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a.dominoperinea. Resection in Recta. Ca.cer in Genera. Surgery Depa.tment a. Ga.riel Toure University Hospita.

Surgica. Science 2019年第1期10卷 16-23页

作者： a.a.ou Tra.re a.doula.e Dia.ra.Ma.ia.sa.Kona.e Souleyma.e Thia. Souma.la.Keita.Ta.i Kone boubacar Ka.embe a.sita. Kone boubacar Sidibe a.a.ou Ba. a.a.ou Ma.ga.Ibra.im Dia.ite Ba.a.y Tientigui Dembele a.ha.sa.e Tra.re a.egne Togo La.sa.a.Ka.te Moussa.Sa.a.e Mousta.ha.Issa.Ma.ga.e Thierno Ma.a.e Diop Ma.a.ou Sa.ia.Dia.ra.a.a.a.Dia.ite Ga.ga.y Dia.lo Ga.riel Toure University Hospita. BamakoMali

The objectives: Were to determine the hospita. frequency of a.dominoperinea. resection (a.R);to determine morta.ity a.d morbidity ra.es a.d to a.sess oncologic outcomes. Method a.d pa.ients: We performed a.retrospective study between 2008 a.d 2013 in genera. surgery depa.tment a. Ga.riel Toure University Hospita. (UH) which included a.l pa.ients a.mitted for recta. ca.cer confirmed by pa.hologica. exa.ina.ion, a.d ha.ing undergone a. a.R. Results: We ha.e collected 17 ca.es which a.counted for 65.38% of cura.ive resections of recta. ca.cer. The sex-ra.io wa. 0.89 a.d the a.era.ea.e wa. 49.53 yea.s. The a.era.e tumor dista.ce from the a.a. verge wa. 4.59 ± 1.7 cm. a.l pa.ients ha. a.enoca.cinoma.of the rectum. The histopa.hologic gra.e wa. well in 7 ca.es, modera.e a.d poor in 5 ca.es ea.h. a.cording to the pa.hologic TNM cla.sifica.ion, 13 pa.ients were cla.sified T4, 14 pa.ients N+. a.R wa. a.socia.ed with hysterectomy a.d pa.tia. colpectomy in 4 ca.es. The a.era.e dura.ion of interventions wa. 202.06 ± 25.68 minutes. The a.era.e dura.ion of hospita.iza.ion wa. 18.24 ± 04.89 da.s. The postopera.ive morta.ity a.d morbidity ra.es were 5.88% a.d 29.42%, respectively. Loca. recurrence wa. observed in 6 pa.ients a.d liver meta.ta.is in 2 pa.ients. The overa.l surviva. ra.e wa. 37.5% a. 2 yea.s a.d 18.75% a. 5 yea.s. Conclusion: a.R still occupies a. importa.t pla.e in our pra.tice. Our results could be improved by the recent introduction of neoa.juva.t ra.io chemothera.y in Ma.i.

关键词： a.dominoperinea. Ca.cer Ma.i Rectum Resection Surgery

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HBsa. seropreva.ence a.ong Senega.ese milita.ies

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Journa. of Medica. Colleges of PLa.China. 2014年第4期29卷 203-207页

作者： a.doul a.iz Ndia.e Ibra.ima.Socé Fa.l Gora.Lo Sidy Mouha.ed Seck a.ioune Ba.a.a.Ta.l boubacar Gueye a.a.y Ba.ro Mbodj a.ta.Ta.-Dia Community Hea.th Depa.tment University Alioune Diop of Bambey a.my Hea.th Service Camp Dial Diop DakarSenegal WHO Ma.i Fa.ulty of Hea.th Sciences Gaston Berger University Public Hea.th Depa.tment Cheikh Anta Diop University

Ba.kground: Chronic hepa.itis is a.ma.or public hea.th problem. The hepa.itis B virus is the prima.y ca.se, a.d Hepa.itis B a.d C together a.e responsible for 60% of cirrhosis a.d 80% of hepa.ocellula. ca.cinoma.. This study mea.ured the preva.ence of HBsa. a.ong Senega.ese milita.y to develop a.stra.egy to prevent cirrhosis a.d hepa.ocellula. ca.cinoma.in the ***: We conducted a.descriptive cross-sectiona. study a.ong Senega.ese a.my sta.f a.ed 25 to 60 yea.s a.d divided this group into three stra.a. 25-34, 35-44 a.d 45-60 yea.s. a.sa.ple of 1224 pa.ticipa.ts wa. selected following a.two-level stra.ifica.ion. The ma.k of surfa.e HBs a.tigen(a.) wa. performed on 1195 pa.ticipa.ts using chemiluminescence(qua.ita.ive a.chitect HBsa. of a.bott Dia.nostics La.ora.ories Germa.y) a.d enzyme immunoa.sa.(Determines HBsa.) methods. The presence of HBsa. wa. a.a.yzed a.cording to a.e, ma.ita. sta.us, a.cohol consumption a.d glomerula. filtra.ion ra.e. Epi-info6 a.d R softwa.e were used, respectively, for da.a.ca.ture a.d a.a.yses. a.Chi-squa.e test wa. performed to compa.e proportions considering a. a.pha.significa.ce level of 5% a.d a.confidence interva. of 95%.Results: The a.era.e a.e wa. 39.8±9.2 yea.s. Pa.ticipa.ts in the a.e groups of 25-34 yea.s, 45-60 yea.s a.d 35-44 yea.s were 30.7%, 34.4% a.d 34.9% of the sa.ple, respectively. Ma.ried persons a.counted for 82.6% of pa.ticipa.ts, a.d 17.08% were single. Most pa.ticipa.ts were educa.ed(99%), a.d 56% ha. rea.hed a. lea.t the seconda.y school level. a.cohol consumption wa. a. 11.5%. The HBsa. preva.ence ra.e wa. 10.8% [9.1% to 12.7%] with a.significa.t difference between a.e groups(Pa.ged from 5.6% for 45-60 yea.s, 9.62% in the 25-34 yea.s group a.d 16.9% for the 35-44 yea.s group. Ma.ita. sta.us a.d a.cohol consumption did not a.fect the ca.ria.e of HBsa.. The preva.ence of HBsa. wa. more common a.ong pa.ticipa.ts who ha. a.glomerula. filtra.ion ra.e grea.er tha. 90 ml/min. Tra.sa.ina.es ra.e ex

关键词： Seropreva.ence HBsa. Milita.y Chronic disea.es

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a.Bilia.y Recurrence of a.Brea.t Ca.cer: Ca.e Report a.d Review of the Litera.ure

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Journa. of Ca.cer Thera.y 2017年第3期8卷 296-301页

作者： Fa.ima.Za.ra.El M’ra.et Ha.a. Bedoudou a.il Ma. a.ina.a.ra.da.i boubacar Efa.ed La.la.Chba.i Ihssa.e Mellouki Da.r a.la. Bena.a. Youssef a.a.ui La.ra.i Na.fel Mella. Oncology Depa.tment University Hospital Hassan II Fez Morocco Ra.iology Depa.tment University Hospital Hassan II Fez Morocco Hepa.oga.troenterology Depa.tment University Hospital Hassan II Fez Morocco a.a.omica. Pa.hology a.d Cytology La.ora.ory University Hospital Hassan II Fez Morocco

a.51-yea.-old fema.e with a.history of ra.ica. ma.tectomy with a.illa.y lymph node dissection, a.juva.t chemothera.y a.d ra.ia.ion for a.brea.t ca.cer wa. referred to the emergency room due to chola.gitis. a.CT sca. showed a.common bile duct ma.s inva.ing the duodenum. a.ter bile dra.ning, the investiga.ions led to a. undifferentia.ed ca.cinoma.with positive hormona. receptors. The dia.nosis of a.brea.t ca.cer recurrence wa. esta.lished a.d the pa.ient wa. commenced on ta.a.e thera.y.

关键词： Brea.t Ca.cer Recurrence Chola.gitis Bilia.y Tumor Meta.ta.is Hormona. Receptors Chemothera.y

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Congenita. Urethra. Diverticulum in Ma.e Subject: Report of Three Ca.es

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Open Journa. of Urology 2018年第2期8卷 43-48页

作者： Ya.a.Sow Ba.a.a. Sine Ibra.ima.Da.a.Dia.é Ndéye a.ssa.ou Ba.a.ogo a.a.h Thia. Denis Ba.boza.a.ioune Sa.r Cyrille Zé Ondo boubacar Fa.l Ba.a.a. Dia. Urology a.drology Depa.tment of a.tistide Le Da.tec Hospita. Dakar Senegal Oura.sogui Hospita. Matam Senegal De La.Pa.x Hospoita. Ziguinchor Senegal

Introduction: The urethra. diverticulum or urethrocele corresponds to a.sa.cula. dila.ion of a.portion of the urethra. wa.l. Our objective wa. to report the clinica. a.pects, investiga.ions a.d thera.eutic a.pects of three ca.es of congenita. urethrocele. Observa.ions: They were three ma.e pa.ients a.ed 11, 20 a.d 42 yea.s, two of whom ha. consulted for termina. dribbling. The dia.nosis of urethrocele wa. ma.e for a.l pa.ients with retrogra.e a.d voiding cystouretrogra.hy. Trea.ment consisted of resection of the urethrocele followed by urethropla.ty for both ca.es. Conclusion: Dia.nostic of congenita. urethrocele must a.wa.s be a.sessed when there is a.persistent termina. dribbling, a.d systema.ica.ly a.k for a.retrogra.e a.d voiding cystourethrogra.hy to confirm it.

关键词： Urethra Diverticulum Congenita. Ma.e Diverticulectomy

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Childhood Idiopa.hic Nephrotic Syndrome: a.Single-Center Hospita. Study

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Open Journa. of Pedia.rics 2022年第5期12卷 832-840页

作者： a.doul Ka.im Doumbia.Ta.i Sima.a.a.a.a.Dembélé Ma.a.a.ou Sa.ihou Ba.dé Ha.a.G. Dia.l Pierre Togo a.ina.a.Doumbia.Belco Ma.ga.Ka.a.oko Sa.ko Fa.ouma.a.Léonie Dia.ité Oumou Koné Ouma. Couliba.y Ibra.im a.a.a.ou Moha.ed Elmouloud Cissé Guédiouma.Dembelé Fousseyni Tra.ré Ha.a.Kona.é a.a.ou Touré Djènèba.Kona.é La.a.N’Dra.ny Sidibé Leyla.Ma.ga.a.doul a.iz Dia.ité boubacar Togo Depa.tment of Pedia.rics of CHU Ga.riel Touré Bamako Mali

Introduction: Idiopa.hic nephrotic syndrome (INS) is one of the lea.ing ca.ses of childhood morbidity worldwide. This study wa. underta.en to complete the epidemiologica., clinica., thera.eutic a.d evolutiona.y a.pects of NIS in hospita.ized pa.ients. Methodology: We conducted a.retrospective study of pa.ients with childhood NIS who ha. been a.mitted to our depa.tment from Ja.ua.y 2017 to December 2018. Dia.nosis, remission a.d rela.se of idiopa.hic NS were defined a.cording to the recommenda.ions of the French Society of Pedia.ric Nephrology. We included a.l pa.ients a.ed 2 to 14 yea.s presenting a.NIS picture. Results: During the study period, 35 pa.ients with idiopa.hic NS ha. been hospita.ized, representing a.frequency of 1% of pa.ients hospita.ized in the depa.tment. The sex ra.io wa. 2.22. The a.era.e a.e of the pa.ients wa. 7.5 ± 3.5 yea.s. Genera.ized edema.wa. observed in a.l our pa.ients. a.teria. hypertension (36%) a.d a.domina. pa.n (24%), hema.uria.(9%) were the ma.n a.socia.ed signs. Ma.nutrition wa. present in 66%, urina.y tra.t infection in 20% a.d ma.a.ia.in 24%. Cortico-sensitivity wa. obta.ned in 86% of pa.ients, 14% were cortico-resista.t a.d 11% were cortico-dependent. Rela.ses (6%) ha. been observed a.ong cortico-sensitive pa.ients. The morta.ity ra.e wa. 11%. Conclusion: This study ca.ls for more tria.s to better elucida.e prognostic indica.ors a.d develop better thera.eutic a.proa.hes a.a.ted to epidemio-clinica. contexts.

关键词： INS Children Corticosteroids

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Emergency C-Section on Multi-Sca. Uterus: Ma.erna. a.d Feta. Prognosis a. the Nia.a.koro Fomba.Hospita. in Segou, Ma.i

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Open Journa. of Obstetrics a.d Gynecology 2023年第5期13卷 997-1005页

作者： Tidia.i Tra.ré Seydou Tra.ré Seydou Z. Da. a.doul K. Ba.lo Ka.soum Sidibé Bra.ima.Donigolo Ba.ou Tra.ré Fa.a.a. Ka.é a.a.a.Couliba.y a.dra.a.a.e Dia.isso a.ima.Sidibé a.a.a.Ca.a.a.Ya.ouba.Dembélé Thierno boubacar Ba.a.oko a.pha.Sa.ogo a.a.a.Ba. a.doula.e Ka.sogue Ha.idou Tounga.a.Seydina.a.ioun Beye a.oustin Thera.Youssou Tra.ré Ibra.ima.Teguété Nia.i Mounkoro a.a.ou Dolo Gynecology Depa.tment of Hospita. Nia.a.koro Fomba Segou Mali Gynecology Depa.tment of Reference Hea.th Center of Koutia.a Koutiala Mali Gynecology Depa.tment of Reference Hea.th Center of Commune II of Ba.a.o Bamako Mali Gynecology Depa.tment of Reference Hea.th Center of Bla Bla Mali Gynecology Depa.tment of Reference Hea.th Center of Ka.es Kayes Mali Gynecology Depa.tment of Reference Hea.th Center of Commune V of Ba.a.o Bamako Mali Gynecology Depa.tment of Reference Hea.th Center of Sika.so Sikasso Mali Gynecology Depa.tment of Moha.ed VI Polyclinic of Ba.a.o Bamako Mali Gynecology Depa.tment of Point G Tea.hing Hospita. Bamako Mali Gynecology Depa.tment of Ga.riel Touré Tea.hing Hospita. Bamako Mali Gynecology Depa.tment of Pa.teur Clinic of Ba.a.o Bamako Mali

Ba.kground: Multi-sca. uterus is a.uterus with two or more sca.s due to surgery or tra.ma. Objective: The a.m wa. to compa.e the ma.erna. a.d feta. prognosis of emergency C-sections of bi-sca. uteruses to those of uteruses with a. lea.t 3 sca.s a. the Nia.a.koro Fomba.Hospita. in Segou. Ma.eria.s a.d Methods: It wa. a.descriptive a.d a.a.ytica. cross-sectiona. study with prospective da.a.collection over a.24-month period from Ma.ch 20, 2018, to Ma.ch 20, 2020. Results: In 2 yea.s, we collected 103 emergency C-sections for multi-sca. uterus out of 1198 C-sections with a.frequency of 8.6%. The a.e group of 20 to 35 yea.s wa. the most represented with 86.4%. The bi-sca. uteruses were the most frequent with 77.7%. In 71.8% of ca.es, the C-section wa. performed during the la.ent pha.e of la.or. The C-section wa. performed under loco-regiona. a.esthesia.in 89.3% of ca.es. Difficulties in hemosta.is a.d bla.der injury were the most frequent intra.pera.ive a.cidents. Surgica. site infection wa. the ma.n postopera.ive complica.ion. No ma.erna. dea.hs were recorded. The perina.a. prognosis wa. ma.ked by 4.3% fresh stillbirths in bi-sca. uterus a.a.nst 3.7% in three or more sca. uteruses a.d including 2 fresh stillbirths a.d 1 ma.era.ed. We did not record a.y ea.ly neona.a. dea.hs a.ter C-section. Conclusion: The frequency of emergency C-sections in pa.ients with a.multi-sca. uterus rema.ns very high in our hospita.. a.better a.a.eness of the pa.ients, their spouses a.d a.l the a.tors involved in the ma.a.ement of pregna.cies a.d childbirth, ca. contribute to curb this trend.

关键词： C-Section Prognosis Segou Multi-Sca. Uterus Emergency

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Clinica., a.tiologica. a.d Evolutiona.y a.pects of Respira.ory Distress in Term Neona.es: a.Single-Centre Cross-Sectiona. Study

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Open Journa. of Pedia.rics 2023年第6期13卷 821-830页

作者： a.doul Ka.im Doumbia.Doumbia.a.ina.a.Couliba.y Ouma. Pierre Togo a.a.a.Dembélé a.doul a.iz Dia.ité Moha.ed Elmouloud Cissé Ha.a.Dia.l Belco Ma.ga.a.ina.a.Couliba.y Ma.ia. Ka.é Ta.i Sima.a.Ka.a.oko Sa.ko Ya.ouba.a.a.Couliba.y Djéneba.Kona.é Ibra.ima.a.a.a.ou Ha.a.Kona.é La.a.Ndra.ny Sidibé Ka.irou Tra.ré Fa.ouma.a.Léonie Dia.ité Guédiouma.Dembélé Fa.ouma.a.Dicko Fousseyni Tra.ré boubacar Togo Depa.tment of the CHU Ga.riel Touré Bamako Mali

Introduction: Respira.ory distress is a.frequent ca.se of morbidity a.d morta.ity in neona.es. The a.m of this study wa. to a.sess its frequency a.d describe its clinica. a.d evolutiona.y cha.a.teristics in the neona.ology depa.tment of the Ga.riel Touré University Hospita. in Ba.a.o. Methodology: This wa. a.prospective cross-sectiona. study conducted from 1 Ja.ua.y 2021 to 30 June 2021. a.l term neona.es a.ed 0 to 28 da.s hospita.ised with signs of respira.ory distress (ta.hypnoea. na.a. fla.ing, expira.ory whining, intercosta. a.d subcosta. indra.ing, xiphoid funneling a.d cya.osis) were included. The sociodemogra.hic a.d clinica. va.ia.les of the newborns a.d their mothers were a.a.ysed using SPSS.20 softwa.e. Results: During the study period, 1272 newborns were a.mitted to hospita., including 705 born a. term, of whom 188 were included in the study. The mothers’ a.es ra.ged from 14 to 45 yea.s, with a. a.era.e of 24 yea.s. The pregna.cy wa. not followed up in 15% of ca.es. Newborns were resuscita.ed a. birth in 51% of ca.es. The ma.n clinica. signs observed were hypoxia. neurologica. disorders a.d fever. Perina.a. a.phyxia.(55%), neona.a. infections (34%) a.d congenita. ma.forma.ions (6%) were the ma.n ca.ses of respira.ory distress. Morta.ity wa. estima.ed a. 37%. Conclusion: Neona.a. respira.ory distress is a.ma.or ca.se of dea.h. Most ca.ses ca. be a.oided if pregna.cy a.d delivery a.e properly ma.a.ed.

关键词： Respira.ory Distress Neona.e a.phyxia

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Erectile Dysfunction: Clinica. a.d Epidemiologica. a.pects in Senega.

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Open Journa. of Urology 2015年第9期5卷 147-154页

作者： Yoro Dia.lo Ra.ine Ka.e Sa.nt Cha.les Kouka.boubacar Fa.l Cyrille Ze Ondo a.doula.e N’Dia.e a.a.son Phiri a.a.ou Sékou Souma. Ba.a.a. Dia. Cheickna.Sylla Depa.tment of Urology Faculty of Health Sciences University of Thies Thies Senegal Depa.tment of Urology Principal Hospital Dakar Senegal Depa.tment of Urology Hospital Health Teaching Aristide Le Dantec Dakar Senegal

Introduction: The objective of our study wa. to a.a.yze the clinica. a.d epidemiologic a.pects of erectile dysfunction in subjects with different comorbidities in Senega.. Pa.ients a.d Methods: This wa. a.retrospective study over a.period of 2 yea.s on pa.ients who presented themselves for consulta.ion for erectile dysfunction. The study wa. ca.ried out in the regions of Da.a. a.d Thies a. the Oua.a. geria.ric center a.d the Sa.nt Jea. of god Hospita. of Thies respectively. Results: We enrolled into the study 402 pa.ients with erectile dysfunction. The a.era.e a.e of our pa.ients wa. 47 ± 5 yea.s. Pa.ients a.ed more tha. 60 yea.s were the most. The ma.ority of our pa.ients ha. less tha. seconda.y school level educa.ion, 211 in tota. representing 52.5% of the study popula.ion compa.ed to 14.9% ha.ing post ba.ca.a.rea.e level. a.la.ge number of these pa.ients ha. professiona. a.tivities (53.3%), followed by retirees (29.6%). Polyga.ous pa.ients were more in number (51.5%). In our study sa.ple, we registered 120 a.tive smokers (29.9%). a.hundred a.d ten of our pa.ients were sedenta.y for periods of 5 months to 22 yea.s. The a.era.e length of time before seeking help for erectile dysfunction in our pa.ients wa. 2.8 yea.s. Severe erectile dysfunction wa. predomina.t in the smoking group (54.2%) compa.ed to (9.9%) in the non-smoking group. We found a.la.ge proportion of severe a.d modera.e erectile dysfunction (66.3%) a.d (31.7%) respectively in dia.etic tha. non-dia.etic pa.ients. Severe erectile dysfunction wa. more in hypertensive a.d dia.etics. Severe erectile dysfunction wa. more present in hypertensive plus smokers (83.9%) tha. in non-smoking hypertensive pa.ients (68.6%). Severe ED wa. found more in hypertension a.d dia.etic subjects. Conclusion: Erectile dysfunction is most frequently rela.ed on one side to socio-environmenta. fa.tors, a.d to co-existing comorbidities on the other side.

关键词： Erectile Dysfunction Epidemiology Risk Fa.tors Clinica.

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Epidemiologic Fea.ures of the First Fla.e of Ne-phrotic Syndrome in Children in Ba.a.o Pedi-a.ric Hospita.s

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Open Journa. of Pedia.rics 2022年第2期12卷 389-395页

作者： Djeneba.Kona.é La.a.Ndra.ni Sidibé a.a.ou Touré a.a.a.Fomba.a.doul Ka.im Doumbia.Ka.a.oko Sa.ko a.ina.a.Doumbia.Ouma. Couliba.y Moha.ed Elmouloud Cissé Pierre Togo a.a.a.Dembélé a.a.Kona.é Belco Ma.ga.Ha.ber Ba.ilé Fa.ouma.a.Léonie Fra.çoise Dia.ité Fousseyni Tra.ré Ha.a.Gouro Dia.l Ibra.ima.a.a.a.ou Guédiouma.Dembélé a.doul a.iz Dia.ité Fa.ouma.a.Dicko Tra.ré boubacar Togo Depa.tment of Pedia.rics CHU Gabriel Touré Bamako Mali

Introduction: The most frequent glomerula. pa.hology in children, nephrotic syndrome (NS) is a.cosmopolita. a.fection. It is a. immunologica. disea.e a.d certa.n environmenta. fa.tors, in pa.ticula. vira. infections a.d a.lergens, influence its occurrence. The clima.ic a.d environmenta. differences coupled with the frequency of infectious pa.hologies signing the a.rica. pa.ticula.ity a.d the a.sence of da.a.in Ma.i on this a.fection, motiva.ed us to ca.ry out this work. Objective: To study the epidemiologica. a.pects of nephrotic syndrome in hospita.ized children a.ed 0 - 15 yea.s. Pa.ients a.d Methods: This wa. a.descriptive prospective study from Ja.ua.y 1 to December 31, 2021 in the Pedia.rics Depa.tment of the University Tea.hing Hospita. (UTH) Ga.riel Touré, a.a.iona. pedia.ric reference service in Ma.i. Dia.nostic confirma.ion wa. provided by biology. Results: In one yea., 120 children were hospita.ized for nephrotic syndrome with a.sex ra.io of 2.75. Ma.e exclusivity wa. observed a. the a.es of one yea., eight yea.s a.d 14 yea.s a.d a.reversa. a. 13 yea.s (sex-ra.io = 0.33). The media. a.e wa. 6 yea.s for a. a.era.e a.e of 6.4 yea.s ± 2.4 yea.s with extremes ra.ging from one yea. to 14 yea.s. The first a.ta.k of nephrotic syndrome occurred outside the cla.sic a.e (>10 yea.s) in 16.67%. Nephrotic syndrome is observed throughout the yea. with two pea.s in summer (July to September) a.d winter (December to Februa.y). Ma.y ethnic groups were a.fected by this condition with a.high frequency a.ong ethnic groups where endoga.y is common. a.l pa.ients were mela.oderms. No ca.es of NS were recorded in Ca.ca.ia. children from Northern Ma.i. The pa.ients ca.e from Ba.a.o in 47.5% of ca.es. Two brothers from the sa.e siblings ha. ha. their first a.ta.k of nephrotic syndrome the sa.e yea., ten months a.a.t. Conclusion: Nephrotic syndrome in pedia.ric hospita.s of Ba.a.o occurs a. a.media. a.e of six yea.s a.l a.ong the yea. with a.summer a.d winter pea.s. It is more obser

关键词： Epidemiology Nephrotic Syndrome Child University Tea.hing Hospita. Ga.briel Toure

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Uterine Rupture: Epidemiologica. a.pects, Etiologies a.d Ma.erna.-Feta. Prognosis in the Obstetric Gynecology Depa.tment of the Donka.CHU Cona.ry Na.iona. Hospita., Guinea

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Open Journa. of Obstetrics a.d Gynecology 2019年第4期9卷 521-528页

作者： boubacar Siddi Dia.lo Ibra.ima.Sory Ba.de Ibra.ima.Conte Ma.a.ou Ha.y Dia.lo Ousma.e Ba.de Ibra.ima.Sylla.a.doura.ma.e Dia.lo Oumou Ha.a.Ba. Loua.a.it Telly Sy Na.ory Keita University Depa.tment of Gynecology-Obstetrics Donka National Hospital Conakry Guinea University Depa.tment of Gynecology-Obstetrics Ignace Deen National Hospital Conakry Guinea

Objectives: The objectives of this work were to ca.cula.e the frequency of the uterine rupture, to describe the epidemiologica. profile, to identify the etiologies a.d to esta.lish the ma.erna. prognosis a.d foeta.. Methodology: It wa. a.out a.descriptive survey with compila.ion of the da.a.in two pha.es: a.retrospective sprea.ing on one period of 6 yea.s a.d the other foreca.ting of 1 one yea. a.hieved to the service of Obstetric Gynecology of the hospita. Na.iona. Donka. Fa.len from Cona.ry, Guinea. Results: We recorded 24.030 childbirths of which 188 ca.es of uterine rupture either a.frequency of 0.78, which represents a. uterine rupture for 128 childbirths. The epidemiologica. profile wa. the one of a.woma. of 24 to 28 yea.s (31.91%), housewives (69.14%), without prena.a. follow-up (47.87%), big multipa.e (37.76%) a.d éva.uées (78.78%). The motives of consulta.ion ha.e been domina.ed by the hémorra.ie (95.74%). The rupture wa. of tra.sverse type in the ma.ority of the ca.e (63.82%). The hysterorra.hy wa. the most performed surgica. procedure which is 85.10% followed by the tota. sub hysterectomy in 10.63%. The newborns of birth weight superior or equa. to 4000 g represent 25.53%. The ma.erna. morbidity ha. been domina.ed by the a.emia.of the postpa.tum (60%). We recorded a.ra.e of ma.erna. léta.ité of 12.76%. The ma.erna. dea.hs were due to the hemorrha.e in 78.57%. The living newborns endured a.respira.ory distress in 9.57% a.d those stillborn represent 87.23%. The etiologies of uterine rupture were domina.ed by feta.-pelvic disproportions 48.93% followed by a. ia.rogenic uterine rupture 22.33%. Conclusion: The reduction of this uterine rupture ra.e would pa.s by the recentered prena.a. consulta.ion offered, the one of obstetric ca.es a.d complete néona.a.x of emergency, the discount to level of the beneficia.ies of the ba.ic structures so tha. they ca. discover the ca.es in time susceptible to dra. a.rupture to eva.ua.e better in time a.d the promptness in the

关键词： Uterine Rupture Etiologie Prognosis

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