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Search Results: 1 - 10 of 850 matches for " Patrice Zabsonré "
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Les péricardites tuberculeuses au centre hospitalier universitaire de Bobo-Dioulasso, Burkina Faso
Aimé Arsène Yaméogo, Carole Gilberte Kyelem, Zakari Nikiéma, Emile Birba, Téné Marceline Yaméogo, Patrice Zabsonré
Pan African Medical Journal , 2012,
Abstract: Introduction: La tuberculose constitue toujours un problème de santé publique. Sa localisation péricardique reste fréquente. L’objectif de cette étude rétrospective descriptive était de décrire les caractéristiques cliniques et évolutives des cas de péricardites tuberculeuses dans le service de cardiologie du centre hospitalier universitaire de Bobo-Dioulasso. Méthodes: Nous avons mené une étude rétrospective descriptive des cas de péricardite tuberculeuse colligés en deux ans à partir des dossiers et registres dans le service de cardiologie du CHU de Bobo-Dioulasso de janvier 2009 à décembre 2010. Résultats: De janvier 2009 à décembre 2010, parmi 945 hospitalisations dans le service de cardiologie, une péricardite tuberculeuse a été diagnostiquée chez dix patients agés de 18 à 82 ans. L’age moyen était de 46,8±25 ans avec un sexe ratio de un. Soixante pour cent des patients avaient moins de 40 ans. Tous les patients avaient un niveau socio-économique bas. Une notion de contage tuberculeux a été retrouvée chez six patients. Trois patients présentaient une tuberculose pulmonaire à microscopie positive. L’insuffisance cardiaque était constante chez tous les patients avec deux cas de tamponnade à l’admission ayant nécessité une ponction péricardique d’urgence. Tous les patients avaient une sérologie VIH négative. L’échocardiographie a été importante pour le diagnostic positif et dans la prise en charge. L’évolution sous traitement antituberculeux et de l’IC a été bonne chez neuf patients à la fin de la première phase du traitement antituberculeux. Un cas de décès a cependant été enregistré chez un patient avec une HTA déjà compliquée d’accident vasculaire cérébrale ischémique. Conclusion: Les péricardiques tuberculeuses sont fréquentes au Burkina Faso. Elles touchent surtout les sujets jeunes et un intérêt particulier devrait être accordé au dépistage et au traitement précoce des cas. Pan African Medical Journal 2012; 12:16
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
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.
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
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.
Use of Vasopressive Amines in a Limited Resource Country  [PDF]
Anna Thiam, Lidwine Alakoua, Géorges Kinda, Aimé Bama, Larissa Kagambéga, Géorges Millogo, Jonas Kologo, Nvalentin Yaméogo, André K. Samandoulougou, Patrice Zabsonré
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1104064
Introduction: Vasopressive amines are frequently used in cardioology. The aim of our work was to evaluate the practical modalities of use of amines in the cardiology department of University Hospital Yalgado Ouédraogo. Patients and Methods: We conducted a prospective observational study for 6 months, from 01 June to 31 November 2013, including all patients treated with vasopressive amines. We were interested in the different clinical pictures, the indications, the choice of amines, and the practical application of the treatment. Results: Fifty patients were included in the study; the mean age was 58 ± 17.6. The sex ratio was 0.85. Hypertensive heart disease was the underlying cardiac disease in 34% of cases. A known chronic heart failure was observed in 62% of cases. Clinical admission tables were dominated by overall heart failure (74%). Vascular collapse (38%) and shock (36%) were the main indications of treatment. Severe alterations in left ventricular systolic function were found in 74% of cases. Dobutamine was the amine of choice (90%). The average time to start treatment was 96.32 minutes (range 15-660 minutes). The time to relay between syringes was more than ten minutes in 72% of the cases, and the nurses’ unavailability was the main cause. Monitoring was manual in almost all cases. The average duration of treatment was 6.64 days. Treatment-related incidents were observed in 26% of cases. The intra-hospital mortality of patients with amines was 48%. Conclusion: The indications of vasopressive amines in the cardiology department are close to the international recommendations. But this treatment suffers in its practical application. The duration of treatment remains excessive but is explained by the lack of therapeutic alternative.
Situating Cornerstone Propositions  [PDF]
Patrice Philie
Open Journal of Philosophy (OJPP) , 2012, DOI: 10.4236/ojpp.2012.24038
Abstract: Ostensibly, Wittgenstein’s last remarks published in 1969 under the title On Certainty are about epistemology, more precisely about the problem of scepticism. This is the standard interpretation of On Certainty. But I contend, in this paper, that we will get closer to Wittgenstein’s intentions and perhaps find new and illuminating ways to interpret his late contribution if we keep in mind that his primary goal was not to provide an answer to scepticism. In fact, I think that the standard reading (independently of its fruitfulness with dealing with scepticism) leads to a distorted view of Wittgenstein’s contribution in On Certainty. In order to see that, scepticism will first be briefly characterised, and then I will attempt to circumscribe more precisely the standard reading of On Certainty. In section 4, three exegetical arguments against the standard reading are offered – the hope being that the weight of these three arguments, taken together, instils doubt in the reader’s mind about the correctness of the standard reading. The paper concludes with an attempt to gesture at the philosophical significance of On Certainty once we set aside the standard reading.
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
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.
Contribution of Ambulatory Blood Pressure Monitoring to the Management of Arterial Hypertension at Blaise Compaoré University Hospital  [PDF]
Yibar Kambiré, Georges Kinda, Georges R.C. Milllogo, Lassina Konaté, Issa Diallo, K. Jonas Kologo, Jean-Baptiste Tougouma, Germain D. Mandi, R. Aristide Yaméogo, Salifou Yaogo, Caleb Tindano, André K. Samadoulougou, Patrice Zabsonré
World Journal of Cardiovascular Diseases (WJCD) , 2017, DOI: 10.4236/wjcd.2017.712043
Background: Hypertension is a major public health concern in Burkina Faso. Its management relies on in-office medical setting blood pressure monitoring which is known to be an imperfect diagnosis tool. Objective: This study aims to assess the contribution of ambulatory blood pressure monitoring in the management of hypertension at Blaise Compaoré University Hospital. Methods: A monocentric descriptive retrospective study was conducted in the cardiology outpatient unit of Blaise Compaoré University Hospital. Patients aged at least 18 years who underwent ambulatory blood pressure monitoring between March 2013 and June 2015 were enrolled. Hypertension was defined as follows: average blood pressure over 24 hours > 130/80 mmHg, or diurnal blood pressure > 135/85 mmHg, or nocturnal blood pressure >120/70 mmHg. Data were analyzed using the SPSS 20.0 software. The threshold for significance was set at 5% for a validity interval at 95%. Chi square test was used for?the statistical analysis. Results: A total of 122 patients were enrolled. The main reasons for ambulatory monitoring were the evaluation of hypertensive therapy (51.6%) and the diagnosis confirmation (39.3%). The results of the ambulatory monitoring found 61.4% of the patients with hypertension and 37.7% with normal blood pressure. A treatment adjustment was made for 36.1% of the patients; an initiation of antihypertensive therapy was undertaken for 24.6%, an abstention from drug therapy was recommended?for 23.8%,?and the pursuit of previous treatment for 13.1% of the patients. Conclusion: Ambulatory blood pressure monitoring should be used more often in order to optimize the management of hypertension in our current practice.
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
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.
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
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.
Assessment of Polyamines and Trehalose in Wheat Microspores Culture for Embryogenesis and Green Regenerated Plants  [PDF]
Amina Redha, Patrice Suleman
American Journal of Plant Sciences (AJPS) , 2013, DOI: 10.4236/ajps.2013.411275

Most aspects of microspore culture protocol have the capacity to cause stress to microspores, hence, less stressful treatments might be required to avoid deleterious effects. In stressed plants, polyamines and trehalose can act as compatible solutes or osmoprotectants by stabilizing proteins and biological membranes. To improve green plant regeneration in wheat microspore culture, this study assessed the effects of polyamines (putrecine, spermidine, spermine) and trehalose on androgenic response namely embryogenesis, green plant regeneration and ploidy of green plants regenerated in three spring wheat genotypes. Microspores of the genotypes produced significant numbers of embryos and green plants among polyamine treatments but trehalose had no effect (P ≤ 0.05). Polyamine treatments for 30 min generally produced more green plants per 100 microspores than the 60 min treatments in all three genotypes. At least three out of twelve polyamine treatments in each genotype improved the production of double haploid plants and seed setting in regenerants. Wheat genotype, concentration and duration of polyamine treatment had significant impact on embryogenesis and regeneration of green plants in this study. The study also showed that polyamines could be used to accelerate cultivar development in wheat breeding.

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