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Introduction: Smoking, a major preventable cause of morbidity and mortality is a real public health problem in the world., The Objective: was to establish the epidemiological profile of smoking among soldiers at Camp Almamy Samory Touré., Method: This was a descriptive cross-sectional study lasting 6 months in 2018 at Camp Almamy Samory Touré in Conakry including all serving soldiers, without distinction of age, sex, residence and who accepted freely to participate., Results: We investigated 384 soldiers, including 287 smokers, a prevalence of 75% and 97 non-smokers, 25%. The most represented age group was 31-40 years 25.5% with an average age of 38.95 ± 9.36 years. They were all male (100%) and the majority resided in Conakry 96.61%. The level of education was secondary followed by higher and primary respectively: 38.54%; 24.48% and 23.70%. Married people were more numerous 39.58% followed by single people 34.11%. The average age of onset of smoking among our soldiers was 18.86 ± 3.42 years. Leisure places 26.48% were the main place of initiation to tobacco smoking. The 38.46% of the military smoke 11-20 wicks of cigarettes per day. During the study, 55.93% of soldiers wanted to quit smoking now., Conclusion: The prevalence of smoking among soldiers at Camp Almamy Samory Touré in Conakry remains very high with a young and male predominance. Nearly ¾ of the soldiers surveyed had smoked in the past and places of leisure were the main place of initiation to tobacco smoking. However, more than half of the soldiers now wanted to quit smoking after a good knowledge of the toxic effects of this practice., (Le comité de rédaction se réserve le droit de renvoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de conserver un exemplaire du manuscrit, des figures et des tableaux.)

Complex care pathways can result in detrimental treatment delay particularly in tuberculosis patients. The purpose of this retrospective study was to assess the care pathways followed by tuberculosis patients prior to diagnosis and to assess impact on the delay for initiation of treatment in Conakry, Guinea. A total of 112 patients were interviewed at the time of first admission for pulmonary tuberculosis with positive bacilloscopy. Based on interview data, pathways were classified as conventional (use of health care facilities only) and mixed (use of health care facilities, self-medication, and traditional medicine). The correlation between patient characteristics and type of pathway was assessed by univariate and multivariate analysis and the two groups, i.e., conventional vs. mixed, were compared with regard to delay for initiation of treatment. The care pathway was classified as mixed in two out of three patients. Multivariate analysis showed that this type of pathway was only correlated with schooling (p=0.02). The mean delay for treatment was similar, i.e., 13.4 and 12.8 weeks for conventional and mixed pathways respectively (p<0.68). The percentage of pathways including three consultations at health care facilities was significantly higher in the conventional than mixed group (72% vs. 30%, p<0.001). The main reasons given for delayed use of health care facilities were poor knowledge of tuberculosis symptoms (26%) and high cost of care (12%). The findings of this study indicate that tuberculosis patients follow a variety of care pathways that can lead to delayed treatment. An information campaign is needed to increase awareness among the population and care providers.

Untreated smear-positive pulmonary tuberculosis constitutes a reservoir of infection which is highly contagious. The present study was conducted in Conakry, Guinea, to determine the different options which are available when seeking treatment or care, and to ascertain the average delay in diagnosis of pulmonary tuberculosis and the main factors linked to the delay in diagnosis after the initial onset of symptoms. Through a cross-sectional study, 113 consecutive patients with smear-positive pulmonary tuberculosis were interviewed through the use of a questionnaire. The median total delay from the onset of symptoms of pulmonary tuberculosis until the diagnosis was 11 weeks. This delay period exceeded 4 weeks for 90 of the patients (80%). The average delay linked to the conventional health care system was double that of the one at the fault of the patient (6 weeks versus 3 weeks, respectively). 54% of the patients had initially resorted to non-conventional care. To shorten this mean delay period, it is necessary to both strengthen the professional abilities and skills which train for one to better to detect tuberculosis and to sensitize the population to the subject matter and information on the illness and its symptoms.

Authors bring back their experience in surgery thyroïdienne patient sur192s admitted and operated in five years in tea service of General Surgery of him FALLEN Ignace Deen Conakry of. Thesis patients represented 3.13% of tea 6139 surgical interventions exercised during tea period of survey. It was about has retrospective survey of descriptive type going from January 1st, 1997 at 31 December 2001, structural one aspects epidemiological, clinic, therapeutic and histologique. Tea done operative gesture was 86 lefts loboisthmectomieseses (44.17%), 41 rights loboisthmectomieseses (21.35%), 58 thyroidectomies subtotales (30.21%), 7 thyroidectomieses total (3.65%). Tea gotten results were good in 99.48%. To slot of death has been recorded, representing 0.52%. Tea goalkeeper of tea survey was to appreciate results of surgery thyroidienne and to take out again elements of bad prognostication of this surgery in their service.

This report describes 6 cases of Wilson's disease observed at the University Hospital Center in Conakry, Guinea. Presenting symptoms involved extrapyramidal syndrome in 4 cases, psychomotor epilepsy in 1, and confusional syndrome in 1 case. Diagnosis was based on neuropsychic manifestations, Kayser-Fleicher corneal ring, liver failure, and impaired copper metabolism. Brain CT-scan depicted normal features in 3 cases, symmetric hypodensity of the lenticular nucleus in one, discrete ventricular dilatation of in one a and cortico-subcoetical atrophy in one.

The object of this study was to determine the evolution of the lesions provoked by dicrocoeliasis in hepatic tissue, as a function of the quantity of parasites. Of the 274 bovine livers taken from the slaughterhouse and autopsied for Dicrocoelium dendriticum infection, 191 demonstrated hepatic lesions that revealed a proliferation of bile ducts, modifications of the bile ducts and hepatic fibrosis lesions. The modifications of the surfaces of the bile ducts and the hepatic fibrosis lesions increased with the level of infestation from 0 to 300 D dendriticum. Above these values, 301 to 600 flukes, a decrease was observed.

Virological studies conducted in the Republic of Guinea led to the isolation, for the first time, of M'Poko virus from Culex cinereus mosquitoes. The biological, physical and antigenic characteristics of this virus are studied. Serological tests are carried out in human and animal populations.