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Search Results: 1 - 10 of 2984 matches for " Fla Kouéta "
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Impact of multivitamin and mineral supplements on mortality and nutritional status of hospitalized severely malnourished HIV/AIDS infected children  [PDF]
Léon G. Blaise Savadogo, Philippe Donnen, Fla Kouéta, Eléonore Kafando, Philippe Hennart, Michèle Dramaix
Open Journal of Epidemiology (OJEpi) , 2013, DOI: 10.4236/ojepi.2013.34031
Abstract: Micronutrient deficiencies, in HIV/AIDS infected children, are common and associated with disease progression and increased mortality. There is no evidence to support specific recommendation for in-patient treatment of severely malnourished HIV/AID infected children. We analyzed the impact of daily oral multivitamin and mineral supplementation on nutritional status and on mortality rate, of severely malnourished HIV/AIDS infected infants, hospitalized in a feeding therapeutic center. Children were randomized at admission in one of the two treatment groups: WHO standard group or additional dose group. The trial has been approved by the national health research ethics committee. Case fatality rate was high in each group. There was no difference in mortality rate between WHO standard group (mortality rate = 16.9%) and “additional dose” group (mortality rate = 17.6%). Kaplan Meir survival curves did not differ between the two groups, (p Log Rank = 0.87). During the inpatient follow-up, the median weight gain (g/kg/d) was low in groups and did not differ between WHO standard group (8.88g/kg/d Min = 4.70, Max = 17.23) and “additional dose” group (10.50g/kg/d, Min = 3.29 Max = 17.81) (Wilcoxon test p-value = 0.10). From admission to discharge, anthropometric Z-scores means evolution did not differ between the two groups: WHZ (p = 0.74), WAZ (p = 0.79) and MUAC (p = 0.73). In this randomized trial among severely malnourished HIV/AIDS infected children, we found no evidence that the provision of daily additional micro-nutrient dose during inpatient treatment, compared to WHO standard, improves nutritional status or reduces case fatality rate. Rigorous malnutrition inpatient treatments, including effective HIV/AIDS management, improve nutritional status of severely mal-nourished HIV infected children.
Impact of HIV/AIDS on mortality and nutritional recovery among hospitalized severely malnourished children before starting antiretroviral treatment  [PDF]
Léon G. Blaise Savadogo, Philippe Donnen, Fla Kouéta, Eléonore Kafando, Philippe Hennart, Michèle Dramaix
Open Journal of Pediatrics (OJPed) , 2013, DOI: 10.4236/ojped.2013.34061

In low income countries, severe acute malnutrition remains a major problem for HIV-infected children and an important risk factor for mortality. This study aims to analyze HIV impact on mortality rate and nutritional recovery among severely malnourished HIV/AIDS uninfected and infected children. This was a retrospective cohort study conducted from data of 521 hospitalized severely malnourished children. We used Pearson’s Chi square test to compare proportions; and Student’s independent t-test to compare means; general linear model to analyze repeated measurements. We used mortality relative risk with confidence interval (CI 95%), Kaplan-Meir survival curves and Cox proportional hazard models to analyze the HIV impact on mortality rate. Case fatality rate differed significantly from SAM HIV uninfected (10.7%) and HIV infected children (39.7%), p < 0.001. Mortality relative risk was 3.71, 95% IC [2.51 - 5.47] for HIV infected children. Kaplan-Meir survival curves differed significantly between the two groups, (p Log Rank < 0.001). Cox regression adjusted mortality relative risk of HIV infected children was 4.27, CI: 2.55 - 7.15, p < 0.001. Mean weight gain differed significantly among infected children, p < 0.001. Anthropometric Z-scores means evolution differed significantly between HIV infected and uninfected children and within each group’s subjects for WHZ (p < 0.001) and WAZ (p < 0.001). Mortality relative risk was 3.71 times higher for HIV infected children. Multiples infections and metabolic complications have synergism on death occurrence in sever acute malnutrition; when associated to HIV infection, case fatality rate increases many times. Weight gain and anthropometrics index evolution were very slow for SAM HIV infected children, and specific diet may be needed for more nutritional recovery. Effective interventions, updated and adapting to local country context, to improve survival of severely malnourished HIV/AIDS infected children in HIV and SAM prevalent settings are urgently needed in the area of SAM’s community-based treatment approach.

Cholelithiasis in Children with Sickle Cell Disease in Ouagadougou Pediatric Hospital  [PDF]
Fla Kouéta, Sonia Kaboret, Caroline Yonaba, A?ssata Kaboré, Lassina Dao, Sak-Wend-Tongo Da?la, Hamidou Savadogo, Emile Bandré, Diarra Yé
Open Journal of Pediatrics (OJPed) , 2015, DOI: 10.4236/ojped.2015.53039
Abstract: Introduction: Sickle cell disease (SCD) causes chronic hemolysis which is a risk factor for cholelithiasis. Its development may lead to severe and life-threatening complications. Objective: Determine the prevalence of cholelithiasis, the conditions of diagnosis and related factors. Materials and Method: We retrospectively reviewed records of 110 patients with sickle cell disease followed up in Charles de Gaulle University Pediatric Hospital from January 2003 to December 2013, including 103 patients who had abdominal ultrasonography. Results: Cholelithiasis prevalence was 24.3%. The mean age of patients was 10.8 years, (range 3 to 15 years). Sex ratio was 2.1. In 88% cases, cholelithiasis was diagnosed based on the characteristic symptoms of right hypocondrial pain, fever and icterus. Most factors associated with cholelithiasis were as follows: age above 10 years (OR = 4), occurrence of at least three (03) vaso-occlusive crises per year (OR = 7.6), history of blood transfusion (OR = 8), right hypochondrial pain (OR = 4.5) and icterus (OR = 15). Only 20% of patients suffering from a symptomatic cholelithiasis underwent laparoscopic cholecystectomy and results were conclusive. Conclusion: Patients with sickle cell disease, especially those aged above 10, should be routinely tested for cholelithiasis using abdominal ultrasonography at least once a year. Because of the difficulties in managing evolutive complications in case of an emergency in our context, we advocate laparoscopic cholecystectomy of any cholelithiasisas soon as it is diagnosed in children with sickle cell disease.
Epidemiology of Renal Failure in Children at the Pediatric University Hospital Charles De-Gaulle of Ouagadougou (Burkina Faso)  [PDF]
Coulibaly Gérard, Savadogo Hamidou, Bakoné B. Evariste, Karambiri Adama Roger, Kouéta Fla, Hien Kpienoba Manan, Champion Gérard, Lengani Adama, Yé Diarra
Open Journal of Pediatrics (OJPed) , 2016, DOI: 10.4236/ojped.2016.61021
Abstract: Objective: Renal failure (RF) is a serious condition that is still insufficiently evaluated in our context. We wanted to know its epidemiology at the Pediatrics University Hospital Center Charles De-Gaulle (PUHC-CDG) of Ouagadougou. Patients and Methods: We retrospectively studied all children aged from three to fifteen years old who were diagnosed with renal failure (RF) in the Department of Medical Pediatrics, from January 1, 2011 to December 31, 2013. RF was defined by a glomerular filtration rate (GFR) less than 80 mL/min/1.73m2, estimated by the formula of Pottel et al., which ignored the size that was rarely found in the medical records. The department constantly lacked pediatric blood pressure monitors or urinary strips. Results: In total, 119 cases of RF (3.3% of all admissions) were collected. They were about acute RFs (ARFs), chronic RFs (CRFs), and Unclassified RFs (URFs), respectively in 28.6%, 2.5% and 68.9% of cases. The overall average age of patients was 6.7 ± 3.4 years old. The average GFR was 35.2 ± 22.2 mL/min/1.73m2. The mechanism of ARF was presumed to be organic in 26 cases (76.5%). The most common presumed etiology was malaria (47.9%). Twelve patients (10.1%) died. Conclusion: RF was common at the PUHC-CDG but it was unclassified in over half of the cases. The diagnosis was based on the estimation of the GFR by Pottel et al.’s formula which was a good alternative to the Schwartz’s formula. The improvement of human and material resources would certainly help for a screening and characterization of RF at the PUHC-CDG.
The Destombes-Rosai-Dorfman Disease or Sinus Histiocytosis with Massive Lymphadenopathy: A Rare Case Described in the Paediatrics Department of Yalgado Ouedraogo University Hospital  [PDF]
Chantal Zoungrana-Ouattara, Flore Ouédraogo, Laure Toguyéni, Angèle Kalmogho, Caroline Yonaba, Chantal Gabrielle Bouda, Rolande Kaboré, Fla Kouéta
Open Journal of Pediatrics (OJPed) , 2017, DOI: 10.4236/ojped.2017.74039
Abstract: Destombes-Rosai-Dorfman’ disease (DRD) is an inflammatory non-langerhansian histiocytosis with adenomegaly. It is a rare histiocytic disorder worldwide, less than 1000 reported cases. It is of unknown etiology and is characterized in its classical form by multiple adenomegalia, especially localized at cervical area, but also at mediastinal, axillary and inguinal areas. It is a benign condition, even if it is deforming, with spontaneously resolving evolution. We report a case of DRD disease in a 13-year-old girl, hospitalized in the Department of Pediatrics of the Yalgado Ouédraogo University Hospital Center in Ouagadougou, in March 2015. She was admitted for a voluminous bilateral painless cervical swelling, with no sign of local compression, having been operating for about a year. Biological tests showed signs of chronic inflammation; the imagery specified the benign character of these formations: adenomegalia. Confirmation of the diagnosis was made by pathological examination, describing the aspect of emperipolesis to histology and, immunohistochemistry, polytypic plasmacytosis and PS100 positive/CD1a histiocytosis negative. The treatment could not be properly carried out, in view of the early discharge, against medical advice from the patient. The evolution would have been marked, according to the parents, by a slight involution of swelling.
Child’s Congenital Heart Diseases: A Follow-Up of 101 Cases at Charles De Gaulle Pediatric Teaching Hospital (CDG-PTH) of Ouagadougou  [PDF]
Georges Kinda, Koudougou Jonas Kologo, Aimé Bama, Georges Rosario Christian Millogo, Salimata Traoré, Lassina Dao, Solange Ouédraogo Yougbaré, Aissata Kaboré, Sonia Kaboret, Kisito Nagalo, Laure Toguyéni Tamini, Relwendé Aristide Yaméogo, Fla Kouéta, Diarra Yé, Léonie Claudine Lougué Sorgho, Patrice Zabsonré
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1103092
Introduction: The management of congenital heart diseases in countries with limited technical facilities poses real problems to practitioners. Yet, a good medical follow- up permits to improve these children’s life quality before any eventual surgery. Our study aims at examining the evolutionary and prognostic aspects of these congenital heart diseases in order to understand their evolution in our context. Materials and Methods: Our work is a continuation of a prospective, transversal and descriptive survey concerning all the children with congenital heart diseases in hospitalization or in consultation led from January 1st 2012 to December 31st 2012 in the Charles De Gaulle Center Pediatric Teaching Hospital (CDG-PTH) in Ouagadougou. Results: In 2012, we kept under observation 101 cases of congenital heart diseases representing 69.18% of the 146 cases of heart diseases with an impact of 0.79% of the 12,838 patients who were admitted at CDG-PTH. The interventricular septal defect occupied the first place of all malformative heart diseases with 43.56% of cases. The average age of patients at the moment of the diagnosis was 17 months old with extremes ranging from two (2) days old to fifteen (15) years old. The sex-ratio was 1.06. Throughout the follow-up of the children until the end of the six months’ survey, it was possible for us to meet again 52 patients, we had no longer been in touch with 22 patients and 27 were dead. At the moment of the diagnosis, surgical treatment was recommended for 63.37% of the patients (64 cases) and only 7.81% (5 cases) were operated. The complicated cases were: Eisenmenger syndrome (6 cases representing 5.94%). We recorded a rate of 26.73% of death. Conclusion: Congenital heart diseases are relatively common at CDG-PTH. The high rate of mortality noticed is due to the lack of heart surgery and catheterism units in our country.
An Observation of One Case of Adult Partial Atrio-Ventricular Defect  [PDF]
Georges Kinda, Koudougou Jonas Kologo, Aimé Bama, Georges Rosario Christian Millogo, Salimata Traoré, Lassina Dao, Solange Ouédraogo Yougbaré, Aissata Kaboré, Sonia Kaboret, Kisito Nagalo, Laure Toguyéni Tamini, Relwendé Aristide Yaméogo, Fla Kouéta, Diarra Yé, Léonie Claudine Lougué Sorgho, Patrice Zabsonré
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1103091
The newborn with partial atrio-ventricular defect is born quickly normal without functional signs, and then cardiac insufficiency appears in the first weeks of life respiratory unrests. The spontaneous evolution makes itself toward a complication of the shunts left-right with cardiac insufficiency, Osler illness, the death or toward the pulmonary obstructive illness about 6 months old. In order to fear the evolutionary possibilities and debate difficulties of hold in charge in countries with limited resources such as Burkina Faso, we return a clinic observation of a case of partial atrio-ventricular defect in a sixty years old man.
Effects of the Chinese Innovation System on Regional Innovation Performance  [PDF]
Kou Kou
Technology and Investment (TI) , 2018, DOI: 10.4236/ti.2018.91003
Abstract: This paper presents the influence of innovation systems on regional innovation performance in China for the period 1998-2008. It places special emphasis on the effects of institutional factors, namely marketization level. The findings indicate that the innovation system contributes greatly to increasing the level of innovation. Among the factors of innovation systems, the openness of the region and government expenditure on education plays key roles. Market-oriented institutional arrangements also increase innovation performance.
A Hybrid Fluid-Kinetic Theory for Plasma Physics
Tor Fla
Physics , 2001,
Abstract: We parameterize the phase space density by time dependent diffeomorphic, Poisson preserving transformations on phase space acting on a reference density solution. We can look at these as transformations which fix time on the extended space of phase space and time. In this formulation the Vlasov equation is replaced by a constraint equation for the above maps. The new equations are formulated in terms of hamiltonian generators of one parameter families of diffeomorphic, Poisson preserving maps e.g. generators with respect to time or a perturbation parameter. We also show that it is possible to parameterize the space of solutions of the Vlasov equation by composition of maps subject to certain compatibility conditions on the generators. By using this composition principle we show how to formulate new equations for a hybrid fluid kinetic theory. This is done by observing that a certain subgroup of the group of phase space maps with generators which are linear in momentum correspond to the group of diffeomorphic maps parameterizing the continuity equation in fluid theory.

T T Kou,Ta-You Wu,

物理学报 , 1945,
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