Delgadogottlieb6078

Osteoporosis (T score ≤ -2,5 SD) were found in 49% of patients and 80 % of them have a reduced BMD (T score ≤ -1 SD). The mean MOF score was 0,36 ± 0,3 [0-0,9] and the mean FH score was 0,3 ± 0 [0-0,5].The MOF was significantly associated with Bone loss (p=0.000). A trend for a significant association was also found with ASDASCRP (p=0.05). The MOF and FH were both significantly associated to the age at the onset of SA (respectively, p=0,003 and p=0,002). The risk of FH was higher when hip BASRI (p=0..036) and ESR were high (p=0,014), it's also associated to age (p=0..002) and vitamin D deficiency (p= 0.043). However, no correlation was found between the MOF and FH and the presence of peripheral arthritis, enthesitis or hip arthritis. CONCLUSION The MOF score, in patient's wih SA, was associated with bone loss, age at disease onset and ASDASCRP. The HF score was associated with age, Vitamine D deficiency, age at disease onset, high hip BASRI and high ESR.INTRODUCTION The stress fracture occurs in a healthy bone with a lack of adaptation to sustained, intensive and repetitive physical activity. However, bone mineral density is strongly correlated with bone strength and fractures may occur more easily on osteoporotic bone. AIM To evaluate the bone densitometric profile of elite athletes with a history of stress fracture and to determine the interest in preventing this type of fracture. METHODS cross-sectional study comparing a group of elite athletes to a control group matched by sex, age and sports discipline. Bone mineral density is measured by dual energy x-ray absorptiometry. RESULTS Our study involved 10 elite athletes with a mean age of 20.3 years and a history of stress fracture, compared to a population of 8 controls practicing the same sport with the same training volume per week. The diagnosis of clinically suspected stress fracture is confirmed in all cases by bone scintigraphy. Osteopenia is diagnosed in one patient while osteoporosis is found in one of the controls. No significant difference was found between the 2 mean bone densities (at the lumbar spine and proximal femur) among the 2 groups. CONCLUSION bone densitometry does not seem to be, according to our study, a relevant tool in preventing stress fractures in elite athletes.BACKGROUND Health care-associated infections are a real public health problem. Contaminated medical equipments such as stethoscopes are often an overlooked vector. In our study, we were interested in proving our doctors stethoscopes contamination and in studying the microbiological profile of isolated germs. METHODS This was about a cross-sectional study that lasted 2 months (May and June 2014) including 39 personal stethoscopes of all grade doctors working in 8 different departments in Habib Thameur Hospital. The swabs were taken from the membranes of the stethoscopes and sent quickly to our bacteriology service. Then, the bacteriological samples were subcultivated on blood agar. The reading tooks place 24 hours later. Were considered positive the cultures that contained more than 104 colony forming units/ml. Then we proceeded to the identification of the germ. RESULTS Fifteen samples from 39 were positive that was 38 %. The coagulase- negative Staphylococcus was the predominant germ. The pathogenic germs were found in 5 positive samples that was 12 % from all the samples. They were distributed as follows 2 Methicillin-susceptible Staphylococci Aureus, 2 methicillin-resistant coagulase- negative Staphylococci and one Pseudomonas aerogenusa. check details The pathogenic germs were found in stethoscopes taken from cardiology and intensive care unit (ICU). In cardiology, 7/9 stethoscopes were positive (5 coagulase- negative Staphylococcus among them 2 resistant methicillin and 2 Staphylococcus aureus.) In ICU, 6/13 stethoscopes were positive among them one Pseudomonas aerogenusa. CONCLUSION The stethoscopes constitute bacterial reservoirs. It is necessary to perform a procedure for the good practices of disinfection.OBJECTIVE To describe the epidemiological and clinical profile of hypertensives aged 60 years and over followed outpatient, at the National Heart Center of Nouakchott (CNC) in Mauritania. METHOD This is a descriptive, cross-sectional study conducted from February to July 2016, including elderly hypertensive patients, followed on an outpatient basis at the CNC. RESULTS We had 150 patients representing 12.6% of the CNC's consultants, 101 of whom were included in the study. The mean age was 67.3 ± 5.78, and the sex ratio was 1.02. Systol-diastolic hypertension was predominant (69.3%). Three main cardiovascular risk factors were more frequently associated sedentary lifestyle (59%), obesity or overweight (58%) and hypercholesterolemia (52%). The average number of cumulative risk factors was 3.4. Overall cardiovascular risk was high in 70.3% of patients. The symptomatology was dominated by headache (51.4%). Cardiac involvement was the most common complication (49%) with a predominance of left ventricular hypertrophy (18.8%). Renal involvement and stroke (exclusively ischemic) were reported in 24.8% and 12.9% of cases, respectively. Therapeutically, the most frequently used molecules were calcium channel blockers in monotherapy and the combination of calcium channel blockers and the conversion enzyme, in dual therapy. CONCLUSION In Mauritania, the elderly hypertensive patient presented multiple cardiovascular risk factors and cardiac complications. The decentralization of its care to the front-line health structures would be essential for a more rational management of the arterial hypertension of the elderly subject.The use of doping substances and methods is prevalent not only among elite athletes, but also among amateur athletes and other athletes. However, the abuse of substances and methods of doping has been associated with the occurrence of numerous adverse health effects. Cardiovascular effects are the most deleterious. The objective of this manuscript is to study through a review the literature, adverse cardiovascular effects after the abuse of substances and doping methods in athletes. Three major classes of products have more cardiovascular side effects; they are anabolic, stimulants and narcotics. It is possible to predict their use according to the desired objectives. Anabolic doping is used by sportsmen who practice strength sports, stimulants are used by those who practice speed sports, while endurance sportsmen prefer products that improve the transport of oxygen. Cases of myocardial infarction, hyperlipidemia, hypertension, venous thrombosis, arrhythmogenesis, heart failure and sudden cardiac death have been observed.