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Search Results: 1 - 10 of 18453 matches for " Georges Rosario Christian Millogo "
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Cardiovascular Death in the Regional Hospital of Koudougou  [PDF]
Koudougou Jonas Kologo, Relwendé Aristide Yaméogo, Joel Bamouni, Stéphane Balima, Georges Rosario Christian Millogo, Patrice Zabsonré
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1103179
Abstract:
Cardiovascular diseases actually are a real public health concern all over the world and more specifically in the developing countries. The aim of this study was to analyze the causes and factors associated to deaths due to cardiovascular diseases in medicine and medical emergencies departments at the Regional Hospital (RH) of Koudougou to contribute to treatment improvement. This study was a retrospective and descriptive study conducted over a period of 12 months from January 1st 2014 to December 31st, 2014. This study took place in medicine and medical emergencies departments within the Regional Hospital of Koudougou. We have recorded 282 deceased persons. We have selected 275 deceased persons according to our inclusion criteria. Deaths due to cardiovascular pathologies accounted for 73 cases corresponding to 26.55%. Sex ratio was estimated at 1.8. Patients’ average age was estimated at 62 ± 17.6 years. Forty patients corresponding to 54.8% were referred and 80% of them came from health and social promotion centers. Strokes representing 32.8% were the hypotheses mentioned upon admission. State of shock represented 32.8% of the immediate causes of death. Sixty-four point four percent of patients had high blood pressure as the most frequent initial death cause (47 cases).Thirty five cases of premature deaths, corresponding to 47.9% were observed. Cardiovascular diseases are a real public health concern in our countries undergoing an epidemiological transition. Mortality related to these diseases in Koudougou RH has been widely dominated by high blood pressure. This mortality can be reduced through preventive actions meant for the population including a reorganization of health system and hospital services to improve care quality.
Cardiovascular Risk Factors (CVrf) in Rural and Urban Areas Mali: Data from the Step 2013 Survey  [PDF]
Hamidou Oumar Ba, Ichaka Menta, Youssouf Camara, Ibrahima Sangaré, Guida Landouré, Georges Rosario Christian Millogo, Souleymane Coulibaly, Ilo Bella Diall
World Journal of Cardiovascular Diseases (WJCD) , 2018, DOI: 10.4236/wjcd.2018.81005
Abstract: Background: Traditional cardiovascular risk factors (CVrf) like hypertension, diabetes, dyslipidemia, obesity, smoking have been studied extensively through theses in hospital studies. Therefore, recent published data from community based studies are rare in Mali. Available data are old justifying to perform a community based study on traditional CVrf in rural and urban areas. Materials and Methods: We retrospectively performed a study which data stemmed from the last STEPS survey carried out in 2013 in some rural and urban areas of Mali. We studied hypertension, diabetes, tobacco smoking, obesity based on body mass index, waist circumference and waist-to-hip ratio. After bivariates analyses, we conducted a logistic regression with rural/urban as dependent variable using SPSS as analysis software for this purpose. Results: Weight, height, WC and HC were higher in urban area with 69.77 Kg, 169.13 cm, 85.98 cm and 97.26 cm compared to 66.27, 165.42, 81.46 and 93.23 in rural area (p < 0.001). We had more female in rural area and educational level was higher in urban area. In bivariate analysis obesity based on BMI, WC, alcohol consumption was more prevalent in urban area while elevated waist-to-hip ratio was more prevalent in rural area. But in logistic regression for female, the Odds for Tobacco smoking rural as reference was 0.334 [CI: 0.151 - 0.738] (p = 0.007) and that for WHr is 0.582 [CI: 0.415 - 0.815] (
Valvular Heart Diseases and Pregnancy in Delivery Room at University Hospital Yalgado Ouedraogo  [PDF]
Koudougou Jonas Kologo, Georges Rosario Christian Millogo, Georges Kinda, Hermann Adoko, Yibar Kambiré, Anna Thiam/Tall, Relwendé Aristide Yaméogo, André K. Samadoulougou, Patrice Zabsonré
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1103201
Abstract:
Valvular heart diseases during pregnancy are complex with symptoms likely to affect patient’s life quality, and endanger both mother’s and child’s life. Our survey aims at studying the combination of valvular heart diseases with pregnancy at University Hospital Yalgado Ouedraogo. This study was a cross-sectional study conducted from January 1st, 2015 to March 31st, 2016 in the delivery room of gynecology and obstetrics department. Inclusion criteria were: the presence of acquired and known valvular heart diseases followed-up or not; suspected valvular heart disease confirmed by a Doppler echocardiography and patient’s consent to take part to the study. Twelve patients were involved in the study. The average age was 27.5 ± 3.9 years (extremes of 21 and 34 years). The average gestational age at the delivery time was 35 ± 4.7 weeks of amenorrhea with extremes reaching 25 and 39 weeks. None of the study patients were previously followed-up and treated for valvular heart diseases before pregnancy. Mitral disease was found among four patients. Seven cases had vaginal delivery. Two cases of spontaneous abortion were observed. We had seven hypotrophy newborns with an average weight of 2360 g at birth. Two patients suffering from congestive heart failure with a full type arrhythmia by atrial fibrillation were hospitalized in cardiology department. No death was reported during our study. Rheumatic valvular diseases are common among pregnant women. The cardiologist should plan pregnancies of patients suffering from valvular heart diseases. Treatment of those patients goes through the prevention of acute rheumatoid arthritis including a joint collaboration between cardiologists and gynecologists.
Cardiologic Medical Evacuations in Burkina Faso: Contribution of Three Philanthropic Sponsors over a 10-Year Period  [PDF]
Koudougou Jonas Kologo, Georges Rosario Christian Millogo, Georges Kinda, Jean Baptiste Tougma, Nobila Valentin Yaméogo, Anna Thiam Tall, Larissa Kagambéga, Caleb Tindano, Eulalie Lingani, Mireille Simo-Moyo, Relwendé Aristide Yaméogo, Andre Koudougou Samadoulougou, Patrice Zabsonré
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1103380
Abstract:
Introduction: This study aimed at describing the socio-economic, diagnostic, and progressive features of patients evacuated thanks to philanthropic sponsors. Patients and methods: all evacuated patients, contacted through the phone and interviewed, were included in the study. A questionnaire helped in collecting data which were analyzed through the software Epi-Info (version 7). Outcomes: A total of 63 patients out of 134 were included in the study among which there are 22 adults and 41 children. The sex-ratio was 1.30. Patients living in Ouagadougou accounted for 79% of cases. The children’s average age at evacuation was 3.58 ± 3.86 years against 27.52 ± 12.54 years for adults. Ventricular septal defects among children (58.53%) and mitral valve diseases among adults (72.72%) were the main diagnoses at the time of evacuation. The average fall was 47 months for children, and 54 months for adults in the post-operative period. 68% of adults had an income below 50,000 FCFA per month. The evacuation average cost was estimated at 21,083,000 FCFA per patient, corresponding to 2,825,122,000 FCA over 10 years. Each adult patient spent an average of 15,000 FCFA per month for the follow up, against 8725 FCFA for children. 16% of patients were lost of sight in the post-operative. Conclusion: Philanthropic sponsors significantly contribute to the management of cardiac patients, and their efforts should be supported by a better monitoring. Setting-up cardiac surgery and interventional cardiology in Burkina Faso are required to address these health shortcomings.
Assessment of Quality of Life in Patients with Chronic Heart Failure in Yalgado Ouédraogo University Hospital of Ouagadougou (Burkina Faso)  [PDF]
Koudougou Jonas Kologo, Georges Rosario Christian Millogo, Anna Thiam Tall, Théodore Boro, Georges Kinda, Yibar Kambiré, Yaya Barro, Laurent Sia, Hermann E. Adoko, Robert Natama, Jean Baptiste Tougma, André K. Samadoulougou, Patrice Zabsonré
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104252
Abstract:
Objective: Our study aimed at assessing the quality of life (QoL) of patients treated for chronic heart failure (HF), and analyzing the impact of certain factors on that QoL, in the cardiology department of Yalgado Ouédraogo University Hospital of Ouagadougou. Means and Method: It was a descriptive cross-sectional study, performed over a six-month period from May to October 2016. In the study, patients with age over 18 years were included, followed up for chronic HF for at least six months in the outpatient unit, from January 1st to December 31st 2015. The questionnaire “Minnesota Living with Heart Failure” was used to assess the QoL. Results: Two hundred and four patients were enrolled. Most of them were living in Ouagadougou (82.8%). Sex ratio was 0.98, and mean age was 56.06 16.37 years. The mean overall QoL score was 17.8 16.5. QoL was considered good in its three dimensions, in more than 70% of patients. Looking at the mean scores, the male patients, the patients living in rural and semi-urban areas, the patients with impaired left ventricular ejection fraction and those with severe or end-stage renal failure had significant QoL impairment. Multiple linear regression reported significant correlation between QoL impairment and the following factors (p value < 0.05 for all variables): marital life, number of hospitalizations for acute HF, and NYHA functional stage. Conclusion: Marital life, number of hospitalizations for acute decompensation, and NYHA functional stage were predictive factors of QoL impairment. MLHF questionnaire should be commonly used to assess the efficiency of HF management. Self administration instead of assistance in filling the questionnaire, could insure a more objective valuation of QoL.
Hypertension (HTN) Knowledge and with Its Associated Factors: About 456 Outpatients Seen in Cardiology Department in University Hospital (UH) Gabriel Touré—Bamako (Mali)  [PDF]
Hamidou Oumar Ba, Ichaka Menta, Ibrahima Sangaré, Youssouf Camara, Georges Rosario Christian Millogo, Noumou Sidibé, Ilo Bella Diall, Souleymane Coulibaly, Guida Landouré, Mandé Berthé, Ibrahim Maiga, Bréhima Mariko, Cheick Hamala Fofana, Aladji Traoré, Kassoum Mamourou Sanogo
World Journal of Cardiovascular Diseases (WJCD) , 2018, DOI: 10.4236/wjcd.2018.81004
Abstract: Background: High Blood Pressure (HBP) is high prevalent among adult population in Bamako, but little is known about factors associated with knowledge. Methods: It was a cross-sectional study involving patients aged 15 years and more with a first classification in normal blood pressure (HTN-) and high blood pressure (HTN+), and Second classification inpatients without knowledge (who answered No) (K-) and patients with knowledge (who answered Yes) (K+). A logistic regression was performed to look up predictors among different variables. Results: The sample involved 456 patients with a mean age of 51.39 years and 65.1% of female. The age group 45 - 59 years old made 32.5% and unschooled patients 60.3%. Patients with HBP accounted for 69.7% and those reporting to know about it 67.3%. HTN- and HTN+ differed significantly except for HR, height, sex and level of schooling. HBP prevalence increased with age up to 74 years. Regarding knowledge, sex, age group and number of FDRs did not differ significantly. High education level and duration of HBP was predictive of knowledge with an OR of 1.186 [CI 0.058 - 0.796] and 1.192 [CI 0.332 - 4.275] respectively. Conclusions: Our study provided data on HBP knowledge among outpatients with high educational level and HBP duration associated with better knowledge on HBP.
Long-Term Re-Admission after Hospital Discharge in Patients Admitted with Acute Heart Failure: The Prognostic Value of the Six-Minute Walk Test Distance  [PDF]
Dakaboué Germain Mandi, Dangwé Temoua Naibé, Joel Bamouni, Rélwendé Aristide Yaméogo, Yibar Kambiré, Koudougou Jonas Kologo, Georges Rosario Christian Millogo, Nobila Valentin Yaméogo, Anna Thiam Tall, Patrice Zabsonré
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104841
Abstract:
Background: We sought the value of the six-minute walk test distance in predicting re-admission in patients with chronic heart failure (CHF) in the department of cardiology, Yalgado Ouédraogo University Hospital, Ouaga-dougou, Burkina Faso. Methods: We did a prospective observational study in patients hospitalized with acute decompensated heart failure and who underwent a 6-minute walk test (6-MWT) at their discharge from hospital. The primary end-point was hospital re-admission for heart failure de-compensation. Results: Sixty-one patients (52% females, mean age 46.9 ± 14.1 years, mean left ventricular ejection fraction 32.4 ± 8.2%, mean 6-MWT distance 336.3 ± 65 meters) were followed-up for a 277.6 ± 129.8 days’ period. Twenty-one patients (45.3 percent person-years) were re-admitted. Re-admitted patients had shorter 6-MWT distance (p = 0.007) and were more likely to die than those who were not re-admitted (RR = 1.72, 95% CI = 1.13 - 2.62, p = 0.003). Multivariate Cox regression analysis showed that re-admission was independently predicted by shorter 6-MWT distance (p < 0.001), New York Heart Association class III (p = 0.03), older age p = 0.03) and lower LVEF (p = 0.02). Conclusion: Distance covered during the six-minute walk test is an independent predictor of hospital re-admission for heart failure decompensation in patients with chronic heart failure.
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
Abstract:
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
Abstract:
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.
La educación de los medios en Suiza: el clik frente a la lección Media education in Switzerland
Christian Georges
Comunicar , 2007,
Abstract: En Suiza, saturada de medios, compartimentada en 26 sistemas educativos propios, los alumnos se impregnan de una cultura que favorece naturalmente los usos prácticos de los medios de comunicación frente al análisis crítico. La educación de los medios es a menudo integrada en otras ramas de la ense anza . Es decir, dejada a la libre elección de los profesores! Gracias a la cooperación público-privado, se ha dado un fuerte impulso en la Confederación para conectar los colegios a Internet de alta velocidad y para formar a los profesores en el uso pedagógico de las tecnologías. Además, a nivel local, se realizan acertadas acciones que en muchos casos desembocan en aplicaciones prácticas muy estimulantes: los alumnos aprenden a dominar la imagen, el sonido y la información a través de producciones originales. Pero globalmente, el panorama es algo desalentador: los profesores acceden a una formación muy desigual de los medios y las TIC, utilizan menos los audiovisuales que antiguamente y la mayoría desconfían bastante de los medios. It is difficult to set educational standards in Switzerland: given the complexity of the political structure and the different languages spoken, 26 educational systems are in function. Most pupils are familiar with the practical use of ICT. But few of them are taught to analyse the media themselves. Media education is integrated to other branches of learning. Thus, it depends most of the time on the good will of the teachers! In the past five years, high speed connections to the Internet have strongly increased in schools, thanks to a public-private partnership launched by the State. The program also improved ICT skills among teachers. Many locally based projects encourage pupils and students to use ICT to learn. Multimedia products crafted in schools are even broadcasted on TV websites. However, media education remains uneven among teachers. The use of audiovisual resources in the classroom is decreasing. Most teachers express reluctance towards the media. When it comes to life long learning, software proficiency is more sought after than media knowledge.
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