Essossinam Kpelao

Hématomes Extraduraux Chez L’adulte Au Togo

The aim of this present study is to help people suffering from cardiovascular diseases by designing and implementing a digital bracelet that allows keeping a record of cardiac behavior to generate a more optimal diagnosis of the patients current state and the evolution of the heart rate of the same patient. The research used the evolutionary methodology. This methodology consisted of three stages: specification, development, and validation. In this study, 95% reliability was used. The results obtained with the present study were favorable. In addition, the digital bracelet has an important acceptance both in the patients and in the doctors who attended the people with cardiovascular disease.The ideal, the spiritual and the most important element of motivational intelligence is cooperation. The idea is to focus on helping with motivational problems where the customer is not ready or willing to change or have a sense of ambivalence. It is certain that motivational intelligence is not a collection of techniques. This involves the attitude of the therapist, who does not assume absolute authoritarian attitude and is more of a partner, and rather is to investigate the clients problems with the exclusion of the attitude of giving instruction, moralistic recommendations. It is generally about support and more about creating a friendly interpersonal atmosphere that encourages cooperation. The therapists tone of wisdom is not acceptable, but rather the actual picture of the condition being extracted from the patient. This method is more like Socrates than university lecturer. The form of educare, mining is the most appropriate. The goal is to discover within yourself the motivation for change and its extraction. The article describes the motivational intelligence technique as a tool for social workers.The presented contribution attempts to introduce a phenomenologicalexistential analysis of experiencing beauty (aesthetic experience) through Heidegger’s approach to the examination of state-of-mind. It points out a topic which no doubt extremely interested Heidegger, but which he did not approach by the method he offered in Being and Time. The text thus attempts to reconstruct what Heidegger’s answer to the question “what is beauty?” might have sounded like in this period of his work. The offered analysis respects the original structure of the question regarding the state-of-mind and examines beauty from three viewpoints: 1) what beautiful objects have in common and what characterises them, 2) what characterises aesthetic experience, and finally, 3) what matters to us in an aesthetic experience. Thus it attempts to interpret beauty within Heidegger’s understanding of being and being-in-theworld before the “turn” in his thinking. The study points to the cognitive aspects of aesthetic experience in the sense of understanding beauty as the uncovering of being and the truth of the world.Communism is the ideology which aims at exterminating all religions as, it is believed, they are harmful to social life. Therefore, after the 2nd World War, under the arrangements between the allies, communists took control in Poland and started to gradually but systematically eliminate the influence of the Church and the Catholic religion on the society. Due to the confrontational attitude of the ruling party towards the Church, the relations between the Polish Episcopate and the communist authorities were dominated by the permanent, mainly ideological, conflicts. The breakthrough happened as late as in the 80s of 20th century. At that time, not only did the relations between the former enemies improve but they both started to work together towards the normalization and humanization of the relations between the communist regime and the Episcopate. The result was the participation of the representatives of the Episcopate in the behind-closed-doors negotiations in Magdalenka which happened before the deal between the government and a part of the Solidarity opposition was signed at “the round table”. The main aim of this publication is to present the role of the Episcopate in the process of the political changes in Poland. In the 80s, the Episcopate constituted a specific and unique social group which brought together hierarchs who had various attitudes towards the communist authorities. What caused the internal tensions and divisions within the Episcopate were the Church representatives making deals with the former oppressors as well as various attitudes of bishops towards the ruling party. On the basis of the secondary sources, the author of the publication will attempt to present the role of the Episcope in the moderation of the agreements which became the backbone of the political changes in Poland, i.e. the transformation of communism into post-communism.

Les méningiomes intracrâniens opérés au CHU Sylvanus Olympio de Lomé: aspects anesthésiologiques et complications: à propos de 21 cas

This study aimed to point to both the anesthesiological aspects and the perioperative complications of intracranial meningiomas operated at the Sylvanus Olympio University Hospital Center, Lomé. We conducted a retrospective study by reviewing the medical records of patients with intracranial meningiomas undergoing surgery over the period December 2010-December 2015 (5 years) at the Sylvanus Olympio University Hospital Center, Lomé. Out of 46 patients operated fo brain tumors, 21 (45.6%) had meningioma. The average age was 49 ±20 years, with a male predominance (52.4%) and a sex ratio (M/F) of 1.1. Patients were classified according to ASA classification: 16 patients were classified as ASA II, 4 patients as ASA III and 1 patient as ASA IV. Patients underwent total intravenous anesthesia using hypnotic agent such as propofol (100%) and fentanyl (76.2%), which was the most available opioid. Perioperative complications were: bleeding, (mean blood loss: 1750 ±584 ml), hypotension (mean arterial pressure (MAP) < 60 mmHg) in 10 (47.6%) patients; hemorrhagic shock in 2 (9.5%) patients, cardiovascular arrest: 01 (4.7%) patient successfully resuscitated. Postoperative complications were: convulsions in 5 (23.8%) cases, hyperthermia in 4 (19%) cases, hemorrhagic shock in 2 (9.5%) cases, death in 2 (9.5%) cases. Perioperative morbidity and mortality associated with intracranial meningioma surgery at the Sylvanus Olympio University Hospital Center, Lomé remains high. Improvement of technical equipment and early consultation should reduce these complications.L’objectif était de relever les aspects anesthésiologiques et les complications périopératoires des méningiomes intracrâniens opérés au CHU Sylvanus Olympio de Lomé (CHU SO). Il s’agissait d’une étude rétrospective sur dossiers de patients opérés de méningiomes intracrâniens durant la période de Décembre 2010 à décembre 2015 (5 ans) au CHU SO. 21 (45,6%) méningiomes recensés sur 46 tumeurs cérébrales opérées. Age moyen: 49 ± 20 ans; prédominance masculine (52,4%), ratio M/F: 1,1. Classification ASA: ASA II: 16 patients, ASA III: 4 patients, et ASA IV: 1 patient. L’anesthésie a été intraveineuse totale avec du Propofol (100%) comme hypnotique et du fentanyl (76,2%) comme morphinique le plus disponible. Complications peropératoires: saignement, pertes sanguines moyennes: 1750 ± 584 ml; hypotension avec Pression artérielle moyenne (PAM) < 60 mmHg: 10 (47,6%) patients; choc hémorragique 2 (9,5%) patients, arrêt cardiocirculatoire: 01(4,7%) patient réanimé avec succès. Complications postopératoires: convulsions 5 (23,8%) cas, hyperthermie 4 (19%) cas, choc hémorragique 2(9,5%) cas, décès: 2 (9,5%) cas. La morbidité et la mortalité périopératoire de la chirurgie du méningiome intracrânien au CHU SO de Lomé reste élevée. L’amélioration du plateau technique et une consultation précoce permettrait de réduire ces complications.

A Technique for Treatment of Overdrainage in Ventriculoperitoneal Shunt

Background and Importance: Overdrainage is a complication of ventriculoperitoneal shunt but adjustable valves and anti-siphon devices can prevent it. These very expensive valves are most often inaccessible, so that the majority of the valves available in Togo are fixed differential pressure valves. Although overdrainage is a widely-known issue, we aimed to introduce a new risk factor and the way we manage this complication.