bluuebunny/crossref_metadata_2025 huggingface dataset:
Entornos saludables y autocuidado en temporada de pandemia por COVID-19 en estudiantes universitarios
Authors: Espinoza Véliz Miriam Zulema , Espiritu Martinez Antony Paul , Espinoza Egoavil Melvi Janett , Gomez Perez Katerine karen
Published: August 2024

El estudio tuvo como objetivo general evaluar el entorno saludable para el autocuidado del COVID - 19 en estudiantes de la EPE UNAAT 2020, investigación de tipo cuantitativa, de diseño correlacional, tuvo una muestra de 40 estudiantes, la salud que laboran en áreas críticas, como instrumentos dos guías de observación, como técnica la encuesta, y como instrumentos un cuestionario y escala de actitud, mostro en los resultados que: el 78% (39) de estudiantes presentaron un entorno saludable básico, de los cuales un 56% (28) presentó medidas de autocuidado de enfoque deficiente, seguido de un 18% (9) de enfoque moderado y un 4% (2) de enfoque óptimo; un 20% presentó un entorno saludable integral y 2% (1) un entorno óptimo. En conclusión, el design de cuidado para fomentar entornos saludables mostró un contexto saludable básico enmarcado en el caring de autocuidado con enfoque deficiente a moderado para el autocuidado en COVID-19.
Normed-Bifuzzy Valued-Ideals of Semigroups
Authors: Hamidi Mohammad , Rasuli Rasul
Published: August 2024

As concerning the views of T norms and T conorms, the intent of article is to define and probe the fuzzy semigroups, fuzzy ideals, fuzzy bi-ideals, bifuzzy subsemigroups, bifuzzy ideals, bifuzzy bi-ideals, fuzzy (1, 2)-ideals and bifuzzy (1, 2)-ideals in any given semigroup. Also, we indicate and study their basic properties of them in completely regular semigroups. Finally, we extend these concepts and so characterize (pre)image of them in semigroup homomorphisms.
Prevalencia de Neuropatía en Pacientes Diabéticos que Acuden a Electromiografía en un Hospital Privado de Torreón, Coahuila
Authors: María Fernanda Borbón Reyna , Francisco Amador López Rivera
Published: August 2024

Este artículo analiza la prevalencia de Neuropatía diabética (ND) en pacientes que acuden a estudio electromiográfico en un hospital privado de Torreón, Coahuila, procedentes de instituciones tanto públicas como privadas. El objetivo principal es determinar la prevalencia de ND en pacientes diabéticos que acuden a electromiografía. Teniendo como objetivos secundarios el determinar la prevalencia de ND en pacientes insulinodependientes, gravedad de la ND y el tiempo de evolución de la Diabetes Mellitus (DM) en estos pacientes. Para lograr estos objetivos, se elaboró un estudio transversal, analítico y observacional, tamaño de muestra de 300 expedientes clínicos. Los resultados demuestran que la prevalencia de ND en estos pacientes fue del 76%, teniendo un rango de evolución de 1 a 40 años. El 88% de los pacientes insulinodependientes presentan ND y la mayoría la presentan de forma moderada a severa. Los resultados concuerdan con la prevalencia nacional de ND, concuerdan con mayor prevalencia a mayor tiempo de evolución, y discrepa en prevalencia de mujeres versus hombres. Por lo tanto, podemos determinar que la ND tiene una prevalencia nacional mayor que en el resto del mundo. Es importante el diagnóstico precoz para mejorar la calidad de vida del paciente, no hubo una diferencia importante entre pacientes insulinodependientes con los que no lo son.
Creating a "Ready-to-Use" AI Agent for Navigating Digital Platform to Enhance Collaborative Efficiency
Authors: Qiu Yiting , Chen SiYuan , Wai Yie Leong
Published: August 2024

The study aims to address the prevalent issue of navigation inefficiency within digital collaboration platforms, a critical factor affecting user productivity and satisfaction. This paper identifies research gaps and highlights the potential of multimodal AI Agents in revolutionising user experience in these platforms. Specifically, the development of a ready-to-use AI Agent was designed for the DingTalk platform, capable of guiding users through various digital functionalities via conversational interfaces. By leveraging recent advancements in large language models (LLMs) and the concept of "Model as a Service" (MaaS), the proposed AI solution seeks to overcome current navigation obstacles, thereby enhancing the sustainability and effectiveness of digital work ecosystems.
Voice-Assisted News App using Natural Language Processing
Authors: Ahmed Khan Suhail , K.E. Chitra , Wan Husin Wan Nor Al-Ashekin
Published: August 2024

In recent times, the advancements in Artificial Intelligence (AI) and natural language processing (NLP) have enabled the development of novel voice-assisted apps. This study introduces a cutting-edge Voice-Assisted News App that utilizes the capabilities of Alan M, a prominent AI platform that revolutionizes the way people access news. This research endeavor attempts to utilize Alan Al's capabilities to offer a personalized news experience and enhance clarity through voice interactions. Users of the Voice-Assisted News software can effortlessly request and select their preferred news topics, and the computer will generate the most relevant news updates. Through integration with diverse news sources and the application of sophisticated algorithms, the program generates an individualized news stream for every user, ensuring they receive the latest and most relevant information. Users can efficiently access story audio descriptions. The app's speech interface allows users to navigate across different news categories. The NLP algorithms developed by Alan AI offer precise understanding of user demands by ensuring smooth interaction and an authentic conversational experience
MENINGIOME KYSTIQUE DE LA FAUX DU CERVEAU : A PROPOS D’UN CAS CLINIQUE ET REVUE DE LITTERATURE.
Authors:   CHU hôpital du Mali Bamako, Dama, et al... Mahamadou
Published: August 2024

Cystic meningioma is a rare extra-axial tumor. Represent 4 to 7% of all intracranial meningioma. We report a case of falx cystic meningioma and literature review. Clinical case This is a 23 years old patient with relative personal health history who has presented for nearly two years generalized headache associated with left hemiparesia. The head scan and IRM showed a right posterior parietal tumor with a cystic and fleshy component which was interpreted as glioma. The patient was operated and the intraoperative aspect was an extra axial lesion inserted to the middle tierd of the falx cerebri with a clear cleavage plan with the cerebrum. A total exeresis of the lesion was down and the histological study confirm the diagnosis. Conclusion The cystic meningioma is a rare variant of intracerebral meningioma of which only histology makes it possible give the diagnosis of certainty. Keyword: Meningioma, Cystic, IRM, CT scan, falx cerebri
CHIRURGIE DES CANCERS COLORECTAUX : INDICATIONS ET RESULTATS DU TRAITEMENT A PROPOS DE 73 CAS AUCHU SYLVANUS OLYMPIO DE LOME (TOGO)
Authors: SAMBIANI, et al... Damigou Mawul
Published: August 2024

Aim: Identify the indications for colorectal cancer surgery, to analyze the therapeutic management, morbidity and mortality at the Sylvanus Olympio University Hospital in Lomé Patients and methods: This was a descriptive retrospective study over 10 years (from January 2008 to December 2017) collecting the files of patients having had surgery for colon and / or rectum cancer in the visceral surgery department of the Sylvanus Olympio University Hospital in Lomé (TOGO). Demographic data, etiologies, surgical treatment and its early results were noted. A univariate analysis of the factors of mortality was carried out. Results: We collected a total of 73 files, an annual frequency of 7.3 cases. The annual frequency of colorectal cancer surgery is 2.8%. The sex ratio was 2.3 (51 men, 22 women). The average age of patients was 53.4 years. Eighteen patients (24.7%) were received in an emergency context. The most frequently treated conditions were tumors of the rectum (52.1%). Anterior resection of the rectum was performed in 42.5% of the cases, followed by a left hemi-colectomy in 35.6% of the cases. One or more complications were noted in 45.2%. The most common complication was a wound infection, seen in 23.3% of patients. An anastomotic fistula was noted in 13.7%. We noted 5 deaths or 6.8% mortality. Conclusion: Surgery for colorectal cancers occupies an important place in our practice. It is most often a scheduled surgery or a deferred emergency. The complications are not negligible. Keywords: surgery, colorectal cancers, complications
LA CHIRURGIE DES PERTES DE SUBSTANCES DU CUIR CHEVELU : A PROPOS DE 24 CAS COLLIGES A L’HOPITAL A. LE DANTECDE DAKAR
Authors: NDIAYE, et al... Lamine
Published: August 2024

Introduction: The main function of the scalp is to protect the calvarium. The particularities linked to its inelasticity and hairs make its reconstruction particularly difficult. The objective of this work was to assess the results of the management of loss of substance (los) of the scalp. Patients and methods: This is a retrospective study of 24 patient records collected between January 2003 and December 2019. Only losses of substance that could not be closed by direct suturing were included. The procedures used were: directed wound healing, skin grafting and flaps. Results: The average age of the patients was 30 years [16 months - 67 years] with a sex ratio of 1.5. The etiologies were dominated by tumor excision in 14 cases (58.3%). The loss of substance was less than or equal to ¼ of the scalp in 07 cases, between ¼ and ½ in 13 cases and greater than half of the scalp in 04 cases. The loss of substance was covered by skin grafting in 16 cases, by flaps in 5 cases, by scarring in two cases and by expansion prosthesis in one case. Complications were minor with hypertrophic scarring in 3 cases and prosthetic exposure in one case. The results were deemed satisfactory. Conclusion: The reconstruction technique should be made as simple as possible, taking into account the criteria related to the patient, the PDS and the available therapeutic arsenal. The skin graft gives good results but leaves a permanent alopecia on the spot. Keywords: scalp, loss of substance, reconstruction.
LA RADIOTHERAPIE PALLIATIVE HYPOFRACTIONNEE DANS LES CANCERS DU COL UTERIN STADE IVA : ETUDE MONOCENTRIQUE A L’INSTITUT JOLIOT CURIE DE DAKAR AU SENEGAL.
Authors: DIENG, et al... Mamadou Moustapha
Published: August 2024

Objectives: The objective of our study was to determine the diagnostic, therapeutic with external beam therapy and progressive aspects of FIGO stage IVa cervical squamous cell carcinoma at the Aristide le Dantec Hospital Cancer Department. Patients and Methods: We included all patients with stage IVa cervical carcinoma who had palliative radiotherapy. The patients were all treated with Co60 by two anteroposterior and anterior posterior to mid-thickness with cache. The KaplanMaier method was used for the calculation of survival. Results: we had 74 patients with a mean age of 51 years (30-73 years). More than 2/3 (68.9%) of the patients were anemic. Squamous cell carcinoma was the predominant histological type (92%). Sixty-nine patients had 30 Gy in 10 sessions of which 12 patients had a pelvic overdose, 2 patients had a single dose of 6 and 8 Gy and 3 patients had 2 sessions of 8 Gy spaced 3 weeks apart. Concomitant chemotherapy involved 18 patients. Two patients had surgery. The response was complete in 7 patients, 52 patients had a partial response, 8 patients had stable lesions, 7 patients had progression. The evolutionary recovery was noted in 9 patients with an average delay of 3.8 months. Recurrences were found in 14 patients with an average delay of 16 months. Overall survival was 37% at 1 year and 18% at 2 years Conclusion: Palliative treatment has improved in 80% of cases the local control of the tumor. However, the prognosis remained unfavorable with a mortality rate of 65% in the first year. Key words: cervical cancer, radio chemotherapy, palliative
TRAITEMENT CHIRURGICAL DES CANCERS DE L’OVAIRE A L’UNITE D’ONCOLOGIE DE DONKA.
Authors: Bah, et al... Malick
Published: August 2024

Introduction: To evaluate the results of surgical treatment of ovarian cancers at the Donka Oncology Surgery Unit. Patients and methods: This was a retrospective cohort of patients operated for histologically confirmed ovarian cancer from April 11, 2007 to December 31, 2017. Results: We collected 69 cases of ovarian cancer, of which 20 (28.98%) were operated on. The age ranged from 13 to 66 years with an average of 41.5 years; 45% were menopausal and 35% multiparous. The abdominopelvic pain and ascites were revealing respectively in 14 and 11 patients. The preoperative diagnosis was based on abdomino-pelvic ultrasound performed in 19 patients, she objectified the ovarian mass in 57.9% of cases. During the initial surgery, minimal cytoreduction was obtained in 14 patients and maximum cytoreduction in 6 patients. Second-look surgery was performed in 6 of the operated patients. The postoperative complications observed were ventral hernia, suppuration and evisceration with 2 locoregional recurrences. Survival at 12 months was 38%. Conclusion: The diagnosis of ovarian cancer is late. Surgery remains the standard treatment supported by chemotherapy to improve the survival and prognosis of ovarian cancer in our context. Keywords: Ovarian cancer - results - surgical treatment
INTERET DE LA VOIE RETRO PHARYNGIENNE DANS LA CHIRURGIE DU RACHIS CERVICAL HAUT
Authors: Gaye, et al.. Magatte
Published: August 2024

Summary Introduction: Retro-pharyngeal approach is useful in the management of upper cervical spine lesions. However the present of critical neurovascular structures explain the complexity of this approach.We made a report of patients with upper cervical spine lesions who have been operated using this approach. Observations:The first patient is a 46 years old housewife who presented a spastic tetraparesis and neuroimaging showed a C2-C3 cervical disc herniation with an intra-medullary hyper signal. The second patient is a 39 years old man received for hangman’s fracture after road traffic accident. The indication of anterior approach of the cervical spine was retained in both cases and realized in dual neuro-ORL team by a retro-pharyngeal approach. The outcome was satisfactory in both cases. Conclusion: Upper cervical lesions is rare and it is interesting to work in a double team because if anterior approach for the location of the lower cervical spine remains simple and easy for any neurosurgeon, it’s not the case for upper cervical locations. Keywords: cervical spine, C2-C3 lesions, retro pharyngeal approach
RESULTATS DE LA PRISE EN CHARGE CHIRURGICALE DES DERMATOFIBROSARCOMES PROTUBERANTS RECIDIVANTS DU TRONC DANS UN PAYS A RESSOURCES LIMITEES.
Authors: SOME, et al... OLLO ROLAND
Published: August 2024

A rare local malignancy fibroblastic tumor, the dermato-fibrosarcoma protuberans of the thoraco abdominal wall is the most frequent localization. Its iterative surgical management in unqualified centers in our context exposes to monstrous recurrences. We report 3 cases of surgery associating wide oncological resection and plastic surgery. We operated 3 cases in 3 years. They were all male and were 52, 32 and 29 years old. In all 3 cases it was an iterative surgery. The resection was R0. Apart from keloid scars, the aesthetic result is considered satisfactory. After an average follow-up of 18 months, no recurrence is noted. Dermatofibrosarcoma is a rare but not exceptional subcutaneous cancer known for its recurrent character after inadequate surgery. Its truncular location out of sight contributes to a late consultation. Oncological surgery in our context is debilitating and requires plastic surgery. Keywords:Dermato-fibrosarcoma protuberant, trunk, surgery, plasty, Bobo-Dioulasso
PRISE EN CHARGE CHIRURGICALE DU CANCER DU SEIN DANS UN HOPITAL CONFESSIONNEL DU CAMEROUN
Authors: ZARE, et al... Cyprien
Published: August 2024

Introduction: findings of breast cancer amount young women is already current in Target: to report the results of management of patients with breast cancer at a presbyterian hospital of cameroon Patients and Methods: It’s about a retrospective and analytic study, with descriptive orientation covering the period from 1st April 2012 to 1st February 2016, concerning women affected by noninflammatory cancer. Results: Duirng a period of 5 years, 144 women has been found affected by breast cancer at a presbyterian hospital of cameroon. Heathy-two who underwent breast cancer treatment were included. The average age was 44 years. The classification of the pathology was as follow in majority T3N0M0 was present in 32,9%. Mastectomy technique has been practiced on 63,4 % of patients, however BCS technique has been realized in association to neo-adjuvant chemotherapy on 36,6%. The post-operative was complicated with 2 cases of lymphedema after mastectomy technique. With a 5-year follow-up, global relapse was 12%, metastasis was observed in 20,7%, global mortality was 12,2% and global survivalwas 87,8%. Mastectomy survival was 86,5% however conservative treatment for breast cancer was 90%. Conclusion: The conservative treatment for breast cancer is an innovative technique in the surgical treatment of breast cancer Key words: cancer, breast, conservative surgery, mastectomy, Cameroon
TUBERCULOSE OVARIENNE SIMULANT UN CANCER OVARIEN A L’INSTITUT JOLIOT CURIE DE DAKAR : A PROPOS D’UN CAS
Authors: SAMBIANI, et al... Damigou Mawul
Published: August 2024

Tuberculosis is a global public health problem, particularly in developing countries. Its peritoneal location is rare but not exceptional. Disseminated peritoneal tuberculosis accounts for 1 to 3% of tuberculosis manifestations, which are dominated by pulmonary involvement. We report the case of a 25-year-old woman, a nulliparous, who was followed at institute Joliot Curie of Dakar. Her initial presumptive diagnosis was peritoneal carcinomatosis simulating ovarian cancer with suspicious bilateral ovarian masses, pleuroperitoneal effusion and marked rise in CA 125. The Diagnosis of disseminated peritoneal tuberculosis was prospectively made based on the history of presenting complaints, past medical history, physical examination findings suggestive of peritoneal tuberculosis and the positive search of adenosine desaminase (ADA) in the ascitic fluid. As soon as an antituberculosis therapy was initiated, the patient had a favourable evolution. Keywords: Peritoneal tuberculosis; peritoneal carcinomatosis; ovarian mass
KYSTE DU LIGAMENT JAUNE : UNE CAUSE RARE DE CANAL LOMBAIRE ETROIT
Authors: Diop, et al Sagar
Published: August 2024

The ligamentum flavum cyst is an intradural cystic lesion. It represents a rare cause of lumbar canal stenosis. We report two clinical observations of patients aged 53 years old and 66 years old, suffering from lumbar canal stenosis by ligamentum flavum cyst. Lumbar magnetic resonance imaging (MRI) of patients showed a posterior epidural cystic formation repressing the dural sheath, with T1 in hypo intensity and T2 in hyper intensity with a wall enhanced by the contrast agent. A laminectomy with excision of the cystic lesion and the affected ligamentum flavum had been performed. The follow-up was favorable with a decline of 6 months and 24 months respectively. The disappearance of a patient’s root symptomatology and deficit recovery had been noted. The lumbar canal stenosis by the ligamentum flavum cyst is a rare anatomoclinical entity. The first choice of treatment is a complete surgical excision with good results. Keywords: lumbar canal stenosis, cyst, ligamentum flavum
L'ISCHEMIE MESENTERIQUE AIGUË : PRISE EN CHARGE EN CHIRURGIE GENERALE AU CHU GABRIEL TOURE, AU MALI
Authors: TRAORÉ, et al... A
Published: August 2024

Objective: to determine the frequency of acute mesenteric ischemia, to describe the diagnostic and therapeutic aspects and to analyze the results of treatment. Methodology: this was a retrospective and descriptive study conducted from January 2010 to December 2019, in the surgical department of the CHU Gabriel Touré in Bamako. were included all patients admitted for acute mesenteric ischemia, confirmed by CT-scan and / or intraoperatively. Results: in 10 years, 26 cases were collected representing 1.1% of abdominal surgical emergencies. The average age was 54 years and the sex ratio 0.85. The main risk factors were: acute arterial hypertension (11 cases), dyslipidemia (9 cases), oral contraceptive (9 cases), obesity (8 cases). The average consultation delay was 2.6 days. The main clinical signs were: abdominal pain (100%), vomiting (53.8%), gastrointestinal bleeding (38.4%), fever (76.92%), tachycardia (61.53%), hypotension (46, 15%), abdominal contracture (46.15%), abdominal distension (26.92%). The preoperative diagnosis was acute bowel obstruction in 61.5%, acute peritonitis in 34.6%. A midline laparotomy was performed in all patients. Intestinal necrosis was found in all cases, requiring extensive intestinal resection. The immediate operative consequences were simple in 30%; sepsis was observed in 66.67% and multiple organ failure in 33.33%. The mortality was 69.23%. Conclusion: acute mesenteric ischemia is a serious condition discovered intraoperatively, most often in the stage of intestinal necrosis. Early treatment could improve the prognosis. Keywords: Acute mesenteric ischemia, surgery, Emergency, Mali
DERMATOFIBROSACOME PROTUBERANS DE DARIER ET FERRAND DANS LE SERVICE DE CHIRURGIE GENERALE DU CENTRE DE SANTE DE REFERENCE DE LA COMMUNE 3 DU DISTRICT DE BAMAKO : A PROPOS DE 10 CAS
Authors: KAREMBE, et al... B.
Published: August 2024

Abstract Introduction: Darier and Ferrand's dermatofibrosarcoma protuberans is a slowly growing fibrous skin tumor with a very high risk of local recurrence, but with low metastatic potential. From a retrospective cross-sectional study from January 2015 to December 2020. We determined the epidemiological, clinical and therapeutic characteristics and then analyzed the results of the treatment. During the study period we collected ten patients with dermatofibrosarcoma. The average age of our patients was 36.3 years with extremes of 12 years and 65 years. All of our patients were male. Four of our patients had been operated on once for the same tumor, two patients were on their second recurrence and four others were on their first consultation. The tumors were located in the trunk in five cases. The size of the tumors varied between 4-cm and 20- cm. The diagnostic delay was 3 years. The chest x-ray taken as part of the extension workup was unremarkable. The therapy was surgical in all of our patients. The procedure performed was tumor resection in a healthy area while respecting a resection margin of 3 to 5 cm in all patients. Immediate skin closure was achieved in four patients. We performed an auto skin graft in three patients. Histology confirmed the diagnosis. The postoperative follow-up was simple. We have not encountered a recurrence. Conclusion: Darier and Ferrand dermatofibrosarcoma protuberans is a rare skin tumor with very high local recurrence if surgical excision is not complete; hence interest of a large surgical excision. Keywords: Darier and Ferrand dermatofibrosarcoma, skin tumors, surgery. Auteur Correspondant : KAREMBE Boubacar Maitre-Assistant à la FMOS
LE DOUBLE REMPLACEMENT VALVULAIRE CARDIAQUE POST RHUMATISMALE AU SENEGAL : INDICATIONS ET RESULTATS.
Authors: BA, et al... Papa Ousmane
Published: August 2024

Objective: Our aim is to study the epidemiological profile and clinical specificities of aorto-mitral valve diseases and to specify the indications and results (morbidity, mortality) of surgical treatment. Methods: This is a longitudinal, retrospective and descriptive study, which takes place over July 2007 to June 2015 (8 years) at the level of the thoracic and cardiovascular surgery clinic of the university Hospital Center of Fann in Dakar. Our study included twenty-six patients who underwent mitral and aortic valve replacement associated or not with a De Vega tricuspid valve annuloplasty. The mean age was 30 years. Dyspnoea on exertion was the most common functional symptom; found in 18 patients (69 %). On transthoracic ultrasound, the most frequent valve lesions were mitral and aortic insufficiency in 24 patients (92 %). Functional tricuspid insufficiency was noted in 23 patients (88 %). The mean time of cardiopulmonary bypass and clamping was respectively 162 minutes 110 – 343 mn and 123 minutes 86 – 214 mn. Results: Morbidity was mainly hemodynamic complications in 6 patients (23.1 %). The post-operative mortality rate was 15.4%. Moderate to significant preoperative tricuspid insufficiency was a mortality risk factor (p: 0,034). A cardiopulmonary bypass longer than 180 min was also a mortality risk factor (p: 0,029). Conclusion: Mitro aortic valve replacement is associated with high morbidity and mortality. Key words: Mitro aortic valve replacement, rheumatic fever, mortality
PRISE EN CHARGE DES URGENCES CHIRURGICALES DIGESTIVES ET PARIETALES CHEZ LES SUJETS AGÉS AU CHU A LE DANTEC.
Authors: TOURE AO.
Published: August 2024

Purpose of the study. - Identify the epidemiological, clinical and therapeutic features of abdominal emergencies in the elderly. Patients and methods. – we performed a Retrospective and analytic study of 78 files of patients over 65 years admitted for acute abdominal pathology in the emergency department from January 1, 2015 to December 31, 2019. Results. - The patients, 58 men (74.4%) and 20 women (25.6%), had a mean age of 74.3 years (66–95 years). The clinicoradiological picture was suggestive of occlusive syndrome in about half of the cases (n = 37). The most common diagnosis was acute bowel obstruction (n = 28), followed by strangulated hernia (n = 24) and peritonitis (n = 13). A surgical indication was made in 74 patients and 4 patients received exclusively medical treatment. The mean time to surgery was 1 day (0 - 11 days). The main surgical procedures concerned parietal surgery (n = 24), colonic surgery (n = 15) and small bowel surgery (n = 13). The frequency of postoperative transfer of patients in intensive care was 23% (n = 18). The postoperative follow-up was straightforward for 44 patients. Morbidity concerned 5 cases. Overall mortality was 37.2% (29 patients) for all patients received, including 10.3% (n = 3) nonoperative mortality. Analysis of several factors showed that mortality was significantly related to the diagnosis of acute generalized peritonitis (p = 0.001), to transfer to intensive care (p = 0.0001) and to the occurrence of postoperative complications (p = 0.021). Conclusion. –The occurrence of acute abdominal emergencies in the elderly may have an atypical clinical presentation with a long course of action. The prognosis depends on the etiology, the presence of co-morbidity, the speed and effectiveness of management. Keywords: abdominal emergencies, elderly, mortality
CONFRONTATION ECHOGRAPHIE-CHIRURGIE DANS LE DIAGNOSTIC DES APPENDICTES AIGUES AU CENTRE HOSPITALIER REGIONAL DE KOLDA
Authors: AKPO, et al... Lera Geraud
Published: August 2024

Objective: The aim of our work was to evaluate the contribution of ultrasound in the diagnosis of acute appendicitis in a regional hospital. Patients and method: We conducted a prospective descriptive study over a period of 6 months from April 1st to September 30, 2019. It concerned 36 cases. All patients underwent abdominal ultrasound. The ultrasound results were compared with the operative data. Results: the appendix was visible in 28 patients (77.77%), non-compressible in 23 cases (82.1%), inflammation of the fat was found in 35 patients (97.2%) and the presence of peri-appendicular effusion in 11 cases (30.55%). The overall ultrasound-surgery concordance was 86.64%. In our study the overall sensitivity was 86.84%, the specificity 95.77%, the positive predictive value 91.67% and the negative predictive value 93.15%. Conclusion: Ultrasound remains the firstline imaging modality useful in atypical forms of appendicitis given its good sensitivity. It is also efficient and reliable for positive and differential diagnosis. Key words appendicitis, ultrasonography.
LES CANCERS PRIMITIFS DE L’INTESTIN GRELE: A PROPOS DE 24 CAS COLLIGES DANS LES LABORATOIRES D’ANATOMIE PATHOLOGIQUE DE DAKAR (2005-2019).
Authors: DEGUENONVO GNC
Published: August 2024

Objective: To determine the prevalence of small bowel cancers in the pathological anatomy laboratories of Dakar; to describe the histopathological and immunohistochemistry profiles of these small bowel cancers. Methods: This was a retrospective, descriptive study from January 2005 to December 2019 of histologically confirmed small bowel cancer reports on surgical specimens. Results In 15 years, 24 small bowel cancers were collected out of 607 digestive tract cancers (3.9%), including 14 primary cancers. The most representative age group is 61-80 years with an average age of 52.5 years old. The most frequent primary cancers were adenocarcinomas (n=7), followed by lymphomas (n=3), mesenchymal cancers (n=3) and a neuroendocrine tumor. Cancers localized in the small intestine without further specification (SAI) predominate with 5 cases. Only the neuroendocrine tumor was preferentially located in the ileum. In terms of prognosis, adenocarcinomas are discovered at an advanced stage. Neuroendocrine tumors are of high grade and lymphomas of variable grade. Mesenchymal malignancies are of intermediate grade. Immuno-histochemistry confirmed the neuroendocrine tumor, 2 gastrointestinal stromal tumors; allowed us to determine the phenotype and subtype of the 3 lymphomas. In addition, it rectified the diagnosis of a sarcoma to gastrointestinal stromal tumor. Conclusion: Small bowel cancers present several histological types, of which adenocarcinoma remains the most frequent. Pathological anatomy constitutes the diagnostic means of certainty coupled with immuno-histochemistry. Keywords: small intestine, cancer, histopathology, immuno-histochemistry, Dakar
TUMEUR FIBREUSE SOLITAIRE RETROPERITONEALE : A PROPOS D’UNE OBSERVATION AU CENTRE HOSPITALIER UNIVERSITAIRE HUBERT KOUTOUKOU MAGA DE COTONOU (BENIN)
Authors: IMOROU, et al.. SOUAÏBOU Y
Published: August 2024

Solitary fibrous tumors (SFT) usually develop in the pleura. Several extrapleural locations of these tumors have been recently reported. Here we report the case of a large retroperitoneal SFT. This was a 62-year-old patient admitted with a painful left flank mass that had progressed for 6 months with no other associated signs. She presented a good general condition and an arching of the left flank which corresponded to a firm, regular and sensitive mass, not adherent to the superficial plane, little mobile in relation to the deep plane and measuring 10 cm. This mass was solid and echogenic with significant vascularization on ultrasound, and was intensely enhanced with perilesional neovascularization on CT. Under general anesthesia, surgical exploration, by a midline laparotomy associated secondarily with a left transverse one, revealed a retroperitoneal mass of the left flank and the iliac fossa of about 10 cm long axis without extension to neighboring organs rendering its resection complete. The operative consequences were simple. Pathological examination of the resection piece concluded that a retroperitoneal TFS was completely excised. On immunohistochemistry, tumor cells strongly expressed CD34. They were also positive to CD99 and bcl2. With a follow-up of 2 years, there is no sign of recurrence but long-term follow-up is still necessary. Retroperitoneal SFT is rare. Diagnosis was confirmed by immunohistochemistry after complete tumor removal. Long-term follow-up is still necessary. Key words: Solitary fibrous tumor, retroperitoneum, Surgery, immunohistochemistry, Prognosis
OCCLUSION INTESTINALE AVEC NECROSE ILEALE SECONDAIRE A UNE ASCARIDIOSE MASSIVE ASSOCIEE A UN DIVERTICULE DE MECKEL : A PROPOS D’UN CAS
Authors: Tendeng, et al... Jacques Noel
Published: August 2024

Ascariasis is a human intestinal parasitosis caused by a nematode called ascaris lombricoïdes. It is the most common parasitosis in the world. Digestive complications are the severity of this pathology and are dominated by acute bowel obstruction. Certain factors such as the child's narrow intestinal lumen or Meckel's diverticulum have been associated with a more frequent occurrence of this obstruction. We report a case of intestinal obstruction with ileal necrosis secondary to massive intestinal ascariasis associated with Meckel's diverticulum in an 8-year-old male child. We report a case of intestinal obstruction with ileal necrosis secondary to massive intestinal ascariasis associated with Meckel's diverticulum in an 8-year-old male child. We performed an ileal resection by removing diverticulum and abdominal toilet. There were no postoperative complications. Key-words: Ascariasis, intestinal obstruction, necrosis, Meckel's diverticulum
The problem of psychologist certification: A comparative analysis of international experience
Authors: Voloshyna Oksana
Published: August 2024

As the war in Ukraine poses a significant threat to national mental health, professional psychological support has become more crucial than ever for Ukrainians. The need to regulate the profession and establish a safe environment for consumers of psychological services has led to the implementation of psychologist licensing and certification. In Ukraine, this system is imperfect and requires optimisation, one of the ways to achieve which is to study and adapt the best international experience. In light of this, the aim of this article was to examine the characteristics of psychologist certification in the United States, Canada, the United Kingdom, the European Union, and China to identify prospects for developing the psychologist certification system in Ukraine. The methodological tools used included the dialectical method, as well as systemic, informational, theological, and functional approaches, which allowed for the presentation of the features of certification in the current conditions of professionalisation of psychological activities. It has been established that certification has historically been one of the methods for measuring competence in professional psychology. For this purpose, professional associations create voluntary certification systems. The features of the most developed psychologist certification systems (USA, Canada, and the United Kingdom) were examined, and an attempt was made to compare them with similar certification models in the European Union and China. Common requirements for psychologist certification in these countries were identified, including requirements for the content and duration of specialised education; requirements for supervised psychological practice; requirements for professional development in both practical and research areas; and requirements for the moral and ethical qualities of the psychologist. Conceptualising and measuring psychologist competence is an ongoing dynamic process as the field of psychological practice continues to evolve. The practical value of the results lies in their potential use to identify ways to improve the national psychologist certification system and the possibilities for transitioning from voluntary certification to mandatory certification
Traditional Chinese medicine as a tool for improving China’s image: The role of socio-political factors
Authors: Wu Ting
Published: August 2024

The purpose of the study was to analyse the factors of influence of traditional Chinese medicine (TCM) on improving the image of China in the international arena at the present stage of historical development. The methodological base of the study is built on the basis of an integrated approach with a combination of theoretical and empirical methods of cognition such as historical, comparative, system, statistical data analysis. Within the framework of the study, the main stages and features of the development of TCM, which has a thousand-year history, are considered, its basic principles and methods of therapy are formulated. In addition, the territory of distribution of TCM is determined, and the countries where it is most common are identified. Namely, the approximate number of TCM doctors and departments in medical institutions of the Republic of Kazakhstan is considered. Special attention is paid to determining the place of China in the modern international arena in the context of implementing the policy of “soft power”, considering the role of the Investment Project “One Belt, One Road” in improving the image of the state in the international arena, assessing the importance of TCM in the process of becoming a country as one of the world hegemons against the background of the coronavirus pandemic, and analysing the contribution of TCM to the preservation of human health and world culture. In particular, it is proved that although Chinese medicine differs from Western medicine in its global, comprehensive approach to treatment, its therapeutic techniques are increasingly being introduced into the healthcare system of Western states and other countries of the world, including the Central Asian region
The impact of collateral damage: Unravelling psychological mechanisms in the context of war and conflict: A literature review
Authors: Uludag Kadir
Published: August 2024

The enduring conflicts among Middle Eastern nations have caused devastating casualties and loss of life, leading to deep human suffering and significant societal distress. Their impact is not limited to the immediate regions involved but has reverberated across communities within those countries. Additionally, the international community has been deeply affected by the conflict and has made efforts to seek a resolution. The inadequate understanding of collateral damage and a primitive mindset have resulted in the unfortunate deaths of numerous innocent civilians. This article explores the psychological mechanisms underlying collateral damage in the context of war and conflict. In an effort to shed light on the multifaceted nature of collateral damage and its impact on both affected populations and combatants, the complex interplay of cognitive, emotional, and social factors was explored. The aim was to explore the psychological consequences of collateral damage and provide theoretical assumptions to understand collateral damage and war. The SANRA narrative review method was adopted to discuss the psychological underpinnings of collateral damage. Several studies have explored the concept of collateral damage in the context of war and psychology. By understanding the psychological mechanisms behind collateral damage, it is possible to effectively address the root causes and develop strategies to minimise its occurrence in armed conflicts. Moreover, it is essential to prioritise the education of leaders and military personnel regarding the concept of collateral damage
Assessment of Knowledge, Attitude, and Practices on Sexuality Education among Youth in Pakistan
Authors: Ahmed Aayza , Gohar Shanza , Abubakar Muhammad , Ullah Matti
Published: August 2024

This study aimed to explore the sexual and reproductive health knowledge, attitudes and practices among young people in Islamabad. The objectives of research were to determine the sexual and reproductive health related knowledge score of youth, resources they commonly used for knowledge and their attitude and perceptions towards abstinence only and comprehensive sexuality education. The research used quantitative data, collected through a self-structured questionnaire which was based on closed ended questions. The study is based on responses collected from young people of Islamabad city. Both convenience and snowball sampling techniques were used for data collection. Collected data was analyzed by applying descriptive statistics along with one way ANOVA and linear regression through Statistical Package of Social Sciences (SPSS) version 26.0.The findings indicated a poor overall knowledge score among the youth, which was not affected by demographic variables. The most commonly consulted sources of information on sexuality education were found to be mass media, with formal education being the least consulted. A majority of the youth supported abstinence-only education at secondary school level, with comprehensive sexuality education being preferred at the college level. Study highlights need for effective sexuality education for Islamabad youth.
Clinical and Laboratory Profile of Leptospirosis in a Tertiary Care Hospital at Kolar
Authors: R Bharathi , S Parimala , S V Srinivas
Published: August 2024

Introduction: Leptospirosis is an acute treponemal infection with high mortality and morbidity. Due to varied presentations in different geographical areas and unexpected seasonal patterns, clinical diagnosis is difficult. The present study aims to analyze the varied clinical presentations and epidemiological factors in correlation with laboratory diagnosis. Materials and Methods: A retrospective study was conducted among the clinically suspected cases of leptospirosis at R. L. Jalappa Hospital, Kolar, from January 2023 to December 2023. A total of 750 blood samples were tested for IgM ELISA leptospira test. All patient samples that tested positive for IgM antibodies were considered seropositive for Leptospira. The clinical history, laboratory parameters, management, course, and outcome of these patients were recorded. Results: The majority of the affected population were in the 41-60 year age group. Males were more affected than females. Due to unexpected rains, cases peaked in March. Thrombocytopenia was observed in 32 patients (34%), hyperbilirubinemia in 28 patients (30%), raised transaminases in 27 patients (29%), followed by low hemoglobin levels in 27 patients (28%). Severe acute respiratory illness (SARI) was the most common complication, seen in 24 patients (26%), followed by renal failure in 11 patients (12%). Conclusion: The morbidity and mortality due to leptospirosis can be reduced by better understanding environmental factors, by early detection through rapid tests, and predicting the severity of illness using laboratory parameters.
A rare complication of rupture of a mediastinal Teratoma into the bronchus: A case report
Authors: Vaidya Kaustubh , Potdar Ojas Vijayanand , Bhide Prajakta Charuchandra , Patkar Amrita Vikram
Published: August 2024

Background: Germ cell tumours (GCT) are tumours arising from primordial germ cells. Gonadal and extragonadal GCT are infrequent in childhood occurring at a rate of 2.4 cases per million children accounting for 2-3 % of paediatric malignancies with most common subtype being a matured Teratoma. Case presentation: We present a case of a 10-year-old female child who presented to the emergency department of a tertiary care centre with complaints of cough with massive expectoration of blood of approximately 200 ml in quantity which on imaging revealed a left anterior mediastinal mass which was managed by left lateral thoracotomy with a non-anatomical left sided pulmonary lobectomy which on histopathology was diagnosed to be a case of mature teratoma. Conclusion: This case report describes a unique presentation of extra-gonadal mediastinal teratoma which presented as a rare complication with rupture into the left bronchus. It emphasizes caution and a high clinical suspicion is required in managing cases of varied presentations of teratomas.
FLASH FLOODS VULNERABILITY ASSESSMENT OF THE MUNICIPALITY OF ČELINAC, BOSNIA AND HERZEGOVINA
Authors: Ivanišević Marko , Kuzmanović Dragana , Đuka Dajana , Lemez Dušica
Published: August 2024

This paper analyses the susceptibility of territory of municipality Čelinac to flash floods using the Flash Flood Potential Index (FFPI). All operations related to calculating the FFPI were conducted in a GIS environment. The research results showed that 38.42% of the territory belongs to the category of low susceptibility to flash floods. The category of moderate susceptibility includes 36.86% of the territory, while 18.77% of the territory is classified as highly susceptible to flash floods. The very high susceptibility to flash floods applies to the area occupying 5.95% of the total territory of the Čelinac municipality. This research can be useful to all subjects involved in natural disaster protection, local government, insurance companies, and the general population.
PRESENT CONTEXT OF INFORMAL ROMANI SETTLEMENTS IN BELGRADE AS EXORDIUM FOR THEIR REGENERATION: ONE CONTEXT BUT SIX THEMES OF A SUSTAINABLE FUTURE
Authors: Grbić Milena
Published: August 2024

The intent of this paper is to present how several characteristics of the functional organization of Roma community present the essence of forming spatial structures in settlements that by correct understanding and reinterpreting have the potential to successfully trace the steps of future planning and designing decisions in the revitalization process of existing informal settlements. In further development of the paper concrete physical patterns of settlements and houses will be demonstrated, systematized and classified into a useful base of program principles, for which research has proven to be inevitable and important to be considered in every responsible process of settlement regeneration.
RESEARCH BY DESIGN – FOSTERING STUDENTS’ CREATIVITY BY IMPLEMENTATION OF WORKSHOPS IN ARCHITECTURAL EDUCATION
Authors: Babić Tatjana , Krklješ Milena
Published: August 2024

Social, cultural, and economic aspects of contemporary architecture emerge in a variety of architectural and artistic works, together with theoretical and experimental research, which leads us to the rethinking of traditional teaching methods. This paper examines the possibilities of new formats for teaching architecture, which are relevant and attractive to students and could bring new approaches to education. This article describes the implementation of the “research by design” method of teaching architecture based on different multimedia projects. The new approach to teaching design should stimulate creative processes that could guide students to develop their creative skills by choosing their medium of expression following personal character and sensibility.
REGIONALIZATION OF CATCHMENTS BASED ON SILHOUETTE WIDTHS FOR FLOOD RESPONSE ESTIMATION ACROSS SERBIA
Authors: Blagojević Borislava , Mulaomerović-Šeta Ajla , Mihailović Vladislava , Petroselli Andrea
Published: August 2024

Regional analysis is often used for flood quantile estimation in ungauged catchments. The regionalization procedure has two phases: the formation of homogeneous regions and flood quantile estimation. The presented research results consider the first phase of the regional analysis for 41 catchments in Serbia. The catchment similarity attributes are catchment area and catchment mean elevation. The number of formed regions and the number of stations within the regions are determined by maximising the mean silhouette width of the region. Regions were first obtained by cluster analysis and then adjusted to comprise catchments with a positive silhouette width. For the three formed regions, homogeneity was checked by the Gini index - GI.
THE RELATION OF SPATIAL PLANNING DOCUMENTATION TO GREEN OPEN PUBLIC SPACES IN BOSNIA AND HERZEGOVINA
Authors: Bulatović Slobodan
Published: August 2024

Open public spaces in urban and rural areas are essential because they encourage interaction between citizens and connect the built urban fabric. That is why the planning and maintenance of these spaces are vital and require constant improvement following modern man's needs. For this reason, special attention must be paid to these areas when planning documents are in creating. This work investigates the relationship between planning practice in Bosnia and Herzegovina and green open public spaces. Given that Bosnia and Herzegovina has a specific planning system, spatial planning documentation of different spatial levels will be analyzed in the paper. The results should indicate ways of treating green open public spaces in the spatial planning process.