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Low-Level Laser on Hearing: Is There an Effect?
Jan Tunér,Lars Hode
ISRN Otolaryngology , 2013, DOI: 10.1155/2013/839256
Epidemiological and Clinical Features of Diabetic Foot in Cotonou  [PDF]
Annelie Kerekou Hode, Fran?ois Djrolo, Daniel Amoussou-Guenou
Journal of Diabetes Mellitus (JDM) , 2015, DOI: 10.4236/jdm.2015.53021
Abstract: This was a retrospective and descriptive study conducted from 1 July 2006 to 31 July 2011 and carried on 122 cases of diabetic foot collected a total of 706 diabetic patients hospitalized over a period of 5 years. Objective: To study the characteristics of diabetic feet in Cotonou. Results: The mean age of patients was 58.05 years ± 10.65 years, ranging from 35 years to 70 years. The sex ratio was 1.5. Duration of diabetes before the onset of diabetic foot was 11 years. The overall prevalence of diabetic foot was 21.53%. Of these, 95% had neuropathy, 70.40% had arterial disease and all had a foot infection. The amputation rate was 31.96% and the mortality rate was 17.21%. Conclusion: The occurrence of diabetic foot is earlier than in the West, and hence there is a need for early treatment of diabetes.
les plaies cranio-encephaliques: Aspects epidemic-Cliniques et Therapeutiques a Dakar(Senegal)
AA Diop, I Tine, L Hode
African Journal of Neurological Sciences , 2011,
Abstract: Objectif Le but de cette étude était de montrer les aspects épidémio-cliniques des plaies cranio-encéphaliques et d’évaluer leur prise en charge dans un pays Africain tel le Sénégal. Introduction La plaie cranio-encéphalique est une solution de continuité de tous les plans de couverture séparant le parenchyme cérébral du milieu extérieur. L’infection devient alors la hantise et motive la rapidité de la prise en charge. Malades et méthodes Nous avons fait une étude rétrospective de 14 dossiers colligés de janvier 2006 à janvier 2008. Tous les patients ont été admis au service d’urgence ont été évalué cliniquement par le score de Glasgow et un examen neurologique complet. Ils ont bénéficié d’un scanner cérébral avant une prise en charge médicale et chirurgicale. Ils ont été suivis sur une durée moyenne de 17 mois. Résultats L’age moyen de nos patients était de 30 ans, avec une prédominance masculine 11cas. La principale cause était les accidents de la voie publique (8cas) suivi par les agressions (4cas). Le délai moyen avant l’hospitalisation était de 24 heures et le délai moyen de prise en charge chirurgicale était de 57 heures ; la majorité des patients avaient un bon état de conscience selon l’échelle de GLASGOW 6 cas (15 - 13) et 4 cas (12 - 9). Le scanner cérébral a permis de montrer les lésions osseuses et intra parenchymateuses : 12 cas de contusions, sept cas de pneumencéphalie, cinq cas d’hématome sous dural et 1un cas de présence de corps étranger. La prise en charge thérapeutique comportait un volet médical et un autre chirurgical (craniectomie, reconstruction de la dure mère et de la peau). La durée moyenne d’hospitalisation était de 12 jours L’évolution post opératoire immédiate était excellente était dans 12 cas. Un patient était décédé et un autre avait gardé une hémiparésie. Conclusion Les plaies cranio-encéphaliques constituent une entité neuro-traumatique assez fréquente dont la principale complication est l’infection méningée. Une prise en charge précoce avec parage et antibioprophylaxie permettraient d’obtenir des résultats satisfaisants surtout en Afrique.
Complications of Obesity in Cesarized Parturients in the Teaching Centers of Cotonou  [PDF]
Annelie Kerekou Hode, Eugène Zoumenou, Benjamin Hounkpatin, Serge Mewanou, Blaise Tchaou, Martin Chobli
Open Journal of Endocrine and Metabolic Diseases (OJEMD) , 2018, DOI: 10.4236/ojemd.2018.86014
Abstract: This survey had the objective to determine the frequency of the obesity at the parturient, to value the impact of the obesity on the childbirth by Caesarean and the complications postoperative immediate in the teaching hospitals of Cotonou. Patients and Method: We did a prospective, comparative and analytic survey from January 13 to April 13, 2012. Eight hundred ninety-one consecutive parturients having had a Caesarean were included. We studied the anesthetic techniques, the techniques of control of the aerial ways, the number of necessary tests for the tracheal intubation, the complications and aftercare of the first 48 hours. A comparison has been made according to the BMI. The obesity has been defined by a BMI ≥ 30 kg/m2. The parturient has been classified in two groups: Non-obese: BMI ≤ 30 kg/m2, obese: BMI ≥ 30. Results: There were 703 (78.90%) Caesareans in emergency and 188 (21.09%) programmed Caesareans. The obesity which has been recovered at 286 parturient is 32.10%. The obese parturient also required more frequently several lumbar punctures (p < 0.001) at the time of the spinal anesthesia and more of conversion of the spinal anesthesia into a general anesthesia (p = 0.008). The postoperative complications: laryngeal pain, back pain and suppuration of the wound were more frequent at the obese parturient. Conclusion: Many changes led by pregnancy are added to those of the obesity to drive to functional changes, a reduction of the physiological reserve and finally to an increased anesthetic and obstetric risk. The obesity is frequent at the parturient in Benin. The post-operative complications are more frequent after the Caesarean at the obese parturient.
Prevalence of Risk Factors for Chronic Non-Communicable Diseases to the National Teaching Hospital “HKM” of Cotonou  [PDF]
Annelie Kerekou-Hode, Stéphane Dismand Houinato, Mylidia Bocovo, Daniel Amoussou-Guenou, Fran?ois Djrolo
Journal of Diabetes Mellitus (JDM) , 2015, DOI: 10.4236/jdm.2015.53019
Abstract: Background: In 2008 Non-communicable diseases (NCDs) were responsible for 63% of deaths worldwide and 80% of these deaths occurred in developing countries. Four of them were responsible for more than 80% of mortality from NCDs, which were cardiovascular diseases, cancers, chronic respiratory diseases, and diabetes. They shared the same risk factors. Objective: To determine the prevalence of NCD risk factors in patients admitted to consult in the outpatient unit of the National Teaching Hospital of Cotonou. Patients and Methods: This was a transversal, descriptive and analytical study which took place from 15 June 2011 to 16 September 2011. It focused on 1000 subjects found after a recruitment of all patients coming to consult during the study period. The collection technique was a questionnaire followed by physical measures (weight, height, blood pressure and waist) and biological measures (fasting glucose and cholesterol). The data were analyzed with the software Epi-3.3.2 info. Results: The mainly prevalent behavioural risk factors were smoking (10.2%), alcohol consumption (60.3%), insufficient intake of fruits and vegetables (84.2%), and physical inactivity (57.6%). The prevalent physical risk factors were hypertension (47.4%), obesity (27.5%), and overweight (35.3%). The prevalent biological risk factors were diabetes (28.5%), and hypercholesterolemia (10.4%). The level of cardiovascular risk was higher than 40% in 81 people (8.1%). Conclusion: This study shows the importance of risk factors for NCDs in outpatient Unit in the National Teaching Hospital of Cotonou.
Differences in the Defense Mechanism Technique modified (DMTm) between Depressive and Somatoform Disorder Patients  [PDF]
Lars Olsson
Open Journal of Depression (OJD) , 2015, DOI: 10.4236/ojd.2015.41001
Abstract: Differences in the Defense Mechanism Technique modified (DMTm), a percept-genetic tachistoscopic technique, between 56 patients with a main diagnosis of mild, moderate or severe unipolar depression and 42 with a main diagnosis of somatoform disorder were studied. As expected, the affect defenses of inhibition, introaggression and barrier isolation—all through their specified motive related to the depressive position of the affect positions model of the Andersson developmental and psychodynamic model of the mind—appeared more often with the depressive than the somatoform patients. Repression scored at the place of the threatening person in the DMTm pictures (Pp-repression) was more often found with the depressive patients, projected introaggression and no Pp-repression but repression scored at the place of the non-threatening person (H-repression) with the somatoform. In total less than four scorings of affect anxiety and affect defense, seen to indicate alexithymia, characterized the somatoform patients and those with mild depression. Denial through reversal II 3 and denial through reversal IV were common with the somatoform patients and those with severe depression. Denial was uncommon with mild depression. Denial, denial through reversal II 3 and denial through reversal IV increased the more severe the depression. The findings were interpreted according to the Andersson model.
On the Nature of Suicide—Suicide as a Multipurpose Behaviour Nested in the Human Mind—An Alternative View!  [PDF]
Lars Jacobsson
Open Journal of Psychiatry (OJPsych) , 2018, DOI: 10.4236/ojpsych.2018.82013
Abstract: Suicide is a universal human phenomenon and seems to be a multipurpose behaviour which occurs in a number of different situations that not necessarily have to do with mental distress/disorder. It might as well be a kind of defence of a threatened self-image or revenge or punishment or weapon in a struggle for something more important than the own life. Is there a suicidal virus or meme nested in the human mind? Maybe it is the mere idea of suicide as an alternative way of dealing with a number of human dilemmas that should be the focus of our suicide preventive efforts? Suicide ideas are common in most populations, but ideas are just ideas. It is when the ideas—the suicidal thoughts—are converted to actions that they become dangerous. The focus for our suicide preventive work should be to counteract a destructive use of suicidal ideation. So, the crucial question is thus: how do we do that?
Slow Spinal Cord Compression Inducing by Malignant Peripheral Nerve Sheath Tumors in Cotonou  [PDF]
D. Gnonlonfoun, C. Adjien, J. Nyangui Mapaga, L. Hode, G. Goudjinou, A. Sowanou, R. Domingo, P. Gnigone, G. Mambila, D. Affanou, P. H. Kouna Ndouongo, D. Houinato
Neuroscience & Medicine (NM) , 2018, DOI: 10.4236/nm.2018.91004
Abstract: MPNST is a very uncommon malignant type of neoplasm. It is often associated with neurofibromatosis type 1 (von Recklinghausen disease). It involves large anatomical regions, and thus takes on varied clinical presentations. However, bone location of MPNST, particularly in the spinal canal has been poorly described in the literature. We hereby report the case of a 29-year old young man with MPNST in the spinal canal. He presented a slow spinal cord compression confirmed by spinal MRI. MPNST was revealed through histologic and immune histochemical features after tumor resection.
Cardiothyreosis in Sub-Saharan Africa (Benin)  [PDF]
Annelie Kerekou-Hode, Philippe Adjagba, Samiratou Mama Bio, Aude Gaou
Open Journal of Endocrine and Metabolic Diseases (OJEMD) , 2019, DOI: 10.4236/ojemd.2019.911012
Abstract: This is a retrospective study over a 5-year period from January 1, 2013 to December 31, 2018. The diagnosis of cardiothyreosis was retained before clinical signs of hyperthyroidism confirmed to biology by an elevation of T4 and a collapse of ultrasensitive TSH associated with at least one of the following heart failure: insufficiency heart disease, coronary heart failure, rhythm disorder. Sociodemographic, anthropometric, clinical and paraclinical data were analyzed from medical records. Follow-up was evaluated over a period of 6 months to one year after being put on synthetic antithyroids. Results: Of 72 patients seen with hyperthyroidism conditions during the period, we identified 10 cases of cardiothyresis at the departments of Endocrinology and Cardiology of the CNHU/HKM Teaching hospital of Cotonou, Benin. The frequency of cardiothyreosis among hyperthyroidsis was 13.88%. The mean-age for our patients was 50.9 years with bounds from 29 to 79 years. The predominance was female, 8 women for 2 men. A clinical background of high blood pressure is founded in 6/10 patients; 4/10 had a history of hyperthyroidism. All patients had heart failure associated with complete arrhythmia by atrial fibrillation in 6 patients. The multi-modular goiter was found in 5/10 of the patients, the vascular goiter 5/10. Synthetic antithyroids, hygienic-dietary measures and a specific treatment for heart failure were used. The average length of hospital’s stay was 7 days. Immediate development is satisfactory with euthyroidism in all patients and improved functional signs. Conclusion: Cardiothyreosis is infrequent in Cotonou. This is a serious complication of hyperthyroidism, which is expensive to manage. Hence the need for early diagnosis and effective treatment of hyperthyroidism.
Profile of Metabolic Syndrome at CNHU HKM Cotonou  [PDF]
Annelie Kerekou-Hode, Philippe Adjagba, Dolorès Falolou, Bénédicte Attolou
Open Journal of Endocrine and Metabolic Diseases (OJEMD) , 2019, DOI: 10.4236/ojemd.2019.912013
Abstract: The metabolic syndrome combines morphological, physiological and biochemical abnormalities that evolve over time, predisposing the affected person to atherosclerosis and its complications. The purpose of our work was to determine the clinical and biological profile of metabolic syndrome in patients received for medical examination according to WHO criteria. This was a retrospective study over a 1-year period: from January 1st, 2018 to December 31st, 2018. The information collected was clinical (sociodemographic characteristics, anthropometric data, initial blood pressure, cardiovascular history) and biological data (fasting blood glucose level, lipid test). Two thousand six hundred and two patients visited during the study period, including 291 patients (11.18%) for a reason that may evoke the metabolic syndrome but 115 files were retained for this study. The age of the patients was 58.39 ± 10.02 years with extremes ranging from 32 to 81 years old. Metabolic syndrome was found in 77 patients, or 66.9% of patients who had consulted for a reason that might suggest this diagnosis. 44.3% had 3 criteria for definition; 19.1% had 4 criteria and 3.5% had 5 criteria. All patients have benefited a mono, bi or antihypertensive therapy associated with antidiabetic or hypolipemic treatment. Metabolic syndrome better predicts cardiovascular risk than analysis of individual risk factors. Its prevention involves diet which must be hyposodium, hypolipidic, without fast sugar and daily physical activities.
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