Analyse de 87 dossiers de maladies a caractere professionnel colliges au CHU de Yopougon a Abidjan de 1990 a 2009

Les auteurs rapportent un ca s de pheochro- mocytome ectopique. Cas clinique : patiente de 29ans; hypertendue connue depuis 8ans et diabetique depuis 7ans; admise en urgence pour perte de connaissance. L'examen clinique a montre une pression arterielle a 190/130mmHg; un pouls a 116 battements/minute et un Glasgow a 7 sans deficit hemi corporel. L'examen du fond d'oil a mis en evidence des signes de retinopathie hypertensive stade III. Le dosage plasmatique de la normetanephrine etait de 3917ng/l (normale170) et celui de la metanephrine de 59ng/l (normale73). Le scanner abdominal a montre un processsus tumoral tissulaire para-renal anterieur et polaire superieur gauche; mesurant sur une coupe axiale 73;8 X 51;3mm. Le diagnostic de pheochromocytome a ete pose. Le traitement a consiste a une exerese de la tumeur. L'evolution est favorable. Conclusion : le pheochromocytome para renal est une cause rare d'hypertension arterielle maligne

[Risk factors for rotator cuff injury among dentists]. / Facteurs favorisants de la pathologie de la coiffe des rotateurs chez le chirurgien-dentiste.

CONTEXT: The survey appears in the setting of the politics of improvement for prevention of professional risks in hospital environment in Ivory Coast. PURPOSE: To identify the influence factors of the coif of rotators pathology among dentist surgeons and to improve the preventive measures. TYPE OF STUDY: It was a prospective case/witness survey type. It had for setting, public hospitals and private clinics in Abidjan. METHODOLOGY: We enrolled two types of population (case/witness) comparable with the criteria's of age, sex, bodily mass indication (BMI) and laterality. The data have been collected on a standardized questionnaire named "Nordic questionnaire" and have been enriched. That informed on the bodily mass indication calculated according to the method: weight/T2 (m), on the epidemiological data and the specifics data of the shoulder and the coif of the rotators. The statistical tests have been done by the test of the Khi2 of Pearson, the test of T Student, the exact test of Fischer and the test of the gap reduces. RESULTS: The study included 100 cases and as many witnesses. The middle age of apparition of the tendinitis of the shoulder was of 38,83 years. Age, sex, bodily mass and professional experience didn't have any influence on the apparition of the lesion of the shoulder. The analysis of the results established that the professional seniority encourages the apparition of the lesion of the shoulder. The length on average some seniority is of 12,7 years with extremes of 2 and 30 years. This observation rests on the fact that the risks of intervening of musculo-skeletal unrests of the superior member is equal to the length of work (effort, repetitive acts and stance) returned to the functional capacities. CONCLUSION: The tendinitis of the shoulder, because of its importance must be recognized and repaired as an indemnisable professional disease.

[Occupational related burns in Abidjan]. / Brulures En Milieu Proffessionnel A Abidjan.

Occupation-related burns are important issue for public health area because of its socioeconomic impact for enterprises, victims and society. We performed this study in order to define the epidemiological characteristics of these accidents. We used a retrospective study that concerned occupation-related burns notified as work accident at the national insurance fund (CNPS) for private sector in Côte d'Ivoire. 363 files were selected. Men workers (95.6 %) and the age category from 20 to 39 (71 %) were more concerned. Most of victims were skilled workers (40.4 %) and unskilled workers (36.6 %). Burns occurred mainly in industrial sector than in others (70.8 %). Heat sources were involved in 238 cases of burns (65.6 %). Injuries were mostly superficial. Total temporary disability duration less than or equal to 28 days concerned 252 workers (70.4 %) and after effects with permanent partial disability concerned 64 workers. Most of victims return at the same workstation without modification (98.9 %). Prevention measures should be implemented in high burn risk factories through a program focused on fire safety, electric safety and chemical safety.

[Epilepsy and employment: a multicentric study of 55 epileptics employed in the public and private sectors in Abidjan]. / Epilepsie et travail: etude multicentrique des conditions de travail de 55 salaries dans les secteurs public et prive a Abidjan.

UNLABELLED: GOAL AND STUDY TYPE: to favour access and job conservation for the epileptic's patients, a descriptive and transversal study of word conditions of epileptic's workers have been driven for June to December 2005 at Abidjan. MATERIAL AND METHOD: study population was constituted of 55 epileptics who are regularly followed and diagnose patients during study period. They did a fixed professional activity employee and old than 15 years. Study was divided in two stapes. The first drive a questionnaire directed. She has completed by an exploitation sentence register of work accident, for balances sheet activities of medical service and filing organization of activities. Variables collected concerned socio-demographic data, medico social structures and the prevention. These data have been treated with soft ware Epi-info 6.0 dfr. RESULTS: the sample was constituted of 35 per cent of men against 35 per cent of women; 80 per cent of epileptics worked a journey and have fixed time and 24 patients, so 43,60 per cent in supplementary hours witch 8 patients (33,33 per cent) have presented an unbalanced of disease. A patient have been victim of work accident (1,8 per cent), 5 cases of cancel responsibility (9,1 per cent have pronounced and 10,9 per cent of patients have changed their job; 17 patients have profit of work stop in year (30,9 per cent). A case of invalidity have pronounced (1,8 per cent). A professional promotion has given at 5 patients (9,10 per cent). The employer was informed of the disease for 58,20 per cent of patient. Two employees have changed attitude after a new attack on their work place. CONCLUSION: the capacity of work of epileptics stay near of a noun epileptic worker for use and functions authorized.