ABSTRACT
Aim of the study: The purpose of this article is to report the experience of the General Reference Hospital in the surgical management of abdominal emergencies. Patients and Methods: This was a prospective study over 3 years 5 months (08/12/2017 to 31/05/2021) which concerned patients operated for an abdominal emergency at the General Reference Hospital of Niamey. Results: We had 170 patients operated for an abdominal emergency (8.37%), with a male predominance (61.50%) and a sex ratio of 1.59. The average age was 36.08 years with a standard deviation of 17.46 and extremes of 2 to 79 years. Non-traumatic abdominal emergencies dominated with 96.47%. Abdominal ultrasound was performed in 92.35% (n=157) of patients and abdominal CT scan in 35.88% (n=61). General anesthesia was performed in 97.06% of cases (n=165). The approaches were laparotomy in 72.35% (n=123) and laparoscopy in 27.65% (n=47). The most reported intraoperative diagnoses were acute appendicitis 40.59% (n=69) followed by acute peritonitis 18.82% (n= 32) and acute cholecystitis 13,53% (n= 23). The main procedures performed by laparoscopy were appendectomies, cholecystectomies and acute peritonitis in respectively 15.29%, 10.59% and 1.76% of cases. Postoperative complications represented 2.35% (n=4) in laparoscopy and 9.41% (n=16) in laparotomy. Conclusion: Abdominal emergencies at the Reference General Hospital are frequent and postoperative complications are few especially at laparoscopy, which is a first way to encourage in our context; It gives better surgical outcomes than conventional surgery.

ABSTRACT
During the COVID-19 pandemic, antenatal care (ANC) clinics monitored pregnant women for HIV testing as part of a surveillance program for the virus, especially in the lockdown period (2020–2021) worldwide. To guide community-wide HIV interventions and prevent mother-to-child transmission, studies on the demographics of expectant mothers who test positive for HIV can be used as proxies. During the COVID-19 epidemic, we planned to examine HIV testing among pregnant women receiving antenatal. Overall, no demographic factors were discovered to be significantly linked to HIV prevalence. However, studies on demographic traits, past HIV testing, and the COVID-19 pandemic found that young, less educated, primigravida, rural, and low socioeconomic level women comprised most of those who underwent tests. During the COVID-19 pandemic, there was a correlation between age, education level, employment position, parity, and HIV testing among pregnant women.

ABSTRACT
Economic and financial sector play a vital role in the determination of population size in any country across the globe. When these sector are not properly handle resulting in scarce resources, thereby luring people to engage in activity that are not of interest, particularly sex without consent. The aim of this study is to evaluate Cashless Policy as Determinant of Sexual Exploitation among Reproductive Age Women in South-South Nigeria. This is a cross-sectional study involving 260 females who are within the age of 18 to 42 years. Consent was sorted from the participants before giving them the questionnaires. A well-structured questionnaire was administered to participants. Each participant had one questionnaire to fill appropriately and independently after instructions were given to them by the researchers. The study lasted for a period of 3 months. The study revealed that 20(7.70%%) of the respondents were within 18-22 years, 152(58.50%) 23-27years, 6(2.30%) 28-32 years while 82(31.50%) were within 33-37 years. Again, the study revealed that 44(16.90%) had primary education, 88(33.80%) had secondary education, and 128(49.20%) had tertiary education respectively. 214(82.30%) participants were single while 46(17.70%) were married. 40(15.40%) of the respondents were doing farming, 64(24.60%) trading and 156(60.00%) were unemployed. 82.3% of the respondents did not have access to money and 81.5% were exploited sexually. 80.8% were forced to have sex while 81.5% yield to the sexual exploitation.78.5% were Victims of sexual exploitation. The findings also shows that 92(35.40%) of the respondents had complication of unwanted pregnancy, 84(32.30%) had sexually transmitted disease, 40(15.40%) had psychological trauma, and 44(16.90%) did not have any complications from sexual exploitation. Data were obtained and analyzed using SPSS version 23 and P value < 0.05 was said to be significant.

ABSTRACT
Male breast cancer is a rare disease (about 1% of breast cancers) with a poor prognosis. The diagnosis is most often late and lesions are treated in advanced stages. The aim of this study was to analyze the clinical, histological, therapeutic and prognostic characteristics of male breast cancer. This was a retrospective study of 05 patients collected in the thoracic surgery department of the Marrakech military hospital. The average age of our patients was 66.2 years. The average consultation time was 11.8 months, and self-care of a breast nodule was the main reason for consultation in 60% of cases. Invasive ductal carcinoma was the predominant histological type in 66.7% of cases. Multimodal therapeutic management consisted of mastectomy followed by adjuvant treatment with chemotherapy, radiotherapy and/or hormone therapy depending on the stage of the tumor and histological characteristics. The hormone dependence of these tumors is proven in 60% of cases. Five-year survival is currently being evaluated. Node invasion, invasion of the dermis and the TNM, clinical stage are factors that significantly influence the occurrence of metastases. None of these risk factors were found to be significant in terms of overall survival.