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Open Journal of Pediatrics 2024年第2期14卷 327-337页

作者： Bangoura Mmah Aminata Kolié Ouo Ouo camara.salématou hassimiou Baldé Mariama Bangoura Kaba Diop Mamadou Moustapha camara Emmanuel Diallo Fatoumata Binta Doukouré Mamadou Aliou Mamadou Mouctar Sow Bémy Pé Néabey Institut de Nutrition et de Santé de l’Enfant Conakry Guinea Service de Pédiatrie Hô pital National Donka Conakry Guinea Service de Pédiatrie Hô pital National d’Ignace Deen Conakry Guinea

Introduction: The birth of a baby is a moment of joy and celebration. However, the neonatal period is a very delicate phase of life. Neonatal mortality rates remain high in low-income countries. In Guinea, after 20 years, this rate has fallen from 34.2% in 1998 to 32% in 2018. Objective: To identify the main risk factors for neonatal mortality. Methods: This was an observational, analytical case-control study, lasting 6 months from January 1 to June 30, 2019, conducted at the Institut de Nutrition et de la Santé de l’Enfant (INSE) at Donka National Hospital. Results: We collected 242 cases and 242 controls, i.e. a total of 484 records. 748 patients were registered, with 32.35% deaths. 82.86% of deaths occurred in the early neonatal period. Statistical analysis revealed the main risk factors: prematurity (RQ 7.39 95% CI 3.27 - 16.61 p = 0.0000003), hypothermia (RQ 2.29 95% CI 1.51 - 3.46 p = 0.0001), acute fetal distress (RQ 2.13 95% CI 1.33 - 3.43 p = 0.0016), low birth weight (QR 1.91 95% CI 1.12 - 3.24 p = 0.016), home birth (QR 3.26 95% CI 1.25 - 8.46 p = 0.015). Conclusion: Neonatal mortality is a health problem in the INSE neonatology department. To reduce the mortality rate in this referral facility, it is essential to equip it and provide ongoing training for staff.

关键词： Neonatal Mortality INSE Guinea-Conakry

Risk Factors for Neonatal Mortality at the Institute of Nutrition and Child Health of the Donka/Guinea-Conakry National Hospital

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Open Journal of Pediatrics（儿科学期刊） 2024年第2期 327页

Child Victims of Road Traffic Accidents: Epidemiological and Clinical Aspects in the Medical and Surgical Emergency Department of the Donka National Hospital

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Case Reports in Clinical Medicine 2024年第3期13卷 63-72页

作者： Ibrahima Sory Diallo Mamadou Moustapha Diop Amadou Oury Toure Mamadou Aliou Doukouré Aîssata Barry M’mah Aminata Bangoura Mariama Sadjo Diallo Abdoulaye Oumare Diallo salimatou hassimiou camara Thierno Mamadou Aliou Touré Ouo Ouo Kolié Mohamed Lamine Diallo Fatoumata Binta Diallo Ibrahima Sory Souaré Institute of Child Nutrition and Health Conakry Guinea Department of Pediatrics Donka National Hospital Conakry Guinea UNICEF-Guinea Community Health Section Conakry Guinea Gamal Abdel Nasser University of Conakry Conakry Guinea

Introduction: Children involved in road accidents most often suffer head or limb injuries. The severity of these injuries varies according to the age of the child, the type of road user and whether or not protective devices are used. The aim of this study was to carry out a census of admissions and to identify the epidemiological and clinical profile of children involved in road traffic accidents at Donka National Hospital. Methods: This is a descriptive cross-sectional study of children involved in traffic accidents over a 3-month period from September 1 to November 30, 2021. All children admitted to the emergency department for a traffic accident were included in the study. Results: During the study period, 435/530 children (82.1%) were victims of road accidents. Boys accounted for 54.94% of cases, compared with 45.06% for girls. The age group most affected was 12-17 years old (48.97%). October had the highest accident rate (36.4%). Pedestrians are most affected (52.87%). Bicycles and mopeds were involved in 59.77% of accidents. Head injury was the most frequent pathology (33.33%). The study showed that 12.64% of victims were referred to intensive care, pediatric surgery, etc. We recorded 8 cases of death (1.84%). Conclusion: This study highlighted the characteristics, incidence and risk factors for accidents in children admitted to emergency departments. Accident prevention, particularly serious accidents in children, requires more precise knowledge of the factors and circumstances leading to their occurrence.

关键词： Child Accident Public Highway Donka

Epidemioclinical Aspects of Childhood Domestic Accidents in the Emergency Department of Boffa Hospital

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Open Journal of Pediatrics 2023年第6期13卷 947-954页

作者： Bangoura Mmah Aminata Kolié Ouo Ouo Bangoura Kaba camara.salématou hassimiou Diop Mamadou Moustapha Touré Oumar Deen camara Emmanuel Diallo Fatoumata Binta Bémy Pé Néabey Touré Mariame Oumar Institut de Nutrition et de Santé de l’Enfant Conakry Guinée Service de pédiatrie Hô pital national Donka Conakry Guinée Service de chirurgie pédiatrique Hô pital national Donka Conakry Guinée Hô pital préfectoral de Boffa Boffa Guinée

Introduction: Domestic accidents are defined as accidents that occur in the home or its immediate surroundings. Objective: To describe the epidemioclinical and therapeutic aspects. Patients and Methods: Prospective, descriptive study from July 1, 2019 to June 30, 2020 in the emergency department of Boffa prefectural hospital included all children aged 0 to 15 years admitted for domestic accidents. Results: Of 120 cases of accidental trauma, 56 were domestic accidents. The mean age was 7.08 years. The 0 - 5 and 11 - 15 age groups were the most represented (35.71%). The sex ratio was 1.55 in favor of boys. Domestic accidents were represented by falls (26.78%), thermal burns (21.43%), snakebite wounds (17.86%) and dog bites (10.71%), drowning (5.36%), and electrification by lightning (3.60%), one case or 1.78% of each of the following: esophageal foreign body by palm nut, firearm, wall collapse, stretching of upper limb. Paracetamol was the molecule most frequently used (89.28%). The outcome was favorable in 92.86% of cases. However, four (4) deaths were recorded. Conclusion: Domestic accidents remain a significant pathology at Boffa prefectural hospital.

关键词： Domestic Accidents Children Hospital Prefecture Boffa Guinea Conakry

Child Victims of Road Traffic Accidents: Epidemiological and Clinical Aspects in the Medical and Surgical Emergency Department of the Donka National Hospital

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Case Reports in Clinical Medicine（临床医学病理报告） 2024年第3期 63页

作者： Ibrahima Sory Diallo Mamadou Moustapha Diop Amadou Oury Toure Mamadou Aliou Doukouré Aîssata Barry M’mah Aminata Bangoura Mariama Sadjo Diallo Abdoulaye Oumar Diallo salimatou hassimiou camara Thierno Mamadou Aliou Touré Ouo Ouo Kolié Mohamed Lamine Diallo Fatoumata Binta Diallo Ibrahima Sory Souaré

Lupus Nephropathy: Observation of a Case: Clinical Aspect, Evolution and Management at the West Guyana General Pediatric Service

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Open Journal of Pediatrics 2023年第5期13卷 719-726页

作者： Bangoura Kaba Diallo Fatoumata Binta Kolié Ouo-Ouo camara.salematou hassimiou Diallo Mohamed Lamine Diop Mamadou Moustapha camara Emmanuel Kouyate Moustapha Department of Pediatrics Donka CHU Conakry Guinea Department of Pediatrics Gamal Abdel Nasser Conakry University Conakry Guinea

Renal damage is one of the most frequent and serious manifestations of systemic lupus erythematosus (SLE). Even if this disease is the prerogative of female adults, it can affect children especially during the peri-pubertal period. The aim of this work is to highlight the clinical-biological and progressive characteristics of lupus nephropathy in children.

关键词： Nephropathy Lupus Child

Posterior Urethral Valves without Reflux Associated with Bilateral Renal Cortical Atrophy: Diagnosis and Management

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Open Journal of Pediatrics 2023年第6期13卷 791-797页

作者： Bangoura Kaba Kolie Ouo-Ouo camara.salematou hassimiou Bangoura M’mah Aminata camara Emmanuel Diallo Mohamed Lamine Diallo Fatoumata Binta Diop Mamadou Moustapha Kouyate Moustapha Beimy Pé Pediatrics Department CHU Donka Conakry Guinea Gamal Abdel Nasser University of Conakry Conakry Guinea Institute of Nutrition Conakry Guinea

The objective of this case report was to highlight the characteristics of posterior urethral valves observed in a 3-year-old patient and to describe their management. The case of a 4-year-old patient treated for a posterior urethral valve with bilateral renal cortical atrophy was reviewed. The diagnosis was confirmed by abdominal ultrasound, cystography and abdominal CT. He was referred to Martinique (a tertiary health establishment) for effective support. From the acute situation to the fortuitous discovery, its understanding must be deepened because of the potential immediate symptomatic impact in the form of renal colic which can be associated with sepsis, as well as in the long term on renal function. This observation is intended to help the attending physician to initiate his diagnosis and treatment.

关键词： Valves Urethra Posterior

Epidemioclinical Aspects of Childhood Domestic Accidents in the Emergency Department of Boffa Hospital

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Open Journal of Pediatrics（儿科学期刊） 2023年第6期

Macroscopic Congenital Malformations at the Institute of Nutrition and Child Health (INSE)

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Open Journal of Pediatrics 2023年第6期13卷 879-893页

作者： M’mah Aminata Bangoura Aissata Barry salimatou hassimiou camara Sory Diallo Kadiatou Péthé Diallo Amadou Oury Toure Mariama Sadio Diallo Ouo Ouo Kolié Fatoumata Binta Diallo Moustapha Kouyaté Kaba Bangoura Mamadou Aliou Doukouré Emmanuel camara Mamadou Moustapha Diop Ibrahima Sory Diallo Institute of Nutrition and Child Health Donka National Hospital-CHU Conakry University of Conakry Conakry Guinea Service of Pediatrics HN Donka-CHU Conakry University of Conakry Conakry Guinea

Introduction: A congenital malformation is defined as a morphological abnormality of an organ or body region resulting from an abnormal developmental process during the formation of the embryo or fetus. Depending on their type, location and size, malformations can cause functional, psychological and aesthetic defects. The aim of this study is to document the frequency of congenital malformations, describe the characteristics of malformed newborns and their biological mothers, and identify the different types of malformations presented by newborns at the INSE. Methods: Descriptive cross-sectional study of clinically visible malformed newborns. It was carried out from January 1, 2021 to January 1, 2022 at the INSE neonatology unit. Epi info version 3.1 software was used for data entry and analysis. Results: Of a total of 2332 neonates hospitalized during the study period, 81 (3.5%) cases had at least one clinically visible congenital malformation. Nearly 84% had an age ≤ 7 days at the time of admission. The male sex was most concerned (60.5%). Newborns referred by a health facility accounted for 84%. Malformations of the digestive system accounted for 30.9% of cases, followed by those of the limbs (19.8%) and poly malformative syndrome (19.8%). Conclusion: This study shows that congenital malformations exist and are frequent in Guinea. Our results could therefore be the starting point for the future establishment of a national register of congenital malformations.

关键词： Congenital Malformation Institute Nutrition Child Heath

Lupus Nephropathy: Observation of a Case: Clinical Aspect, Evolution and Management at the West Guyana General Pediatric Service

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Open Journal of Pediatrics（儿科学期刊） 2023年第5期

作者： Bangoura Kaba Diallo Fatoumata Binta Kolié Ouo-Ouo camara.salematou hassimiou Diallo Mohamed Lamine Diop Mamadou Moustapha camara Emmanuel Kouyate Moustapha