The genital prolapses frequency was 1.2% with an annual average of 16.1 cases (SD 10.1) per year. The symptomatology consisted of pelvic size related to urinary and digestives troubles (94.0percent, n=140). The stage III of cysto-colpocele ended up being more frequent (56.0%, n=82). The vaginal hysterectomy linked to rectocele and cystocele remedy was the essential performed operation (52.0%, n=69). The recurrence rate was of 2.0% (3 out of 148 cases). The genital prolapse really occur in our milieu, its symptomatology is ancient and its particular treatment solutions are mainly medical by vaginal access.Résumé L´occlusion radique est une complication grave de l´entéropathie radique. Elle survient chez les patients sous radiothérapie suivis pour cancer tumors gynécologique ou du anus. Sa prise en charge nécessite une attention particulière pour améliorer la survie de ces clients. A partir d´un cas ayant été opéré pour cancer du rectum et qui a présenté une occlusion sur sténose serrée post-radique du canal anal et de la partie distale du sigmoïde, nous allons décrire la physiopathologie de cette entité rare et illustrer la valeur de l´imagerie dans la prise en charge de cette pathologie. English abstract Post-radiation occlusion is a serious problem Chinese patent medicine of radiation enteropathy. It happens in customers undergoing radiotherapy for gynecologic or rectal disease. Correct administration is really important to improve patients’ success. We here report the scenario of a patient undergoing surgery for rectal cancer. He had post-radiation stricture because of tight stenosis of the anal canal and of the distal end associated with sigmoid colon. This study describes the pathophysiology of this unusual entity and highlights the role of imaging tests into the handling of this disorder.The World Health company (whom) African regional instruction course for mid-level managers (MLM) of immunization programs established in 2004, has encountered changes across the years, to support brand-new developments in the field. In 2016, the which African regional office conducted a comprehensive writeup on the course materials and distribution methods to document lessons to greatly help improve course. A number of the spaces included unsuitable variety of students, insufficient consider skills development, hefty reliance on text and presentations, along with resource limitations to attain a critical size of students hepatitis-B virus . The local office worked with Bull City understanding how to redesign this course products along carefully crafted course goals and curricula, also to help facilitators to higher provide the training course. In inclusion, the materials had been converted into online discovering tools. Within 10 months, an overall total of 3011 learners were signed up for check details the online MLM instruction system and received a complete of 9209 certificates. The MLM program will continue to be highly relevant since the immunization area of work expands significantly, by adding brand new vaccines, introduction of new technologies, and expanding options for online learning.Left ventricular aneurysms (LVA) tend to be primarily a late result of transmural myocardial infarction. About 80% of LVA can be found into the anterior and/or apical walls, most frequently associated with remaining anterior descending artery occlusion but any area could be engaged. Basal substandard wall aneurysms are rare and constitute nearly 3% of all of the LVA. A calcified LVA is seldom observed in modern medical practice. And a calcified basal inferior LVA is an even rarer coincidence. We report an incident of an 82-year-old women with life threatening arrhythmia revealing a huge calcified aneurysm regarding the basal inferior wall, clinically treated with good effects. The exact incidence of left ventricular aneurysms (LVA) following myocardial infarctions is difficult to precise however it is clearly lowering. Eighty percent (80%) of LVA are observed into the anterior or apical wall space, but any region could be engaged. Basal inferior wall aneurysms constitute 3% of most LVA. Echocardiography is the first diagnostic tool and there’s still no obvious tips on the best way to treat LVAs. Surgery is advised but treatment may help improve the well being. the western region of Kenya has large early youth death and maternal mortality. Maternal services happen shown to a highly effective strategy for decreasing very early youth mortality and maternal mortality. the analysis utilized data attracted from the 2014 Kenya Demography and Health research. It focuses on 1397 women who had a live birth within the five years preceding the study. The study is directed by Anderson behavioural model. Descriptive statistics and logistic regression are widely used to analysis the info. the majority of the women sought antenatal attention (ANC) solutions throughout their latest maternity. Just 20% associated with the ladies started ANC visits through the first trimester and 54% associated with the females made at the very least four ANC visits. Mother’s education, family wide range index, county of residence while the timing of ANC visits had been strongly connected with making at the very least four ANC visits. About 55% for the females had skilled attendance at distribution and 54% delivered in a health center.