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Search Results: 1 - 10 of 127 matches for " Ahuie Kouakou Fulbert "
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Death by Neurological Diseases Observed over Two Years in the Unit of Hospitalization of the Department of Neurology-Chu Cocody-Abidjan  [PDF]
Aka-Anghui Diarra Evelyne, Amon-Tanoh Muriel, Yapo-Ehounoud Constance, Tanoh Christian, Ahuie Kouakou Fulbert
Open Access Library Journal (OALib Journal) , 2015, DOI: 10.4236/oalib.1101907
Abstract: Introduction: The neurological diseases affect the central nervous system and peripheral. Our study was carried out in the unity of hospitalization of the department of neurology of the Hospital and university Center (CHU) of Cocody in Abidjan, economic capital of the Cote d’Ivoire, and concerned all the deaths to release the symptoms and the most lethal affections and the factors of bad forecast. The stroke remains burdened by a very high mortality in the world. Method of this study: It is about an analytical retrospective study which took place from January 1st, 2012 till December 31st, 2013. The results of this research were present, having the outcome of a thesis in medicine during the academic year 2014-2015. For the period of study, we included all the cases of the patients died during their stay and proceeded by drawing lots to a group witness. Results: During the period of study, the mortality was 21.8%. The most found stigmas of immunosuppression were: the loss of weight (18.9%), the prurigo (17%) and herpes zoster (13.8%). The main neurological syndromes in the population of the dead subjects were: the pyramidal syndrome (79.5%) and the meningeal irritation (38.1%). The vascular pathologies (43.9%) represented the first cause of death and interested especially the subjects the average age of which was of 62 years, followed by the infectious pathology (30,5%) interesting especially the young adults. Numerous factors of bad forecasts, in particular clinical, biological, and medicinal, were significantly found. Conclusion and recommandations: The death by neurological disease has a not insignificant proportion. To prevent neurological diseases, prevention is the only effective measure, such as the prevention of neurological complications of hypertension and HIV-AIDS.
Surgical Clipping of a Basilar Tip Aneurysm: Case Report and Literature Review  [PDF]
Médard Kakou, Alban Slim Mbende, Fulbert Kouakou, Phanré Doua
Open Journal of Modern Neurosurgery (OJMN) , 2017, DOI: 10.4236/ojmn.2017.73007
Abstract: Basilar tip aneurysms account for 5% - 8% of all intracranial aneurysms. They are known to rupture more frequently than aneurysms in other locations. Surgical clipping of basilar apex aneurysms however challenging; remains the treatment of choice in Ivory Coast due in part, to multiple technical barriers. A 60-year-old right-handed patient presented to our Neurosurgical Unit in February 2nd 2013 after a sudden onset of altered consciousness. Neurological examination revealed both an upper motor neuron and meningeal syndromes with a Glasgow Coma Scale of 12. Brain NECT scan and a subsequent brain CT angiography showed a subarachnoid haemorrhage and a 3.8 mm (height) × 5.2 mm (width) basilar tip aneurysm respectively. Surgical clipping of the aneurysm was indicated but due to multiple technical barriers, surgery was delayed and the patient underwent surgery after the critical vasospasm period. The patient developed a hospital acquired pneumonia after surgery and was successfully treated with antibiotics. Since her discharge, she has been asymptomatic. We sought to report this case of a basilar apex aneurysm successfully occluded with non-ferromagnetic SUGITA clips and to share our experience of clipping these lesions through the frontotemporal approach. The patient was informed that non identifying information from the case would be submitted for publication, and she provided consent.
Pericallosal Artery Aneurysms: Twenty-Six Years of Microneurosurgical Endeavor in Three Major Neurosurgical Centers in Abidjan  [PDF]
Médard Kakou, Alban Slim Mbende, Daouda Sissoko, Fulbert Kouakou
Open Journal of Modern Neurosurgery (OJMN) , 2017, DOI: 10.4236/ojmn.2017.74014
Abstract: We present our experience of microsurgical treatment of pericallosal artery aneurysms (PCAA) in three neurosurgical centers in Abidjan (Ivory Coast) from 1990 to 2016. This present study aimed to evaluate characteristics of 6 patients with PCAA treated during a 26-year period and to establish the rate, clinical nuances, anatomical variations and respective microsurgical approaches of PCAA in Abidjan. We analyzed medical files of all 93 patients admitted for an intracranial aneurysm between 1990 and 2016 and focused on the 6 patients who were treated for a PCCA. The mean age of patients was 37 years, half of whom were less than 30 years old. They were 3 men and 3 women. The time from first symptom to admission was more than 3 days, but less than 16 days. Five out of six patients had ruptured aneurysms and the clinical condition on admission was WFNS grade 0 one patient (16.67%) and WFNS I-III five patients (83.33%). Analysis of radiological data revealed Fischer grade IV three patients and Fischer grade I-II three patients. A total of 7 PCCA were recorded and they accounted for 6.19% of all intracranial aneurysms and 9.72% of all anterior circulation aneurysms. Six out of seven aneurysms (85.71%) were either smaller (2 - 6 mm) or middle sized (6 - 15 mm). There was only one (14.29%) giant PCA aneurysm (>25 mm). According to the location, two aneurysms (28.57%) were located on the A2 segment of the pericallosal artery (PCA) and five (71.43%) on the A3 segment of the artery. We found 4 cases of saccular aneurysms (57.14%) and 3 cases of fusiform aneurysms (42.86%), two of which were located on A2 segments of the 2 PCA on the same patient (16.67%). We didn’t find any PCA anatomical variation associated with any of the 7 aneurysms. Two patients developed perioperative rebleeding and in 1 case a severe preoperative hydrocephalus was diagnosed. The median time from rupture to surgery was 59.5 days with a range of 14 to 180 days. Treatment techniques included 4 clipping (57.14%) and 3 wrapping (42.86%). In 2 cases there was premature perioperative rupture of the aneurysm (33.33%). One patient (16.67%) had postoperative persistent anosmia and, we didn’t record any fatal outcome in our series. PCAA remain rare anterior circulation aneurysms, located in the vast majority of cases, on the A3 segment of the PCA and, are mostly smaller in size even when ruptured. Microsurgical clipping remains a safe and effective treatment option despite their complex surgical approaches and the risk of premature rupture.
Late Post-Traumatic Cerebrospinal Rhinorrhoea  [PDF]
Fulbert Kouakou, Romuald Kouitcheu, Alban Slim Mbende, Dominique N’Dri Oka, Guy Varlet
Open Journal of Modern Neurosurgery (OJMN) , 2017, DOI: 10.4236/ojmn.2017.73011
Abstract: Cerebrospinal fluid (CSF) rhinorrhoea results from anatomical breach between the subarachnoid space and air sinus cavities of the skull base and traumatic CSF rhinorrhoea accounts for 80% - 90% of all cases of CSF leaks. We sought to report the case of a 16-year-old patient with a history of head injury following a fall from a tree, who developed a post-traumatic CSF rhinorrhoea after an onset of meningitis. The patient sustained a fall from a 6-meter tree in 2008, and was reviewed by our neurosurgical team in February 2016 for a 1-month history of progressive headaches associated with fever, asthenia and left CSF rhinorrhoea. Clinical examination revealed frank meningism and abundant CSF leak from the left nostril. CT scanning showed fractures of the left frontal bone and sinus wall associated with a massive pneumocephalus. The patient benefited from surgical repair of the tear and post-operative lumbar punctures at day 15. The patient’s guardian was informed that non-identifiable information from the case would be submitted for publication and he provided consent.
Voluminous Cystic Trigeminal Schwannoma: Case Report and Literature Review  [PDF]
Médard Kakouc, Alban Slim Mbende, Romuald Kouitcheu, Fulbert Kouakou, Paulette Yapo, Isidore Diomandé
Open Journal of Modern Neurosurgery (OJMN) , 2017, DOI: 10.4236/ojmn.2017.74015
Abstract: Voluminous trigeminal schwannomas are rare, predominantly benign growth encapsulated tumors composed of Schwann cells with controversial surgical treatment. They account for 20% to 40% of all trigeminal schwannomas and share the same imaging findings of neurinomas elsewhere. Surgery remains the treatment of choice for most lesions as long as complete excision is feasible. A 35-year-old house wife complained of a 3-month history of progressive right visual field impairment associated with headaches. Neurological examination revealed a complete cavernous sinus syndrome. CT scanning showed a voluminous cystic mass of the right parasellar compartment extending to the optic nerve and the orbit. A concomitant MRI scan revealed more exquisite anatomical details of the lesion. The patient benefitted from a subsequent CT-angiography (not included) which excluded any vascular abnormalities associated with the tumor. Surgical excision of the tumor was warranted and the patient underwent surgery a few days after admission. A pterional extradural-intradural approach combined with incision of the lateral wall of the parasellar compartment via a standard frontotemporal craniotomy was performed and pathological examination was in favor of a cystic trigeminal schwannoma. Post-operative MRI showed a complete excision of the tumor. A 2-year follow-up yielded persistent right monocular blindness. Given this typical appearance of this lesion indicative of both cisternal and parasellar compartment extension, as well as the level of controversy surrounding surgical treatment of these particular tumors; we sought to report this rare case of a voluminous cystic trigeminal schwannoma and share our humble surgical experience of dealing with these lesions. The patient was informed that non-identifying information from the case would be submitted for publication, and she provided consent.
La dynamique des représentations : frontières et paysage sociopolitique postclassique des Hautes Terres mayas Dynamics of Representations: Boundaries and the Post-Classical Sociopolitical Landscape of the Maya Highlands: Between Crisis and Tradition in Indigenous Texts
Marie Annereau-Fulbert
Ateliers d'Anthropologie , 2012, DOI: 10.4000/ateliers.9193
Abstract: Les sources ethnohistoriques des Hautes Terres du Guatemala décrivent le Postclassique, à l’aube de la Conquête espagnole, comme une période tourmentée, nourrie de conflits incessants entre des groupes de nature sociopolitique distincte mais de langues apparentées. Ils partagent pourtant une même histoire évoquée sous la forme de récits de migration et de mythes. Sans interroger la véracité des faits historiques qu’ils pourraient illustrer, nous verrons, grace à certains passages du Popol Vuh compilé au xvie siècle et d’autres textes de l’époque, qu’ils servent à domestiquer plusieurs moments de rupture radicale avec un ancien ordre du monde, en redéfinissant les frontières de l’altérité et des relations de pouvoir vis-à-vis d’une autorité centrale dont l’identité se déplace également au gré des conjonctures. Interroger la relation entre mythe et frontière revient à examiner ici le rapport entre mythe et politique. Ethnohistorical sources from the Guatemala Highlands describe the Post-Classical period, at the dawn of the Spanish conquest, as a period of torment, fuelled by ceaseless conflict between groups that are sociopolitically distinct but have similar languages. And yet they share a common history that is evoked in the form of migration stories and myths. Without questioning the truth of the historical facts that these may illustrate, we will see, thanks to certain passages from the Popol Vuh compiled in the 16th century and other texts from that period, that they served to subjugate several radical moments of rupture with the old world order, by redefining the boundaries of alterity and power relations in relation to a central authority whose identity was also displaced according to circumstances. In this case, questioning the relationship between myth and boundary comes down to examining the relation between myth and politics.
A Dynamic Model of Strategic Allocation of Sovereign Wealth Funds  [PDF]
Kouakou Thiédjé Gaudens-Omer
Theoretical Economics Letters (TEL) , 2019, DOI: 10.4236/tel.2019.91013
Abstract:

This article draws on stylized facts to build a dynamic portfolio allocation model of sovereign wealth funds (SWF). We show that a traditional dynamic Merton allocation model allows for the stylized evidence that, on the one hand, the shares of monetary assets in such funds grow with the risk aversion of the state-investor in time, and on the other hand, these funds include the presence or absence of hedge funds correlated to the financial situation. One weakness of this model is its prediction of a lower risk/riskier asset ratio for sovereign stabilization funds and generational savings sovereign funds. This result contradicts the stylized fact of a lower risk/riskier asset ratio in stabilization funds than in generational savings funds. A dynamic model inspired by the theoretical framework of Bajeux-Besnainou et al. [1] is compatible with all the stylized facts.

Productivity of Khaki Campbell Ducks (Cairina moschata) under the Local Agricultural Produce and by Products in the Breeding Conditions of Brazzaville-Congo
Akouango Fulbert,Ngokaka Christophe,Mompoundza Paul
Pakistan Journal of Nutrition , 2009,
Abstract: The possibilities of adaptation and exteriorization of production and reproduction performance of Khaki Campbell stump of ducks in breeding conditions of Brazzaville in Congo have been studied. Two homogeneous groups of Khaki Campbell have been constituted. The witness group has been subjected to diet A food which is composed by local agricultural produce and products and Mineral Azoth Vitamin Complex (CMAV). Diet B is only composed by local agricultural produce and products. Without animals proteins has been administered to experimental group. The difference of weight has not been significant. Talking about the intensity of lay, a really significant difference has been recorded to ducks subjected to diet A. The egg weight in these two diets (A and B) has been similar. The consumption of food per egg has been inferior in diet A. The accumulated portions have been equivalents compared to live weight. The carcass weight and fat liver did not record significant difference. The abdominal fat weight has been significant in diet B. This study contributes in diverse strategies of improvement of ponder growth and ducks eggs production and the development of poultry farming in Congo on the one hand and the other hand profit breeding only through local agricultural products without using the mineral azoth vitamin complex.
Assessment of Regional Climate Models over C?te D'Ivoire and Analysis of Future Projections over West Africa  [PDF]
Kouakou Kouadio, Abdourahamane Konare, Adama Diawara, Bernard Kouakou Dje, Vincent Olanrewaju Ajayi, Arona Diedhiou
Atmospheric and Climate Sciences (ACS) , 2015, DOI: 10.4236/acs.2015.52005
Abstract: The ability of six Regional Climate Models (RCMs) used in AMMA-ENSEMBLES project is assessed over six meteorological stations in Côte d’Ivoire. The ensemble mean of the models is also used for the prediction of climate change over West Africa. The study focused on two periods: the period 1995-2005, the present-day simulations, is used to evaluate the skills of the models over the country and the years 2010-2013, for assessment of the future climate change scenario used. The results show that the skills of the models vary from one station to another and from one season to another. None of the models considered, presents an excellent performance over the entire country and in all the seasons. Generally, the ensemble mean of all the models presents better results when compared with the observation. These results suggest that the choice of any model for study over the country may depend on the focus of interest: intensity or variability of the rain and also on area of interest. The projection for 2020-2040, future climate change over West Africa shows that the Sahel exhibits a tendency to be drier while wetter Guinean coast is observed.
On the automorphism group of the first Weyl algebra
Matthias Kouakou,Alexis Tchoudjem
Mathematics , 2011,
Abstract: Let $A_{1} := k [t, \partial ]$ be the first algebra over a field $k$ of characteristic zero. One can associate to each right ideal $I$ of $A_1$ its Stafford subgroup, which is a subgroup of $\Aut_k(A_1)$, the automorphism group of the ring $A_1$. In this article we show that each Stafford subgroup is equal to its normalizer. For that, we study when the Stafford subgroup of a right ideal of $A_1$ contains a given Stafford subgroup.
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