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&#13;
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                    <text>1|[Page de titre]|3
1|Remerciements|4
1|Table des mati&amp;#232;res|7
1|Introduction|12
1|Chapitre 1 : Le noma, une gingivo-stomatite n&amp;#233;crosante mortelle.|13
2|I- Historique|14
2|II- Epid&amp;#233;miologie|16
1|Chapitre 2 : Physiopathologie du noma.|22
2|I- Interactions de diff&amp;#233;rents facteurs &amp;#224; l'origine du NOMA|23
3|Tableau : P&amp;#233;riode de d&amp;#233;veloppement en trois temps|25
2|II- De la gingivite ulc&amp;#233;rative n&amp;#233;crosante aigue (GUNA) au noma caract&amp;#233;ris&amp;#233;|26
2|III- Hygi&amp;#232;ne bucco dentaire et conditions de vie|39
3|Tableau : Formation de la plaque dentaire et inflammation &amp;#224; l'origine de la gingivite|40
2|III [IV ?]- La malnutrition : facteur de risque majeur du noma|47
3|Tableau : Qualit&amp;#233;s nutritionnelles et carences des f&amp;#233;culents fr&amp;#233;quemment utilis&amp;#233;s dans les repas|52
2|IV- Contexte d'infection parasitaire ou virale propice au d&amp;#233;veloppement du noma|65
2|V- Infections bact&amp;#233;riennes au niveau des l&amp;#233;sions du noma|72
2|Tableau : Principales bact&amp;#233;ries isol&amp;#233;es &amp;#224; partir des l&amp;#233;sions|74
2|Sh&amp;#233;ma : Interaction nutritionnelle entre fusobacterium necrophorum et prevotella intermedia|80
1|Chapitre 3 : Moyens de lutte actuels et futurs.|81
2|I- Mobilisation &amp;#224; l'&amp;#233;chelle mondiale|82
2|II- Pr&amp;#233;vention du noma : &amp;#233;ducation sanitaire - promotion d'un bon &amp;#233;quilibre nutritionnel|85
2|III- La chirurgie esth&amp;#233;tique permet de redonner un visage humain aux survivants|90
1|Conclusion : &amp;#171; Il vaut mieux pr&amp;#233;venir que gu&amp;#233;rir &amp;#187;.|95
1|Annexes|96
2|Annexe 1 : Prise en charge du noma en phase aigu&amp;#235;|96
2|Annexe 2 : R&amp;#233;partition de la malnutrition dans le monde (2002)|97
2|Annexe 3 : Besoins nutritionnels de l'enfant|98
2|Annexe 4 : Prot&amp;#233;ger les enfants du noma|99
1|Bibliographie|100
2|Sites Internet|105
1|[4&amp;#232;me de couverture] : r&amp;#233;sum&amp;#233; et mots-cl&amp;#233;s|108
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