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Prostate Cancer in the Thies Region, Senegal: Epidemiological, Diagnostic and Therapeutic Aspects

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Open Journal of Urology 2024年第2期14卷 71-82页

作者： Saint Charles Nabab Kouka Linda Bentefouet Mohamed Jalloh Ngor Mack Thiam Modou Faye Modou Diop Mohamed Cisse Amy Diame Yoro Diallo cheickna sylla Department of Urology Faculty of Health Sciences University Iba Der Thiam of Thies Thies Senegal Department of Anatomy Pathology Faculty of Health Sciences University Iba Der Thiam of Thies Thies Senegal Department of Urology University Cheikh Anta Diop De Dakar Dakar Senegal

Introduction: Prostate cancer is the leading urological cancer. It is the most common cancer in men over 50. Objective: To determine the epidemiological, diagnostic and therapeutic characteristics of prostate cancer in hospitals in the Thiès region. Patients and Methods: We conducted a descriptive study from January 1st, 2015 to December 31st, 2020. We included all cases of primary prostate cancer confirmed on histology. Results: We collected data on 318 cases of primary prostate cancer during the study period. Mean patient age was 72.7 years (Range: 49;94 years). Family history of prostate cancer was found in 22 patients (6.91%). The average consultation time was 18.6 months. The circumstances of discovery were dominated by obstructive voiding disorders (97.16%). Digital Rectal examination was suggestive in 55.40% of patients. PSA level was above 20 ng/ml in 76.7% of patients. Prostatic adenocarcinoma was the only histological type (100%). Localized cancer represented 7.2% and locally advanced cancer occurred in 36.5% of cases, while metastatic cancer accounted for 56.3%. Radical prostatectomy was performed in 3.18% of cases. Mortality rate was estimated at 8.50% after 1 year. Conclusion: Prostate cancer is the leading urological cancer in the Thies region. It is characterized by the predominance of locally advanced and metastatic forms.

关键词： Prostate Cancer Epidemiology Histology Metastasis Mortality Thies

A Novel Three-Staged Generative Model for Skeletonizing Chinese Characters with Versatile Styles

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Journal of Computer Science & Technology 2023年第6期38卷 1250-1271页

作者：田业川徐颂华 cheickna sylla School of Mathematics and Statistics Xi’an Jiaotong UniversityXi’an 710000China Martin Tuchman School of Management New Jersey Institute of TechnologyNewark 07101U.S.A.

Skeletons of characters provide vital information to support a variety of tasks,e.g.,optical character recogni-tion,image restoration,stroke segmentation and extraction,and style learning and ***,automatically skele-tonizing Chinese characters poses a steep computational challenge due to the large volume of Chinese characters and their versatile styles,for which traditional image analysis approaches are error-prone and *** deep learning based approach requires a heavy amount of manual labeling efforts,which imposes serious limitations on the precision,robust-ness,scalability and generalizability of an algorithm to solve a specific *** tackle the above challenge,this paper introduces a novel three-staged deep generative model developed as an image-to-image translation approach,which signifi-cantly reduces the model's demand for labeled training *** new model is built upon an improved G-net,an en-hanced X-net,and a newly proposed *** compellingly demonstrated by comprehensive experimental results,the new model is able to iteratively extract skeletons of Chinese characters in versatile styles with a high quality,which noticeably outperforms two state-of-the-art peer deep learning methods and a classical thinning algorithm in terms of F-measure,Hausdorff distance,and average Hausdorff distance.

关键词： skeletonization of characters three-staged skeletonization X-net

Migration of a Progestin Implant into a Pulmonary Artery: Observation of a Case at the Reference Health Center of Commune III of the District of Bamako in Mali

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Open Journal of Obstetrics and Gynecology 2024年第9期14卷 1431-1436页

作者： Hamady Sissoko Souma Kodio Hamidou Albachar cheickna sylla Salif Diarra Sidy Moctar Diakité Mohamed Traoré Souleymane Traoré Ibrahim Fomba Ouncoumba Diarra Nana Bah Drissa Diarra Mahamoudou Coulibaly Bocary Sidi Koné Hawa Samaké Ahmadou Coulibaly Mamadou Traoré Seydou Z. Dao Sitapha Dembélé Samou Diarra Konimba Koné Alou Samaké Sanogo Siaka Amara Reference Health Centre of Commune III of the District of Bamako Bamako Mali Department of Gynecology and Obstetrics Gabriel Toure University Hospital Center in Bamako Bamako Mali Department of Gynecology and Obstetrics Kalaban Coro Reference Health Centre Bamako Mali Mohamed VI Perinatal Clinic Bamako Mali Reference Health Centre of Commune V of the District of Bamako Bamako Mali Point-G Obstetrics and Gynecology Department of University Hospital Center Bamako Mali Reference Health Centre of Commune II of the District of Bamako Bamako Mali H Department of Gynecology and Obstetrics of the Fousseyni Daou Hospital in Kayes Kayes Mali Reference Health Centre of Commune VI of the District of Bamako Bamako Mali

It was a 36-year-old patient, 5th Pregnancy, 5th Delivery, 4 live children, and I deceased, had a consultation in the department for the removal of implants. Questioning revealed that she had had the implant three years ago without medical follow-up. It was in view of the difficulties in extracting the capsule that the chest X-ray and CT scan carried out concluded that the implant had migrated into a branch of the left pulmonary artery. Therapeutic abstention has been the attitude of cardiovascular surgeons.

关键词： Migration Implant Pulmonary Artery Bamako

HIV/AIDS Screening in the African Birthplace (Hospital in Kayes, Mali)

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Open Journal of Obstetrics and Gynecology 2021年第3期11卷 279-287页

作者： Mahamadou Diassana Ballan Macalou Sitapha Dembele A. Sidibe M. Diallo Soumana Oumar Traore cheickna sylla Amadou Bocoum Ibrahima Teguete Youssouf Traore Obstetrics and Gynecology Department at Fousseyni DAOU Hospital Kayes Mali Kayes Reference Health Centre Kayes Mali Reference Health Centre in Bamako Commune V Bamako Mali Department of Obstetrics and Gynecology at Gabriel Toure University Hospital Bamako Mali

Purpose: The purpose of this study was to determine HIV prevalence among participants admitted to the delivery room and recent birth attendants. Materials and Methods: This was a descriptive, cross-sectional, analytical study, with a prospective collection from February 1, 2018 to January 31, 2019 at fousseyni Daou Hospital in Kayes, Mali. Results: During our study period, we recorded 4269 deliveries. HIV-positive patients known before labour accounted for 0.21%. Four hundred and six participants received counselling/testing in the delivery room;of which 36 refused the test: 8.87% and 370 accepted or 91.13%. Thirteen patients tested positive or 3.51%. The 20 -

关键词： Screening HIV/AIDS Parturients Delivery Room

The Free Cesarian in the Health District of Bougouni

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Open Journal of Obstetrics and Gynecology 2020年第9期10卷 1233-1245页

作者： cheickna sylla Soumana Oumar Traoré Sitapha Dembele Seydou Z. Dao Lassana Togola Amadou Boucoum Seydou Fané Ibrahima Tegueté Youssouf Traoré Niani Mounkoro Department of Obstetrics and Gynecology Koutiala Reference Health Centre Sikasso Mali Faculty of Medicine and Odontostomatology University of Science Technology and Technology of Bamako Bamako Mali Department of Gynecology and Obstetrics Reference Health Centre of Commune V Bamako Mali Department of Obstetrics and Gynecology Kayes Hospital Kayes Mali Department of Gynecology and Obstetrics Commune II Reference Health Centre Bamako Mali Department of Gynecology and Obstetrics Gabriel Touré University Hospital Bamako Mali

Purpose: The purpose of this study was to assess the impact of free caesarean section on maternal-fetal prognosis. Materials and Methods: This was a descriptive, cross-sectional, comparative analytical study of one year of non-free caesarean section and three years of free with retrospective data collection. Our study took place from January 1, 2004 to December 31, 2004 and from January 1, 2007 to December 31, 2009. Results: Caesarean section completion rates are 1.28%, 1.30%, 1.53%, 1.32% respectively in 2004, 2007, 2008, 2009. The average age was 27 years with extremes of 15 to 40 years. The peak of evacuations was recorded in 2007 with a rate of 89.4% and the peak of direct admissions in 2009 with a rate of 14.9%. An adequate means of transport was used in 77.20%. In 22.80% of cases an inadequate means was used. The indications of caesarean sections were dominated by preeclampsia 211/1045 caesarean section followed by acute fetal suffering 179/1045;86/1045;placenta previa 64/1045;presentations of the shoulder i.e. 53/1045;pre-rupture syndrome 44/1045;retro-placental hematoma 27/1045. In terms of maternal prognosis: we noted maternal deaths with a rate of 2.4%, 2.4%, 4.

Maternal and Fetal Prognosis of Uterine Rupture in the Health District of Koutiala

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Open Journal of Obstetrics and Gynecology 2020年第9期10卷 1187-1196页

作者： cheickna sylla Soumana Oumar Traoré Sitapha Dembele Seydou Z. Dao Mamadou Traoré Amadou Boucoum Seydou Fané Ibrahima Tegueté Youssouf Traoré Niani Mounkoro Department of Obstetrics and Gynecology Koutiala Reference Health Centre Sikasso Mali Faculty of Medicine and Odontostomatology University of Science Technology and Technology of Bamako Bamako Mali Department of Gynecology and Obstetrics Reference Health Centre of Commune V Bamako Mali Department of Obstetrics and Gynecology Kayes Hospital Kayes Mali Department of Gynecology and Obstetrics Commune II Reference Health Centre Bamako Mali Department of Gynecology and Obstetrics Gabriel Touré University Hospital Bamako Mali

Introduction: Uterine rupture is a complete or incomplete non-surgical continuity solution of the wall of the gravid uterus. Indeed, it is a Affection obstetrical condition whose maternal-fetal prognosis is poor in terms of morbidity and mortality. Objectives: To assess the risk factors for uterine rupture in the Koutiala Health District. Methods: This was a descriptive and analytical cross-sectional prospective collection study from January 1, 2019 to December 31, 2019, a 12-month period. In our study, all patients admitted to the maternity ward were included during the study period for which the diagnosis of uterine rupture was made. Results: Out of a total of deliveries, we recorded 27 cases of uterine rupture, a frequency of 1.04%. The average age of our patients was 32 years with extremes of 19 and 45 years. We notice 92.6% of uterine ruptures during the transfer. Almost 3/4 of our parturients were out of school 70.4% versus 11.1% in primary school and 18.5% in secondary school. The majority of patients affected by uterine rupture came from rural areas 85.2%. Only 14.8% were from Koutiala city. The admission time to the Koutiala Reference Health Centre was 2 hours 30 minutes in 50.85% of our patients with extremes of 15 minutes and 4 hours 30 min. The average parity was 6.30 - 3036;large multiparous accounted for 63% in our sample followed by multiparous

Maternal Deaths in Patients Evacuated to the Fousseyni Daou Hospital in Kayes over a Decade

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Open Journal of Obstetrics and Gynecology 2023年第8期13卷 1389-1398页

作者： Mahamadou Diassana Sitapha Dembele Ballan Macalou Alima Sibibe Falaye Keita Mamadou Haidara Famakan Kane cheickna sylla Amadou Bocoum Sanogo Siaka Amara Soumaila Traoré Department of Gynecology and Obstetrics Fousseyni Daou Hospital Kayes Mali Kayes Reference Health Centre Kayes Mali Reference Health Center of Kalaban-Coro Bamako Mali Bla Reference Health Centre Ségou Mali Department of Gynecology and Obstetrics Gabriel Toure University Hospital Center in Bamako Bamako Mali Department of Gynaecology and Obstetrics Regional Hospital of Sikasso Sikasso Mali

Introduction: Evacuation refers to the rapid transfer of a patient in an emergency, from one health center to another more equipped and better specialized. The objective of this study was to study maternal mortality in patients evacuated to the gynecology and obstetrics department at the Fousseyni Daou Hospital in Kayes over a period of 10 years. Materials and Methods: This was a descriptive, cross-sectional, retrospective study over nine years from January 1, 2011 to December 31, 2019 and prospective over one year from January 1, 2020 to December 31, 2020 involving all patients or parturients evacuated for obstetrical causes and died in the gynecology-obstetrics department of the Fousseyni Daou Hospital. Confidentiality and anonymity were respected. The processing and analysis of the statistical data was carried out using SPSS 20.0 software. Results: during our study period we identified 38,854 obstetric admissions including 6758 evacuations or 17.4%, among the 6758 cases of obstetric evacuations 284 died, a frequency of 4.2%. The maternal death audit committee of the Fousseyni Daou hospital in Kayes audited 101/284 cases (files) or 35.5% of which 64 maternal deaths (63.4%) were considered inevitable. In our study the 20 - 29 age group was more represented with 38%. 85% of the deceased patients lived in rural areas. In our series, 63.7% of the deceased patients had not had antenatal consultations (NPC). Eclampsia accounted for 26.8% of admissions diagnoses and 30.9% of causes of death. Seventy-two (72%) of deaths occurred postpartum, 15% perpartum and 13% prepartum. Direct obstetric causes were predominant at 65.1%. Conclusion: Indicators of maternal deaths among evacuated patients remain poor in our work. Maternal deaths were driven by socio-economic and cultural factors, but also by factors related to the health system.

关键词： Maternal Mortality Evacuation Kayes Hospital

Torsion of the Spermatic Cord: Clinical and Therapeutic Aspects in the Region of Thies (Senegal)

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Advances in Reproductive Sciences 2019年第3期7卷 60-70页

作者： Yoro Diallo Johanitha Lionnelle Elonme Alissoutin Saint Charles Kouka Modou Diop N’diaye Mehdi Daher Ramatoulaye Ly Cheikh Diop Seydou Diaw cheickna sylla Department of Urology Faculty of Health Sciences University of Thies Thies Senegal

Introduction: The purpose of this work is to evaluate the epidemiological, clinical and therapeutic aspects of spermatic cord in our context. Patients and Methods: This is a retrospective study over a period of 4 years from January 1, 2014 to June 30, 2018. Results: We collected 55 cases divided into 26 cases, 44.27% for the Thies Regional Hospital, 21% or 38.18% for the Mbour EPS and 8 cases representing 14.55% for the Saint Jean de Dieu Hospital. We found an average age of 20.03 years with extremes of 4 years and 56 years. In 28 patients or 50% of cases, we found no particular pathological history, while in 4 patients or 7.14%, we found a notion of recurrent ipsilateral testicular pain. We recorded 67.27% (n = 37) of the cases received for testicular pain;15 patients or 27.27% presented a large painful pouch. Two patients (3.64%) were received for inguinal swelling and 1 patient (1.82%) presented testicular atrophy. The average consultation time is 16.9 hours with extremes of 2 hours and 96 hours. The torsion was in 59.61% of cases (n = 32) located on the right versus 40.38% (n = 22) on the left. There was no bilateral form. The pick-up time was 3 hours with extremes of 1 h to 24 h. All patients benefited from an exploratory scrotomy. We found a total of 22 patients or 40% of cases with ischemic testis, 8 cases or 14.55% of patients with necrotic testis and 2 cases or 3.64% where the testis was normal. Orchidopexy was performed in 46 patients or 83.63% and orchiectomy in 9 patients. Conclusion: Care is urgent. There is a need for better awareness of the population and the medical staff for the early diagnosis.

关键词： Spermatic Cord Torsion Young Subject Exploratory Scrotomy Orchiectomy

Socio-Epidemiological Aspects and Prognosis of Unassisted Deliveries Arriving at Fousseyni Daou Hospital in Kayes

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Open Journal of Obstetrics and Gynecology 2023年第2期13卷 360-371页

作者： Sitapha Dembele Mahamadou Diassana Ballan Macalou Alima Sibibe Albachar Hamidou Daouda Fomba Mamadou Haidara Famakan Kane cheickna sylla Amadou Bocoum Sanogo Siaka Amara Soumaila Traoré Department of Gynecology and Obstetrics of the Fousseyni DAOU Hospital Kayes Mali Kayes Reference Health Centre Kayes Mali Reference Health Center of Kalaban-Coro Bamako Mali Bla Reference Health Centre Ségou Mali Department of Gynecology and Obstetrics of the CHU GABRIEL TOURE Bamako Mali Department of Gynaecology and Obstetrics of the Regional Hospital of SIKASSO Bamako Mali

Introduction: The World Health Organization estimates that each year more than 20 million women suffer from the after-effects of unattended childbirth, of which 800 women die every day as a result of obstetric complications. Objective: Study the socio-epidemiological aspects and prognosis of unassisted deliveries arriving at the Fousseyni Daou De Kayes hospital. Materials and Methods: This was a descriptive, cross-sectional study with prospective collection, case-control that took place at the maternity ward of the Fousseyni Daou hospital in Kayes, from 1 January to 31 December 2021. Results: The frequency of unattended birth was 4.1%. The 30 - 35 age group was the most represented with 32.5%. In our study 58.1% of cases were out of school, 19.4% were primigestes and 39.4% were multiparous. In our series 60.6% of cases had given birth at home and 39.4% along the way. The majority of cases regretted having given birth without the assistance of qualified personnel in 45.6%. Maternal complications were dominated by perineal lesions in 14.4% of cases, haemorrhage of delivery in 25% of cases, severe anaemia in 30% of cases;16.7% of newborns were in poor condition, 13.6% were fresh stillbirths, 15.6% of newborns had obstetric trauma. The maternal death rate on arrival was 3%. Conclusion: The frequency of unassisted childbirth is high in the Kayes region. Its complications can be serious for both the mother and the newborn.

关键词： Childbirth Unassisted Prognosis Complications Kayes