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Public Health Implications of Types of Cancers in Anatomy-Pathology at the Souro Sanou University Center in Bobo-Dioulasso, Burkina Faso
Meda Ziemle Clement,
Konsegre Valentin,
Zerbo Amadou Isaac,
Ouatara Cheick Ahmed,
Hien Herve,
Savadogo Gueswende Blaise Leon
Issue:
Volume 9, Issue 3, June 2023
Pages:
67-71
Received:
12 April 2023
Accepted:
2 May 2023
Published:
10 May 2023
Abstract: Cancers are the second largest epidemiological burden in Africa. This led us to study the hospital proportions and histological and histogenetic types of cancers in anatomical pathology at the Souro Sanou University Hospital (CHUSS) in Bobo-Dioulasso, and the possible implications for public health. This was a cross-sectional study that ran from June 1 to December 10, 2021 with data inclusion from January 1, 2013 to December 31, 2020. The data collected concerned: notified cases of tumors and those diagnosed with cancer, sociodemographic characteristics, location and histological and histogenetic types of these cancers. Of the 6,316 cancer cases notified by the different clinical services from 2013 to 2020, there were 1,388 cases of cancer confirmed (or 22.0%) by histology at the CHUSS anatomy-pathology department. Of the 3,605 specimens analyzed, this represented a malignancy proportion of 38.5%. There was an average annual number of 173.5 confirmed cancer cases per year. For a sex ratio of 0.4 and a female predominance of 72.1%, the average age of the cancer cases was 49.3±3.9 years (extremes from 1 to 92 years), with the 40–60-year age group being the most represented (46.4%) and those under 15 years of age representing 3.2%. The organs most affected by cancer were breast (25.5%), uterus (22.4%) and stomach (9.1%). Breast (32.9%) and cervical (31.1%) cancers were the most common in women. In men, the most frequent cancers were: stomach (19.8%) and prostate (13.9%). Histologically, more than two out of five cancers were carcinomas. Squamous cell carcinomas accounted for 43.37%, and adenocarcinomas were found in 13.61%. There was no difference in histogenetic or histological type according to age or sex. Affecting more the less than 60 years with 75,1%, it is about cancers avoidable by actions of promotion and prevention in public health. This underlines the importance of setting up a cancer registry and organizing cancer care based on promotion and primary prevention.
Abstract: Cancers are the second largest epidemiological burden in Africa. This led us to study the hospital proportions and histological and histogenetic types of cancers in anatomical pathology at the Souro Sanou University Hospital (CHUSS) in Bobo-Dioulasso, and the possible implications for public health. This was a cross-sectional study that ran from Ju...
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Fungal indoor Air Quality and Associated Factors in Prison Inmate Cells of East Hararghe Zone and Harari Regional State, Eastern Ethiopia, 2020
Tamagnu Sintie,
Negga Baraki,
Abraham Geremew,
Bealemlay Abebe Melake,
Salie Mulat,
Dinku Mekibib,
Dechasa Adare,
Liku Muche,
Getachew Amare,
Yideg Abinew
Issue:
Volume 9, Issue 3, June 2023
Pages:
72-79
Received:
26 March 2023
Accepted:
17 May 2023
Published:
29 May 2023
Abstract: The presence of fungi inside of buildings and structures is referred to as fungal indoor air quality. Infections, fragments of fungal cells, and metabolites of fungal organisms can all provide significant challenges in indoor structures, including prison inmate cells. In East Hararghe and Harari regional state, there is no evidence of a fungal load or associated factors in prisons. The purpose of this study was to evaluate the fungal indoor air quality and related factors in prison inmate cells. An Institution based cross-sectional study was conducted. The source and study population were all prisoner cells located in the East Hararghe zone and Harari regional state prisons. 62 prisoner cells were used in the investigation. The approach of non-random sampling was applied. Passively settle able plates were used to collect the samples (Koch sedimentation method). ANOVA, correlation, and chi-square statistical tests were used to examine the row data using SPSS statistical software and Microsoft Excel. The fungal concentrations were highest at 8:00 pm (537 CFU/m3) and lowest at 2:00 pm (115 CFU/m3), respectively. The number of people was poorly connected with the fungal load (r=0.192 and p=0.039), and there was a significant positive weak correlation between the fungal load and temperature (r= 0.275, P=0.031). In contrast, a significant positive correlation between the fungal load and relative humidity in prisoner cells was discovered (r = 0.983; p = 0.004). In conclusion, the fungal concentrations were in the intermediate region (<500CFU/m3) except in one inmate cell of the investigated prisons. This study indicates that, it may pose threats to inmates. As a result, both the Harari region and the eastern Haragie zone prison offices should take action to address the issue. The prison facility needs to be restructured in accordance with current requirements.
Abstract: The presence of fungi inside of buildings and structures is referred to as fungal indoor air quality. Infections, fragments of fungal cells, and metabolites of fungal organisms can all provide significant challenges in indoor structures, including prison inmate cells. In East Hararghe and Harari regional state, there is no evidence of a fungal load...
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Acceptability of Oesogastroduodenal Fibroscopy in Private Health Facilities from the City of Bobo-Dioulasso in Burkina Faso
Meda Ziemle Clement,
Ouattara Alimata,
Hien Herve,
Ouattara Cheick Ahmed,
Ilboudo Bernard,
Traore Tiandiogo Isidore,
Savadogo Gueswende Blaise Leon,
Sombie Issiaka
Issue:
Volume 9, Issue 3, June 2023
Pages:
80-88
Received:
27 April 2023
Accepted:
23 May 2023
Published:
29 May 2023
Abstract: The oesogastroduodenal fibroscopy (OGDF) remains a reference examination for the exploration and treatment of digestive pathologies, but is subject to apprehension during its practice. This research studied the factors associated with the acceptability of oesogastroduodenal fibroscopy in private health facilities in the city of Bobo-Dioulasso, in Burkina Faso. This were a cross-sectional study with prospective collection from 1 June to 10 December 2021 with data inclusion from 1 January 2013 to 31 December 2020. The data collected concerned notified cases of tumours and those diagnosed with cancer, socio-demographic characteristics, location and histological and histogenetic types of these cancers. From a sample of 180 patients, the mean age was 43 ± 15.1 years-old with a sex ratio of 1.1. The mean score of acceptability of oesogastroduodenal fibroscopy was low with 53.3% of patients having an acceptability score ≤ 107. As well, the mean score of information received by patients about OGDF was low. At univariate analysis, the factors associated with the acceptability of FOGD were: the presence of discomfort (p=0.041), the presence of anxiety (p=0.040), and the desire to forego performing the examination (p=0.007). In multivariate analysis, we did not find any factors associated with the acceptability of esogastroduodenal fibroscopy. The acceptability of esogastroduodenal fibroscopy is very important in the context of quality improvement in health care. The continuous training of health care personnel on oesogastroduodenal fibroscopy, as well as better patient education on FOGD during a pre-OGDF consultation, is an asset to achieve its acceptability by patients.
Abstract: The oesogastroduodenal fibroscopy (OGDF) remains a reference examination for the exploration and treatment of digestive pathologies, but is subject to apprehension during its practice. This research studied the factors associated with the acceptability of oesogastroduodenal fibroscopy in private health facilities in the city of Bobo-Dioulasso, in B...
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Sex-Specific Prevalence of Metabolic Abnormalities by Trend of Urbanization and Age, Among Adults in Burkina Faso: Analysis Using the National Baseline Data
Jeoffray Diendere,
Ahmed Kabore,
Jean Kabore,
Hermann Lanou,
Habib Rasfat Fofana,
Boyo Constant Pare,
Augustin Nawidimbasba Zeba,
Nicolas Meda
Issue:
Volume 9, Issue 3, June 2023
Pages:
89-97
Received:
3 May 2023
Accepted:
27 June 2023
Published:
13 July 2023
Abstract: Introduction: Metabolic abnormalities increase with the epidemiological transition in Sub-Saharan African area. Objective: To report the sex-specific prevalence of metabolic abnormalities in Burkinabè adults by the trend of urbanization and age, using the national baseline data. Methods: Data of 4365 male/female participants to the 2013 Burkina Faso Stepwise approach to surveillance survey were analysed, including sociodemographic parameters (with four age-groups of 25-34; 35-44; 45-54 and 55-64 years). The urbanization trend was the four categories derived from the quartiles of the urbanization rates of the 13 Burkinabè regions. The metabolic abnormalities were defined using the International Diabetes Federation criteria (raised waist circumference [WC], blood pressure [BP], fasting blood glucose [FBG] and low high-density lipoprotein cholesterol [HDL-C]). Results: Between quartiles, the sex-specific prevalences (%) of abnormalities significantly differed and the extremes were: 71.1-81.2 in men(♂), 75.9-81.2 in women(♀) for low HDL-C; 32.8-48.2(♂), 21.5-51.6(♀) for elevated BP; 3.4-7.3(♂), 30.8-45.5(♀) for high WC; 6.2-11.0(♂), 6.7-14.2(♀) for high FBG; 2.8-7.3(♂), 9.6-24.0(♀) for participants who cumulated at least three abnormalities; and the extreme means in cumulative number of abnormalities were 1.3-1.5(♂), 1.4-1.9(♀). Between the four age-groups, sex-specific prevalences significantly differed and the extremes were: 71.9-81.6(♂), 71.8-83.1(♀) for low HDL-C; 32.3-49.1(♂), 23.8-30.3(♀) for elevated BP; 2.0-14.0(♂), 24.8-65.3(♀) for high WC; 6.4-13.0(♂), 5.5-10.4(♀) for high FBG; 2.5-12.0(♂), 8.5-25.8(♀) for individuals who cumulated at least three abnormalities; and the extreme means in number of abnormalities were 1.2-1.4(♂), 1.4-1.9(♀). Conclusion: The low HDL-C was very widespread in the general population in Burkina Faso, substantially increasing the risk of carrying several abnormalities, which worsened with the process of urbanization and older age, and women more severely affected.
Abstract: Introduction: Metabolic abnormalities increase with the epidemiological transition in Sub-Saharan African area. Objective: To report the sex-specific prevalence of metabolic abnormalities in Burkinabè adults by the trend of urbanization and age, using the national baseline data. Methods: Data of 4365 male/female participants to the 2013 Burkina Fas...
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