bluuebunny/crossref_metadata_2025 huggingface dataset:
Urinary Incontinence among Female Health Workers in a Tertiary Health Facility in Enugu, Nigeria
Authors: Uzoigwe Jide U. , Asimadu Eric E. , Adiri Charles O. , Okoro Silas O , Nweze Sylvester O.
Published: June 2023

Background:

Female urinary incontinence (UI) impacts female workers’ quality of life and working life.

Objectives:

This study aims to determine the prevalence of UI among female health workers in Enugu, Nigeria, and its impact on their quality of life.

Materials and Methods:

A cross-sectional study of female health workers at the University Teaching Hospital in Nigeria. A structured self-administered questionnaire was used for data collection. The first section contained socio-demographic information, whereas the second section consisted of items derived from the UK English Version of the International Consultation on Incontinence Questionnaire on Urinary Incontinence (ICIQ-UI Short Form).

Results:

Two hundred and fifty-six (256) women filled out the questionnaires. The mean age of the respondents was 36.6 ± 3.2 years (ranging from 19 to 56 years). Of the 256 respondents, 115 women had UI giving a prevalence of 44.9%. Older female health workers (>39 years old) compared to younger female health workers were significantly more likely to have UI (odd ratio 6.387, 95% confidence intervals 3.684–11.045, P < 0.001). Types of female UI seen were urge UI (39.1%), stress UI (29.6%), and mixed UI (31.3%). Most women (50.4%) leaked about once a week and had small amounts of leakages (62.8%). The impact on quality of life was mild (39.0%) and moderate (32.2%) for most of the female health workers, with 19% reporting severe impact.

Conclusion:

The prevalence of female UI is high among female health workers in Enugu, Nigeria and it impacts greatly on their quality of life.
Reduction Mammoplasty for Bilateral Gigantomastia and Multiple Breast Fibroadenomas in an 18-Year-Old Girl
Authors: Okwesili Obinna R. , Chukwulebe Alexander E. , Nnamani Celestine E. , Enemuo Vincent C. , Orji Iheanyi J.
Published: June 2023

Gigantomastia is a huge physical and psychological burden on affected patients, and it usually reduces their quality of lives drastically. Bilateral gigantomastia coexisting with multiple bilateral breast lumps is a rare condition. We have reported the case of an 18-year-old adolescent who presented with bilateral gigantomastia and multiple fibroadenomas in both breasts that were treated with reduction mammoplasty using the inferior pedicle with inverted-T technique. Treating bilateral gigantomastia using the inferior pedicle with inverted-T technique gives the best esthetic and functional results. Total resection weight of more than 1000 g should not be an absolute contraindication to use of inferior pedicled technique.
Profile of Central Corneal Thickness in an Adult Non-Glaucomatous Population in Enugu, Southeast Nigeria
Authors: Uche Nkechi J. , Kizor-Akaraiwe Nkiru N. , Okeke Suhanya , Shiweobi Jude
Published: June 2023

Background:

Central corneal thickness (CCT) is an important ocular parameter in diagnosing and managing ocular diseases.

Objectives:

The aim of this study was to determine the mean CCT of non-glaucomatous adults from southeastern Nigeria and to evaluate the relationship between mean CCT, age, and gender.

Materials and Methods:

A cross-sectional study was conducted at the eye specialist hospital in Enugu, Southeast Nigeria. Participants with non-glaucomatous eyes from southeastern Nigeria were recruited. CCT was measured with ultrasound pachymetry (Sonomed PacScan plus, model 300AP+) on eligible subjects. The average thickness for each eye was calculated and the relationship between mean CCT, age, and gender was studied.

Results:

In total, 706 eyes of 353 participants were examined. Approximately 52.7% of the subjects were females. The mean age of participants was 50.29 ± 16.58 years. The mean CCT for right eye (RE) was 527.68 ± 36.88 μm (95% confidence interval [CI]: 523.83–531.55 μm) and 527.45 ± 38.01 μm for left eye (LE) (95% CI: 523.47–531.43 μm). There was a decrease in CCT values with increasing age (P = 0.016, P = 0.05 for RE and left eyes, respectively). Males had a significantly higher CCT compared to females for both right and left eyes (P = 0.004, P = 0.007).

Conclusion:

CCT values in Enugu Southeast Nigeria are thinner than those reported from other regions within Nigeria and some sub-Saharan African populations, Caucasians, Asians, and Hispanics but it is however comparable with values reported among Cameroonians and African Americans. CCT decreases with age and is thicker in males compared with females.
Association of Maternal Height with Delivery Outcome
Authors: Onyebuchi Azubuike K. , Mamah Johnbosco
Published: June 2023

Background:

Height is easy to measure and may serve as a triaging and referral tool in the rural communities of the West African subregion where a significant proportion of deliveries are undertaken by unskilled birth attendants with devastating maternal and perinatal outcomes.

Objective:

The objective of this study was to determine the association between maternal height and the route of delivery.

Materials and Methods:

This was a cross-sectional study undertaken at the Federal Teaching Hospital Abakaliki, Ebonyi State, Nigeria. A total of 180 consenting randomly selected pregnant participants who met the inclusion criteria and had presented in spontaneous labor at the maternity unit were selected for the study. Each participant's sociodemographic data, height, mode of delivery, and neonatal birth weight were obtained using a semistructured proforma. Data analysis was done using the Statistical Package for Social Sciences (IBM-SPSS) version 22, Atlanta, Georgia.

Results:

The mean age of the study participants was 30.4 ± 4.2 years and the mean height was 164.5 ± 6.1 cm. Approximately 82% of the women had vaginal delivery. Majority (96.6%) of the participants were booked and more than 75% have had previous vaginal delivery. There was no significant association between the maternal height and mode of delivery (P = 0.95). However, there was a significant association between neonatal birthweight and route of delivery (P < 0.001).

Conclusion:

There is no significant association between maternal height and route of delivery in Abakiliki, Nigeria. Although height has traditionally been used in participant counseling regarding potential route of delivery, this study shows that height may not serve as an evidence-based tool in screening or predicting the route of delivery in the Abakaliki metropolis. Further larger studies are advocated to corroborate or refute this observation
Magnetic resonance imaging diagnosis of renal infection in children
Authors: Lin Huihui , Li Xu , Wang Xiaoyu , Hu Jun , Wang Chang , Fei Weimin , Wang Kaixuan , Li Gengwu
Published: June 2023

OBJECTIVE:

To analyze the magnetic resonance imaging (MRI) manifestations of renal infection in children, evaluate the reliability of diffusion-weighted imaging (DWI) in detecting renal infections, and the difference in apparent diffusion coefficient (ADC) values between acute renal pelvis nephritis (APN), acute focal bacterial nephritis (AFBN) and renal abscess (RA).

METHODS:

Data for 513 children with a clinical orpathological diagnosis of acute kidney infection. Both MRI and voiding cystourethrography were performed in 28 cases. Group A comprised 17 cases of retrograde infection; Group B comprised 11 cases of blood–borne infection. The Kappa test was used to analyze differences in lesion DWI distribution between the groups, and the t-test was used to compare the ADC values.

RESULTS:

The MRI manifestations of pediatric renal infection were characteristic. The lesions had high-signal intensity on DWI and were located mainly in the renal cortex blood–borne infections versus the renal cortex and medulla in retrograde infections. The sensitivity and specificity of DWI for detecting lesions were 100% and 96%. The average ADC values of APN, AFBN, and RA lesions were lower than that of normal kidney tissue, with statistically significant differences between the three conditions; the ADC value of RA was the lowest, and that of APN was the highest.

CONCLUSION:

There were differences in the lesion distributions between renal retrograde and blood–borne infections. The quantitative decrease in ADC value may be related to the duration of the disease and the degree of renal damage.
Tuberculosis of prosthetic knee with simultaneous pulmonary infection with nontuberculous mycobacteria
Authors: Ku Jennifer H. , Varley Cara D. , Epson Erin , Deodhar Atul , Winthrop Kevin L.
Published: June 2023

We present a case of prosthetic knee tuberculosis (TB), the management of which was complicated by simultaneous isolation of nontuberculous mycobacteria (NTM) from sputum. The TB was treated with medical therapy alone. The NTM isolated likely represented transient colonization and resolved during TB therapy. However, the positivity of the patient's sputum smear for NTM led to unnecessary isolation.
Role of Janus Kinase inhibitors in the management of pulmonary involvement due to Long COVID-19 disease
Authors: Singh Pawan Kumar , Sharma Vinod Kumar , Lalwani Lokesh Kumar , Chaudhry Dhruva , Govindagoudar Manjunath B. , Sriram Chaudhari Pramod , Ahuja Aman
Published: June 2023

OBJECTIVES:

Ongoing symptomatic coronavirus disease 2019 (OSC) is defined as persistent symptoms beyond 4 weeks of acute illness. OSC leads to prolonged hospitalization and oxygen dependence. We aimed to find the outcome of Janus kinase inhibitors (JAKi) as a steroid-sparing agent to treat OSC.

METHODS:

In this single-center case-controlled study comparing JAKi and corticosteroids in OSC cases, data of 41 cases out of 86 were included – 21 in the JAKi group and 20 in the corticosteroid group from 4 weeks of acute illness to the next 4 weeks. Clinical parameters and inflammatory markers were recorded. The primary outcome was to compare the proportion of patients who were able to maintain oxygen saturation ≥95% with any oxygen supplementation in the two groups.

RESULTS:

The baseline clinical and demographic characteristics were similar in the two groups. The age was 53.65 ± 9.8 years and 51.48 ± 14.0 years in the corticosteroid group and JAKi group, respectively. At the baseline, 85% of patients in the corticosteroid group and 85.8% in the JAKi group were on oxygen support. The most common symptom in both groups was breathlessness followed by cough. Twenty percent of patients in the JAKi group received baricitinib and the remaining were given tofacitinib. At the time of follow-up, the majority of cases had a significant reduction in C-reactive protein (CRP) and D-dimer; however, the change in CRP and D-dimer was similar in both groups. The number of patients off oxygen support at 4 weeks was higher in the JAKi group (85% in the corticosteroid group vs. 95.2% in the JAKi group, P = 0.269), and the median time to liberation from oxygen support was significantly lower in JAKi group (19 days in corticosteroid group vs. 9 days in JAKi group, P < 0.001). The frequency of any adverse event was also higher in the corticosteroid group (70% vs. 23.8%, P = 0.003).

CONCLUSION:

JAKi can be used as immunomodulatory drugs in hypoxic OSC cases having evidence of ongoing inflammation.
Performance of emergency triage prediction of an open access natural language processing based chatbot application (ChatGPT)
Authors: Sarbay İbrahim , Berikol Göksu Bozdereli , Özturan İbrahim Ulaş
Published: June 2023

OBJECTIVES:

Artificial intelligence companies have been increasing their initiatives recently to improve the results of chatbots, which are software programs that can converse with a human in natural language. The role of chatbots in health care is deemed worthy of research. OpenAI’s ChatGPT is a supervised and empowered machine learning-based chatbot. The aim of this study was to determine the performance of ChatGPT in emergency medicine (EM) triage prediction.

METHODS:

This was a preliminary, cross-sectional study conducted with case scenarios generated by the researchers based on the emergency severity index (ESI) handbook v4 cases. Two independent EM specialists who were experts in the ESI triage scale determined the triage categories for each case. A third independent EM specialist was consulted as arbiter, if necessary. Consensus results for each case scenario were assumed as the reference triage category. Subsequently, each case scenario was queried with ChatGPT and the answer was recorded as the index triage category. Inconsistent classifications between the ChatGPT and reference category were defined as over-triage (false positive) or under-triage (false negative).

RESULTS:

Fifty case scenarios were assessed in the study. Reliability analysis showed a fair agreement between EM specialists and ChatGPT (Cohen’s Kappa: 0.341). Eleven cases (22%) were over triaged and 9 (18%) cases were under triaged by ChatGPT. In 9 cases (18%), ChatGPT reported two consecutive triage categories, one of which matched the expert consensus. It had an overall sensitivity of 57.1% (95% confidence interval [CI]: 34–78.2), specificity of 34.5% (95% CI: 17.9–54.3), positive predictive value (PPV) of 38.7% (95% CI: 21.8–57.8), negative predictive value (NPV) of 52.6 (95% CI: 28.9–75.6), and an F1 score of 0.461. In high acuity cases (ESI-1 and ESI-2), ChatGPT showed a sensitivity of 76.2% (95% CI: 52.8–91.8), specificity of 93.1% (95% CI: 77.2–99.2), PPV of 88.9% (95% CI: 65.3–98.6), NPV of 84.4 (95% CI: 67.2–94.7), and an F1 score of 0.821. The receiver operating characteristic curve showed an area under the curve of 0.846 (95% CI: 0.724–0.969, P < 0.001) for high acuity cases.

CONCLUSION:

The performance of ChatGPT was best when predicting high acuity cases (ESI-1 and ESI-2). It may be useful when determining the cases requiring critical care. When trained with more medical knowledge, ChatGPT may be more accurate for other triage category predictions.
Tumor Microenvironment Modulation by Neoadjuvant Erlotinib Therapy and Its Clinical Impact on Operable EGFR-Mutant Non–Small Cell Lung Cancer
Authors: Ahn Beung-Chul , Park Charny , Kim Moon Soo , Lee Jong Mog , Choi Jin Ho , Kim Hyae Young , Lee Geon Kook , Yu Namhee , Lee Youngjoo , Han Ji-Youn
Published: June 2023

Purpose Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors have greatly improved survival in EGFR-mutant (EGFRm) non–small cell lung cancer (NSCLC); however, their effects on the tumor microenvironment (TME) are unknown. We assessed the changes induced by neoadjuvant erlotinib therapy (NE) in the TME of operable EGFRm NSCLC.Materials and Methods This was a single-arm phase II trial for neoadjuvant/adjuvant erlotinib therapy in patients with stage II/IIIA EGFRm NSCLC (EGFR exon 19 deletion or L858R mutations). Patients received up to 2 cycles of NE (150 mg/day) for 4 weeks, followed by surgery and adjuvant erlotinib or vinorelbine plus cisplatin therapy depending on observed NE response. TME changes were assessed based on gene expression analysis and mutation profiling.Results A total of 26 patients were enrolled; the median age was 61, 69% were female, 88% were stage IIIA, and 62% had L858R mutation. Among 25 patients who received NE, the objective response rate was 72% (95% confidence interval [CI], 52.4 to 85.7). The median disease-free and overall survival (OS) were 17.9 (95% CI, 10.5 to 25.4) and 84.7 months (95% CI, 49.7 to 119.8), respectively. Gene set enrichment analysis in resected tissues revealed upregulation of interleukin, complement, cytokine, transforming growth factor β, and hedgehog pathways. Patients with upregulated pathogen defense, interleukins, and T-cell function pathways at baseline exhibited partial response to NE and longer OS. Patients with upregulated cell cycle pathways at baseline exhibited stable/progressive disease after NE and shorter OS.Conclusion NE modulated the TME in EGFRm NSCLC. Upregulation of immune-related pathways was associated with better outcomes.
Schrödinger equation with singular position dependent mass
Authors: Ruzhansky Michael , Sebih Mohammed Elamine , Tokmagambetov Niyaz
Published: June 2023

We consider the Schrödinger equation with singular position dependent effective mass and prove that it is very weakly well posed. A uniqueness result is proved in an appropriate sense; moreover, we prove the consistency with the classical theory. In particular, this allows one to consider

\delta

-like or more singular masses.
Pragmatic Management of Hand Involvement in Extended Oligoarticular Juvenile Idiopathic Arthritis: Ultrasound-guided Serial Interphalangeal Joint Injections
Authors: Cüce İsa , Yıldızhan Rıdvan , Veziroğlu Enes , Paç Kısaarslan Ayşenur
Published: June 2023

Small-joint involvement, including the interphalangeal joints of the hand, is less common in oligoarticular juvenile idiopathic arthritis (JIA). Ultrasound (US)-guided joint injections are also plausible for children. However, US-guided injections into pediatric small joints make the tips and tricks special because of the more difficult injection technique and greater risk of potential complications than with large joints. Here, we report the tips and tricks of serial US-guided interphalangeal joint injections in a male child with oligoarticular JIA who progressed to extended polyarthritis after an initial 6-month follow-up.
Does the Use of Multiplex PCR Contribute to the Management of Paediatric Emergency Physicians in <2-Year-old Children with Acute Respiratory Infections?
Authors: Aydin Orkun , Baydur Bengu , Baba Ikra Nur , Alp Alparslan , Teksam Ozlem
Published: June 2023

Multiplex polymerase chain reaction (PCR) is used to detect respiratory viruses in pediatric emergency departments, but its indications and interpretation of results must still be clear. In the present study, we examined the effect of detecting a viral agent with multiplex PCR on patient management. Infants and toddlers, aged between 1-24 months, who presented to the pediatric emergency department with respiratory tract infection complaints and underwent multiplex-PCR between 1 January 2014 and 28 February 2020 were included in the study. Patients with at least one agent detected were considered as the study group, and patients without detection were considered as the control group. The same design was implemented only for patients with chronic diseases. A total of 1106 patients were recruited [median age: 6.7 months (range: 2.9-13.0 months)]. Seven hundred and eighty-nine in the study group and 317 in the control group. There were no significant differences between the groups in hospital admissions (study group: 271 admissions; control group: 89 admissions; p=0.055), length of hospital stay duration [mean ± standard deviation: 3.09±7.87 days (study group) and 2.6±7.79 days (control group); p=0.045], or antibiotic use [234 patients (study group) and 77 patients (control group); p=0.078]. When these variables were examined only for those with chronic diseases, there was no difference again. Although multiplex PCR is an ideal method with high sensitivity, specificity, and cost-effectiveness, the limits of its clinical application need to be clarified. We did not observe significant differences in the treatment of patients with detected viral agents.
Management of thoracoabdominal impalement in a 12 weeks-pregnant woman: a case report from the Democratic Republic of the Congo
Authors: Munlemvo Dolly Matondo , Pembe Julie Ndjondo , Mombelecke José Gombele , Kwanza Mamie Sumbu , Nzamushe Jean Nzore , Ilunga Jean-Pierre Mwema
Published: June 2023

Thoracoabdominal impalement during pregnancy is a rare, challenging, and spectacular form of trauma associated with delicate considerations. This life-threatening condition requires urgent optimal management for maternal and fetal rescue. The quality of the prehospital transportation, perioperative management, and postoperative care will determine the outcomes. We present the case of a 20-year-old woman with a 12-weeks pregnancy, victim of thoracic and abdominal impalement following a fall from a tree branch in a remote area in the Democratic Republic of the Congo.

L'empalement thoraco-abdominal au cours de la grossesse est une forme rare de traumatisme, complexe et dramatique, associée à des considérations particulières. Cette affection à pronostic vital engagé, nécessite une prise en charge optimale et urgente pour sauvetage maternel et foetal. De la qualité du transport pré hospitalier, de la prise en charge péri-opératoire et des soins postopératoires, dépend l’issue de patients. Nous présentons le cas d'une gestante de 20 ans, porteuse d’une grossesse de 12 semaines d’aménorrhée, victime d'un empalement thoraco-abdominal consécutif à une chute d'une branche d'arbre dans une zone rurale de la RD Congo.
Fibromatosis Colli : a rare cause of torticollis in infants
Authors: Herinirina Fanantenana Nicolas , Tomboravo Christian , Ratsimarisolo Nathan , Ahmad Ahmad
Published: June 2023

La fibromatose colli est une tumeur bénigne, rare, du muscle sternocléidomastoïdien, causant des torticolis congénitaux chez les nouveau-nés ou les nourrissons. A ce jour, le mécanisme étiopathogénique de son apparition reste mal connu. Son diagnostic combine l’examen clinique et l’échographie qui permettent de mettre en évidence un épaississement caractéristique du muscle. Nous rapportons un cas, diagnostiqué par échographie, chez un nourrisson de six semaines sans antécédents particuliers ; dont l’évolution spontanée a été marquée par une régression totale après 3 mois, sans avoir à recourir à un traitement particulier.

Fibromatosis colli is a rare benign tumor of the sternocleidomastoid muscle, causing so-called congenital torticollis in newborns or infants. Until now, the etiopathogenic mechanism of its occurrence remains poorly understood. Its diagnosis combines the clinical examination and ultrasound, which makes it possible to highlight a characteristic thickening of the sternocleidomastoid muscle. We report a case of fibromatosis colli, diagnosed by ultrasound, in a six-week-old infant with no particular history whose spontaneous evolution was towards total regression after 3 months without having to resort to any particular treatment.
Diagnosed cerebral cortical venous thrombosis after initiation of chemotherapy for Burkitt's lymphoma: a case report
Authors: Siboub Mohamed
Published: June 2023

La thrombose veineuse cérébrale (TVC) dans le contexte du lymphome constitue un événement rare pouvant être grave et mettre en jeu le pronostic vital. L'évaluation des facteurs de risque pour une bonne stratification des patients est nécessaire avant tout traitement antitumoral. A travers cette observation rare et inhabituelle de TVC survenue après le début du traitement, nous attirons l’attention des praticiens sur l'intérêt d’une prophylaxie primaire des patients diagnostiqués avec lymphome à haut risque de maladie thrombo-embolique veineuse.

Cerebral venous thrombosis in lymphoma is rare and can be serious and potentially fatal. Evaluation of risk factors for correct stratification is required before antitumor treatment. Initiation of chemotherapy for bulky tumors can induce thrombosis in unusual localizations, which can be a serious diagnostic and therapeutic problem.Through an unusual and rare observation, we insist on the importance of primary prophylaxis of patients diagnosed with lymphoma with high risk of venous thrombo-embolic disease.
Péritonite aigue néonatale par perforation anténatale du tube digestif aux Cliniques Universitaires de Kinshasa : Rapport de deux cas
Authors: Badhoka Jérôme Kano , Biselele Thérèse Bakabumwa , Mbayabo Gloire , Mbala Théophile Biayi
Published: June 2023

Acute peritonitis by antenatal perforation of the digestive tract is rare in the neonatal period but it is associated with a high morbidity and mortality if the diagnosis is made late. A good antenatal ultrasound is essential for the diagnosis and the in-utero transfer to a specialized center finally where an early management guarantees a good prognosis. The authors make a case report of two newborns born from a delivery without apparent problem. The obstetric ultrasounds carried out had not revealed peritoneal effusion but the presence of perinatal abdominal distension that had raised suspicion of the diagnosis. The plain x-ray of the abdomen and an exploratory laparotomy confirmed the diagnosis. The postoperative course was marked by death for one and postoperative evisceration for the other due to late surgical treatment.

French Abstract

La péritonite aigue par perforation anténatale du tube digestif est rare en période néonatale mais elle est greffée d’une morbi-mortalité élevée si le diagnostic est fait tardivement. Une bonne échographie anténatale est indispensable pour permettre le diagnostic et le transfert in utéro vers un centre spécialisé enfin de permettre une prise en charge précoce gage d’un bon pronostic. Les auteurs font un rapport de cas de deux nouveau-nés nés d’un accouchement sans problème apparent chez qui les échographies obstétricales réalisées n’avaient pas mis en évidence un épanchement péritonéal mais la présence d’un ballonnement abdominal périnatal était suggestive du diagnostic. La radiographie sans préparation de l’abdomen et une laparotomie exploratrice ont confirmé le diagnostic. Les suites opératoires étaient marquées par un décès pour l’un et une éviscération post-opératoire pour l’autre à cause d’une prise en charge chirurgicale tardive.

Mots-clés : Péritonite néonatale, perforation digestive
Cervicalgies révélant un syndrome d’Eagle : À propos de deux cas
Authors: Kahwagi Jamil , Diop Allasane Mamadou , Ngoule Mark Olivier , Fall Maouly
Published: June 2023

Eagle syndrome is a set of clinical and radiological signs related to calcification of the stylohyoid ligament. We report 2 cases of patients who came to consult for intermittent laterocervical pain. The cervical and petrous CT scan performed in the patients showed a bilateral long styloid process. A medical treatment based on carbamazepine and paracetamol was initiated in both patients with good clinical evolution and significant reduction in pain intensity. Eagle syndrome is a rare pathology that should not be ignored by the doctor, in order to avoid diagnostic and therapeutic errors.

French Abstract

Le syndrome d’Eagle est un ensemble de signes cliniques et radiologiques en rapport avec une calcification du ligament stylo-hyoïdien. Nous rapportons ici deux cas cliniques de deux femmes âgées respectivement, de 26 et 36 ans ayant consulté pour des douleurs latérocervicales. Le scanner cervical et du rocher réalisé chez les patients a montré un aspect de longue apophyse styloïde bilatérale. Un traitement médical à base de carbamazépine et paracétamol a été initié chez les deux patientes et a conduit à une réduction significative de l’intensité de la douleur. Le syndrome d’Eagle est une pathologie rare qui ne doit pas être méconnu par le médecin, afin d’éviter les errances diagnostiques et thérapeutiques.

Mots-clés : Douleur cervicale ; syndrome d’Eagle ; Apophyse styloïde
Determinants of Urinary Incontinence using IIQ-7 and UDI-6 in pregnant women: A case series in hospital setting in Kinshasa
Authors: Loposso Mathieu Nkumu , Mosolongo Tresor Yebe , Moningo Dieudonné Molamba , Diangenda Pablo Kuntima Diasama , Punga-Maole Augustin Monga Lembe
Published: June 2023

Context and objective. Little is known about urinary incontinence (UI) in pregnant women in Sub-Saharan Africa. The present study aimed at describing clinical profile and assessing the determinants of UI in pregnant women.

Methods. This was an analytical case series study consisting of all pregnant women seen in consultation in 3 medical formations in Kinshasa from June 2020 to May 2021. The selected women answered 2 UI assessment questionnaires: the Incontinence Impact Question-7 (IIQ-7) and the Urinary Distress Inventory-6 (UDI-6).

Results. One thousand fifteen women were interviewed. The average age was 28.9 ± 6.6 years, the age group of 20- 29 years was the most represented. The women's UDI-6 score increased significantly with age (p=0.001). The factors leading to severe disability were the university study level (p<0.001), multigestation (p=0.026), smoking (p<0.001), physical inactivity (p<0.001), obesity (p=0.008), infection (p<0.001), chronic cough (p=0.020), twin pregnancy (p=0.027), pelvic surgery (p<0.001), macrosomia (p<0.001) and UI (p<0.001).

Conclusion. Urinary incontinence is observed at a high rate in pregnant women, characterized by an increase with age. It is marked by several associated factors (smoking, multiparity, and alcoholism, multigest)

French Abstract:

Contexte et objectif. On sait peu de choses sur l'incontinence urinaire (IU) chez les femmes enceintes en Afrique subsaharienne. La présente étude a visé à décrire le profil clinique et à évaluer les déterminants de l'IU chez les femmes enceintes.

Méthodes. Il s'agissait d'une série analytique des cas. La population étudiée était constituée de toutes les femmes enceintes vues en consultation dans 3 formations médicales de Kinshasa de Juin 2020 à Mai 2021. Après enquête, toutes ces femmes ont répondu aux questionnaires IIQ-7 et UDI-6. Résultats. 1015 femmes ont été interrogées. L'âge moyen était de 28,9 ± 6,6 ans, la tranche d'âge 20-29 ans était la plus représentée. Le score UDI-6 des femmes augmentait significativement avec l'âge (p=0,001). Les facteurs de handicap sévère étaient le niveau d'étude universitaire (p<0.001), la multigestation (p=0.026), le tabagisme (p<0.001), la sédentarité (p<0.001), l'obésité (p=0.008), l'infection (p<0.001), la toux chronique (p=0.020), la grossesse gémellaire (p=0.027), la chirurgie pelvienne (p<0.001), la macrosomie (p<0.001) et l'IU (p<0.001).

Conclusion. L'incontinence urinaire est observée à un taux élevé chez les femmes enceintes, caractérisée par une augmentation avec l'âge. Elle est marquée par plusieurs facteurs associés liés au mode de vie de la femme elle-même (alcoolisme et tabagisme) et aux multiples grossesses.

Mots-clés : incontinence-multigestite, multiparité, tabagisme
Quality Characteristics and Volatile Compounds of Shea Butter Under Different Storage Conditions
Authors: Honfo F.G. , Linneman A.R. , Soumanou M.M. , Akissoe N. , Van Boekel M.A.J.S.
Published: June 2023

Proper storage of shea butter is crucial to maintain quality and ensure availability of the product over time, particularly in the production zones where  refrigeration is not an option. The present study investigated several quality characteristics of shea butter under different storage conditions. Three  packaging materials (i.e. calabash, black plastic, and transparent plastic), often used to store shea butter in the production zones, were used to store the  butter for six months at ambient conditions (28-30ºC) and at low temperatures (4-7ºC). After 6 months of storage, all parameters investigated were  significantly affected by storage conditions and storage duration while the effects of the packaging materials were less pronounced. At ambient  conditions, changes were more pronounced than at low temperatures. For instance, after 6 months of storage, the increase of free fatty acid of butter  stored in a calabash was three times higher than that stored in refrigerator (1.9 % at ambient conditions against 0.53 % in refrigerator). Also, the rate of  oxidation reaction was two times higher at ambient temperature than at refrigerator temperature. After 6 months of butter storage, the number of  volatile compounds increased from 42 to 54 at room temperature and from 42 to 47 at refrigerator. The increase in rate of chemical reactions at ambient  conditions is in accordance with the hypothesis that the quality changes of shea butter are caused by chemical reactions influenced by the temperature  of storage. Black plastic containers seemed to be the better packaging materials for a long storage period.
Factors Influencing Consumer Preference for Beef or Chevon in the Northern Region of Ghana
Authors: Abraham D.T. , Ansah T. , Adzitey F.
Published: June 2023

The study examined the influence of husbandry practices and socio-cultural factors on consumers' preference for beef or chevon in the Northern Region  of Ghana. A descriptive crosssectional survey with 410 participants was used in this research. The participants were chosen using the convenience  sampling method. The significance of associations was determined by chisquare analysis, and binary logistic regressions were used to asses influence of  factors on meat preferences. Out of the 410 respondents, 65.6% were males, and the mean age was 33.5 years. Most of the respondents (59.0%)  indicated that their type of meat preference is beef as compared to 41.0% who preferred chevon. The meat type consumers usually purchased was beef  as indicated by 62.0% of the respondents. Both age and marital status had a significant association with meat type purchased. Among the husbandry  practices, quality and hygiene of animal feeds or watering were significantly associated with meat preference. Age of the respondent predicted meat  preference with those within the age group of 35 – 44 years more likely (5.8 times) to prefer chevon than beef as compared to those within the age group  of 24 years and below. The results further shows that single respondents were more likely to prefer chevon than beef, when compared with those  married. The religion of the respondents predicted meat preference with traditional religious belief more likely to prefer chevon over beef as compared  to those from Islamic religious belief. Generally beef was the most preferred meat type with husbandry practices and some socio-cultural factors such as  age, marital status and religious practice influencing choice of meat type. It is recommended that farmers on the basis of this study consider animal  husbandry practices such as feeding with quality housing very serious in order to attract meat consumers.
Assessment of the role of government in addressing the challenges of internally displaced persons in Abuja, Nigeria camps
Authors: Onuh Eyianmanu Maria
Published: June 2023

This paper evaluated the role of government in ameliorating the challenges confronting the internally displaced persons in camps in Nigeria. Using semi structured interview, it was established that human rights abuses, lack of access to health care services, difficulty in accessing legitimate means of livelihood, protection risks, discrimination, documentation and identity issues, legal access, lack of protective shelter and negligence by government remain the major challenges for the displaced persons in Abuja camps. Sanctions for nations of UN that fail to comply with the guiding principle on internal displacement, legal documentation and reintegration, media intervention to draw government closer and periodic monitoring and review of the conditions of IDPs in camps, were recommended.
To take or not to take: determinants of student’s preparedness to take Covid-19 jabs in Ghana
Authors: Sika-Bright Solomon , Darko-Asumadu Daniel Ampem , Frimpongmaah Dorcas
Published: June 2023

The decision to take Covid-19 jabs is a critical concern in the midst of the pandemic. The study examined the determinants of students‟ preparedness to get vaccinated. The quantitative approach guided the explanatory research design to obtain data from 230 University of Cape Coast students who were randomly selected for the study. Although students have knowledge about the vaccines via television and radio stations, the study concluded that a larger proportion of them have not taken the jab. The overarching reason was the side effects of taking the vaccine. Students shared similar attitudes toward taking the Covid-19 vaccine regardless of their sociodemographic characteristics and differences. The study depicted that taking the jab was based on fair distribution of vaccines across region and preference for local medication. The study recommended that the Ghana Health Service should mount more vaccine centres closer to students‟ residents to promote easy accessibility.
Poverty reduction strategies and national development in Nigeria
Authors: Dii Christian Tsaro
Published: June 2023

The study on poverty reduction strategies and national development in Nigeria sets out to evaluate the effectiveness of the poverty reduction strategies on improving national development of Nigeria between 1999 and 2015. The proposition of the study stated that poverty issues were endemically a political challenge and that poverty reduction strategies were merely a technical response that cannot reduce poverty. The qualitative research approach based on conceptual and normative analyses of data was adopted whilst the theoretical framework used was dependency theory. The study found that despite the several poverty reduction programmes embarked on, some multi-sectoral while others were sector specific, the poverty incidence in Nigeria was steadily on the increase thus validating the proposition that poverty reduction strategies of the World Bank and IMF are merely technical responses to a fundamentally political challenge. The study recommended that the World Bank, IMF, donor and aid agencies as well as the poor countries should understand the impact of politics on poverty as such emphasize political reforms alongside poverty reduction strategies in order to deal with poverty reduction in the Third World.
Sampling in populations for whole genome sequencing: how to capture diversity while ensuring representativeness?
Authors: Rebai Ahmed
Published: June 2023

No Abstract
Ethos in Nigerian music: Moving the creative industry to creative economy
Authors: Nwankpa Onyee N. , Nwankpa Clare Ifeyinwa
Published: June 2023

This article aims at reengineering the creative industry of music into the creative economy structure. As a critical sector of the Nigerian economy, music and its economic potential are quite enormous and require to be properly harnessed to provide appropriate royalties and revenues both to the artistes and to the government. Without doubts, music has many aspects to engender funds and income. What are these areas and what services do they provide? This paper discusses the various ways of moving music under the umbrella of the creative industry to the creative economy through the empirical research methodology, interviews, and primary and secondary sources of data collection. It also establishes models and strategies capable of generating money for the practitioners as well as yielding revenue to the government. Music ethos provides the conceptual framework and understanding dealing with logical thinking, intellectual philosophical mores, and harvest capable of driving home this research. Through the establishment of economic structures, it is believed and envisioned that the application or engagement of logical creative thinking, creative economy structures, and royalty sources flow, intellectually stimulating philosophy in commerce and entrepreneurship is capable of moving the Nigerian Music from creative industry to creative economy.
Modelling a manufacturer-retailers trade credit supply chain using game theory
Authors: Ezimadu P.E. , Ezimadu S.O.
Published: June 2023

Game-theoretic trade credit models are quite scarce, especially in relation to product promotion. This work examined a trade credit supply chain involving a manufacturer and two retailers in a decentralised supply chain in which the retailers engage in product promotion while the manufacturer financed them through credit provision. It considered a supply chain structure in which the manufacturer provides trade credit to the retailers and a situation in which he does not provide trade credit. It used Stackelberg game theory to determine the optimal promotion efforts, the credit periods and the players’ payoffs, and showed that while the manufacturer is better-off with the retailers’ efforts, the retailers need to consciously determine appropriate optimal effort to avoid getting short-changed. It also showed that while credit period reduces with the manufacturer’s margin, it increases with a retailer’s margin. It further showed that while the retailers’ payoffs reduce continuously with credit period, the manufacturer’s payoff is fixed in the long-run irrespective of the credit period provided by the manufacturer to the retailers. By comparison the players as well as the channel perform better with the adoption of trade credit, however a retailer must avoid placing he price margin at equality with that of the manufacturer if he hopes to enjoy long credit period.
Metody i narzędzia Lean Management w zarządzaniu szpitalem – studia przypadków
Authors: Bąk Danuta
Published: June 2023

Methods and tools of Lean Management in hospital management – case studies Lean Management is a management concept whose main goal is to support the management and employees in improving the entity. The concept of Lean Management is of particular importance in the healthcare sector. Its importance in the improvement of health care units resulted in the creation of a subdiscipline of management called Lean Healthcare. The main goal of the empirical research undertaken is to show the role and importance of selected Lean Management methods and tools in health care units. The main research method used in the research procedure was a case study of selected health care units that implemented Lean Management methods and tools in their facilities. The method of analyzing the content of documents of the surveyed units was also used. The most frequently used Lean Management methods and tools in the surveyed healthcare units include: Kaizen, Kanban, Just-in-Time, 5S, A3, Takt Time, Value Streams Mapping, Visual Management, Gemba, Pull system. The surveyed entities decided to implement them mainly due to the desire to eliminate the phenomenon of waste, improve the quality of services and improve the area of services provided. The research also showed that the LM methods and tools implemented by the surveyed units brought measurable organizational, operational, logistic, financial and image benefits. Lean Management in healthcare units brings measurable benefits and multi-range benefits. However, special attention should be paid to the barriers and difficulties that individuals in this sector may encounter in implementing LM methods and tools. The health care sector is specific, so implementing changes in the units representing it should take into account counteracting possible, identified implementation barriers.
RODO w zdrowiu publicznym – wybrane aspekty praktyczne
Authors: Lipowski Paweł , Kowalik Iwona
Published: June 2023

Selected practical aspects of General Data Protection Regulation in public health

This article presents the characteristics of selected practical aspects related to the need to apply the provisions of the so-called General Data Protection Regulation (GDPR) in institutions classified as public health. The basic element of the considerations is the presentation of examples of violations of the provisions of the GDPR, and more broadly the provisions relating to the protection of personal data, which, observed in the daily functioning of selected public health institutions, may be an incentive to take preventive measures in all such institutions. At the same time, this paper presents potential remedies that may also take the form of so-called good practices. Being aware of the difficulties in applying the provisions of the GDPR, the authors, by presenting their observations, want to contribute to the discussion on the practical aspects of personal data protection in the area of public health, both in its practical and scientific terms.
Protective Effects of Rosuvastatin on Kidney in Experimental Hypertension Rats Models
Authors: ONAT Elif , TÜRK Ahmet , KOCAMAN Nevin
Published: June 2023

Hypertension is responsible for approximately 30% of patients who reach end-stage renal disease. Caspase-3 is an important protein in the apoptosis of renal tubular epithelial cells. The presence of fibrillin-1(FBN1) microfibrils in the structure of the kidney glomerulus causes changes in FBN1 levels in the hypertensive kidney. Statin therapy is known to reduce the risk of developing kidney disease. In this study, the changes in caspase-3 and FBN1 in the kidney tissue of rats with hypertension using N-Nitro-L-Arginine Methyl Ester (L-NAME) were investigated along with how rosuvastatin affected the changes caused by hypertension on these proteins.

To induce hypertension, rats were given L-NAME for 7 weeks. After the second week, rosuvastatin was given by oral gavage for 5 weeks. Blood pressure values were evaluated on days 0, 14, 28, 42. At the end of the experiment, all rats were sacrificed and caspase-3 and FBN1 levels were evaluated.

Blood pressures were found to be higher in the hypertension group on the 14th, 28th, and 42nd days (p
RESPONS SISWA TERHADAP PERILAKU MENGAJAR GURU BERSERTIFIKASI
Authors: Tri Laksmi Ni Nyoman Ayu , Karinda Yuliana Olgadesti , Wedasuwari Ida Ayu Made , Susrawan I Nyoman Adi , Suciari Ni Komang Dina
Published: June 2023

Penelitian ini bertujuan untuk mengetahui respons siswa terhadap pembelajaran yang dilakukan guru bersertifikasi. Penelitian  ini  menggunakan jenis penelitian  deskriptif  dengan  pendekatan  kualitatif.  Teknik pengumpulan data dalam penelitian ini dilakukan dengan menggunakan angket dan wawancara. Hasil penelitian ini menunjukkan bahwa siswa menunjukkan respon positif terhadap prilaku mengajar guru bersertifikasi. Hal ini ditunjukkan dari hasil angket yaitu sebanyak 91,88% siswa sangat setuju dan setuju terhadap perilaku mengajar guru bersertifikasi yang sudah ideal dalam pembelajaran. Penelitian ini berimplikasi terhadap kebijakan pemerintah yang berkaitan dengan sertifikasi guru.
Simulation of the Movement of Groundwater in an Aquifer
Authors: AL-Ali Suha Ibrahim Salih , AL-Awsi Nihad Jalal Kadhem
Published: June 2023

This study investigates the impact of extracting fresh water from areas where salt water and fresh water meet in tropical regions. Traditionally, fresh water is expected to be found above salt water in the ocean or underground. To carry out the investigation, Green's Function method is used, and a numerical chart is presented that includes an equation derived from Green's II matching. The study computes the shape of the interface during water withdrawal and flows through the basins and sources of the line. In addition, this study obtains an analytical solution to the linear problem for the non-withdrawal scenario. Finally, the study identifies the maximum rate of water withdrawal before the initial breakthrough of salt water for different density ratios.
PARLAMENTER DİPLOMASİ EKSENİNDE BÖLGESEL BİR BÜTÜNLEŞME HAMLESİ: TÜRKPA
Authors: ÖZKAN Ahmet
Published: June 2023

Günümüz dünyasında devletlerin küresel ya da bölgesel düzeyde bir araya gelerek birliktelik oluşturduğunu söylemek mümkündür. Bu birliktelikler kimi zaman ekonomik kimi zaman kültürel kimi zaman askerî kimi zaman da siyasi birliktelikler olarak tezahür etmektedir. Özellikle 1991 yılında SSCB’nin dağılması ile birlikte Orta Asya’da ortaya çıkan bağımsız Türk cumhuriyetleri ile temasa geçen ve ilişkileri geliştirme gayreti gösteren Türkiye, 90’lı yıllarda TİKA ve TÜRKSOY gibi kuruluşlarla bölge ülkeleri ve halkları ile etkileşim içerisine girme gayreti göstermiştir. Aynı şekilde bölgede ihdas edilen bağımsız cumhuriyetlerin de Türkiye’ye karşı göstermiş olduğu teveccüh 2008 yılına gelindiğinde TÜRKPA’nın kuruluşuna vesile olmuştur. Türkiye, Azerbaycan, Kazakistan ve Kırgızistan’ın 2008 yılında bir araya gelerek kurduğu TÜRKPA, ilişkilerin her platformda geliştirildiğinin bir göstergesi olmuştur. Nitekim bu çalışma parlamenter diplomasi çerçevesinde bölgesel bir bütünleşme hamlesi olarak ön plana çıkan TÜRKPA’nın oluşumu, kurumsal yapısı ve üye ülkelerin parlamenter sistem görünümleri çerçevesinde incelenecektir.