The Mediterranean Sea houses a rather diverse chiton fauna (Mollusca: Polyplacophora). Four are here described as new, all based upon loose valves recovered from biogenic sediments: Leptochiton freiwaldi sp. nov.
View Article and Find Full Text PDFBackground: The authors report their experience of the transanal endorectal pull through technique as described by De la Torre Mondragon in the treatment of Hirschsprung's disease (HD).
Materials And Methods: It was a retro prospective, observational and descriptive hospital based study involving all proven cases of HD managed within a time frame of 8 years.
Results: Fifty two patients with a mean age of 18 months at the time of surgery.
Background: Gastroschisis denotes a congenital or sporadic malformation of the anterior abdominal wall, which is rarely associated with other anomalies. The mortality in African countries is still high almost 100%.
Objective: The aim was to determine the feasibility and safety of bedside reduction of gastroschisis and factors affecting the outcome in low-income setting.
In the present paper we used a molecular data set (including mitochondrial partial 16S rRNA and COI gene sequences) to examine the genetic structure of (Poli, 1791) (Polyplacophora, Leptochitonidae) - a distinctive shallow water chiton and member of the basal branching Lepidopleurida, which is widespread in and adjacent to the Mediterranean. The analyses of the two mt-standard marker fragments resolved two main discrete clusters reported as s.s.
View Article and Find Full Text PDFFor more than two years after the emergence of COVID-19 (Coronavirus Disease-2019), significant regional differences in morbidity persist. These differences clearly show lower incidence rates in several regions of the African and Asian continents. The work reported here aimed to test the hypothesis of a pre-pandemic natural immunity acquired by some human populations in central and western Africa, which would, therefore, pose the hypothesis of an original antigenic sin with a virus antigenically close to the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2).
View Article and Find Full Text PDFBackground: Obesity is a major public health concern even in sub-Saharan Africa. In this part of the world, characterized by limited technical platform and resuscitation facilities, sleeve gastrectomy in the surgical management of obesity is a quite new procedure. We aimed to assess intraoperative complications and 30-day postoperative morbidity and mortality of this procedure in our setting.
View Article and Find Full Text PDFIntroduction: in sub-Saharan Africa, there is scare published data on cancer in general and gastric cancer in particular.
Methods: we conducted a multicenter retrospective analysis of the medical records of patients followed for gastric cancer in 5 hospital departments in the city of Yaoundé (Cameroon) over 6 years.
Results: we recorded a total of 120 patients with a mean age of 53.
Introduction: Child sexual abuse (CSA) remains a big taboo in black Africa with an underestimated prevalence. In our context, the majority of cases are known by revelations of the child at least one year after the facts.
Presentation Of Cases: We report three cases of CSA revealed by an anal/anogenital lesion requiring surgery.
This study describes the chiton fauna (Mollusca, Polyplacophora) from the marine Pleistocene coral reef deposits bordering the Red Sea coast and dating to the last interglacial epoch (Marine Isotopic Substage 5e, MIS5e). Twenty-one species were identified, of which only three were previously known from the Pleistocene of the Red Sea (Lucilina sueziensis, Acanthopleura vaillantii and Acanthochitona penicillata). Eight are recorded as fossil for the first time.
View Article and Find Full Text PDFThe paper covers 11 species of naticid gastropods occurring in the lower Serravallian (Upper Badenian) strata of western Ukraine (Central Paratethys). The studied material (over 1,700 naticids) represents six genera and 11 species, of which eight are new: Cochlis odovychenorum, Cochlis ukrainensis, Tectonatica anistratenkorum, Tectonatica pseudoprietoi, Euspira sirenkoi, Payraudeautia ermesi, Payraudeautia sabrinae and Payraudeautia varovtsiana. Additionally, we have also identified Euspira protracta (Eichwald, 1830), Polinices staszici (Friedberg, 1923) and Sinum affinis (Eichwald, 1830).
View Article and Find Full Text PDFAfr J Paediatr Surg
January 2018
Background: Several surgical approaches or modifications of existing techniques have been described for the repair of hypospadias. In Sub-Saharan Africa, a two-stage approach is the preferred option in proximal cases with severe penile curvature.
Objective: The authors describe their experience with one-stage repair of proximal hypospadias with severe penile curvature using the Koyanagi-Hayashi technique.
Orthop Traumatol Surg Res
October 2018
Context: Humeral plating osteosynthesis is controversial, particularly regarding the choice between anterior and lateral approach, data for which in the context of a low-income country are lacking.
Hypothesis: The anterior approach is an easy surgical technique, allowing good anatomic reconstruction. We hypothesize that the anterior approach is associated with fewer neurovascular lesions and functional sequelae than the lateral approach.
Objective: This study aimed to describe the clinical characteristics of patients with infantile hypertrophic stenosis, management and its outcome in two tertiary care centres in Cameroon.
Results: A total of 21 patients were included from the two centres. The mean age at presentation was 5.
Introduction: Paediatric fractures are often of good prognosis due to auto-correction of insufficient fracture reduction by bone remodeling. In sub-Saharan Africa, traditional healers are renowned for managing fractures and there is a neglect for specialized pediatric fracture care. We aimed to determine the demographic characteristics, clinical presentation, treatment patterns and outcomes of paediatric fractures in a tertiary health care centre in Yaoundé.
View Article and Find Full Text PDFRegulatory T (Treg) cells play a key role in dampening excessive immune activation. However, antiretroviral therapy (ART) -naive HIV-1 infection maintains the immune system in a sustained state of activation that could alter both Treg cell surface markers and functions. As Treg cell surface markers are directly linked to their functions the overall objective of this study was to determine how ART-naive HIV infection affects the phenotypic properties of Treg cells.
View Article and Find Full Text PDFBackground: In parts of Africa, routine circumcision is practised and sometimes even on children with hypospadias. The lack of preputial foreskin renders urethroplasty more difficult and often requires to use of a mucosal graft as described by Bracka.
Objective: The authors describe their experience of hypospadias repair using Bracka's technique.
Objective: The aim of this work was to describe the epidemiological, diagnostic and therapeutic aspects of undescended testicle in the of Pediatric Surgery service of the Yaoundé gyneco-obstetric and pediatric hospital.
Method: Our study was retrospective, descriptive and analytical from June 2008 to December 2016; a period of 8 years and 6 months. Included in this study were records of pediatric patients aged 0 - 15 years who had been managed for an undescended testis in the Pediatric Surgery service of the Yaoundé gyneco-obstetric and pediatric hospital and followed up at our outpatient clinic.
Syringocele or dilatation of the duct of the bulbo-urethral (Cowper's) gland is usually of congenital origin but can be acquired. It is a very rare deformity, <10 cases have been reported in literature. The main objective is to describe an additional case of syringocele of Cowper's glands and review the literature.
View Article and Find Full Text PDFAfr J Paediatr Surg
October 2017
Unlabelled: Mixed gonadal dysgenesis is characterised by unilateral chromosomal abnormality, which is probably the result of anaphase lag during mitosis. The 45, XO/46, XY karyotype is the most common form of mosaicism involving the Y chromosome. It is a rare clinical entity with a worldwide incidence of 1.
View Article and Find Full Text PDFBased on evidence from two collected and treated clinical observations of hypertrophic pyloric stenosis in children of 5 and 12 months of age, the authors give their point of view on the unresolved issue of the etiology of hypertrophic pyloric stenosis. They emphasize that there are more and more factors to prove this is an acquired condition.
View Article and Find Full Text PDFLumbar hernias are rare conditions and about 300 cases have been reported since the first description by Barbette in 1672. Therefore strangulation or incarceration are also exceptionally encountered. We present a 62 -year-old-man who had strangulated left lumbar hernia and consequent mechanical small-bowel obstruction, alongside with a non strangulated right lumbar hernia.
View Article and Find Full Text PDFAmong 464 sera from adults in Cameroon, 56 (12.1%) gave inconclusive HIV serology. All were negative for HIV-1 DNA; 44.
View Article and Find Full Text PDFOrthop Traumatol Surg Res
June 2013
Introduction: Pott's disease is a common entity in our hospital. The authors report their experience in the surgical treatment of Pott disease.
Patients And Methods: This is a retrospective study including all patients who underwent surgery for Pott's disease in our institution between November 1999 and November 2004.