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在布基纳法索肺结核症状者就诊于医疗卫生机构后能得到妥善的管理吗?

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国际结核病与肺部疾病杂志 2006年第2期1卷 81-84页

作者： S.m.dembele H.Z.Ouedraogo A.I.Combary B.Sondo J.macq B.Dujardin 徐敏杨振旦张立兴 Programme National de Lutte Antituberculeuse Ouagadougou Institut de Recherche en Sciences de la Sante(IRSS) OuagadougouBurkina Faso Ecole de Sante Publique.Universite Libre de Bruxelles Brussels.Belgium

地点:从布基纳法索53个卫生服务中选择的6个地市。目的:评价布基纳法索医疗卫生机构发现传染性肺结核病人(PTB)的水平。设计:回顾2001年一级卫生服务中心和实验室的初诊病人登记本和结核病诊断治疗中心(CDTs)的治疗登记本。结果:涂阳肺... 详细信息

地点:从布基纳法索53个卫生服务中选择的6个地市。目的:评价布基纳法索医疗卫生机构发现传染性肺结核病人(PTB)的水平。设计:回顾2001年一级卫生服务中心和实验室的初诊病人登记本和结核病诊断治疗中心(CDTs)的治疗登记本。结果:涂阳肺结核病人的发现率是11.7/100000。248730例成年病人中有10.6%是由于咳嗽就医;1.1%有慢性咳嗽症状。在慢性咳嗽病人中,66%已被转诊并作痰涂片镜检,其中69.7%已被登记在CDT。转诊并追踪到位于CDT的病人中,有22.5%的病人为阳性诊断结果。在这些阳性病人中,87.1%者已在同一CDT接受治疗。结论:由于病人丢失发生在结核病诊断的各个阶段,所以布基纳法索的肺结核病人发现率较低。病人发现依赖卫生医疗机构人员的工作效力和向CDT转诊可疑症状者的情况。

关键词：选择转诊病人发现结核病布基纳法索

峨眉山玄武岩作为长江上游特征源岩对三峡贯通的指示

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地球科学（中国地质大学学报） 2014年第4期39卷 431-442页

作者：杨建李长安 N'dji dit Jacques dembele 江华军中国地质大学地球科学学院湖北武汉430074 中国地质大学生物地质与环境地质国家重点实验室湖北武汉430074

峨眉山玄武岩作为长江上游攀西地区广泛分布的岩类，具有形成环境独特、出露面积大、岩石易鉴定的特点，可作为长江三峡贯通物源示踪研究的指示标志．通过对长江中上游阶地和江汉平原周老孔第四纪岩心沉积物中的玄武岩砾石和岩屑（1～2m... 详细信息

峨眉山玄武岩作为长江上游攀西地区广泛分布的岩类，具有形成环境独特、出露面积大、岩石易鉴定的特点，可作为长江三峡贯通物源示踪研究的指示标志．通过对长江中上游阶地和江汉平原周老孔第四纪岩心沉积物中的玄武岩砾石和岩屑（1～2mm）进行研究发现，峨眉山玄武岩砾石在长江上游很常见，在三峡以下很少；玄武岩岩屑在长江上游沉积物中非常普遍，而且在周老孔岩心沉积物中的很多层位都有出现．对玄武岩岩屑基质中的斜长石做了微量元素微区原位分析（LA_ICP_mS），分析表明，在周老孔中含峨眉山玄武岩岩屑的岩心层位最大深度为156m，该层位古地磁年龄约为1．7ma，此时长江已经形成目．三峡已经贯通．

关键词：峨眉山玄武岩江汉平原第四纪沉积物微量元素物源示踪长江演化

新疆乌伦古湖表层沉积物元素地球化学行为研究

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兰州大学学报（自然科学版） 2015年第5期51卷 600-607,612页

作者：王彩红李瑞博 dembele Blaise 张成君兰州大学资源环境学院兰州730000 兰州大学地球科学与矿产资源学院兰州730000

利用X-荧光法对新疆乌伦古湖26个表层沉积物样品进行常量和微量元素分析,在样品采集时对采样点的水化学参数pH、电导率、盐度等进行测定.结果表明:乌伦古湖表层沉积物主要组成物质中w(CaO)、w(Al_2O_3)、w(Fe_2O_3)、w(mgC))均与w(SiO_2... 详细信息

利用X-荧光法对新疆乌伦古湖26个表层沉积物样品进行常量和微量元素分析,在样品采集时对采样点的水化学参数pH、电导率、盐度等进行测定.结果表明:乌伦古湖表层沉积物主要组成物质中w(CaO)、w(Al_2O_3)、w(Fe_2O_3)、w(mgC))均与w(SiO_2)之间有较好的相关性,w(K_2O)与w(SiO_2)之间的相关性较差(R^2=0.198),w(Na_2O)与w(SiO_2)之间几乎没有相关性(R^2=0.02).大多数微量元素与细粒沉积物有关,湖泊环境对金属元素的迁移和富集起到重要的控制作用.w(Si)/w(Al)可以用来指示封闭湖泊湖面升降变化,w(Si)/w(Al)越低,代表水体越深、水动力越弱的环境;w(Si)/w(Al)越高,代表水动力较强的环境.w(Fe)/w(mn)对乌伦古湖泊水体深度指示不明显.

关键词：表层沉积物金属元素乌伦古湖新疆

马里巴马科市大气污染状况分析和危害及对未来演化趋势分析研究

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马里巴马科市大气污染状况分析和危害及对未来演化趋势分析研究

作者：伊萨（dembele ISSA NOUHOUm）东北师范大学

学位级别：硕士

马里是一个在非洲西部的发展中国家。当前,由于高速发展的城市工业化和城市中迅速增长的交通运输民个人汽车,释放了大量大气污染物,造成了这个国家和周边地区的空气质量的恶化。在这篇论文中,我们针对在巴马科市区及其附近的有害气体、... 详细信息

马里是一个在非洲西部的发展中国家。当前,由于高速发展的城市工业化和城市中迅速增长的交通运输民个人汽车,释放了大量大气污染物,造成了这个国家和周边地区的空气质量的恶化。在这篇论文中,我们针对在巴马科市区及其附近的有害气体、微尘、微生物、金属氧化物和合成的有机化学物对大气将影响和有对人类健康和城市生态系的危害进行了研究。我们首先对马里首都巴马科市的一些主要污染源进行了检测,包括城区的不同热能产品供应,制造水蒸气和其他工业废气的主要工业源,以及煤炭、重燃料等化石燃料的使用。工业污染物被认为是最主要的污染源。一个主要的原因是供热的需求量大和缺乏有效法律手段的控制和热废物的清除技术欠缺;交通运输产生的污染长时期以来被认为是一个亟需解决的问题,这主要是由于巴马科市区内快速增长的公共汽车和私家车造成的。汽车污染物被认为主要来源于大量的旧车的不完善的燃料系统,这造成了氮、碳、硫等各种氧化物、氧化铅和各种各样的碳氢化合物大量释放在以前洁净的大气中。农业活动的污染物虽然不是大气污染物的主要部分,但不定期的庄稼的化学药剂的喷洒,其它的污染物比如氨、甲烷、氮气低浓度氧化物和一氧化碳主要来自于有机物的分解和肥料的使用,还有植物的大量花粉也啬加了大气中悬浮颗粒物增加。研究表明,在马里目前拥有大约500,000人的渔业行业人员,大量水产品造成了马里每年多达100,000吨的废物,这也是一个主要的空气污染源。黄金金属的制造业迅速增长,从1995年的6,291千克到2004年的44,584,517千克,同时也造成了工业空气污染物的增长。旅游季节的游客由2006年37,000人增长到2007年150,000人,越来越多的人对马里感兴趣也暗示了马里的快速发展。在运输部门中,有80%以上的公共汽车已使用超过11年,其中70%已超过16年并且其燃料不完善的燃烧。在2004到2006年之间,石油燃料造成的含硫氧化物增长了12.77%。自从2005年来,含氮氧化物气体也显示了巨大的增长量。碳氧化物的水平从2005年667μg/m3到2006年到1107μg/m3,惊人地增长了60.25%。巴马科市中有来自机械或沙尘暴的重金属颗粒物,这些重金属包括镍和钒,它们在空气中的浓度大约在8-28μg/m3左右。与巴黎市冬天的4.6 ng/m3相比,巴马科市的苯基(A)芘的平均浓度4.59 ng/m3不是很显著。研究显示,大多数巴马科市的树和植被并没有严重受到空气污染的影响。因为土壤营养的不足和虫、疾病、真菌,以及干旱似乎对植物的影响比大气污染更大。由于空气污染物的煤灰和沙粒对巴马科市的建筑,穿衣和必要的清洁卫生等造成的损害只需要很少的清洁费用。只有很少数的建筑的外部油漆受到影响或有屋顶材料的恶化。直接由空气污染造成的人类死亡的数据很难得到,但是从相关的疾病中外推所得的数据显示有很高程度的死亡是由空气污染造成的。在本篇论文后部分中,我们也分析了马里政府对巴马科市的空气质量的评估和管理情况,其中包括了对污染情况的监控的有效措施。总而言之,目前巴马科市的空气污染还不是很严重,但是如果现在不把空气质量的控制有效实施起来,我们认为象我们这样的发展中国家也会对象温室效应造成的全球气候变化带来一定影响的全球问题。本文中所涉及的所有的污染物也都与人类健康和发展中国家的政府长期关注的直接的联系。因此我们的国家和有关国际社会都应该行动起来,为我们未来的生存问题进行更彻底的周密考虑与谋划。

关键词：大气污染污染物全球性变暖

Short term effects of fire intensity and fire regime on vegetation dynamic in a tropical humid savanna(Lamto,central Cote d’Ivoire)

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Natural Science 2012年第12期4卷 1056-1064页

作者： A.B.N’Dri J.Gignoux A.dembele S.Konate Unit of Training and Research in Natural Science Center for Research in EcologyLamto Station of EcologyNangui Abrogoua UniversityAbidjanCote d’Ivoire BIOEmCO(Laboratoire de BIOgeochimie et Ecologie des milieux COntinentaux)Laboratory UMR-7618University Pierre et Marie CurieCNRSENSParisFrance

We tested the effects of different fire regimes (with different fire date and fuel load) on grass growth, tree debarking and topkill in a Guinea savanna of West Africa. Different fire intensities were simulated on two plots of 3.72 ha each, delimited in two shrubby savanna of the Lamto reserve (C?te d’Ivoire). Two fire regimes were applied, the mid-season fire (January) and the late fire (April). Two fuel levels (single: C1 and double: C2) have been used. For each fire regime, fire intensity was determined. It increases with the fuel quantity (1259 ± 356 kW·m–1 and 3380 ± 1472 kW·m–1 respectively for C1 and C2). The regrowth speed of grasses is also dependent on the fuel quantity (grasses). It increases with it and is higher after the mid-season fire than the late fire. The average intensity of the mid-season fire (2966 ± 2233 kW·m–1) is not significantly different from that of the late fire (1673 ± 1124 kW·m–1). Damages or debarking caused by fire on adult trees were recorded and are linked to fire intensity. Those damages appear to initiate the external cavity observed on trees, known to be detrimental to tree trunk mechanical resistance. They generally affect adult trees of Crossopteryx febrifuga species which is also the most commonly hollowed species. mid-season fire remains the recommanded fire regime because it insures a faster regrowth of grasses which leads to the maintenance of equilibrium between grasses and trees.

关键词： Fire Intensity Fuel Load Fire Regime Savanna Vegetation

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, analytic... 详细信息

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

Palpebral Reconstruction in a Secondary Ophthalmology Center in mali: About a Case

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Surgical Science 2023年第2期14卷 97-103页

作者： Dembélé Adama Sidibe moro Sidibe Oumar dembele Ahmadou Poma Hachimi Amadou Abdoulaye Konaté Oumar Diallo Djonny Jonas dembele mamadou Adama Togo Kadiatou Ba Koita Abdoulaye Nouhoum Coulibaly Cheick Fantamady Tounkara Nouhoum Touré Napo Abdoulaye Régional Hospital of Sikasso Sikasso Mali Alliance for the Development of Community Ophthalmology (ADOC) Bamako Mali Center médical Jean marie Cissé Sikasso Mali

Introduction: Significant trauma to the periocular region can seriously damage ocular structures and their adnexa. The eyelids can be damaged during these traumas. The most frequent lesions are lacerations, the surgical treatment of which is generally simple. In some cases, there are complex traumas where there is a loss of tissue, which is difficult to treat. We report the case of a 26-year-old young man, farmer with no medical and surgical history, referred by the odontostomatology and maxillofacial surgery department for burns to the left hemi face by the exhaust pipe of his motorbike which occurred following a public road accident (AVP). Observation: A 26-year-old young man with no medical-surgical history, visual acuity was 5/10 with good mobility of the globe. In collaboration with the maxillofacial surgeon, a graft of the hemi face was performed using a flap from the inner side of the thigh first. In the second time we carried out a recovery by a flap which consisted in taking a supra-superciliary flap and suturing it at the level of the palpebral edges which, in spite of a fragile vitality of the tissues. Conclusion: The reconstruction of the eyelid is a real problem in our service because of the technical platform and the availability of consumables, which limits us in the choice of the operating technique.

关键词： Road Accident Hemi-Face Burn Eyelid Reconstruction

Anatomical and Functional Preliminary Results of Total Non-Cemented Hip Prostheses

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Open Journal of Orthopedics 2017年第10期7卷 329-336页

作者： A. m. Abdoul Wahab m. Koini B. dembele A. D. Sane A. N’Diaye C. Dieme N. F. Coulibaly National Hospital of Niamey Niamey Niger Regional Hospital of maradi Maradi Niger CHU Aristide LE-DANTEC of Dakar Dakar Senegal

The aim of this work was to assess the preliminary anatomical and functional results of patients to establish prospects. materials and method: We report here the preliminary results of a retrospective mono-centric, homogeneous and continuous series, of 21 non-cemented total hip implants, implanted from January 2011 to December 2014. The mean follow-up time was 24 months. The patients were evaluated by Harris’s hip at the last follow-up. Results: The mean age of the intervention was 30 years. In our series, we observed a male predominance (60% of cases). Clinically, the Harris score varied significantly from 52.6 ± 11.4 pre-operatively to 85.1 ± 5.1 during the last follow-up visit. Among the items in the score, pain was the parameter that showed the greatest improvement. Thigh pain was observed in only one patient operated on the two sides. At the level of radiology, the femoral implant showed great stability. Bone resorption was suspected in 14 cases (66.66%), and confirmed in 4 cases (19.04%) with excellent bone remodeling, illustrated by the Engh and massin scores. A loosening and a prosthetic dislocation was observed in a patient (4.76%). Any heterotopic ossification was observed. Conclusion: Our study confirmed good clinical and radiological results of the non-cemented hip prosthesis series in young patients. The rates of aseptic loosening, acetabular edges or osteolysis are low and stable over time.

关键词： Hip Total Non-Cemented Prostheses

Digestive Surgical Emergencies at the “mother Child”Hospital Center Luxembourg in mali

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Surgical Science 2024年第5期15卷 299-310页

作者： Cheickna Tounkara Amara Coulibaly Yaya Ongoiba Aboubakrine Sylla Abdoul Karim Simaga Bréhima B. Coulibaly Aminata Dabo Souleymane dembele Samake Hamidou Sidiki Keita Sékou Bréhima Koumare Soumaïla Keita Bakary Tientigui dembele Zimogo Zié Sanogo Djibril Sangare Department of General Surgery and Anesthesia-Resuscitation of the “ Mother Child&#8221 Hospital Center Luxembourg Bamako Mali Social Health Service of the Armed Forces of mali Bamako Mali Department of General Surgery “ A&#8221 and Cardiovascular of Point G University Hospital Bamako Mali Department of General Surgery of CHU Gabriel TOURE Bamako Mali

Digestive surgical emergencies concern all patients admitted urgently, for whom a decision for surgical intervention may be necessary within 24 hours. They are on guard duty day and night. To carry out this work, we set ourselves the objectives of: 1) Studying digestive surgical emergencies in the general surgery department of the “mother Child” Le Luxembourg hospital in Bamako, mali;2) Determine the frequency of digestive surgical emergencies, 3) Describe the clinical and therapeutic aspects, and 4) Analyze the results of treatment. From November 1, 2022 to October 31, 2023, the general surgery department of the “mother Child” Luxembourg Hospital Center in Bamako, mali, carried out 139 digestive surgical emergencies whose files were usable;75 men and 64 women, a sex ratio of 1.2. The 20 - 40 years old age group was the most represented, at 40.29%. The average age was 39 years;the extremes 16 years and 93 years with a standard deviation of 21.65 years. The reference concerned 51.08% of our patients. Abdominal pain was the main reason for consultation (100% of cases). In the majority of cases, the physical examination made it possible to make the diagnosis. Faced with certain clinical cases, we requested ultrasound (109/139), ASP (46/139) and CT (15/139). The main etiology was acute appendicitis with 42.45% of cases. The frequency of digestive surgical emergencies was 10.71% of all activities in the general surgery department of the “mère Enfant” Le Luxembourg hospital center in Bamako. All our patients were seen in consultation by an anesthesiologist before entering the operating room. The surgical consequences were complicated in 11.51% of cases with 7.91% deaths. Surgical site infections accounted for 12.5% of postoperative complications. Eleven deaths were noted, representing 68.75% of complications and 7.91% of our sample. Acute peritonitis was the cause of death in 100% of cases. The average cost of care was 329,000 FCFA.

关键词： Emergency Digestive Surgery Post-Operative Complication