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Search Results: 1 - 10 of 10518 matches for " Vodounou Alexandre "
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Urologic Complications after Gynaecologic and Obstetric Surgery at the Urology-Andrology Teaching Clinic of Teaching Hospital of Cotonou  [PDF]
Hounnasso Prince Pascal, Avakoudjo Josué Georges, Babadi Naméoua, Paré Abdoul Karim, Ouattara Adama, Vodounou Alexandre, Agounkpé Michel Michael
Open Journal of Urology (OJU) , 2014, DOI: 10.4236/oju.2014.410021

Objective: To study the epidemiology and current trend in the management of urologic complications following obstetric and gynaecologic surgeries at CUUA University hospital of Cotonou. Patients and Methods: It was a retrospective study of patients referred with urologic complications following obstetric and gynaecological surgeries. The study took place at the Teaching Clinic of Urology Andrology at CNHU of Cotonou between April 1, 2008 and March 31, 2013. Results: Forty-one patients were studied. They represented 3.5% of people hospitalized at CUUA throughout the study period. The average age was 41 years swith range of 20 and 57 years. Twenty-one (51.2%) of them were married. Thirty patients (73.2%) were referred from a non-academichospital, while 7 patients (17.1%) were referred from academic hospital. Caesarean section was the primary gynecological surgery in 22 cases (53.7%) and hysterectomy in 19 cases (46.3%). Clinically, the pre- dominant symptoms were leakage of urine throughout the vagina and obstructive anuria with or without back pain. We found 31 cases of VVF, 5 cases of bilateral ligation of the ureters, 3 cases of unilateral ligation of the ureter, 1 ureteralinjury and 1 uretero-vaginal fistula. These complications were diagnosed postoperatively in 95.1% of cases. Surgeries done included VVF repair in 31 cases (75.6%), unilateral ureteral reimplantation in 4 cases (9.8%), removal of ligation of the ureters in 3 cases (7.3%), bilateral ureteral reimplantation for 2 cases (4.9%) and end-to-end anastomosisin 1 case (2.4%). The postoperative period was uneventful in 29 cases and we observed 7 cases of surgical site infection. The overall success rate was 87.8%. Conclusion: Urological complications following gynecologic surgeries managed at the urologic department of teaching hospital of Coto-nou had an even higher incidence. Early diagnosis especially during the operative procedure would save the patients’ serious complications and open surgery due to the lack of endo-urological facilities. The most important factor in prevention is good knowledge of pelvicanatomy and good knowledge of the surgical techniques of caesarean operation section and trans-abdominal hysterectomy.

Symptomatic Urinary Lithiasis: Epidemiology and Management at Urology Department of University Hospital of Cotonou  [PDF]
Prince Pascal Hounnasso, Josué Dejinnin Georges Avakoudjo, Abdoul Karim Paré, Kirakoya Brahima, Adama Ouattara, Michel Michael Agounkpé, Gilles Natchagandé, Sanni Rafiou Toré, Abubakar Babagana Mustapha, Alexandre Vodounou
Open Journal of Urology (OJU) , 2015, DOI: 10.4236/oju.2015.52002
Abstract: Purpose: To study the epidemiology and treatment modalities of urolithiasis at Urology Department of University Hospital of Cotonou. Materials and Methods: It was a retrospective and descriptive study over a 10 years period ranging from January 1st, 2004 to December 31st, 2013. One hundred and two patients who were hospitalized for symptomatic urolithiasis at the Urology Department of University Hospital of Cotonou were enrolled. Results: Hospital incidence of urolithiasis was 3.7%. Patients mean age was 39.6 years (extremes: 10 years to 73 years). Male to female ratio was 2.2. The main reason for consultation was renal colic for 81 patients (79.4%). Average duration of symptoms at presentation was 5 months (range: 1 day to 10 years). A total of 173 stones were identified with an average size of 12 mm (range: 1 mm to 95 mm). Calyceal stones were seen in 32.9% of cases, renal pelvis stones in 21.4% of cases, ureteral stones in 34.1% and bladder stones in 11.5% of cases. Open surgery was the main treatment for stones that could not be managed medically. 50.8% of patients underwent surgery with extraction of 116 stones. This represented 67.1% of all stones. 9 patients (8.8%) had expelled their stone during urination. The postoperative course was uneventful in 77.5% of cases. Conclusion: Modern treatment options for urolithiasis remain rudimentary in our health facilities. Open surgery is still the main stay of treatment in our countries with limited resources.
Editorial Special Issue on “Energetic Complementarity”  [PDF]
Alexandre Beluco
Energy and Power Engineering (EPE) , 2017, DOI: 10.4236/epe.2017.99033
Abstract: This editorial presents the motivations that were the focus of the papers that make up this Special Issue on energetic complementarity. The articles deal with the application of the concept of energetic complementarity in time under certain conditions and with the proposition of new means to evaluate complementarity in time between more than two renewable energy resources. An article further proposes a method for establishing energetic complementarity in space, a concept that is important and necessary for management and planning of energy resources but does not yet have tools that allow it to be quantified and handled appropriately. In addition, two letters to the editor discuss issues that still need to be matured for a better understanding and application of the concept of energetic complementarity, both in time and space.
Minamata Disease—Review  [PDF]
Alexandre Semionov
World Journal of Neuroscience (WJNS) , 2018, DOI: 10.4236/wjns.2018.82016
Abstract: Minamata disease is the name given to a neurological syndrome caused by or-ganic mercury intoxication. Most commonly it results from consumption of methylmercury contaminated seafood and in severe cases is classically mani-fested by concentric constriction of the visual fields, ataxia and sensory dis-turbance in the distal extremities. The radiographic and neuropathological find-ings parallel the clinical picture and typically consist of lesions selectively in-volving the visual cortex, cerebellum and postecentral gyri.
On Approximating the Gradient of the Value Function  [PDF]
Alexandre Dmitriev
Theoretical Economics Letters (TEL) , 2019, DOI: 10.4236/tel.2019.91011

The optimality conditions for macroeconomic problems with limited commitment often contain partial derivatives of the optimal value function, corresponding to the outside option. This paper contributes to the literature on recursive contracts by proposing an algorithm for approximating the gradient of the value function using simulation-based methods. Our method combines numerical solution and simulation of the model, Monte-Carlo integration and numerical differentiation. It does not suffer from the curse of dimensionality and is therefore convenient for models involving many state variables. The algorithm inherits the speed and accuracy limitations of the numerical solution method it relies on. Our accuracy analysis is limited to a few classical examples from macroeconomic literature.

A Magnetically Levitated Precise Pointing Mechanism for Application to Optical Communication Terminals  [PDF]
Thomas Edward Donaldson Frame, Alexandre Alexandre Pechev
Optics and Photonics Journal (OPJ) , 2012, DOI: 10.4236/opj.2012.22012
Abstract: Increasing data bandwidth requirements from spacecraft systems is beginning to pressure existing microwave communications systems. Free-Space optical communications allows for larger bandwidths for lower relative power consumption, smaller size and weight when compared to the microwave equivalent. However optical communication does have a formidable challenge that needs to be overcome before the advantages of the technology can be fully utilized. In order for the communication to be successful the transmitter and receiver terminals need to be pointed with a high accuracy (generally in the order of ≤10 μradians) for the duration of communication. In this paper we present a new concept for the precise pointing of optical communications terminals (termed the Precise Pointing Mechanism). In this new concept we combine the separate pointing mechanisms of a conventional optical terminal into a single mechanism, reducing the complexity and cost of the optical bench. This is achieved by electromagnetically actuating the whole telescope assembly in 6 degrees-of-freedom with an angular resolution of less than ±3 μradians within a 10 (Az. El.) field of view and linear resolution of ±2 μm. This paper presents the new pointing mechanism and discusses the modelling, simulation and experimental work undertaken using the bespoke engineering model developed.
Bounds for Goal Achieving Probabilities of Mean-Variance Strategies with a No Bankruptcy Constraint  [PDF]
Alexandre Scott, Francois Watier
Applied Mathematics (AM) , 2012, DOI: 10.4236/am.2012.312A278

We establish, through solving semi-infinite programming problems, bounds on the probability of safely reaching a desired level of wealth on a finite horizon, when an investor starts with an optimal mean-variance financial investment strategy under a non-negative wealth restriction.

Vehicle to Grid Decentralized Dispatch Control Using Consensus Algorithm with Constraints  [PDF]
Alexandre Lucas, Sun Chang
Smart Grid and Renewable Energy (SGRE) , 2013, DOI: 10.4236/sgre.2013.46A002

With the transition to electric vehicle technologies, large scale support infrastructure is being deployed. The vehicleto-grid (V2G) concept is an opportunity to take advantage from both infrastructure and electric vehicle drive. However, coordinating large number of agents in a reasonable speed and lack of homogenous distribution of the service provided by vehicle users to the grid have been left unattended. We apply consensus theory to the V2G concept presenting a decentralized control solution to assure that all vehicles within a region, regardless of their technology, positioning or state of charge, can communicate with their neighbors and agree on how much energy each should individually exchange with the grid. Applying constraints to the system, we considered a 25,000 vehicle fleet connected to a grid during peak hours. Simulating power changes and vehicles entering and leaving the system, two groups of 5 vehicles were studied: the first group remained in the system during all peak hours, while the second group only an hour. Results showed that the two groups of vehicles despite connecting to the system at different times were able to reach consensus in t = 15 s, and reported a maximum error of ε < 0.01% if left in the system during all peak hours.

Hubble’s Constant and Flat Rotation Curves of Stars: Are Dark Matter and Energy Needed?  [PDF]
Alexandre Chaloum Elbeze
Journal of Modern Physics (JMP) , 2017, DOI: 10.4236/jmp.2017.81003
Abstract: Although dark energy and dark matter have not yet been detected, they are believed to comprise the majority of the universe. Observations of the flat rotation curve of galaxies may be explained by dark matter and dark energy. This article, using Newton’s laws and Einstein’s theory of gravitation, shows that it is possible to define a new term, called E0, variable in time and space, of which one of its limits is the Hubble constant H0. I show that E0?is strongly linked to an explanation of the flat rotation curve of galaxies. This strong correlation between Hubble’s constant H0?and E0 enables us to solve the mystery of the surplus of gravity that is stabilizing the universe.
Bases for a Methodology Assessing Time Complementarity in Space  [PDF]
Alfonso Risso, Alexandre Beluco
Energy and Power Engineering (EPE) , 2017, DOI: 10.4236/epe.2017.99037
Abstract: Energetic complementarity has been studied in recent years and can be an important tool for managers to decide on the design and operation of hybrid systems based on renewable energy resources. Complementarity is an ability presented by two or more energy resources to complement each other over time. Complementarity can be verified in one place or at different places. This second case can be termed as spatial complementarity and is more complex than the complementarity in the same place, requiring a specific approach for its quantification This paper discusses concepts related to energetic complementarity and presents the basis for a method to evaluate energetic time-complementarity across space, applying the concepts presented to the northern coast of the state of Rio Grande do Sul, the southernmost state of Brazil.
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