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Social Representation of Cancer among Nurses in Burkina Faso and Influence on Early Diagnosis of Cancer
Augustin Tozoula Bambara,
Michel Ilboudo,
Dagnagnewende Dieudonne Kabore,
Pingwende Fidele Kabore,
Alice Cynthia Sama
Issue:
Volume 8, Issue 3, September 2023
Pages:
39-45
Received:
24 July 2023
Accepted:
9 August 2023
Published:
17 August 2023
Abstract: Objective: We conducted this study with the aim of determining the association between the social representation of cancer of nurses in Ouagadougou and the decision they make when faced with a sign suggestive of cancer. Methods: We conducted a survey over a period from December 27, 2022 to March 26, 2023 in the city of Ouagadougou. A total of 341 nurses working in the Health and Social Promotion Centers participated in the survey by completing a questionnaire. They were asked to produce a series of five words that came to mind spontaneously from the word “cancer” inducer then to rank these words in descending order of importance according to their judgment. The subjects surveyed were finally asked about their practices in front of signs suggestive of cancer. These practices have been categorized into “I refer” and “I do not refer” to a higher level of care. We compared these two groups through a prototypical analysis using the Iramuteq software. Results: In group 1, the central core was composed of 8 words which are: Pain, Incurable, Suffering, Breast, Nodule, Chemotherapy, Expensive, Tumor. The second periphery was composed of: Death, Fear, Metastasis, Chronic, Expenditure, Compassion, Serious. In group 2, the core was composed of 15 words which are Death, Pain, Tumor, Suffering, Expensive, Metastasis, Nodule. The first periphery was composed of the following words: Fear, Incurable, Chemotherapy, Chronic. The maximum tree of representation indicates that the words cited in both groups are organized around the words “death”, “pain”, “incurable” and “fear”. Conclusion: This difference in perception of the disease has a probable influence on their readiness to refer patients to health centers better equipped for patient management. It seems necessary to reflect on ways to train nurses, to inform them about cancer and on the benefits of adequate and early management.
Abstract: Objective: We conducted this study with the aim of determining the association between the social representation of cancer of nurses in Ouagadougou and the decision they make when faced with a sign suggestive of cancer. Methods: We conducted a survey over a period from December 27, 2022 to March 26, 2023 in the city of Ouagadougou. A total of 341 n...
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Impact of Nutrition Education on Nutritional Status, Tolerance and Response to Chemotherapy: Experience at Douala General Hospital, Cameroon, Central Africa
Dina Bell Esther Hortense Murielle,
Esson Mapoko Berthe,
Sango Anne,
Atenguena Etienne,
Maïson Mayeh,
Mekah Mapenya,
Ndangue Ntone Nancy,
Anaba Dominique,
Ntama Ambroise,
Aminatou Ada,
Mbemmo Murielle Laure,
Ngo Bikond Grace,
Yondo Edimo Suzanne,
Mouelle Mbassi W,
Mouelle Michel,
Tchakounté Boris,
Ananga Noa,
Mananga Jean Charles,
Hilaire Mbiatat,
Njock Louis Richard
Issue:
Volume 8, Issue 3, September 2023
Pages:
46-56
Received:
6 August 2023
Accepted:
29 August 2023
Published:
6 September 2023
Abstract: Objective: The overall aim of this study was to determine the impact of nutrition education on the tolerance and response to chemotherapy of cancer patients at Douala General Hospital. Material and methods: This was a 2-arm randomized comparative study done over a 5-months period from November 1, 2016 to March 31, 2017. A total of 107 patients with all cancers undergoing chemotherapy were randomized into 2 groups after obtaining their informed consent: the group that received nutrition education with each cycle of chemotherapy, and the group without nutrition education that received only the usual treatment. Results: The mean age was 46.6 ±15.3 years. The most common cancers were breast cancer (36.4%) and cervical cancer (19.4%). The incidence of undernutrition in our study population was 45.8%, of which 35.5% was moderate and 10.3% severe. Patients in the nutrition education group showed a marked improvement in their nutritional status after 3 cycles of chemotherapy, tolerated the treatment better and had a better response to it. Conversely, patients in the group without nutritional education showed a deterioration in their nutritional status, tolerated treatment less and also responded less to it. Moreover, in the latter group, the risk of not responding to treatment was 19.6 times greater than in patients who received nutritional follow-up. Conclusion: Nutritional education had a significant impact on patients' nutritional status, tolerance and response to chemotherapy.
Abstract: Objective: The overall aim of this study was to determine the impact of nutrition education on the tolerance and response to chemotherapy of cancer patients at Douala General Hospital. Material and methods: This was a 2-arm randomized comparative study done over a 5-months period from November 1, 2016 to March 31, 2017. A total of 107 patients with...
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Research Article
Therapeutic Itineraries of Breast Cancer Patients in Burkina Faso
Augustin Tozoula Bambara,
Nina Astrid Ouedraogo,
Okobalemba Etienne Atenguena,
Michel Ilboudo,
Dagnagnewende Dieudonne Kabore
Issue:
Volume 8, Issue 3, September 2023
Pages:
57-63
Received:
17 August 2023
Accepted:
5 September 2023
Published:
13 September 2023
Abstract: We therefore conducted this study with the objective of analyzing the association between their therapeutic route and their consultation time at the CHU-YO. This was a retrospective study based on medical records of patients followed in the cancer department of the CHU-YO during the period from January 2017 to December 2021. Their first consultations in different health centers were informed as well as the chronology of these consultations. The consultation time was compared according to different parameters by the tests of Student, Wilcoxon and Kruskal-Wallis. A total of 220 patient files were retained. The average age of these patients was 48.3 (13.6) years. Salaried patients accounted for 27.3%. One hundred and eighteen patients (53.6%) resided in Ouagadougou, 18 patients (8.2%) resided in a locality located within 100 km of the city of Ouagadougou and 84 patients (38.2%) resided in a locality located more than 100 km from Ouagadougou. The first contact with the modern health system was CSPS or CMA in 70% of cases, CHR in 5.5% of cases, private health centers in 3.6% of cases and CHU in 20.9% of cases. Thus, 46 patients consulted directly at the CHU, 4 patients consulted in a CSPS before being referred to the CHU, 120 patients consulted in a CMA before being referred to the CHU. The average time did not differ significantly according to the usual place of residence, the place of the first consultation and the therapeutic route. However, it differed significantly according to the stage of diagnosis. Measures allowing geographical and financial accessibility, training of paramedics and awareness of populations would promote the early diagnosis of breast cancer in Burkina Faso.
Abstract: We therefore conducted this study with the objective of analyzing the association between their therapeutic route and their consultation time at the CHU-YO. This was a retrospective study based on medical records of patients followed in the cancer department of the CHU-YO during the period from January 2017 to December 2021. Their first consultatio...
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Association Between Platelet Count and Other Factors in Patients with Stage-IV Non-Small Cell Lung Cancer
Beauty Saha,
Muhammad Rafiqul Islam,
Nazma Azim,
Salman Bashar Al Aub,
Rashedul Islam,
Ahmed Jabeer
Issue:
Volume 8, Issue 3, September 2023
Pages:
64-71
Received:
22 July 2023
Accepted:
21 August 2023
Published:
18 September 2023
Abstract: Background: Stage IV non-small-cell lung cancer (NSCLC) means a disease that has spread from the lungs to distant areas of the body like the liver, brain, or bones. An increased platelet count can accompany various cancers including lung cancer. This finding has recently been suggested to indicate a poor prognosis. Preconception on the relation between platelet count and other associated factors in patients with stage-IV non-small cell lung cancer may be a potential associated indicator in managing such patients. Aim of the study: This study aimed to evaluate the relationship between platelet count and other associated factors in patients with stage-IV non-small cell lung cancer (NSCLC). Methods: This prospective observational study was conducted at the National Institute of Cancer Research & Hospital (NICRH), Dhaka, Bangladesh during the period from September 2019 to August 2020. A total of 108 patients were enrolled purposively. Detailed history taking and thorough physical examination was done along with relevant investigations. Data were collected by semi-structured questionnaire and analysis was done by SPSS, version 21.0. Results: The mean age of the patients was found 56.4±12.2 years and the majority (79.6%) of patients were male. The highest number of participants (40.7%) were symptomatic; in bed, >50% of the day, almost two-thirds (59.3%) had <5% weight loss, and almost three fourth (69.4%) had squamous cell carcinoma. At the time of the first assessment, 75 (69.4%) patients had normal and 33 (30.6%) had elevated platelet count levels, age, sex, and histological type were statistically not significant between normal and elevated platelet count level groups. But performance status and weight loss were statistically significant (p<0.05) between the two groups. According to univariate analysis, age, performance status at presentation, weight loss of more than 10% for 3 months and platelet count before the start of treatment were all significant predictors for overall survival. Conclusion: As per the findings of this study we can conclude that there has no significant correlation of platelet count with age, sex or histological types of NSCLC patients. But with performance status and weight loss, there may have a statistically significant correlation in such patients.
Abstract: Background: Stage IV non-small-cell lung cancer (NSCLC) means a disease that has spread from the lungs to distant areas of the body like the liver, brain, or bones. An increased platelet count can accompany various cancers including lung cancer. This finding has recently been suggested to indicate a poor prognosis. Preconception on the relation bet...
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Results of Micro Biopsy (Tru-Cut) of Breast Cancer in Guinea
Bah Malick,
Touré Alhassane Isamael,
Keita Mamady,
Conde Ibrahima Kalil,
Souare Mamadou Bobo,
Sy Savané Mariame,
Cisse Kalil,
Cissé Mohamed Falilou,
Traore Bangaly
Issue:
Volume 8, Issue 3, September 2023
Pages:
72-76
Received:
21 August 2023
Accepted:
5 September 2023
Published:
18 September 2023
Abstract: Objective: The aim was to determine the contribution of Micro-biopsy to the diagnosis of patients with breast cancer. Material and methods: This was a 2-year retrospective observational study from January 1, 2019, to December 31, 2020. It concerned patients with breast pathologies who underwent Micro-biopsy. Results: We enrolled 360 patients with breast pathologies, 47 of whom underwent Micro-biopsy. The mean age of the patients was 43.0 years, with a predominance of females in 45 (95.7%) cases. The primary tumor was classified as T4 in 24 (51.2%) cases. Micro-biopsy yielded an average of 4 cores (4 and 10). Immunohistochemistry was performed abroad (cerba laboratory) in 40 (85.1%) patients. Hormone receptors were positive in 09 patients, including 6 (2.6%) with positive estrogen receptors and 3 (1.3%) with positive progesterone receptors. Her2-positive breast cancers accounted for 3 (1.3%) cases. The Ki67 proliferation index was ≥ 15% in 24 (40.4%) cases. According to the nature of the fine-needle biopsy specimen result, we notified 39 (83.0%) cases of cancer and 7 (15.0%) cases of benign tumor. Conclusion: This preliminary study enabled us to assess the contribution and reliability of Micro-biopsy in the diagnostic arsenal of breast cancer. Micro-biopsy should be performed for all breast nodules. Screening and awareness campaigns will make a considerable contribution to reducing the delay in diagnosis and the morbidity and mortality associated with breast cancer.
Abstract: Objective: The aim was to determine the contribution of Micro-biopsy to the diagnosis of patients with breast cancer. Material and methods: This was a 2-year retrospective observational study from January 1, 2019, to December 31, 2020. It concerned patients with breast pathologies who underwent Micro-biopsy. Results: We enrolled 360 patients with b...
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Diagnosis of Ovarian Cancer: Imaging Challenges in a Country with Limited Resources
Bambara Augustin Tozoula,
Ouedraogo Nina-Astrid,
Atenguena Okobalemba Etienne,
Dossou Odjoutchoni Fidele,
Cisse Rabiou
Issue:
Volume 8, Issue 3, September 2023
Pages:
77-82
Received:
28 August 2023
Accepted:
13 September 2023
Published:
25 September 2023
Abstract: Ovarian cancer is a public health problem in Burkina Faso. The objective of this study was to present the challenges of medical imaging in the diagnosis and monitoring of ovarian cancers in this context of countries with limited resources. This was a retrospective study carried out in the cancer department of the Yalgado Ouedraogo University Hospital in Ouagadougou. Patients in whom ovarian cancer was raised based on clinical, radiological and pathological arguments from January 2017 to December 2022 were included. The modalities, indications and results of the imaging examinations were analyzed. Fifty-two cases of ovarian cancer were identified. The medical imaging studies mentioned in the patients' files for the diagnosis and follow-up of ovarian tumours were CT scans (94.2%), ultrasound (57.7%), standard X-rays (42.3%) and MRI in eight cases. CT scans were performed as part of the preoperative work-up in 24 cases and postoperatively in 25 cases. The examination reports were not standardised; the writing style was free. The appearance of the lesion was mentioned in 14 cases (60.9%). No ultrasound report mentioned the use of the endovaginal route. The reports were not standardised; the writing style was free. The characteristics of the ovarian tumours were not mentioned in the ultrasound reports. Ovarian location was reported in 47% of cases and extension to other pelvic organs in 20%. Chest X-rays were prescribed in addition to abdomino-pelvic ultrasound or CT scans, when diagnosing or monitoring ovarian tumours. No preoperative laparoscopy was performed. The challenge of ovarian cancer imaging in a context of countries with limited resources lies in the efficient use of available imaging resources. Examination procedures and report writing should comply with good ovarian cancer imaging practice in order to optimise patient care.
Abstract: Ovarian cancer is a public health problem in Burkina Faso. The objective of this study was to present the challenges of medical imaging in the diagnosis and monitoring of ovarian cancers in this context of countries with limited resources. This was a retrospective study carried out in the cancer department of the Yalgado Ouedraogo University Hospit...
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