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Dynamics of freshwater snails and Schistosoma infection prevalence in schoolchildren during the construction and operation of a multipurpose dam in central Côte d’Ivoire

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Infectious Diseases of Poverty 2017年第1期6卷 810-818页

作者： Nana R.diakite Mirko S.Winkler Jean T.Coulibaly Negnorogo Guindo-Coulibaly Jürg Utzinger Eliezer K.N’Goran Laboratoire de Zoologie et Biologie Animale Unitede Formation et de Recherche BiosciencesUniversite Felix Houphouët-Boigny22 BP 522Abidjan 22Cote d’Ivoire Swiss Tropical and Public Health Institute P.O.BoxCH-4002BaselSwitzerland University of Basel P.O.BoxCH-4003BaselSwitzerland Departement Environnement et Sante Centre Suisse de Recherches Scientifiques en Cote d’Ivoire01 BP 1303Abidjan 01Cote d’Ivoire

Background:The construction and operation of small multipurpose dams in Africa have a history of altering the transmission of water-based diseases,including *** current study was designed to investigate the abundance and dynamics of schistosomiasis intermediate host snails and Schistosoma infections in humans during the construction and the first years of operation of a small multipurpose dam in Côte d’***:The study was carried out in Raffierkro and four neighbouring villages in central Côte d’Ivoire between 2007 and *** were collected by two experienced investigators using scoops and forceps for 15 min at each *** were identified at genera and,whenever possible,species level,and subjected to testing for cercarial *** aged 6-15 years were examined once every year for Schistosoma haematobium and *** infection,using urine filtration and duplication Kato-Katz thick smears,***,551 adults were examined for Schistosoma infection before(June 2007)and 359 individuals 2 years after dam construction(June 2009).Results:Overall,1700 snails belonging to nine different genera were collected from 19 sampling ***(potential intermediate host snails of ***)and Pila were the most common genera,whereas Biomphalaria(potential intermediate host snail of ***),Lymnaea,Physa and Melanoides were found in two *** the first-year sampling period,65 snails were collected,of which 13(20%)were schistosomiasis intermediate *** subsequent years,out of 1635 snails collected,1079(66%)were identified as potential intermediate host for schistosomiasis,but none were shedding *** prevalence of *** among adults in the study area was low(0.4%in 2007 and 0.3%in 2009),whereas the prevalence of *** declined from 13.9%to 2.9%in this two-year ***:The low prevalence of schistosomiasis in humans and the absence of infected intermediate host s

关键词： Schistosomiasis Intermediate host snail Transmission Water resources development and management Multipurpose dam Cote d’Ivoire

Volvulus of the Sigmoid Colon without Necrosis: Therapeutic Aspects in Hospital Fousseyni Daou Hospital in Kayes, Mali

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Surgical Science 2022年第12期13卷 592-599页

作者： Lamine Issaga Traore Sidy Sangare Mamaye Kouyate Gaoussou Sogoba Drissa Katile Adama S. diakite Lassana Goita Sadio Dembele Djibril Traore Drissa Traore General Surgery Department of the Fousseyni DAOU Hospital Kayes Mali National Center for Scientific Research and Technology (CNRST) Bamako Mali Pediatric Surgery Department of the Fousseyni DAOU Hospital Kayes Mali Gastro-Hepato-Enterology Unit of the Fousseyni DAOU Hospital Kayes Mali Urology Department of Fousseyni DAOU Hospital Kayes Mali Anesthesia and Intensive Care Unit at Fousseyni DAOU Hospital Kayes Mali General Surgery Department of Somine DOLO Hospital Mopti Mali General Surgery Department of the University Hospital of Point G Bamako Mali

The volvulus of the sigmoid is known since ancient Egypt. In the 5th century BC, hippocrates laid the foundations for its management. The first observation of this condition was not reported until 1836 by Von Rokitansky, and then in 1859, Melchior described its physiopathological consequences. It was the Norwegian Brusgaard who reported, for the first time, in 1947, the effectiveness of a non-operative treatment. Purpose: Describe morbidity, mortality and the impact of co-morbidity factors on the choice of operative techniques. Patients and Methods: This is a retrospective cross-sectional study performed at the Fousseyni Daou Hospital in Kayes from January 2014 to December 2021. We included all patients operated for sigmoid volvulus without necrosis. The parameters studied were the comorbidity factor, surgical modalities, morbidity and mortality. Results: We collected 31 patients, of whom 29 were men and 2 were women, for a sex ratio of 14.5. The mean age was 55 years with extremes (29 - 78 years). Sigmoidectomy with colorectal anastomosis was performed in 19 cases (61.3%), the average age of these patients was 46.16 years, the comorbidity factor was 1 case (3.2%), the postoperative course was simple in 12 cases (63.1%), the morbidity was 6 cases (26.3%) and mortality 1 case (3.2%). Untwisting with colopexy was performed in 11 cases (35.5%), the average age was 65.91 years, comorbidities were present in 9 cases (82%), the postoperative course was simple in 9 cases (82%), morbidity was 1 case (9%) and mortality 1 case (9%). Hartman colostomy was performed in 1 case (3.2%), the age was 60 years, the morbidity was nil. Overall, the postoperative course was simple in 22 cases (71%), the overall morbidity was 7 cases (22.6%) and mortality 2 cases (6.4%). Conclusion: At the end of our study, we can note that the choice of the operative technique for the volvulus of the sigmoid without necrosis can be influenced by the presence of major comorbidity and the morbi-mortality

关键词： Volvulus without Necrosis Surgical Technique Comorbidity Morbidity Mortality

Case of Incomplete Ureteral Duplication Complicated with Lithiasis and Right Uretero-Hydronephrosis

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Surgical Science 2023年第7期14卷 502-506页

作者： Cheickna Tounkara Amadou Maiga Boubacar Yoro Sidibe Tani Kone Samake Hamidou Kaloga Daye Bagayoko Oumar Amadou Malle Jean Batiste Honoré Berthe Mamadou Lamine diakite Department of General Surgery Luxembourg Hospital Bamako Mali Department of General Surgery CHU Gabriel Touré Bamako Mali Department of Urology Surgery CHU Point-G Bamako Mali

Ureteral duplication is congenital malformative uropathy that occurs most often in children. Complete ureteral duplication is defined by a kidney that has two ureters with two orifices that communicate to the bladder through two ureteral meati. It is an anatomical variant that remains rare. Its early discovery is due to a lack of diagnostic means, hence the occurrence of long-term complications. To this end, we observe an increased importance of the morbidity linked to the late diagnosis of this duplicity. We report a case of incomplete ureteral duplication complicated by ureterohydronephrosis on lithiasis wedged in the uretero-vesical junction of one of the ureters in its lower portion which required uretero-lithotomy with bladder reimplantation of the ureters. Our aim was to show the importance of the morbidity associated with late diagnosis of this anomaly and the incidence of infection and complications that this pathology poses as a problem. This was a clinical case of fortuitous discovery managed by a general surgeon in the general surgery department of the hospital “Mère Enfant” Le Luxembourg Bamako Mali. The suites were simple.

关键词： Ureteral Duplication Congenital Malformation Adult

Complete Ureteral Duplicity Complicated by Lithiasis with Right Ureterohydronephrosis with Left Renal Excretion Defect: Apropos of a Clinical Case

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Surgical Science 2023年第9期14卷 575-582页

作者： Cheickna Tounkara Amadou Maiga Boubacar Yoro Sidibe Tani Kone Hamidou Samake Kaloga Daye Bagayoko Oumar Amadou Malle Jean Baptiste Honoré Berthe Mamadou Lamine diakite Department of General Surgery of the “Mother Child” Hospital Luxembourg Bamako Mali General Surgery Department of Gabriel TOURE Hospital Bamako Mali Urology Department of Point-G Hospital CHU Bamako Mali

Ureteral duplication is a congenital malformative uropathy that occurs most often in children. Complete ureteral duplication is defined by a kidney that has two ureters with two orifices that communicate to the bladder through two ureteral meati. It is an anatomical variant that remains rare. Its early discovery is due to a lack of diagnostic means, hence the occurrence of long-term complications. To this end, we observe an increased importance of the morbidity linked to the late diagnosis of this duplicity. Our objective was to show the importance of the morbidity linked to the late diagnosis of this anomaly, the incidence of the infection and the complications that this pathology poses as a problem. It was a clinical case of fortuitous discovery taken care of by a general surgeon in the general surgery department of the hospital “Mother Child” Le Luxembourg Bamako Mali. We report a case of complete ureteral duplication complicated by ureterohydronephrosis on a lithiasis wedged in the uretero-vesical junction of one of the left ureters in its lower portion which required a uretero-lithotomy with bladder reimplantation of the left ureters and secondly to a uretero-lithotomy with bladder reimplantation after two months. The postoperative course was simple.

关键词： Ureteral duplication Congenital malformation Duplicity Adult Bamako Mali

Digestive Surgical Emergencies at the Commune II Reference Health Centre in the District of Bamako

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Surgical Science 2022年第5期13卷 258-264页

作者： Idrissa Tounkara Abdoulaye Diarra Amadou Traore Boubacar Karembe Sayon diakite Konimba Keita Oumar Ongoiba Madiassa Konate Seydou Sangare Bakary Coulibaly Bakary Tientigui Dembele Adegne Togo Reference Health Center of the Municipality II Bamako Mali Hospital-University Center of Kati Kati Mali University Hospital Gabriel Touré Bamako Mali Reference Health Center of the Municipality III Bamako Mali Timbuktu Regional Hospital Timbuktu Mali

We conducted a prospective descriptive study from January 1 to December 31, 2018 with the objectives of determining the frequency of digestive surgical emergencies, describing the clinical and para-clinical aspects of the management of digestive surgical emergencies, evaluating the therapeutic aspect of digestive surgical emergencies and analysing the post-operative follow-up of patients operated on in emergencies. We counted 120 patients operated on for digestive surgical emergencies, which corresponds to 5.80% of all consultations and 44.80% of all surgical interventions. The male sex was the most represented with a ratio of 1.80. The average age was 27.5 years. The majority of patients were from Bamako. Abdominal pain was the reason for consultation in 80% of cases. The diagnosis was essentially clinical and paraclinical in doubtful cases. These included ultrasound, unprepared abdomen and sometimes abdominal CT scans. Acute appendicitis was the most common pathology with 42.5%. General anaesthesia and spinal anaesthesia were used with 50% each. The majority of patients were operated on between 30 minutes and 12 hours after their admission to the department (71.7%). Acute peritonitis accounted for 67% of deaths from sepsis. The surgical technique was decided according to the pathology and the surgeon’s choice. The postoperative course was simple in the majority of cases. The prognosis is good when the management is early. The treatment is medical-surgical.

关键词： Surgical Emergencies Digestive Tract General Surgery CSRéf CII

Study on China’s Investment in Mining Sector of Guinea

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Study on China’s Investment in Mining Sector of Guinea

作者： diakite Yalla 华中师范大学

学位级别：硕士

本文以中国在几内亚矿业领域的投资问题为重点探讨了中非关系。在查阅现有文献的基础上,分析并强调了不同学者提出的中国在几内亚的矿业部门进行重点投资的原因。这项研究既考察了中国在几内亚投资的历史因素,也强调了当前的发展状况,同... 详细信息

本文以中国在几内亚矿业领域的投资问题为重点探讨了中非关系。在查阅现有文献的基础上,分析并强调了不同学者提出的中国在几内亚的矿业部门进行重点投资的原因。这项研究既考察了中国在几内亚投资的历史因素,也强调了当前的发展状况,同时,还着重探讨了中国对几内亚矿业投资产生的影响,尤其是对几内亚的社会和经济发展产生的影响。此外,本文进一步研究了几内亚人对于中国投资的看法。研究发现,在几内亚矿业投资的大多数中国公司都是国有企业,不但在金融方面得到了本国政府的全力支持,而且在几内亚采矿合同项目的讨论和谈判中提供帮助。研究进一步指出,铝土矿是中国企业在几内亚开采的主要矿物,其次是铁矿石和其他矿物。通过分析现有的文献后得出结论,中国在几内亚的采矿业投资极大地促进了几内亚的经济和社会发展。此外,我们的研究结论是,中国在非洲尤其是几内亚的投资很大程度上是受几内亚当局的邀请,其在几内亚的经济和贸易利益没有任何隐藏的帝国和殖民地倾向。尽管几内亚人有一些抱怨,但他们对中国投资的看法整体而言是积极的。研究还发现,中国企业已经充分认识到这些问题并将努力对其加以解决。

关键词：中国-几内亚关系经济增长中国对外投资

Abdominoperineal Resection in Rectal Cancer in General Surgery Department at Gabriel Toure University Hospital

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Surgical Science 2019年第1期10卷 16-23页

作者： Amadou Traore Abdoulaye Diarra Madiassa Konate souleymane Thiam Soumaila Keita Tani Kone Boubacar Karembe Assitan Kone Boubacar Sidibe Amadou Bah Amadou Maiga Ibrahim diakite Bakary Tientigui Dembele Alhassane Traore Adegne Togo Lassana Kante Moussa Samake Moustapha Issa Mangane Thierno Madane Diop Mamadou Salia Diarra Adama diakite Gangaly Diallo Gabriel Toure University Hospital BamakoMali

The objectives: Were to determine the hospital frequency of abdominoperineal resection (APR);to determine mortality and morbidity rates and to assess oncologic outcomes. Method and patients: We performed a retrospective study between 2008 and 2013 in general surgery department at Gabriel Toure University Hospital (UH) which included all patients admitted for rectal cancer confirmed by pathological examination, and having undergone an APR. Results: We have collected 17 cases which accounted for 65.38% of curative resections of rectal cancer. The sex-ratio was 0.89 and the averageage was 49.53 years. The average tumor distance from the anal verge was 4.59 ± 1.7 cm. All patients had adenocarcinoma of the rectum. The histopathologic grade was well in 7 cases, moderate and poor in 5 cases each. According to the pathologic TNM classification, 13 patients were classified T4, 14 patients N+. APR was associated with hysterectomy and partial colpectomy in 4 cases. The average duration of interventions was 202.06 ± 25.68 minutes. The average duration of hospitalization was 18.24 ± 04.89 days. The postoperative mortality and morbidity rates were 5.88% and 29.42%, respectively. Local recurrence was observed in 6 patients and liver metastasis in 2 patients. The overall survival rate was 37.5% at 2 years and 18.75% at 5 years. Conclusion: APR still occupies an important place in our practice. Our results could be improved by the recent introduction of neoadjuvant radio chemotherapy in Mali.

关键词： Abdominoperineal Cancer Mali Rectum Resection Surgery

High Blood Pressure in External Consultation in Cardiology of Kati

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World Journal of Cardiovascular Diseases 2018年第12期8卷 533-538页

作者： Ichaka Menta Hamidou Oumar Ba souleymane Coulibaly Ibrahima Sangare Djénébou Traore Coumba Thiam Yacouba Fofana Ilo Bella Diall Youssouf Camara Samba Sidibe Mamadou diakite Massama Konate Kassoum Mamourou Sanogo Cardiology Service of Gabriel Touré University Hospital Center (CHU Gabriel Touré) Bamako Mali Cardiology Service of Point G University Hospital Center (CHU Point G) Bamako Mali Internal Medicine Service of Point G University Hospital Center (CHU Point G) Bamako Mali Cardiology Service of Kati University Hospital Center (CHU Kati) Kati Mali

Objective: To study hypertension and its manifestations in?Out-patients’ Department of Cardiology of Kati. Methods: The study was traversal and it was based on a sample of 300 patients, reached during the interval of 12 (twelve) months (from June 2012 to June 2013). Results: The predominance was among the females with 68.7%. The average age was about?55.8 ± 12.2 years old. The extreme ages were?about 21 and 90 years?old. In the set,?66% of the patients lived in the town of Kati.?The symptoms of Dieulafoy were predominantly the reasons for consultation with 55.7%. The cardiac frequency in the vast majority of cases was normal (85.3%). The left ventricular hypertrophy in the electrocardiogram was observed in more than half of the cases,?that is to say,?51.3%. In a bit higher proportion,?the echocardiography Doppler became normal,?that is to say,?54%. Brain scanner done on 9 patients found out signs of cerebrovascular stroke in 8 patients,?that is to say,?a frequency of 88.9%. In 76% of cases?of orthostatic hypotension,?the patients were hypertensive.?The blood pressure was normal during the passage of orthostatism in the cases of 258 of our patients,?that is to say,?86.0% of the cases. However, the orthostatic hypotension (OH) was observed in the cases of 42 patients, that is to say,?14.0% of the cases. In this set of patients,?41.6% of the moans were due to cephalgias and dizziness’s. The monotherapy of patients with OH represented 47.6% of the cases. Blood pressure was not controlled in 66.7% of the?cases of?OH. The biological examinations required were normal in 52.4% of the cases. Conclusion: The hypertension is a disease which is frequently the reason for consultation in cardiology. The symptoms of Dieulafoy can be the signs of call. The complications are sometimes recurrent. The orthostatic hypotension should be found out even under monotherapy on a balanced or non-balanced hypertensive patient through treatment.

关键词： High Blood Pressure Out-Patients’ Department Cardiology Kati

The Pericarditis in CHU of Point G and Luxembourg: Clinical Aspects and Etiologies

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Open Journal of Thoracic Surgery 2018年第4期8卷 68-73页

作者： Abdoulaye Kante Brehima Coulibaly Mamadou diakite Mamadou Almamy Keita Drissa Traore Brehima Bengaly Siaka Diallo Mariam Daou Babou Bah MoustaphIssa Magane Tata Toure Bakary Keita Birama Togola Drissa Ouattara souleymane Sanogo Timbely Guidere Nouhoum Ongoiba General Surgery Department CHU Point GBamakoMali Department of Cardiology CHU Point GBamakoMali Department of Neurology Gabriel Toure Teaching HospitalBamakoMali Anesthesia Service and Resuscitation Department CHU Gabriel ToureBamakoMali

The authors bring back 70 cases of pericarditis brought together between 2012 and 2017 in the service of surgery B of the CHU Point G and to the Hospital Mother-Child, the Luxembourg in Mali. The average age of the patients is 31.5 years with extremes of 2 years and 84 years. The tubercular etiology widely comes to mind with 49 cases. The diagnostic contributions of the echocardiography are analyzed. The accent is put on good tolerance hemodynamic of the tubercular pericarditis. The forecast depends essentially on the etiology and on the diagnostic delay;indeed the tamponade pericardium can be inaugural or complicated;the evolution of the pericarditis is burdened of a heavy mortality (4.2% in our series). On the other hand the passage in the chronicity complicates essentially pericarditis seen late (8.6% in our series).

关键词： Etiology of the Pericarditis Aspect Private Hospital CHU G-Spot and Luxembourg