSA) and Compact Dry E. coli/Coliform in pure sawdust and rice husk were relatively lower than that of Desoxycholate Agar, but increased in 2 months. This indicated that damaging part was changed from outer membrane to enzymes and metabolisms during the 2-month composting process. In the case of charcoal, only the TSA value in apure matrix was relatively lower than that of others, but it increased in 2 months. This indicated that damaging part was changed from outer membrane and enzyme to metabolisms during the composting process. Composting matrix and composting process did not significantly affect inactivation rate of pathogenic bacteria during the process but affected the damaging part of the bacteria.

Sludge accumulation in an anaerobic pond and viability of helminth eggs: a case study in Burkina Faso.

Accumulation rates and pathogen concentrations in primary stabilization pond sludges in developing countries are important parameters for adequate sludge management and the safeguarding of public health with sludge reuse in agriculture. An anaerobic pond has been investigated for sludge accumulation rates and helminth egg viability after four years of operation in Burkina Faso. The rate of sludge accumulation was measured at 0.037 m(3)/capita-year or 2.26 kg dry weight/capita-year. An equation describing vertical distribution of total solids in the accumulated sludge was found to be adequately represented by a regression equation. Influent helminth egg concentrations were reduced on average by 90% in the anaerobic pond effluent. Ascaris lumbricoides and Ancylostoma sp. were the most common eggs present in the sludge after four years of operation. The average concentration of helminth eggs in pond sludge was 536 eggs/g TS, and the percentages of viability ranged from 10.8% (47 viable eggs/g TS) to 57.2 (1,772 viable eggs/g TS, with an average rate of 36% (336 viable eggs/g TS). From a sludge depth and section study, egg viability was found to be randomly distributed in the sludge layer.

Les hematomes sous-duraux chroniques a Dakar : particularites cliniques; diagnostiques; therapeutiques et evolutives a l'ere du scanner (a propos de 88 cas)

Nous rapportons ainsi une serie retrospective de 88 cas de patients porteurs d'hematomes sous-duraux chroniques recenses de Janvier 2000 a Decembre 2005 a l'hopital general de grand Yoff (HOGGY). Nous nous sommes proposes d'etudier les particularites cliniques; diagnostiques; therapeutiques et evolutives a l'ere du scanner. L'age moyen est de 67ans avec des extremes de 23 a 95 ans. Nous avons note 77 hommes soit 87;5pour 11 femmes soit 12;5. Les antecedents de traumatismes cranio-encephaliques (TCE) ont ete retrouves dans 56;91des cas; ceux d'hypertension arterielle et/ou diabete ont ete notes dans 40; 85des cas. Nous n'avons pas retrouve de notion d' ethylisme chronique avoue par nos patients La symptomatologie clinique etait dominee par le syndrome deficitaire moteur dans 77;64des cas; les troubles psychiatriques a type de desorientation temporo-spatiale; d'amnesie; de delire onirique rencontres dans 40;58des cas; les formes pseudo-tumorales avec hypertension intracranienne (HIC) suivie ou non de baisse de l'acuite visuelle (BAV) dans 59;26des cas. Le diagnostic d'hematome sous-dural chronique (HSDC) a ete etabli par la tomodensitometrie (TDM). Cet examen retrouve 68 cas d'HSDC unilateral soit 72;27et 20 cas d'HSDC bilateral soit 27;72. Le traitement chirurgical a consiste en une vidange de la collection apres trepanation suivie d'un drainage n'excedant pas 72 heures. La rehydratation hydro electrolytique abondante a constitue le traitement medical. Sur le plan evolutif; nous notons une mortalite de 3;97et un taux de recidive a 10. L'HSDC est une affection geriatrique frequente mais tres peu connue en medecine omnipraticienne. Le traitement chirurgical est simple. Son evolution souvent benigne pourrait etre greffee d'une morbimortalite appreciable en l'absence d'un diagnostic precoce