Publications by authors named "J S Dohbit"

Objective: To analyze the epidemiological aspects of invasive cervical cancer according to HIV status.

Methods: This was an historical cohort study from January 2010 to April 2017 in three hospitals at the Yaoundé city Capital, Cameroon, after the National Ethics Committee' approval. We included invasive cervical cancers with documented HIV status.

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Background: Safe childbirth remains a daunting challenge, particularly in low-middle income countries, where most pregnancy-related deaths occur. Cameroon's maternal mortality rate, estimated at 529 per 100,000 live births in 2017, is significantly high. The WHO Safe Childbirth Checklist (SCC) was designed to improve the quality of care provided to pregnant women during childbirth.

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Article Synopsis
  • Placenta accreta spectrum (PAS) is a serious obstetric condition linked to high rates of morbidity and mortality, prompting the need for predictive models to assess possible clinical outcomes.
  • An international study, PAS-ID, analyzed data from 727 women diagnosed with PAS between 2010 and 2019, utilizing machine learning to create two predictive models based on various clinical features.
  • Results showed high predictive accuracy, with models identifying significant factors like parity and placental site, indicating that machine learning can effectively assess individual risk and guide management strategies for women with PAS.
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Objective: To create a model for prediction of success of uterine-preserving procedures in women with placenta accreta spectrum (PAS).

Methods: PAS-ID is a multicenter study that included 11 centers from 9 countries. Women with PAS, who were managed between January 1, 2010 and December 31, 2019, were retrospectively included.

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The Yaoundé Gynaeco-Obstetric and Pediatric Hospital (YGOPH) faced challenges of high debts and sub-optimal care delivery. Performance-Based-Management (PBM) provides an environment of checks and balances, increased transparency, competition and autonomy, thereby improving clinical as well as financial indicators. We describe the transition from resource-based to PBM at the YGOPH over a seven-year period.

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