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Serious Myasthenia at the Department of Internal Medicine of Point G University Teaching Hospital: A Clinical Case

Neuroscience & Medicine 2019年第3期10卷 207-212页

作者： Assétou Kaya Soukho Djenebou traoré Adramé Keita Djibril Sy Guida Landouré Seybou Hassane Diallo Youssouf Fofana Kaly Keita Mamadou Mallé Ibrahima Amadou Dembélé Drissa Sangaré Mamadou Cissoko Barry Boubacar Sangaré Mamadou Dembélé Abdel Kader Traoré Hamar Alassane traoré Department of Internal Medicine Point G University Teaching Hospital Bamako Mali Department of Neurology Point G University Teaching Hospital Bamako Mali Department of Neurology GABRIEL TOURE University Teaching Hospital Bamako Mali Department of Internal Medicine Mother-Child Hospital “Luxembourg” Bamako Mali

Introduction: Myasthenia is a rare and disabling autoimmune disease. Few studies were devoted to this pathology. We report a clinical case of myasthenia in the Department of Internal Medicine at the Point G University Teaching Hospital. Observation: This is a 41-year-old patient of Malian origin, a trader with a history of hemorrhoidectomy in 2011 and familial hypertension, was admitted on August 19, 2014, for muscle weakness, dysphonia, and dysphagia. The disease started 1 year before admission at the department with progressive muscle weakness of the upper limbs aggravated by repetitive movements and spreading to the head “drooping head” and inferior limbs, associated with general fatigue, dysphonia and selective dysphagia for solid foods. The diagnosis of myasthenia was maintained based on the clinical signs such as ptosis, bilateral diplopia, and weakness with lower limbs muscle strength rated at 3/5, and confirmed with confirmatory exams;a positive anti-acetylcholine receptor antibody (RIA), the post-synaptic neuromuscular conduction block at ENMG and the positive neostigmine pharmacological test. The patient received Neostigmine (prostagmine) 0.5 mg one ampoule in IM/day and Prednisone at a dosage of 1 mg/kg/day. The evolution was marked by a moderate improvement of the symptomatology afterward the patient was evacuated to Tunisia on family request where he received a course of immunoglobulin 2 g/kg in 2 days. The evolution in Tunisia was favorable. The patient returned in Mali and death occurred after 2 months in a context of respiratory distress. Conclusion: Myasthenia is a rare but serious disease requiring careful management and monitoring to reduce respiratory complications.

关键词： Myasthenia Immunoglobulin Internal Medicine Point G Hospital

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Evaluation of Practice of Prescription of the Corticotherapy in the Department of Internal Medicine of the University Hospital of Point G from 2009 to 2013

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Open Journal of Internal Medicine 2019年第3期9卷 89-96页

作者： Abdel Kader Traoré Assétou Soukho Kaya Djibril Sy Djenebou traoré Alassane Doumbia Ilo Diall Nangou Tolo Hadiza Amadou Kaï lou Karim Dao Boua Daou Camara Ganda Soumaré Mamadou Dembélé Hamar Alassane traoré Department of Internal Medecine University Hospital of Point G Bamako Mali Department of Cardiology University Hospital of Point G Bamako Mali

Introduction: It is estimated that about 0.2% to 0.5% of French populations received a long-term systemic corticosteroid therapy. In Mali, from March, 2007 to February, 2008, in National Center for Disease Control and Prevention, 19.2% of hospitalized patients (24/125) received long-term corticosteroid therapy. Until now, the department of internal medicine of the university hospital of Point G hasn’t done any research on the corticosteroid therapy specially. Therefore, we initiated this work to evaluate our practice of prescription of corticosteroid. The target of the study was to evaluate practical activity of prescription of corticosteroid of internal medicine. Methods: Based on all hospitalized patient materials of the department of internal medicine of Point G regional university central hospital during January 2009-December 2013, we initiated this retrospective and descriptive study. This study was based on all hospitalized patients receiving corticosteroid in the time of researching, without distinguishing their sex or age. Results: During the period of study, the department of internal medicine of point G regional central hospital had received 2155 patients;64 were eligible: prevalence of 2.97%. Most patients were female, accounting for 87.5% with a sex-ratio of 0.14. The average age of our patients was 39.11 ± 16.92 years, ranging from 14 to 97 years. Physicians enrolled in the study Specialized Diploma (DES) and Internal represented 79.7% of prescribers. As pretreatment assessment, only 2 patients (3.12%) had carried out all of the standard balance (NFS, electrolytes, calcium, blood glucose and serum protein). The most common glucocorticoide was prednisone. Solid tumors represented 31.25% (20 cases) of the diseases treated, followed by systemic lupus erythematosus with 15.62% (10 cases). In addition, there are two cases of adrenals insufficiency (3.1%). In Point G internal medicine, pre-therapy evaluation and methods about corticosteroids therapy were insufficient and different.

关键词： Pratiques Corticothérapies Médecine Interne Bamako Mali

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Lipid Profile among the Diabetic and Non-Diabetic Obese Patients

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Open Journal of Internal Medicine 2018年第1期8卷 89-97页

作者： Djénèbou traoré Aminata Hamar traoré Djeneba Sylla Sow Massama Konaté Amadou Koné Hadiaratou Doumbia N’Diaye Modibo Mariko Ibrahim Amadou Dembélé Moctar Bah Bah traoré Djibril Sy Ichaka Menta Hamidou Oumar Ba Nongoba Sawadogo Abdramane traoré Assa traoré Sidibé Assétou Soukho Kaya Abdel Kader Traoré Mamadou Dembélé Hamar Alassane traoré Service of Internal Medicine and Endocrinology of Hospital of Mali Bamako Mali Service of Internal Medicine of Point G University Hospital Center Bamako Mali Service of Cardiology of Gabriel Touré University Hospital Center Bamako Mali Service of Internal Medicine of CHR de Kaya Kaya Burkina Fasso Service of Internal Medicine of Kati University Hospital Center Bamako Mali

Objective: To study the lipid profile among the diabetic and non-diabetic obese patients. Methods: It was a descriptive and prospective study carried out over a period of 9 months from March to December 2010. It concerned all the patients who came for consultation in endocrinology at the internal medicine of Point G University Hospital Center and at the National Center for Diabetes Research. All the patients were included without any gender or age difference, voluntary and with a BMI ≥ 30 kg/m2. Results: Out of the 1543 patients received in consultation, we had identified 178 obese people that is to say 11, 53% of the cases. Among these cases 60 abided by our criteria with 30 diabetic patients and 30 non-diabetic ones. The average age was 45.83 ± 14.68 years old;73.3% were more than 40 years old. The sex ratio was 0.07. Two third (66.7%) of our patients limited their eating diet to the three main meals/day and 61.7% were sedentary. The notion of family obesity was found in 93.4% of the cases, of family diabetes in 58.3% of the cases, of past personal medical history of hypertension in 43.3% of the cases. It was about an android obesity in 91% and Gynoid in 9% of the cases. The BMI was 55% of the cases comprised between 30 - 34.9 kg/m2. The lipid profile noticed was: A hypertriglyceridemia: 33% of diabetic patients and 10% of non-diabetic patients, a high LDL cholesterol: 37% of diabetic patients and 30% of our diabetic patients, a HDL hypocholesterolemia: 40% of the diabetic patients and 20% of the non-diabetic patients, a total hypercholesterolemia: 37% of the diabetic patients and 23% of non-diabetic patients. A hyperglycemia was noticed in 13.3% of non-diabetic patients. Conclusion: The frequency of metabolic troubles was higher in obese diabetic patients compared to non-diabetic obese patients mainly the hypertriglyceridemia.

关键词： Diabetes Obesity Dyslipidemia

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Tubercular Uveitis in the Event of HIV Infection about a Case

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Journal of Tuberculosis Research 2019年第4期7卷 253-258页

作者： Abdramane traoré Hamsatou Cisse Nagou Tolo Djenebou traoré Condé Lassana Assétou Soukho Kaya Abasse Sanogo Bréhima B. Berthé Ibrahima Amadou Dembélé Mahamadou Saliou Djibril Sy Nanco Doumbia Sekou Mamadou Cissé Boubacar Zana Cisse Mamadou Dembélé Abdel Kader Traoré Hamar Alassane traoré Department of Medicine Sidy Bocar Sall Kati Hospital Koulikoro Mali Department of Internal Medicine at CHU Point G Bamako Mali Department of Internal Medicine of CHU Gabriel Touré Bamako Mali Internal Medicine Service of the Mali Hospital Bamako Mali

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. This disease is the second leading cause of infectious mortality in the world after infection with the human immunodeficiency virus. We report a case of multifocal tuberculosis with neuromuscular and ocular localization in an HIV-1 immunosuppressed patient in clinical and virological failure following therapeutic discontinuation due to non-compliance. This is a 43-year-old immunocompromised HIV1 patient with a history of cerebral toxoplasmosis in 2016 who consulted for right hemiplegia. These symptoms would go back to about 3 days marked by a deficit of progressive installation of the right hemicorps preceded by diffuse headaches, of moderate intensity without triggering factor radiating to the eyes associated with an intermittent fever with periods of spontaneous remissions, night sweats and chills, non-selective anorexia, non-increasing physical asthenia and unquantified weight loss. Management was 8-month antituberculous treatment, combining the first two months isoniazid (INH), rifampicin (RMP), pyrazinamide (PZN) and ethambutol (EMB), then the next 6 months (INH) and rifampicin (RMP). The reintroduction of the same antiretroviral protocol and a reinforcement of the therapeutic education made it possible to observe a decrease of the viral load. Treatment of ocular involvement was instituted with Timosol 1 drop in the eyes morning and evening and Diclocid 1 mg/ml: 1 drop in the eyes in the morning.

关键词： Tucerculose/Uveitis

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Lipid Production,Oxidative Status,Antioxidant Enzymes and Photosynthetic Efficiency of Coccomyxa chodatii SAG 216-2 in Response to Calcium Oxide Nanoparticles

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Phyton-International Journal of Experimental Botany 2023年第7期92卷 1955-1974页

作者： Huwida A.A.abdel-kader Naeima Yousef Mohammad Anwar Hossain Mona F.A.Dawood Department of Botany&Microbiology Faculty of ScienceAssiut UniversityAssiut71516Egypt Department of Genetics and Plant Breeding Bangladesh Agricultural UniversityMymensingh2202Bangladesh

The extensive use of nanoparticles(NPs)in diverse applications causes their localization to aquatic habitats,affecting the metabolic products of primary producers in aquatic ecosystems,such as algae.Synthesized calcium oxide nanoparticles(CaO NPs)are of the scarcely studied NPs.Thus,the current work proposed that the exposure to CaO NPs may instigate metabolic pathway to be higher than that of normally growing algae,and positively stimulate algal biomass.In this respect,this research was undertaken to study the exposure effect of CaO NPs(0,20,40,60,80,and 100μg mL^(−1))on the growth,photosynthesis,respiration,oxidative stress,antioxidants,and lipid production of the microalga Coccomyxa chodatii SAG 216-2.The results showed that the algal growth concomitant with chlorophyll content,photosynthesis,and calcium content increased in response to CaO NPs.The contents of biomolecules such as proteins,amino acids,and carbohydrates were also promoted by CaO NPs with variant degrees.Furthermore,lipid production was enhanced by the applied nanoparticles.CaO NPs induced the accumulation of hydrogen peroxide,while lipid peroxidation was reduced,revealing no oxidative behavior of the applied nanoparticles on alga.Also,CaO NPs have a triggering effect on the antioxidant enzymes such as superoxide dismutase,catalase,ascorbate peroxidase,and guaiacol peroxidase.The results recommended the importance of the level of 60μg mL^(−1) CaO NPs on lipid production(with increasing percentage of 65%compared to control)and the highest dry matter acquisition of C.chodatii.This study recommended the feasibility of an integrated treatment strategy of CaO NPs in augmenting biomass,metabolic up-regulations,and lipid accumulation in C.chodatii.

关键词： Calcium oxide nanoparticles Coccomyxa chodatii growth hydrogen peroxide metabolic products

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Geochemistry and spectrometric prospection of younger granites and granitic pegmatites bearing uranium mineralization at G.Kab El Rakeb area, Central Eastern Desert, Egypt

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Acta Geochimica 2021年第4期40卷 575-601页

作者： Gehad M.Saleh Bahaa M.Emad Ibrahim B.abdel kader Nuclear Materials Authority El MaadiP.O.Box 530CairoEgypt

The present study deals with the detailed field geology,mineralogy,geochemistry,and spectrometric prospection of rare metals and radioactive minerals associated with granitic pegmatites in the Gabal Um LassafAbu Dob-Um Atelia-Kadabora-Kab El Rakeb area(LDAKK),which are situated in the central Eastern Desert of Egypt.The study area is composed of granodiorites and monzogranites.The latter is dissected by granitic pegmatites with a discriminatory distribution of economically important mineralization(rare-metals and U-Th minerals).The granitic pegmatites display a zoning structure composed of feldspar-rich zones enveloping pockets of mica(mostly muscovite) and all zoning internal quartz core.Microscopically,the monzogranite and granitic pegmatites are composed of potash-feldspar,albite,and quartz with a small amount of biotite and muscovite.The mineralogical investigation of the highly radioactive zones in the granitic pegmatite shows enrichment in kasolite,uranothorite,thorite,xenotime,columbite,zircon,bismuth,and galena.Geochemically,the granitic pegmatites are enriched with high field strength elements(HFSE;Zr,Nb,Th,and U) and ion lithophilic elements(LILE;Rb,and Pb) and depleted in Ba,Sr,and Eu.They are strongly peralkaline to metalumainous except for two samples,which are peraluminous.They are formed by partial melting of metagreywackes at depth.The studied granitic pegmatites could belong to the NYF family(Niobium-Yttrium-Fluorine family) according to the geochemistry of the trace elements.The studied granitic pegmatites show deep negative Eu anomaly and display a strong M-type tetrad effect of rare earth elements.The field spectroscopy measurements showed the localization of the radiometric anomalous associated with the granitic pegmatites,which are intruded in the granitic host rocks.Their eU and eTh contents reached up to 316 and 1367 ppm,respectively.Uranium and thorium occurrences in the investigated granitic pegmatites are related to magmatic(syngenetic)origin with hydrothermal(epigenetic) input.The magm

关键词： Geochemistry Gabal Um Lassaf-Abu Dob-Um Atelia-Kadabora-Kab El Rakeb area(LDAKK) Uranium REE Egypt

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Clinical and Epidemiological Aspects of Hepatocellular Carcinoma at the Internal Medicine Department of Point “G” Teaching Hospital in Mali

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Open Journal of Gastroenterology 2023年第7期13卷 250-255页

作者： Ganda Soumaré Sanra Déborah Sanogo Abdoulaye Maiga Ouatou Mallé Mamadou Mallé Ibrahima A. Dembélé Mamadou Cissoko Mamadou M. Coulibaly Assétou Kaya Soukho Mamadou Dembélé Abdel Kader Traoré Alassane traore Hamar Alassane traore Gastroenterology Department CHU du Point G Bamako Mali Internal Medicine Department CHU du Point G Bamako Mali

Liver cancer is the malignant transformation of liver cells. It develops in 90% of cases of cirrhosis, more rarely on chronic non-cirrhotic liver disease, and exceptionally in a healthy liver. This study aimed to investigate the clinical aspects of Hepatocellular Carcinoma (HCC). It was a retrospective descriptive study covering 10 years, focusing on HCC cases seen in outpatient and inpatient settings at the Internal Medicine Department. We recorded 153 cases out of 7021 patient records, resulting in a hospital frequency of 2.17%. The male-to-female ratio was 3.5. The mean age was 52.37 ± 14.34 years. The most common presenting complaint was pain in 16.3% of cases. A history of jaundice was found in 25.5% of cases. Alcohol consumption was observed in 15.38% of cases. The main physical sign found was hepatomegaly in 76% of cases. HBsAg was positive in 33.3% of cases. Alpha-fetoprotein levels were above 400 IU/ml in 50.81% of cases. Patients classified as CHILD PUGH A represented 39.72% of cases. Abdominal ultrasound revealed portal thrombosis associated with heterogeneous multinodular hepatomegaly in 11% of cases. Cytology confirmed HCC in four out of six patients who underwent the examination. We recorded 63 deaths out of 111 hospitalized patients. Complications included encephalopathy, hematemesis, and ascites in 48 patients. Hepatocellular carcinoma remains a significant public health issue. Its predominance in men and its occurrence in adults with factors such as viral infections and ethylism mean that prevention of this pathology could greatly reduce its incidence.

关键词： Hepatocellular Carcinoma (HCC) Point G University Hospital Bamako Mali

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Screening of Foot at Risk in Diabetic Patients

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Open Journal of Internal Medicine 2019年第3期9卷 62-71页

作者： Djenebou traore Djeneba Sylla Sow Massama Konaté Ousmane Sidibé Modibo Mariko Djibril Sy Bah traoré Karim Dao Amadou Koné Nanko Doumbia Nouhoum Ouologuem Yacouba Lazard Diallo Boua Daoud Camara Nongoba Sawadogo Ibrahima Amadou Dembélé Barry Boubacar Sangaré Mamadou Cissoko Mahamadou Saliou Youssouf Fofana Mamadou Mallé Mamadou Togo Adramé Keita Abdramane traoré Nagou Tolo Madani Ouologuem Abdel Kader Traoré Assa traoré Sidibé Department of Internal Medicine The University Teaching Hospital of Point G Bamako Mali Department of Internal Medicine and Endocrinology The Mali Hospital Bamako Mali CHR Internal Medicine Department of Kaya Kaya Burkina Faso Department of Internal Medicine The Mother and Children Hospital “Luxembourg” Bamako Mali Department Internal Medicine The Hospital of Kati Bamako Mali

Introduction: The term “diabetic foot” refers to all conditions that affect the foot and are directly related to the impact of diabetes. Objective: Screen the foot at risk in diabetic patients at the hospital of Mali. Methods: It was a cross-sectional study from January 1st, 2016 to June 30, 2016, at the Department of Internal Medicine and endocrinology of the Hospital of Mali. It was focused on all hospitalized diabetic patients. Results: Thirty-two (32) patients had a foot at risk among 76 diabetic patients during the study period representing 42.10%. The sex ratio was 0.52. Type 2 diabetes accounted for 82%. A glycemic imbalance (HBA1C > 7%) was observed in 88.15%. Eighteen percent (18%) of patients had a history of ulceration or amputation;33% were walking barefoot;78.9% had tingles in the foot;31.6% had intermittent claudication;64.5% had foot cleanliness;8% claw toes;42% had abolition or reduction of superficial tenderness to monofilament and 21% had mixed foot (neuropathy + arteriopathy). In our study, 58.9% of patients had no risk of podiatry. Conclusion: Screening of foot at risk is essential in the management of diabetes because it determines the podiatric risk enabling to minimize future functional disabilities.

关键词： Foot at Risk Diabetes Hospital of Mali

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Progressive Characteristics of HIV Infection in the Elderly in the Cohort of the Internal Medicine Department of the Points G University Hospital, Bamako. Mali

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Advances in Infectious Diseases 2023年第1期13卷 109-116页

作者： Abdoulaye Mamadou traore Garan Dabo Mamadou Cissoko Charles Dara Djenebou traoré Ibrahim Dollo Djibril Sy Assétou Soukho Mamadou Dembélé Daouda Kassoum Minta abdel kader traore Hamar Alassane traore Department of Infectious Diseases CHU du Point G Bamako Mali Department of Medecine CHU “Hôpital du Mali” Bamako Mali Department of Internal Medicine CHU du Point G Bamako Mali

Few data are available on HIV infection in the elderly and they are an important population in our different cohorts in view of the improvement in the quality of care over the last ten years. Objective: to determine the clinical and immunovirological characteristics as well as the acceptance of antiretroviral drugs in this patient population. This is a cohort study of the files of PLHIV (People living with HIV) aged 50 years or more, followed in the Internal Medicine Department of the Point G University Hospital between January 2007 and December 2012. Results: Out of 161 HIV-infected patients in the cohort, 38 were aged 50 years or older, of whom 11 met the criteria and were included. The median age was 55 years, 90.9% of whom were in the [50 - 59 years] age group, with 63.6% being women (sex ratio = 0.57). At admission, 3 patients (27.3%) had prurigo and 2 (18.2%) had oral-pharyngeal candidiasis. At inclusion, 45.5% of patients were classified as WHO stage 2 and one as WHO stage 4. All were on ARVs, including 10 on 1st line HIV-1 and 1 on HIV-2. On triple therapy, the average weight gain was 5.1 kg at D15 and 6.84 kg at M6. However, at M12 there was a weight loss of 1.04 kg. The mean CD4 T cell gain was +102/mm3 at M6 and +188/mm3 at 12 months. At D0, mean viral load = 565024.75 copies/mm3 [99 - 1100000] in 4/11. At M12, two patients had undetectable viral loads. Conclusion: The prevalence of HIV in elderly subjects is certainly underestimated. Thanks to triple antiretroviral therapy, PLHIV are aging with HIV but screening is not systematically proposed during consultations in elderly subjects. It is necessary to reinforce communication about HIV at all ages.

关键词： HIV Elderly Clinical Immunovirology

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General exact solution of the fin problem with variable thermal conductivity

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Propulsion and Power Research 2016年第1期5卷 63-69页

作者： Abass H.abdel kader Mohamed S.abdel Latif Hamed M.Nour Engineering Mathematics and Physics Department Faculty of EngineeringMansoura UniversityMansoura 35516Egypt

In this paper,Lie point symmetry method is used to obtain the general exact solution of the second order nonlinear ordinary differential equation which goveming heat transfer in rectangular fin with variable thermal conductivity.Some new forms of thermal conductivity are introduced and the associated exact solution is obtained in each case.The general relation among the fin efficiency,thermal conductivity and thermo-geometric parameter is obtained.

关键词： Exact solution Fin Thermal conductivity Heat transfer Lie point symmetry

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