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Epidemiological, Clinical and Therapeutic Aspects of Arterial Hypertension at the General Medicine Department of Nzerekore Regional Hospital

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World Journal of Cardiovascular Diseases 2021年第11期11卷 533-538页

作者： Beavogui mariama Balde Elhadj Yaya Doumbouya Idrissa Barry Ibrahima Sory Samoura Aly Camara Abdoulaye bah mamadou bassirou mariama Sylla Ibrahima Sory Balde mamadou Dadhi bah Abdoul Mazid mariama Kone Alpha Balde mamadou Aliou Conde Mamady Cardiology Department Ignace Deen National Hospital Conakry Guinea Department of Neurology Ignace Deen National Hospital Conakry Guinea Cardiology Department Donka National Hospital Conakry Guinea

Introduction: High blood pressure is a public health problem in Guinea as well as everywhere in Africa. The objective of our study was to assess the epidemiological, clinical and therapeutic aspects of High blood pressure in the general medicine department of the Nzérékoré regional hospital. Methodology:This was a prospective study of a descriptive type, lasting 06 months, from July 1 to December 31, 2014. Results: We recorded 156 cases of High blood pressure among a total of 570 patients, for a hospital frequency of 27%. The 56 - 65 age group was the most affected, at 29.4%, with a predominance of men (sex ratio: 1.5). Alcoholism was the most common cardiovascular risk factor with a frequency of 51.2%, smoking and physical inactivity were found in 35.8% and 30.7% respectively;psychosocial stress was found in 24.3% of patients. The clinic was dominated by headache (100%) and dizziness (57.6%). All our patients were subjected to a healthy diet. Fixed dual therapy was the most widely used treatment regimen, i.e. 91 patients (58.3%) and included a diuretic in 37.1% of cases, a calcium channel blocker in 25% of cases and an ACE inhibitor in 24.3%. Conclusion: This study revealed a high frequency of hypertension in the general medicine department of the regional hospital of N’zérékoré.

关键词： Epidemiology Clinical Therapeutic Hypertension

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Cardio-Renal Syndrome: Epidemiological, Clinical, Paraclinical, Etiological Aspects and Prognostic Factors in the Cardiology Department of the CHU Ignace Deen in Conakry

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World Journal of Cardiovascular Diseases 2023年第4期13卷 189-197页

作者： Barry Ibrahima Sory Diakité Foussény Fofana Fatoumata Baldé El Hadj Yaya bah mamadou bassirou mariama Béavogui Mariam Soumaoro Morlaye Camara Abdoulaye Samoura Aly Koïvogui Diarra Koïvogui Kokoulo Diallo Salématou Baldé mamadou Dadhi Cardiology Department CHU Ignace Deen Conakry Guinea CHU Donka National Hemodialysis Center Conakry Guinea

Introduction: Heart and kidney diseases are common among patients admitted to hospital and they coexist in a significant number of cases. The interactions between the cardiovascular system and the kidney have been known and described for many years and have led to the description of cardio-renal syndrome. The objective of this study was to determine the frequency;to describe the clinical, etiological and prognostic aspects of acute renal failure in patients hospitalized for chronic congestive heart failure. Method: This was a descriptive retrospective study from January 2, 2018 to December 31, 2022. Included in this study were all the complete records of patients hospitalized for chronic congestive heart failure with serum creatinine ≥120 μmol/I. We’re not included in this study, incomplete files, records of patients hospitalized for other pathologies, records of patients hospitalized for chronic congestive heart failure with normal renal function. Our study variables were qualitative and quantitative divided into clinical, paraclinical and prognostic data. Our data were analyzed using the EPI-info 7.***.2.6 software. Data entry and presentation were carried out using Word, Excel and PowerPoint from the 2016 Office Pack. Results: We collected 830 files of which 114 met our selection criteria, a frequency of 13.73%. The mean age of the patients was 47 ± 19 years. The F/M sex ratio was 1.23. The dominant etiologies were hypertension followed by diabetes with respectively 60.5% and 23.7%. Toxic factors including tobacco accounted for 7.9% of cases. Dyspnea accounted for 86.8%. Most of our patients were grade 3 or 36% based on systolic blood pressure on admission with an average of 164.16 ± 33.95 mmHg and an average diastolic blood pressure of 93.24 ± 20.40 mmHg. Biologically, the serum creatinine revealed a high frequency of 201 - 400 μmol/l (33% of cases) with an average value of 586.49 ± 631.44 μmol/l with the extremes 2.960 and 2448.68 μmol/I. Anemia was moderate in 3

关键词： Cardio-Renal Syndrome Ignace Deen

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Platypnea-Orthodeoxia Syndrome in an Elderly Patient Treated with Percutaneous Patent Foramen Ovale Closure: Report of a Case and Review of the Literature

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World Journal of Cardiovascular Diseases 2023年第8期13卷 470-476页

作者： Doumbouya Amadou Diouldé bah Abdoul Mazid mariama Diallo mamadou Madiou Baldé Aissatou Tiguidanké Diallo Alpha Oumar Bouroure Guissé mamadou Cellou Sow mariama Oury Diallo mariama Djalakhan bah Fatoumata Biro Condé Bakary Koïvogui Kokoulo Camara Alseny bah mamadou bassirou Balde Elhadj Yaya Baldé mamadou Dadhi Cardiology Department of the Ignace Deen Hospital Conakry Guinea

Introduction: Platypnea-Orthodeoxia syndrome is characterized by dyspnea and hypoxia in the upright position, usually improving in the supine position. Two components are required: an interatrial or intrapulmonary shunt, and a functional component. Diagnosis is made by contrast ultrasonography. We report a case of Platypnea-Orthodeoxia syndrome revealed by positional dyspnea in an 87-year-old patient. The aim of this study is to describe the clinical, therapeutic and evolutionary profile of this syndrome. Case Presentation: This is an 87-year-old patient with a history of pulmonary embolism (PE) and stroke. He was seen for dyspnea and desaturation in orthostatism, revealing a patent foramen ovale (PFO). Progression was favorable after closure of the PFO. Conclusion: Platypnea-Orthodeoxia syndrome may be presented as simple exertional dyspnea. The clinician should check for improvement in symptoms and/or oxygenation during decubitus. Definitive treatment consists of percutaneous closure of the shunt.

关键词： Syndrome Platypnea-Orthodeoxia Patent Foramen Ovale

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Soldiers’ Hypertension Prevalence in Military Garrisons in the City of Conakry

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Open Journal of Nephrology 2016年第4期6卷 132-137页

作者： Alpha Oumar bah mamadou Foinké bah Fatoumata Binta Fofana mariama Beavogui Departement of Nephrology Donka National Hospital Conakry Guinea Departement of Armies’ Health Conakry Guinea Departement of Cardiology Ignace Deen National Hospital Conakry Guinea

High blood pressure (HBP) is a public health problem worldwide. The objective of this study is to determine the prevalence of hypertension in military garrisons in Conakry, the capital. Material and Methods: The study was done in military garrisons. The data concern 1025 soldiers. This prospective and cross-sectional study took place from 13 November 2014 to 13 February 2015. Only the military who had agreed to participate in the study were included. Sociodemographic, clinical data and urine dipsticks were collected. Results: Among 1025 soldiers, 222 cases of HPB were observed, that was 21.66%. They were 193 men (86.94%) and 29 women (13.06%). The mean age was 46.05 years (range: 18 - 77 years). HPB cases were discovered in 155 soldiers (69.82%) in random observations. Following the grade of hypertension: 124 were of grade I, 62 of grade II, 35 of grade III and 1 case of isolated systolic hypertension was identified. Urinary dipstick tests showed that, 3 patients had proteinuria, 26 patients suffered from leucocyturia, 11 patients suffered from glycosuria and 1 case of hematuria was also identified. More than half of the soldiers (41%) were in the army. Officers were strongly affected (80.18%), followed by non-commissioned officers (17.12%) and finally enlisted men (2.70%). Risk factors were multiple: 78.82% ate very salty food;emotional stress;physical inactivity was observed in over half of the cases. Conclusion: This study gives an overall picture of the prevalence of hypertension in the military in Guinea. The discovery of the symptom lies on the systematic measurement of blood pressure.

关键词： High Blood Pressure Military Prevalence Conakry

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Mining Shared Knowledge\Patterns between Two Datasets

Mining Shared Knowledge\Patterns between Two Datasets

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作者： mamadou Lamarana bah 湖南大学

学位级别：硕士

在数据挖掘中，如何描迷数据集之向的差异性是一令重要的向题。在模式挖掘中，广泛应用决策树方法来解抉这今向题。决策树是一今很好的数据挖掘模型，非常适合作为分类器。然而，目前决策树研究方面很少涉及两今不同数据集之同的分炎相... 详细信息

在数据挖掘中，如何描迷数据集之向的差异性是一令重要的向题。在模式挖掘中，广泛应用决策树方法来解抉这今向题。决策树是一今很好的数据挖掘模型，非常适合作为分类器。然而，目前决策树研究方面很少涉及两今不同数据集之同的分炎相似性，即挖掘两今数据集的共享模式。这里，我们学刁挖掘两今数据集之同的共享模式。我们研究一种特殊的共享模式—数据分布相似性。为了从两今数据集中挖掘一令高盾量的共享二叉树，我们提出了一今综合利用共享模式、分类、二叉树结构的共享二叉树挖掘算法——MiningSBT。为了高效的从数据集D1和数据集D2中挖掘出共享二叉树，我们假设D1是已知数据集，记为UD1,D2是未知数据集，记为ND2。通迂运行我们的算法UD1可以帮助我们理解ND2，这是因为共享二叉树的结果满足以下两点：高数据分布相似性和高分类准硬度。我们的共享二叉树算法不同于传统的决策树算法，这是因为我们的挖掘讨象是两今数据集、数据分布相似性要求和准确度要求。安验结果证明我们的算法是有效的。数据库和数据挖掘概述：粗略地并一个数据库，是一今有组织的数据收集，为一今或多今目的，通常以数字形式。通常组织的数据建模相关的现实问题(例如在一所学校，学生的成绩情况而定)，在某种程度上支持需要这些信息(例如，找到一个给定的学生的年级)的迸程。术语数据库，可能是指一个特定的方面，如逻辑数据库的数据有组组的收集，数据内容物理数据库在计算机数据存储或许多其他数据库定义。术语数据库正确地应用于数据和其支持的数据结构和不是数据库管理系统(DBMS)。匀DBMS的数据库中的数据的集合称为一个数据库系统。数据库，基本上是电脑化的资料保存系统。资料库本身可视为电子化的档案柜—储存电脑化档案的处所，使用者可以新增档案或删除档案，也可以对档案中的资料执行新增、撷取、更新、删除等操作。数锯库是以一定组纸方式储存在一起的，能为多今用户共享的，具有耳可能小的冗余度的、匀底用彼此狭立的相互失联的数锯集合。资料库的架构可以大致区分为三个概括层次：内层、概念层和外层。内层：最接近实际储存体，亦即有关资料的实际储存方式。外层：最接近使用者，即有关个别使用者观看资料的方式。概念层：介於两者之间的间接层。资料库管理系统(英语：Database Management System,简称DBMS)是为管理资料库而设计的电脑软体系统，一般具有储存、撷取、安全保障、备份等基础功能。资料库管理系统可以依据它所支援的资料库模型来作分类，例如关联式、XML;或依据所支援的电脑类型来作分类，例如伺服器群集、行动电话;或依据所用查询语言来作分类，例如SQL;或依据性能衡量重点来作分类，例如最大规模、最高执行速度;亦或其他的分类方式。不论使用哪种分类方式，一些常用的DBMS还是会跨类别。例如，同时支援多种查询语言。比较通行的DBMS有MySQL、PostgreSQL、Microsoft Access、SQL Server、 Oracle。几乎所有的资料库管理系统都配备了一个开放式资料库连接(ODBC)驱动程式，令各个资料库之问得以互相整合。数据库技木是研究如何科学地姐织和储存数据，如何高效地检索数据和进行数据效理的技术。数锯库存在多神模型。而应用于大型数锯储存的数锯库一般为网状模型、关联式模型以及物件模型。此外也有应用在LDAP (轻量级数锯访向协谈)的阶层式模型。平面模型(表格模型)一般在形式上是一今二维阵列。一般来并，数组中每列表示一今数锯炎型，数锯在其中驮不同行的形式存储。表格模型数锯库是电子试算表(比如Excel)的基础。资料索引的观念由来已久，像是一本书前面几页都有目录，目录也算是索引的一种，只是它的分类较广，例如车牌、身份证字号、条码等，都是一个索引的号码，当我们看到号码时，可么从号码中看出其中的端倪，若是要找的人、车或物品，也只要提供相关的号码，即可迅速查到正确的人事物。另外，索引跟栏位有著相应的关系，索引即是由栏位而来，其中栏位有所谓的关键栏位(Key Field),该栏位具有唯一性，即其值不可重复，且不可为”空值(null)"。例如：在合并资料時,索引便是扮演欲附加欄位资料之指向性用途的角色。故此索引为不可重复性且不可为空。一般目的的DBMS一个DBMS已经演变成一个复杂的软件系统和它的发展通常需要数千人年的发展努力。一些通用的DBMS,像甲骨文,微软SQL服务器和IBMDB2,已经历30年或更长时间的升级。通用数据库管理系统的目标,以满足尽可能多的应用,这通常使得他们更加复杂比专用数据库。然而,其实,他们可以用“关闭的架子”,以及他们对许多应用和实例的摊销成本,使他们有吸引力的替代时,他们满足应

关键词：数据库数据挖掘显露模式决策树二叉树共享模型/模式跳跃显露模式基因表达数据分类

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Building Comparable Corpora Based on Cross-language Text Similarity Metrics

Building Comparable Corpora Based on Cross-language Text Sim...

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作者： bah mamadou Oury 华中师范大学

学位级别：硕士

The comparable corpus plays a more and more important role in Natural Language Processing. However, there is not a universally accepted definition of the similarity of cross language document, which has caused great difficulties to design the evaluation system of the related research. Based on the design of the stacked Auto-Encoder neural network and the Machine Translation, this paper realized two models of cross language text similarity *** of the most difficult tasks of cross language is that the source language and the target language have different language spaces. The difficulty of similarity computation is greatly increased because of the difference of language space since the traditional information retrieval model usually converts the document into a high latitude vector based on certain assumption;the calculation of text similarity becomes the vector similarity calculation. However, in the process of computing the similarity of cross language text, because of the emergence of the language gap, the vectors converted by different languages texts will exist in different vector spaces. Thus, it becomes an important task to complete the similarity computation of the vector in the two different vector spaces under the uniform *** order to solve this problem, this paper presents two ways of transforming two different language spaces into a unified language space, and then use the traditional similarity computing method to complete the calculation of vector similarity, thus getting the similarity of the cross language text. The two methods proposed in this paper are respectively based on the machine translation method and the SAE based approach. The machine translation method can transform the text of different languages into the same language, so as to complete the unification of language space. The SAE (Society of Automotive Engineer) based approach is to transform the source language text and the cross language text into an intermediate languag

关键词： Machine Translation Stacked Auto-Encoder Information Retrieval Cross-language Document Similarity

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Congenital Heart Disease Referred for Surgery: Analysis and Epidemiological Description in the Cardiology Department of CHU Ignace Deen

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World Journal of Cardiovascular Diseases 2024年第4期14卷 234-251页

作者： bah mamadou bassirou Diallo mamadou Tahirou Doumbouya Amadou Dioulde Balde Elhadj Yaya Camara Abdoulaye Diallo mamadou Balde Thierno Siradio bah Abdoulaye bah mamadou Dian Samoura Sana Balde mamadou Dadhi Cardiology Department of the Ignace Deen Hospital Conakry Guinea

Introduction: Congenital heart disease includes all cardiac and vascular malformations. It accounts for approximately one third of all congenital malformations and is a public health problem, particularly in developing countries. The aim of this study was to analyze the epidemiological, clinical and paraclinical aspects of congenital heart disease. Methods: This was a retrospective descriptive and analytical study based on the records of 135 patients referred for surgery and followed up in the cardiology department of the Ignace Deen University Hospital, collected in November 2022. Results: Hospital prevalence was 5%. The mean age was 71 months, ranging from 1 month to 19 years. The age group over 24 months was the most represented (62%). The M/F sex ratio was 1.36. Urban origin was predominant (58%). The rate of children not attending school or dropping out was high (16%). Siblings with fewer than 4 children were the most common (88%). A heart murmur was the most frequent sign (78%), followed by cyanosis (36%) and heart failure (29%). The association between heart murmurs and CHD was proven with a p-value Conclusion: CHDs represent the main indication for paediatric cardiac surgery and follow-up (95%). We stress the importance of implementing a screening and management strategy for congenital heart disease.

关键词： Congenital Heart Disease Cardiology Epidemiology Surgery Ignace Deen University Hospital

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A Very Severe Obstructive Sleep Apnea Syndrome: In a Cause of Resistant Hypertension with One Sample Case

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World Journal of Cardiovascular Diseases 2021年第3期11卷 223-229页

作者： Baldé Elhadj Yaya bah mamadou bassirou Barry Ibrahima Sory Béavogui mariama Sylla Ibrahima Sory Baldé mamadou Aliou Koné Alpha Diallo mamadou Camara Abdoulaye Baldé Siradiou Baldé mamadou Dadhi Dièye Ousmane Condé Mamady Cardiology Department of the Ignace Deen Hospital Conakry Guinea Cardiology Department of Donka Hospital Conakry Guinea Sakina Clinic in Dakar Dakar Senegal

When blood pressure values remain above the target in a hypertensive patient treated concomitantly with three anti-hypertensive drugs including a diuretic, maximum well-tolerated doses, this is a resistant arterial hypertension. In this case, it is advisable to look for a secondary cause such as a drug intake that influencing the blood pressure or the presence of obstructive sleeping syndrome (OSAS). We report a clinical case of a patient with a high cardiovascular risk at the age of 50, hypertensive and diabetic, with dyslipidemia and obesity. He was on anti-hypertensive triple therapy at an optimal dose. Her diabetes was balanced with 6.4% glycated hemoglobin. Dyslipidemia has being treated. Despite healthy diet including a low sodium diet and weight loss, blood pres- sure target was not reached. With self-measurement, the mean arterial pressure was 180/110 mmHg and on ABPM it was 167/113 mmHg. The ventilatory polygraphy finds a severe OSA with an IAH = 56.6. Treatment with PCP (Con- tinuous positive pressure) allowed this patient to control blood pressure. The search for OSA should be systematic in face of resistant hypertension, in par- ticular in overweight or obese patients.

关键词： Obstructive Sleep Apnea Syndrome (OSAS) Resistant Hypertension Continuous Positive Airway Pressure (CPAP)

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Ebstein Anomaly: A Clinical Case Series among Adolescents in Guinea

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World Journal of Cardiovascular Diseases 2023年第4期13卷 228-235页

作者： mamadou bassirou bah Elhadj Yaya Baldé mamadou Aliou Baldé Thierno Siradjo Baldé mariama Djalakhan Diallo Amadou Diouldé Doumbouya Ibrahima Sory Sylla Alpha Koné Ibrahima Sory Barry Souleymane Diakité Sana Samoura mamadou Diallo Abdoulaye Camara mamadou Dadhi Baldé Cardiology Department Ignace Deen Hospital Conakry Guinea Cardiology Department Donka Hospital Conakry Guinea

Ebstein’s anomaly is a rare congenital heart disease. We report a series of 4 cases of Ebstein’s anomaly discovered in adolescents. The mean age was 13.75 ± 0.96, with 3 boys and one girl. Three were in heart failure. The EKG showed atrial hypertrophy (1 case), right bundle branch block (1 case), Wolff-Parkinson-White (1 case), and atrial fibrillation (1 case). Cardiomegaly was present in all patients with a mean cardiothoracic index of 0.77 ± 0.03. On echocardiography, the mean apical displacement of the tricuspid septal leaflet was 22.5 ± 3.30 mm/m2, the Celermajer index was Grade 2 in 2 patients and Grade 4 in 2 patients. Depletive medical treatment was prescribed to 3 patients. Anticoagulant therapy was initiated in one patient. Two are awaiting surgery. One death was recorded, it was at Grade 4 of the Celermajer index.

关键词： Ebstein Anomaly Adolescent Congenital Heart Disease Guinea

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Prevalence and Contributing Factors of Orthostatic Hypotension in the Cardiology Department of the CHU Ignace Deen in Conakry

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World Journal of Cardiovascular Diseases 2023年第3期13卷 181-187页

作者： Ibrahima Sory Barry El Hadj Yaya Baldé Ahmed Youssouf Djiba mariama Béavogui mamadou bassirou mariama bah Morlaye Soumaoro Abdoulaye Camara Aly Samoura Diarra Koïvogui Kokoulo Koïvogui Salématou Diallo Ibrahima Kalil Tounkara Ousmane Djénaba Savané mamadou Dadhi Baldé Department of Cardiology CHU Ignace Deen Conakry Guinea

Introduction: Orthostatic Hypotension (OH) is a frequent situation during consultation in hypertensive patients. The prevalence in the general population increases with age and it is recommended to systematically search for it in patients with multiple comorbidities. The objective of this study was to determine the prevalence of orthostatic hypotension;describe their socio- demographic profile, the various clinical and paraclinical aspects and the predisposing factors of orthostatic hypotension in treated hypertensives, controlled or not. Method: This was a descriptive cross-sectional study, from January 2 to June 30, 2022 in the cardiology department of the Ignace Deen National Hospital. Included in this study were all patients who presented with orthostatic hypotension under antihypertensive treatment, regardless of age and sex, and who agreed to participate in the study. The non-inclusion criteria were hypertensive patients without OH and those who had not agreed to participate in the study. Each patient had blood pressure and heart rate measured in the supine position at room temperature and with an empty bladder. Then the measurement is taken again three (3) minutes after the switch to orthostatism. We retained the diagnosis of OH if the SBP drops by at least 20 mmHg and/or the PAD by at least 10 mmHg three (3) min after the transition to orthostatism. Our data obtained were analyzed in the Epi-info 7.4.0 software. Results: During our study period, we investigated 385 presented with OH, 12.2%. The mean age of the patients was 60.83 years ± 10.01 years and hypertensive patients, 47 of whom the M/F sex ratio was 0.81. In our study, blood pressure was not controlled in 36.2% of our patients with a predominance of grade 3 hypertension, a rate of 55.32%. Renal failure, anemia, heart failure and stroke were the main comorbidities associated with the occurrence of HO. The most incriminated factors were age with a frequency of 74.47%, followed by obesity at 44.68% and

关键词： Orthostatic Hypotension Contributing Factors Conakry

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