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Search Results: 1 - 10 of 198304 matches for " Natacha Kouame-N’takpé "
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Clinical Performances of Pure TB-Lamp Kit for M. tuberculosis Complex Detection in Sputum Samples  [PDF]
Kouassi N’guessan, Jacob Adegbele, Ibrahima Coulibaly, Natacha Kouame-Ntakpé, Hortense Seck-Angu, André Guei, Jacquemin Kouakou, Mireille Dosso
Journal of Tuberculosis Research (JTR) , 2017, DOI: 10.4236/jtr.2017.52014
Abstract: Tuberculosis represents a main concern for public health worldwide. In poor countries, the most prevalent method for bacteriological confirmation re- mains Smear Sputum Microscopy (SSM). This study objective was to assess clinical performances of Loop Mediated Isothermal Amplification for TB detection (Lamp-TB). Sputum of patients presenting symptoms consistent with tuberculosis were collected according to the National Tuberculosis Control Programme guidelines in Centre Antituberculeux de Yopougon. SSM after Ziehl-Neelsen staining and TB-Lamp were blindly performed with spot sputum specimen. Samples, transported at Institut Pasteur de Cote d’Ivoire were decontaminated according to N-acetyl-L-cystein (NALC) method. In Mycobacteria Growth Indicator Tube (MGIT), 500 μl of pellet were inoculated and incubated in MGIT 960 instrument. MPT64 antigen was detected on positive culture. Of 500 patients enrolled, 469 were included. Clinical isolates of M. tuberculosis Complex were detected for 157 (33.5%). Comparatively to culture, Sensitivity and Specificity of SSM were 86% (95% Confidence interval (CI): 81% - 91%) 96% (95%IC: 94% - 98%) respectively. TB-Lamp Sensitivity was 92% (95%CI: 88% - 96%), and Specificity 94% (95%CI: 91% - 97%). Positive Predictive Value of SSM and TB-Lamp was 91.8% and 88.8% respectively. Negative Predictive Value of TB-Lamp assay was 95.7% whereas this of SSM was 93.3%. Positive Likelihood Ratio was 15.3 for TB-Lamp and 21.5 for SSM 21.5 whereas negative Likelihood of TB-Lamp was lower than SSM. Active tuberculosis was detected in162/469 (34.5%) with TB-Lamp and 147 (31.3%) with SSM. TB-Lamp assay performances estimated from sputum samples may improve detection of active TB cases in routine.
Biological Control of Erosion of Banana Drains in C?te D’ivoire  [PDF]
Kouadio Y. Prosper, Boraud NTakpé Kama Maxime, Tiébré Marie-Solange, Djakalia Ouattara, Edouard Kouakou N’guessan
Agricultural Sciences (AS) , 2016, DOI: 10.4236/as.2016.77050
Abstract: The erosion of drains is a major limitation of the quality, the increasing of banana production and the environmental protection of industrial banana in Côte d'Ivoire. It leads inundations, death of banana trees and significant loss of production. Thence, the construction and the maintenance of drain costs too much and causes injure, snake bite, physical traumatisms, many diseases, … These events compromise the sustainable production of banana by reducing seriously worker’s the activities and finally increase the cost of production. The aim of the present work is to contribute to the sustainable development and human capacity building in the third world nations as far as banana production is concerned. The methods used so far to address this phenomenon proved inefficient. The technology innovation in this area has been to grow grass on the outer edges of the channels drained water. This resulted in a systematic reduction of erosion. Better still, it helped fertilize the soil, reduce the deportations of fertilizer and improve the quality of landscape of the plantations. Stenotaphrum secondatum is the best vegetable specie adapted to the biological control against water erosion of drains.
Hysterectomy for Uterine Inversion: About Two Cases at University Hospital of Cocody (Abidjan—Ivory Coast)  [PDF]
Roland Adjoby, Charles Kakou, Arthur Kouame, N’da Kouame, Didier Abouna, Joachim Konan, Denis Effoh, Christian Alla, Ibrahima Balde
Open Journal of Obstetrics and Gynecology (OJOG) , 2018, DOI: 10.4236/ojog.2018.84041
Abstract: It is a rare clinical condition that may occur to two possible types: puerperal uterine inversion (IUP) and no puerperal uterine inversion (IUNP). Obstetrician will observe often only once in his professional practice. The risk of maternal mortality by hemorrhage is high. We report two cases of uterine inversion requiring a hysterectomy, including a postpartum mode and the other gynecological mode with young women. Hysterectomy remained a last resort treatment in the two types, to reduce morbidity. In the case of uterine inversion, the treatments without hysterectomy could be facilitated if the management is early and adequate. Furthermore, the support should be multidisciplinary and fast in the two types.
Infectious Pathology of the Scrotum in Abidjan: Ultrasound Features of 80 Cases  [PDF]
N’goran Kouame, Fotso Sorel Manewa, Amlan Marie-France Kouame, Anne-Marie N’goan-Domoua, Roger-Daniel N’gbesso
Open Journal of Radiology (OJRad) , 2017, DOI: 10.4236/ojrad.2017.72012
Abstract: Objectives: The aim of this study was to determine the epidemiological-clinical profile of patients with scrotal infectious pathology in Abidjan and describe the ultrasound features of this scrotal infectious pathology. Methods: This was a prospective study of 80 cases of scrotal infectious pathology objectified by ultrasound at Yopougon University Hospital from 1 January 2015 to 31 December 2015. Ultrasounds were performed using a high-frequency linear probe in B and Color Doppler modes by senior radiologists. The epidemiological-clinical data were recorded from the ultrasound request form and the interrogation of the patient. Results: The average age was 23 years with extreme ranging from 16 to 40 years. Soldiers were the most concerned (40%) followed by students (30%). The painful large bursa was the quasi constant presenting feature (95% of cases) and fever was associated in less than half of the cases (45% of cases). The scrotal involvement was most often unilateral (85% of cases) and the left side was involved in 70% of the cases. Epididymitis was the most frequent pathology (60%) followed by orchiepididymitis (30%) and orchitis (10%). The most commonly encountered accompanying ultrasound findings were envelope thickening (100%), intravaginal fluid effusion (60%), and Doppler Hypervascularization (30%). Conclusion: In Abidjan Scrotal infectious pathology is most often encountered among young soldiers or students most often with a ± febrile large bursa. The most common pathology is left unilateral epididymitis.
Epidemiology and Histology Aspects of Breast Cancers of Women in Ivory Coast  [PDF]
Justin N’Dah Kouame, Emile Troh, Emmanuel Koffi Kouakou, Brahima Doukouré, Arthur Didier Kouame, Alain Didier Abouna, Benjamin Ahoua Effi, Mohenou I Diomandé
Journal of Cancer Therapy (JCT) , 2012, DOI: 10.4236/jct.2012.325098
Abstract: Breast cancer is a major public health problem both in developed countries, where it represents the first female cancer, and in developing countries, where its incidence is increasing. Purpose: The authors report the results of a study whose objective was to describe the epidemiological and pathological features of women’s breast cancers in Ivory Coast. Material and Methods: This is a retrospective descriptive study on breast cancer histologically confirmed and made from the records of pathology laboratories of the University Hospital in Abidjan. The study period was 24 years (1984-2007). The parameters studied were: frequency, age, risk factors, the macroscopic and histological aspects. Results: Women’s breast cancer was the second cancer among women (13.69%) after cervical cancer and represented 6.51% of cancers. The average age was 45.21 years ranging from 10 years to 85 years. Subjects from 35 to 44 years were the most affected (30.7%) and 8% of patients were under 30 years (n=61). Multiparity (53.55%) and lower socioeconomic level (79.63%) were associated. At the macroscopic level nodular aspects represented 47.62% of cases (n=301). Carcinomas were 92% (n=710) of histological types with 94.36% (n=692) of invasive carcinomas. Sarcomas (5.7%), lymphoma (2.1%) and Paget’s disease (0.3%) were also observed. With regard to prognostic, the grading of Scarff-Bloom and Richardson showed 26.75% (n=156) grade I, 60.64% (n=354) grade II and 12.52% (n=73%) grade III. Conclusion: In consideration of prognosis of advanced forms, an effort should be made for diagnosis and early treatment of women’s breast cancer in Ivory Coast.
Les traumatismes de l\'appareil génito-urinaire: Aspects épidémiologiques et lésionnels
A Dekou, PG Konan, B Kouame, C Vodi, GA Ouegnin, N Kouame, K Manzan, MA Djedje
African Journal of Urology , 2008,
Abstract: Objectif: Analyser la fréquence, les étiologies et les types de lésions observées lors des traumatismes de l\'appareil urinaire et génital. Patients et méthodes: Etude rétrospective portant sur 38 victimes de traumatisme de l\'appareil génito-urinaire traités entre avril 2000 et décembre 2006 au CHU de Cocody, Abidjan, C te d\'Ivoire. Les paramètres étudiés ont été: l\'age, le sexe, la profession, les causes des traumatismes, le type de lésions constatées, les interventions chirurgicales réalisées l\'ensemble répertorié sur des fiches de recueil. Résultats: 38 victimes de traumatisme de l\'appareil génito-urinaire ont été enregistrées sur l\'ensemble des 16425 traumatisés, soit une prévalence de 0,2%. Il s\'agissait de 37 hommes et d\'une femme avec un age moyen de 26,9 ans (extrêmes: 5-63 ans). Les patients étaient pour la plupart victimes d\'accidents de la voie publique (AVP) (16 cas; 42,1%), ensuite 11 patients (28,9%) ont eu un accident de travail. Les agressions étaient responsables de 9 victimes soit 23,7% des traumatisés urogénitaux. Chez 2 patients (5,3%) le traumatisme a été engendré par un accident de sport. L\'urètre et la vessie étaient le plus souvent atteints (81,6% des cas), pendant que les traumatismes du rein et des organes génitaux externes ont été observés respectivement dans 7,9% et 10,5% des cas. 25 cas (65,8%) ont eu des fractures de bassin associées. Tous les traumatismes étaient directs dont 29 fermés (76,3%) et 9 pénétrants (23,78%). Les gestes chirurgicaux réalisés étaient en particulier les urétrorraphies termino-terminales (20 cas; 52,6%). Conclusion: Les traumatismes de l\'appareil uro-génital sont rares, surviennent surtout chez les hommes jeunes victimes d\'accidents de la voie publique et de travail. Ces traumatismes peuvent être responsables de séquelles fonctionnelles invalidantes. Africain Journal of Urology Vol. 14 (2) 2008: pp. 105-113
Study of Varietal Influence Post Conservation on Biochemical and Sensory Qualities of Attiéké and Boiled Cassava (Manihot esculenta Crantz)  [PDF]
Pierre Martial Thierry Akely, Yves Djina, Brou Roger Konan, Kady Irie, Lucien Patrice Kouame, N’guessan Georges Amani
Agricultural Sciences (AS) , 2016, DOI: 10.4236/as.2016.73012
Abstract: Cassava root is shortly preserved after harvesting due to its tanning and rapid physiological decomposition. Consequently, the commercial value is reduced and the craving of its finishes products. With an aim of improving physiological quality, post harvest food value “the effects of bleaching and conservation in silo-pits were evaluated. Four (04) varieties of cassava: Bocou1, Bocou2, Bocou3 and Yavo were collected fresh and healthy in 13 months of maturity. They were subjected to a bleaching (65°C /15 - 30 s) followed by a kinetic conservation (7 days of intervals) in silo-pit (1 × 0.6 × 0.5 m). Results show that Bocou2 variety has the high proteins content (2.64% ± 0.01%), followed by hydrocyanic acid (8.21 ± 0.01 mg/100 g) and total carotenoids (26.7 μg/100 g). The conservation influences positively the protein content, reducing sugars content, the dries matter content and the total phenolic compounds for all the varieties excluded Bocou2 variety whose protein content drops. As regard of the fat contents, a weak increase is observed. The sensory analysis reveals that the boiled cassava of the Yavo variety is more appreciated followed by Bocou1 variety. Concerning the Attiéké, Bocou3 variety gives the more appreciated dish followed by the Yavo variety. In conclusion, the silo-pit conservation after bleaching improves the physiological quality of the cassava and the sensory taste even during 14 days. This study has a huge impact of reducing the post harvests losses and increases the commercial value of cassava in the world.
Primary Malignant Bones Cancers in Cote d’Ivoire: Epidemiological and Histopathological Aspects  [PDF]
Kone Samba, J. N’dah Kouame, R. Kouakou Konan, A. Ngandjeu Nawé, Doukoure Brahima, Bana Abdoulaye, Eti Edmond, Agoh Serge
Open Journal of Pathology (OJPathology) , 2018, DOI: 10.4236/ojpathology.2018.82006
Abstract: Primary bones cancers are rare and ubiquitous malignant tumors. Aim: Our study aimed was to describe the epidemiological and histopathological aspects of primary malignant bone cancers in Ivory Coast. Material and method: This is a retrospective and descriptive study of primary malignant bone cancers diagnosed over the period 1990 to 2013 (24 years). The studied parameters were: epidemiological aspects (frequency, age, sex, topography) and histological aspects. Results: Over the study period, primary malignant bone cancers accounted for 1.93% (n = 228) of cancers. The average age was 27.02 years with extremes of 2 and 85 years. The sex ratio was 1.65. They were in the skull and maxilla in 43.9% (n = 105), lower limbs (23.8%), spine and ribs (19.8%), pelvis (5.3%) and upper limbs (2.3%). The clinic was dominated by pain and alteration of general state. Radiology was variable depending on the histological type. In children, primary malignant bone cancers were found in the maxillary (77.9%) and the lower limb (15.8%). Burkitt’s lymphomas represented 36.4% (n = 66) of the histological types followed by 22.4% osteosarcomas (n = 51). In adults at histology, sarcomas were the most common (10%), followed by cancers of the hematopoietic and lymphatic organs (8.09%). Conclusion: Primary malignant bone cancers are rare in Ivory Coast. They most often affect male children with maxillofacial involvement and predominant lower extremity. Burkitt’s lymphoma and osteosarcoma are the often diagnosed histological types.
Plantes alimentaires spontanées de la région du Fromager (Centre- Ouest de la C te d\'Ivoire) : flore, habitats et organes consommés.
N Kouame, GM Gnahoua, KE Kouassi, D Traore
Sciences & Nature , 2008,
Abstract: Une enquête ethnobotanique, visant à inventorier les plantes spontanées alimentaires encore présentes dans la région du Fromager (Centre-Ouest) de la C te d\'Ivoire, a été menée auprès des populations rurales. Les espèces recensées sont au nombre de 72, réparties entre 61 genres et 42 familles. Les familles les plus représentées sont les Sterculiaceae, les Arecaceae et les Solanaceae. L\'habitat de ces plantes spontanées a été déterminé; il s\'agit des forêts, des jachères et des vergers de cacaoyers et de caféiers. Les organes les plus consommés sont les fruits (38 %), les feuilles (33 %) et les graines (19 %). Ces enquêtes ont montré qu\'il existe encore un nombre élevé d\'espèces spontanées alimentaires dans la Région du Fromager. A ethnobotanic survey, aimed at the inventory of the food spontaneous plants present in the “fromager” region (Western Center) of C te d\'Ivoire, was carried out with the collaboration of the rural populations. The number of species inventoried is 72, belonging to 61 generas and 42 families. The most represented families are Sterculiaceae, Arecaceae and Solanaceae. The habitats of these spontaneous plants species were forests, fallows and the cocoa and coffee plantations. The most consumed organs were fruits (38 %), leaves (33 %) and seeds (19 %). These investigations showed a high number of food spontaneous species in the “fromager” region.
Measurement of Natural Radioactivity in the Clays Consummated in Cte dIvoire using Gamma-ray Spectrometry
Coulibaly Vamoussa,Sei Joseph,Kouame N`Dri,Koua Aka Antonin
Journal of Applied Sciences , 2013,
Abstract: The presence of radionuclides in natural materials was one of the major causes of external and internal exposure to ionizing radiation (gamma rays). The knowledge of the radioactivity levels in these commonly used materials was of great importance in the assessment of possible radiological risks to human health. The purpose of this study was to determine the natural radioactivity due to 226Ra, 232Th and 40K of some clay samples consummated in Cte dIvoire for their therapeutic virtues by using gamma spectrometry. The activity concentration of 226Ra, 232Th and 40K ranged from 19.08.2 to 54.820.8 Bq kg-1 (with a mean of 33.613.2 Bq kg-1), from 12.83.5 to 42.312.1 Bq kg-1 (with a mean of 31.38.5 Bq kg-1) and from 16.059.2 to 790245 Bq kg-1 (with a mean of 314.1101.7 Bq kg-1), respectively. Radium equivalent activities and various hazard indices were also calculated to assess the radiation hazard. The Radium equivalent activity (Raeq) ranged from 90.228.4 to 130.343.8 Bq kg-1 (with an average of 102.633.1 Bq kg-1), was lower than the limit of 370 Bq kg-1. The calculated values of external hazard index (Hex) 0.240.08-0.350.12 and internal hazard index (Hin) 0.320.11-0.500.18 were also lower than unity. The annual effective dose ranged from 52.216.3 to 73.824.8 Sv y-1 with a mean of 59.619.1 Sv y-1 whereas the effective dose by ingestion varied from 17.16.2 to 30.811.1 Sv y-1 with an average of 21.37.6 Sv y-1. These values were lower than the limit of 1 mSv y-1. From this study, it was found that the use of the investigated clay samples for their therapeutic virtues did not induce significant radiation hazards.
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