Comportements et attitudes des élèves sages-femmes de Libreville vis-à-vis du tabagisme

Kombila, U.D.; Touré, N.O.; Nzengue, Ephrem; Mounguengui, D.; Mackanga, Jean-Rodolphe; Ba, J. Iba; Boguikouma, J. B.

doi:10.1016/j.rmr.2018.08.022

Cited by 2 publications

(2 citation statements)

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“…In our study, ECG showed sinus tachycardia (97%), low QRS voltage (39%) and electrical alternans (56%). Kombila et al found 62% of low QRS voltages in patients with tuberculous pericardial effusion in Libreville [7].…”

Section: Discussionmentioning

confidence: 97%

“…These results were similar with our result (56%). But, some authors found a female predominance in population of patients underwent pericardial effusion drainage like Kombila et al [7]. In Antananarivo, men dropped out of treatment more frequently than women and age under 30 years was one among the independent factors associated with dropping out of anti-tuberculosis treatment according Rakotonirina et al [13].…”

Section: Discussionmentioning

confidence: 99%

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Subxyphoid Pericardial Drainage for Tuberculous Pericardial Effusion in Antananarivo

Rajaobelison,

Randimbinirina,

Ramifehiarivo

et al. 2024

WJCS

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Introduction: Tuberculosis is the leading cause of pericardial effusion in sub-Saharan African countries. The aim of this study was to describe the diagnosis and the surgical management of tuberculous pericardial effusion in low-income country. Methods: This was a retrospective and descriptive study performed at Vascular Surgery Unit for 10 years-period (from January 2012 to December 2021), including all cases of drainage of pericardial effusion due to tuberculosis. Results: Sixty-seven cases were recorded, including 38 males (56.71%) and 29 women (43.28%). The average age was 35.47 years old. Patients lived in urban areas in 67.16% of cases. Thirteen patients (13.43%) had a previous history of pulmonary tuberculosis. The most common risk factors for tuberculosis infection were malnourishment (80.59%), indoor air pollution (77.61%) and close contact with tuberculosis patient (40.29%). The commonest symptom were dyspnea, (95.52%), chest pain (89.55%), fever (67.16%), tachycardia (95.52%) and cough (80.59%). Twenty-seven patients (39.02%) presented clinical signs of cardiac tamponade. Electrocardiogram showed sinus tachycardia (97.53%) with microvoltage (39.02%). Chest-X-ray showed cardiomegaly (100%) and pleural effusion (56.71%). Echocardiography showed moderate (43.28%) and large (56.71%) pericardial effusion. All patients underwent subxiphoid pericardial drainage. Mycobacterium tuberculosis detection via GeneXpert test of pericardial effusion were positive in 38.80% of patients. Pericardial biopsies confirmed the diagnosis of tuberculosis in 41.79%. The mortality rate was 8.95%. Conclusion: Subxiphoid peri-

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%