[Moodle, a credible alternative pedagogy for teaching medicine in a tropical environment to address large numbers and pandemic situations?] / Moodle, une pédagogie alternative crédible d'enseignement de la médecine en milieu tropical pour répondre aux grands nombres et aux situations de pandémie?

Introduction: Moodle is an interactive online education platform, a true virtual amphitheater, breaking down geographical and space barriers, capable of offering continuous education even in times of war or pandemic. Aim: To show the possible contribution of Moodle in the teaching of medicine in tropical environments to respond to large numbers and pandemic situations. Methodology: It was a cross-sectional and descriptive survey. It was conducted in June 2019 at Joseph KI-ZERBO University of Ouagadougou in Burkina Faso. It consisted of a questionnaire submitted to Master 1 students of medicine and to their teachers. The survey focused on the solutions that students would propose to improve their learning conditions, the role that Moodle could play in improving their learning, as well as the prerequisites to be resolved before adopting Moodle. The respondent rate was 75.6% of the entire promotion. Results: For students Moodle is a good alternative to conventional education. However, prerequisites must be fulfilled such as the donation of computer to each student (90.3%), the availability of a good connection for all (96%), their training prior to the use of Moodle. Students found no harm in their online assessment via Moodle provided it was reliable and verifiable when needed. Teachers in 38% wanted teaching to remain traditional, face to face against 62% who advocated its abandonment in favor of new teaching methods like Moodle provided that the right conditions are in place. Conclusion: Moodle is a credible e-learning that can facilitate the management of large numbers and ensure the continuity of lessons learned in a pandemic situation despite the need for containment. However, it must be a mastered technique, applied on prepared ground.

[Oncoplasty by the Thorek technique for lower quadrant cancers in a condition of gigantomastia]. / Oncoplastie selon la technique de Thorek pour cancers des quadrants inférieurs en situation de gigantomastie.

OBJECTIVE: Describe our experience of Oncoplasty according to Thorek in gigantomastia with hard and less plastic breasts and a major ptosis. METHODOLOGY: Thirteen cases of breast carcinoma on gigantomastia operated using the Thorek technique between 2014 and 2019 in Burkina Faso were analyzed retrospectively. The operative indications, technique and results were considered. Breast Q was used to assess patient satisfaction. RESULTS: The indication of oncoplasty by the Thorek's technique was breast lower quadrants carcinoma, associated with a major ptosis, gigantomastia. There was a consequence on the spine in 9 over 13 cases. The breasts were hard and less plastic, making the other breast reduction techniques difficult. This technique helped remove the carcinoma, reduce the volume of the breast and address the ptosis. The patients were satisfied with the volume of the remaining breasts and their aesthetic look. The resection margins were safe. Two cases of aerolar dyschromia were noticed. CONCLUSION: The Thorek technique remains an alternative concerning tumours on gigantomastia, with hard and less plastic breasts and a major ptosis. The results combine carcinological and aesthetic requirements.