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Lumbosciatica in Consultation in Neurology, University Hospital of Cocody Epidemiologic, Clinical, Therapeutic and Evolutionary Aspects  [PDF]
Amon-Tanoh Muriel, Assi Berthe, Kouamé-Assouan Ange Eric, Yapo-Ehounoud Constance, Tanoh Christian
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1102787
The lumbosciatica, lumbo-neuralgic pain, is common. Their mechanisms are diverse. They are degenerative, infectious, inflammatory, tumoral, and traumatic. Their recurrence and their disabling aspect are responsible for a significant social and occupational disability, which is a cause of absenteeism. Our objective in this paper was to describe the epidemiological, clinical, paraclinical, therapeutic and evolutionary aspect of patients received in consultation. Method of Study: This transversal retrospective and descriptive study was conducted from December 2014 to February 2015 in Neurology Consultation at the University Hospital of Cocody. It included patients admitted for lumbosciatica, explored and treated. Results: Of the 150 lumbosciatica received for 1126 admissions (13.32%) 95 files were retained. The average age was 52.55 years. The predominance was female with 58 women (61.05%) over 37 men. Thirty-two patients (33.68%) had exposing occupation due to the prolonged sitting or standing position (i.e., teachers, housewives and accountants). Pains were bilateral in 69 patients (72.64%). The lumbo-sacral spine scanner objectified degenerative lesions in 51.13% of the cases (45 patients). The clinical evolution under analgesic treatment and/or anti-inflammatory, and/or co-analgesics was favorable in 80% of cases (76 patients), with recurrence in 20% of cases (19 patients). Conclusion: The socio-economic impacts of lumbosciatica are important due to their recurrence. The treatment is often difficult due to the persistence of residual pain and recurrence. The identification of exposing professions and the education of these populations could prevent this disease by reducing the incidence and improving the patients’ life quality.
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.
Amyotrophic Lateral Sclerosis (ALS) about 2 Observations in the Neurology Department of the University Hospital of Cocody  [PDF]
Constance Yapo-Ehounoud, Evelyne Aka-Anghui-Diarra, Muriel Amon-Tanoh, Berthe Assi, Ange-Eric Kouame-Assouan, Christian Tanoh, Elisee Bony Kotchi
Open Access Library Journal (OALib Journal) , 2015, DOI: 10.4236/oalib.1101924
Abstract: Amyotrophic lateral sclerosis (ALS) is a rare but serious neurodegenerative disease characterized by progressive muscular paralysis without overall achievement of higher functions, resulting from motor neuron destruction. The present study reports two cases of elderly female patients aged 45 and 54 years, respectively, allowed for a progressive motor deficit of 4 members. Neurological examination found a spastic pyramidal syndrome and a neurogenic syndrome device of 4 members without sensory syndrome. The ENMG revealed a pure motor neurogenic compatible with involvement of the anterior horn of the spinal cord, holding the ALS diagnosis. The standard radiography and cervical MRI were normal. These patients received analgesics, nursing, physiotherapy and psychotherapy. Then they were lost. ALS is a rare disease (incidence: 1.25%). Our patients, with a mean age of 54.5 years, showed clinical and laboratory signs associated with them classically encountered. The diagnosis is suspected in a spastic pyramidal syndrome and neurogenic peripheral syndrome of 4 members but not eliminate cervical spondylotic myelopathy one. The ENMG confirms it. Although the treatment is disappointing, it’s based on the riluzole and palliative care, but the evolution is inexorably toward death.
Anemie du Premature et Pratiques Transfusionnelles au Centre Hospitalo-Universitaire de Yopougon à Abidjan, Cote d’Ivoire
F Dick-Amon-Tanoh, BE Lasme-Guillao, R Nguessan, R Konan Ble, AE Akaffou, M Cardenat
Clinics in Mother and Child Health , 2011,
Abstract: En C te d’Ivoire la transfusion sanguine reste importante. Notre objectif était de proposer une ligne directrice de pratique de transfusion sanguine chez le nouveau né prématuré. Notre étude a porté sur 2 ans de janvier 1997 à 1999. Tous nouveau-nés de moins de 37 semaines hospitalisés au Centre Hospitalier Universitaire de Yopougon et dont le taux d’hémoglobine était inférieure à 13 g/mL ont été inclus. De cette étude il ressort que la prévalence de l’anémie était de 25%, et celle de la transfusion sanguine de 56%. Le taux d’hémoglobine inférieure à 10 g/mL (p = 0, 000081), la paleur (p = 0, 000003) étaient nos critères de transfusion. Nous concluons que tout prématuré de moins de 32 semaines dont le taux d’hémoglobine était inférieure ou égale à 10 g/mL admis avant le 15ème jours de vie doit bénéficier d’une transfusion sanguine et le taux Mots Clés prématuré ; anémie ; transfusion ; Abidjan
VRML - A new tool in biomedical education
Tomaz Amon
Educational Technology & Society , 1999,
Abstract: VRML (Virtual Reality Modelling Language) represents a fully interactive multimedia learning environment in the virtual 3D space. It has a unique advantage that its files are about 100x smaller in size than the corresponding video clips. This software is free, platform independent and can be observed with a web browser. By applying this technology many educational projects do not need to be distributed on CD ROMs anymore. Because of their small file size (typically about 3 MB) they can be downloaded from the web. We use VRML to show the structures and functions of biological systems for the educational purposes in the secondary and high schools. Such three-dimensional worlds allow the user to travel in their virtual space, learning the principles of biological systems in a fast, effective and pleasant way. Therefore we believe that this technique will play in future a role in biological publications as important as today are the illustrations added to text. Many of our creations can be observed on our web page http://verbena.fe.uni-lj.si/~tomaz/VRML/
La cavalerie romaine et Hippika Gymnasia
Lucian Amon
Codrul Cosminului , 2008,
Surgical management challenges and clinical results of bimanual micro-incision phacoemulsification cataract surgery in children with congenital cataract
M Amon
Nepalese Journal of Ophthalmology , 2011, DOI: 10.3126/nepjoph.v3i1.4270
Abstract: Introduction: Small incisions in cataract surgery have shown to reduce tissue damage, postoperative inflammation and pain. Objective: To describe in detail the surgical management challenges and clinical results of bimanual micro-incision phacoemulsification cataract surgery in children with congenital cataract. Materials and methods: In 22 eyes of 14 children aged from 11 months to 17 years with congenital cataract, micro-incision cataract surgery with lensectomy, bimanual aspiration or phacoemulsification and implantation of an intraocular lens (SN60WF, Alcon?) was performed under general anesthesia. The visual equivalent obtained with age-related methods, the slit-lamp examination, and refractive outcome were documented in the medical records and were analyzed retrospectively. The patients fulfilled at least 3 months of follow up. Results: In all operated eyes, micro-incision cataract surgery could be performed without serious intra-operative complications. Lensectomy was safely combined with a primary posterior capsulorhexis and anterior vitrectomy in 17 of 22 eyes. Corneal incision length ranged between 2.2 mm and 2.6 mm (mean: 2.3 ± 0.2 mm). No cases of postoperative hypotony and increased inflammation were observed. One eye required surgical removal of the after-cataract 7 months after surgery. Laser capsulotomy for posterior capsular opacification had to be performed in 2 (9 %) eyes. In all other eyes (19/22), visual axis remained clear during follow-up. Conclusion: Micro-incision cataract surgery is a promising alternative to conventional pediatric cataract surgery, since the technique showed to be comparably safe and effective. Longer follow-up examinations will now be performed. Key words: congenital cataract; bimanual micro-incision phacoemulsification DOI: 10.3126/nepjoph.v3i1.4270 Nepal J Ophthalmol 2011;3(5):3-8
Analysis of the Key Challenges Facing Potato Farmers in Oljoro-Orok Division, Kenya  [PDF]
Amon Mwangi Karanja, Chris Shisanya, George Makokha
Agricultural Sciences (AS) , 2014, DOI: 10.4236/as.2014.510088

The objective of this study was to evaluate the key challenges facing potato production in Oljoro-Orok division. Primary data were obtained from randomly selected farmers through questionnaires. Purposive sampling was used to select 300 farmers in the division. Proportionate sampling was used to select the sample of farmers in each of the four locations. The data collected were analyzed using descriptive statistics namely frequencies, percentages and means with the aid of Statistical Package for Social Science (SPSS) version 17.0 and a SWOT matrix computed. Rainfall variations, lack of clean seeds and crop diseases have been found to be the major challenges facing potato production in the division. 45% of the respondents see rainfall variation as the main cause of decreased potato yields, 33% lack of clean seeds and 6% crop diseases. The study found that farmers use crop diversification and off season approaches to adapt to rainfall variability. The study recommends adaptation measure to be applied to cope with rainfall variation. Such measures include irrigation using water available in Jacob, Terracin and Kivindo dams during dry spelt. A lot of emphases on the use of certified seeds should be done by the agriculture field officers to caution farmers from planting the same potatoes they harvested in the previous harvest.

Acesso de popula??es migrantes a tratamento antiretroviral no Sul Global
Amon, Joseph;Todrys, Katherine;
Sur. Revista Internacional de Direitos Humanos , 2009, DOI: 10.1590/S1806-64452009000100009
Abstract: while international human rights law establishes the right to health and non-discrimination, few countries have realized their obligations to provide hiv treatment to non-citizens-including refugees, long-term migrants with irregular status, and short-term migrants. two countries, south africa and thailand, provide useful illustrations of how government policies and practices discriminate against non-citizens and deny them care. in south africa, although individuals with irregular status are afforded a right to free health care including antiretroviral therapy (art), non-south african citizens are frequently denied art at public health care institutions. in thailand, even among registered migrants, only pregnant women are entitled to art. in order to meet international human rights law-which requires the provision of a core minimum of health services without discrimination-states in the global south and worldwide must make essential art drugs available and accessible to migrants on the same terms as citizens.
Dangerous medicines: Unproven AIDS cures and counterfeit antiretroviral drugs
Joseph J Amon
Globalization and Health , 2008, DOI: 10.1186/1744-8603-4-5
Abstract: Countries, charged with fulfilling the right to health and committed to expanding access to ART must explicitly recognize their obligation to combat unproven AIDS treatments and ensure the availability of a safe and efficacious drugs supply. International donors must help support and coordinate these efforts.In the last few years governments around the world have pledged to massively scale up the delivery of antiretroviral drugs (ARVs) to achieve universal access to all. To date attention has focused on how to finance this effort and how to strengthen health care delivery systems, including how to conduct mass HIV testing programs and increase the number of health care providers worldwide. Less attention has been paid to the responsibilities of governments and international agencies to address the widespread prevalence of unproven AIDS 'cures' and the threat of counterfeit ARVs.Treatments to cure HIV/AIDS have been falsely promoted since AIDS was first identified and claims of cures continue in spite of the development of ARVs, which can dramatically slow the progression to AIDS but do not rid the body of HIV. The uncertainty and fear engendered by this incurable, stigmatizing and life-threatening disease can make people easy prey to promises of cures. But in addition to fear, there are specific factors, related to government functioning, that facilitate false claims of HIV cures, including: little or no access by people living with HIV and those populations most at risk to health care generally and ARVs specifically; stigmatizing and discriminatory treatment of people living with HIV/AIDS (PLWHA) in health care settings; high prices for legitimate pharmaceuticals when available; little or no regulatory oversight over the fields of traditional medicine and complementary treatments; and a lack of promotion by governments of the availability and efficacy of ARVs.In some cases, government endorsement of unproven 'cures' has created confusion regarding the legitimacy of
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