EL HAKIM SURVEY

Content of last edition

Eye and blood disorders

Hematologic diseases is a heterogeneous group of pa- thologies that develop from hematopoietic cells. Ocular involvement is rare and polymorphic, if can either be pri- mary due to direct infiltration by tumor cells (malignant hemopathies) or secondary to abnormalities in blood coagulation. Ophtalmological damage can be the initial manifestation or reveal a relapse and...

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Eye and Behçet’s disease

Behçet’s disease (BD) is a multisystemic autoimmune inflammatory disorder characterized by oral aphthous lesions, genital ulcerations, iridocyclitis with hypopyon, and skin lesions. While ocular manifestations occur in nearly 50 % of the patients with Behçet’s disease, ocular involvement is the initial manifestation in only less than 20 % of the patients. Ocular Behçet’s disease...

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Dysthyroid orbitopathy

Grave’s Orbitopathy (OD) is an inflammatory disease in which immune disorder leads to an increase in the volume of striated muscle and orbital fat with multiple clinical consequences. Exophthalmos or proptoss is the major sign, Grave’s orbitopathy representing the 1st cause of exophthalmos in adults. Palpebral retraction, diplopia, and inflammatory signs (conjunctival hyperaemia, chemosis,...

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Fabry disease: Symptoms, diagnosis and treatment with a particular look at the crucial role of the ophthalmologist

Introduction: Fabry disease, a rare inherited lysosomal disorder stemming from alpha-galactosidase A deficiency, leads to globotriaosylceramide accumulation and multisystemic complications. While cardiac and renal in- volvement is well-documented, ophthalmological implications are frequently overlooked. This article describes the clinical signs of the disease and highlights the crucial role of the ophthalmologist in the diagnosis and...

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Retinal vein occlusions and sleep apnea

Obstructive sleep apnea syndrome (OSAS) is a very common but often ignored disease and has recently been increasingly incriminated in the initiation and progression of numerous cardiovascular, neurologic, and ophthalmologic diseases. The pathogenesis of retinal venous occlusions remains obscure. The clinical presentation of the disease is variable. It is associated with arterial hypertension, glaucoma...

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Myopia, pregnancy and childbirth: myth or reality??

High myopia is a progressive and degenerative disease, that may often cause inconvenience between obstetricians and ophthalmologists, pregnancy added to this background is associated with a certain number of stereotypes that we will discuss during this literature review, especially that associated with childbirth. Three main problems will be discussed: the risk of retinal detachment...

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Status report on corneal transplantation in Oran, between hope and perspectives

Introduction: Many patients consult at the Specialized Hospital Establishment of ophthalmology of Oran for blinding corneal diseases that are reversible by the practice of a cornea transplant. These patients are registered on a list, pending for a cornea transplant. The unavailability of the corneal grafts in Algeria makes this surgery less practiced while it...

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Management of juvenile glaucoma

Juvenile glaucoma is a rare form of open-angle glaucoma, which affects children between 3 and 18 years old. It is most often asymptomatic and evolves slowly, which explains the delays in diagnosis and treatment. Despite the absence of normative databases for the child, it is important to carry out additional examinations such as the...

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Allergic conjunctivitis

Ocular allergies represent a very common reason for allergology and ophthalmology consultations. Allergic conjunctivitis is often underdiagnosed and, as a result, may not receive appropriate treatment. Both basic and clinical research have improved our understanding of the cellular mechanisms, mediators and immune responses involved in ocular allergies. The introduction of new pharmacological agents has...

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ENT disorders of WEGENER’s disease

If the ENT specialist must be familiar with Wegener’s disease, it is because of several elements: the ENT impairment is often initial and characterizes it, which allows an early diagnosis, therefore, which limits the evolution of the affection by an early treatment. On the other hand, the nasal mucosa remains the easiest approach for...

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Long-acting contraception

Contraceptives known as long-acting reversible contraceptives have a prolonged effectiveness over time from 3 to 5 years depending on the method. They have become a topic of considerable interest in contraception in recent years. In fact, these methods, including intrauterine devices, intrauterine systems, and the subcutaneous implant, or even injectables, allow optimal contraceptive efficacy...

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Nutrition and chronic obstructive pulmonary disease

The direct role of dietary factors in respiratory disease is increasingly suspected, but the direct relationship is unclear. It has long been known that cachexia dueto undernutrition in Chronic obstructive pulmonary disease in the chronic respiratory failure stage is a marker of high mortality. Respiratory functional rehabilitation with a consequent rich nutritional intake can...

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Acute and chronic rhinosinusitis in adults and children

Acute and chronic rhinosinusitis are an inflammation of the mucosa of the sinus cavities, viral but especially bacterial and sometimes mycotic, evolving between 4 (acute) and 12 (chronic) weeks. It is a frequent pathology in daily medical practice and the diagnosis is based on anamnestic history and clinical examination (nasal endoscopy). Imaging (CT-scan) is...

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Centralized reconstitution unit for cytotoxic drugs: what organization?

Cytotoxic drugs may present potential risks to the health staff called to manipulate them without special precautions. Exposure to these substances can occur at all steps of use in hospital, especially during preparation, waste management and administration to the patient. The success of cancer treatment will depend largely on the important phase that’s the...

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Post-surgical functional prognosis of open fractures of the distal femur: Experience of the Orthopedic and traumatology surgery department, Yopougon University Hospital, Abidjan, Ivory Coast

Objective : Contribute to improving the prognosis of open fractures of the distal femur. Methods : This is a 5 years retrospective study from January 2017 to December 2021. Were included all open fractures of the distal femur. Before 2018, 10 osteosynthesis of fractures were performed by Kirschner wires, simple condylar plate and external...

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Hepatic tuberculosis: report of a case

Hepatic tuberculosis is rare, the interest of its knowledge lies in the diagnostic problems it poses in particular in its primitive form. The clinical, biological and radiological aspects are often misleading. We report the case of an immunocompetent 38-year-old patient single housewife, with no notion of tuberculosis contagion, whose initial clinical, biological and radiological...

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Epidemiology of ovarian cancer

Ovarian cancer represents approximately 4 % of female can- cers and is responsible for more than 5 % of cancer deaths. White women or women living in developed countries are most at risk. Incidence and mortality rates, stable between 1980 and 2000, tend to decrease with the advent of oral contraception and therapeutic progress....

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