Current Issue : July - September Volume : 2020 Issue Number : 3 Articles : 7 Articles
Gunshot wound is rare on the testicles and involves the patientâ??s reproductive\nfunction. The authors report a case of open gunshot wound trauma to the\ntesticles in a 45-year-old patient with no particular information, except, living\nwith two women and eight children. Emergency sharing noted a fracture of\nthe right testicle with damage of the cord components. After the surgery, the\nleft testicle was necrotic, so a left orchiectomy was performed. The aftermaths\nof this second surgery were simple. However, the management of this hunting\naccident resulted in castration, which poses the problem of the patientâ??s sexuality....
Hydrocarbons are dangerous for health, and American Society of Nephrology\nhas already described renal involvement by Hydrocarbon. The Republic of\nCongo produces oil but there is no study among these working with hydrocarbon\nto evaluate their renal status. The patient of 39 years working for 5\nyears as carrier oil, with high exposure to oil or more than 2 hours per day.\nHe has no history of herbal medicine, no edema, no diabetes, no high blood\npressure and he was not suffering from infectious diseases and there was no\nconcept of kidney disease in the family. He was hospitalized for febrile generalized\ntonic convulsions with impaired renal function. After patient stabilization,\nclinical and biological examinations allowed us to conclude the\nchronic glomerulonephritis syndrome in five stages of chronic kidney disease.\nAs creatinine at the entrance was 195 mg/l, clearance was 3 ml/min 1.72 m2\nby CKD-EPI. The entrance to the BUN was 3.57 g/l. The albumin to creatinine\nratio of urinary of 300 mg/g (ACR) is a glomerular disease. HIV serology\ntest was negative. The abdominal-pelvic ultrasound revealed dedifferentiated\nkidneys of normal size. The patient received 7 hemodialysis sessions with femoral\nright catheter with heparin. The evolution was good and the patient\nwas enrolled in chronic hemodialysis. This interference could be regarded as\nan occupational disease and we wish early detection....
Introduction: Dialytic high blood pressure (DHBP), although often ignored,\nis now recognized as a recurring and persistent phenomenon in a subgroup of\nhemodialysized patients. Its occurrence is associated with an increased risk of\nhospitalization and death. The objective of the study was to determine the\nprevalence of intradialytic hypertension and the factors associated with it.\nMethods: Study was cross-sectional, monocentric, descriptive and analytical\nover a three-month period from April 22 to July 22, 2019. Included were all\npatients 18 years of age or older, chronic hemodialysis for at least three\nmonths, with intra-dialytic high blood pressure. The blood pressure machine\nused for the majority of patients was an electronic â??OMRONâ? blood pressure\nmonitor. Epidemiological, clinical, para clinical and dialysis parameters were\nstudied. The data were collected, captured and analyzed using IBM SPSS Statistics\nVersion 20 software. The factors associated with intradialytic high\nblood pressure were searched using a univariate logistic regression model.\nThe significance threshold for all statistical tests has been set at 5%. Results:\nOf our 131 patients, 53 had intradialytic hypertension, a frequency of 40.5%.\nThe time of (DHBP) occurrence was more frequent at the 3rd and 2nd hour,\n94.34% and 86.79%, respectively. The average age of patients was 45.51 years\nwith extremes ranging from 19 to 70 years. The average Systolic Blood Pressure.........................
Introduction: Senegal has pioneered the implementation of peritoneal dialysis\n(PD) in West Africa, practicing it since 2004. Non-infectious complications\nare a significant cause of failure of this technique and the transfer of patients\nto haemodialysis. The aim of this study was to determine the prevalence\nand the different types of non-infectious complications in our context.\nPatients and Methods: This was a 5-year, descriptive, retrospective study of\npatients on chronic peritoneal dialysis for more than 3 months. Results:\nDuring the study period, 75 patients were included. The prevalence of\nnon-infectious complications was 88%, including 45.3% mechanical complications\nand 76% metabolic complications. Catheter migration was the most\ncommon mechanical complication (55.9%), followed by catheter blockage\n(23.5%). Metabolic complications were dominated by hypoalbuminemia\n(76.3%). Dyslipidaemia and hypokalaemia affected more than 50% of patients,\noccurring in 59.3% and 56.9% of cases, respectively. Conclusion: In our\nstudy, non-infectious complications related to PD were frequent and varied.\nThey remain a significant cause of technical failure. Mechanical complications\nare often the cause of permanent transfer to haemodialysis....
Urinary tract infections (UTIs) are among the most common maladies afflicting\nthe human population globally. A wide variety of microbial pathogens\nare responsible for causing UTIs that are often recurrent, especially in the elderly\npopulation, resulting in an economic burden of billions of dollars annually.\nIn this study, we present data from a large population of symptomatic\nUTI patients tested using a multiplexed, real time quantitative polymerase\nchain reaction (qRT-PCR) strategy. Our data demonstrate that instances of\nUTI increase with age for all the tested pathogens, with the exception of Mycoplasma\nspp. and Ureaplasma spp., which were found to be significantly\nhigher in the younger population. Furthermore, the use of the qRT-PCR approach\nwas also found to be effective in detecting polymicrobial UTIs. With\nthe limitations of classical microbial culture techniques traditionally used for\nUTI diagnosis, we demonstrate that a rapid and comprehensive technique\nlike RT-PCR can be an effective tool for detecting and managing UTIs....
Introduction: Diabetes is a leading cause of chronic kidney disease in the\nworld. During the next decade, its burden is expected to increase in Africa\nwith potential complications such as chronic kidney disease. However, epidemiology\nand risk factors of diabetic kidney disease are poorly described at\npopulation level. This study aimed to determine prevalence of diabetic kidney\ndisease (DKD) in adult diabetics living in Saint-Louis, northern Senegal. Methods:\nA cross-sectional study including diabetic patients followed-up aged,..........
Objective: To investigate the clinical effect of 125I radioactive seed implantation\nand the treatment of prostate cancer with radical resection of prostate\ncancer. Methods: Within the period of the second phase, 62 cases of prostate\ncancer patients, aged from 46 to 87 years old, average 69 years old. In the\ntreatment group, 30 cases were implanted with 125I radioactive particles via\nthe rectum with the guidance of the rectum. 32 cases in the control group\nunderwent radical prostatectomy. Results: All patients were operated successfully,\nthe patients were followed up for 12 to 36 months. In the treatment\ngroup, the average particle size was 38 + 15. No serious complications caused\nby rectal puncture. 2 patients occurred 6 months after PSA increased significantly,\nsystemic examination revealed bone metastases, and underwent endocrine\ntherapy. In the control group, there were 2 cases of patients with PSA\nsignificantly increased in 5 months after surgery, and the external irradiation\nplus endocrine therapy. During the observation period, the survival rate of\nthe patients who were implanted with 125I particles in the treatment group\nwithout progression was 93.3%. Control group, the cumulative PSA progression\nfree survival rate was 93.7%. Conclusion: Patients with prostate cancer\nduring the second phase, the clinical curative effect of the treatment of prostate\ncancer with the treatment of 125I of prostate cancer and the treatment of\nprostate cancer by using radical resection of prostate cancer are quite. This\ntechnology has the advantages of small trauma, quick recovery, low damage\nto normal tissue...
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