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Evaluation of the Resuscitation of the Newborn in the Birth Room of the Maternity Ward of the Gynecology-Obstetrics Department of Reference Health Center (RHC) of the District V of Bamako, Mali

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Open Journal of Pediatrics 2024年第6期14卷 1126-1138页

作者： Fatoumata Léonie F. Diakité Guediouma Dembélé Leyla B. Maiga Hawa Traoré Mariam Kané Soumana Oumar Traoré Niomo Kountao Lala N. Sidibé Adama Dembélé Mady Niakaté Tiaria sanogo Marianne Djouell Nouhoum L. Traoré Hawa Diall Djeneba Konaté Belco Maiga Karamoko Sacko Abdoul K. Doumbia Souleymane Sagara Abdoul A. Diakité Fatoumata Dicko-Traoré Perinatal Clinic Mohammed VI Bamako Mali Central Directorate of the Army Health Service Kati Mali Reference Health Center of the District V Bamako Mali Department of Pediatrics of the University Hospital Center Gabriel Tour Bamako Mali Farako Clinic Bamako Mali Reference Health Center of the District IV Bamako Mali

Birth is the transition from fetal life to ectopic life. This transition is usually smooth. Only 10% of newborns will need birth assistance. Successful resuscitation is linked to the skills of the health worker. It is to assess their skills that this work was undertaken with the objective of evaluating the practice of neonatal resuscitation in the delivery room of the RHC maternity hospital in District V of Bamako. Methodology: This was a descriptive cross-sectional study over a four-month period. We included in the study all live newborns who had a gestational age greater than or equal to 32 weeks and who had an Apgar score at the first minute of less than 7. At each birth, we observe the health agent responsible for the care of the newborn by observing the preparation of resuscitation and compliance with the neonatal resuscitation algorithm. We have excluded all newborns who met our inclusion criteria, were reanimated outside of our collection time and had visible or diagnosed anomalies or malformations in the prenatal period, and those whose parents refused to give their consent to participate in the study. Data were collected from the survey sheet and analyzed with the Statistical Package for Social Sciences (SPSS) software version 25. Results: We observed a 24.66% frequency of neonatal resuscitation. Pregnancies were too close in 15% (less than one year). Caesarean section delivery represented 34% of the sample. They were at term in 93% of cases. All newborns were well dried (98.5%), with wet linen change only at 49.5%. Apgar was less than 3 in 7.5% of newborns at first. The resuscitation needs were for the absence of a scream in 78.5% of cases and or heart rate Conclusion: The study evaluated neonatal resuscitation practices at a maternity hospital in Bamako, Mali. It found a 24.66% resuscitation rate, with a 95.5% success rate despite technical limitations. Most steps were correctly applied, though some improvements are needed in areas like preventing hypothe

关键词： Evaluation Practice Neonatal Resuscitation Birth Room Maternity Ward District V Bamako Mali

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Initial Experience with Open Heart Surgery in Sub-Saharan Africa:Challenges in Mali with Minimum Standards for Practice

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World Journal of Cardiovascular Surgery 2019年第9期9卷 108-118页

作者： Seydou Togo Moussa Abdoulaye Ouattara Abdoul Aziz Maiga Moussa Bazongo Issa Boubacar Maiga Cheik Ahmed Sekou Toure Ibrahim Coulibaly Sounkalo Diop Allaye Ombotimbe Sitta Illiassou Souleymane Coulibaly Mamadou Solo Koita Koumba Nelly Dora Ignanga Sanibe Dramane Kone Moussa Oscar Kamano Fatoumata Konate Adama Issa Kone Amadou Sidibe Ahmadou Drame Nouhoum Oueloguem Bourama Kane Boubacar Drame Sekou Koumare Zimogo Zie sanogo Sadio Yena Department of Thoracic and Cardiovascular Surgery Mali HospitalBamakoMali Department of Anesthesiology and Critical Care Mali HospitalBamakoMali Department of Cardiologie Mali HospitalBamakoMali Department of Pediatrics Mali HospitalBamakoMali Department of Biomedical Laboratory Mali HospitalBamakoMali Department of Surgery“A” Point G HospitalBamakoMali

Introduction: There has been limited experience with Open Heart Surgeries (OHS) in Sub-Saharan Africa. In west Africa especially in Mali, most fledgling centers are unable to overcome the myriad of challenges encountered in establishing OHS though there is a high prevalence of surgically correctable heart diseases. The aim of this paper is to review our initial experience of our first cases in developing OHS program and discuss the challenges and prospects that need to be overcome to further develop it. Methods: A total of 6 patients who underwent OHS during the first “cardiac mission” in July 2016 were included in this retrospective study. The medical records of the patients were examined and data on age, sex, diagnosis, EuroSCORE, type of surgery, cardiopulmonary bypass details, complications and length of hospital stay were extracted. Results: Six patients with a male to female ratio of 1, ages ranging between 12 and 35 years (mean of 22.5 ± 12 years) were studied. The mean of EuroSCORE was 6 ± 41. Pericardial patch closure of isolated atrial septal defect was performed in one patient. One patient had mitral valve repair for rheumatic mitral regurgitation consisting of chordal shortening with a tricuspid valvuloplasty. Three patients had mitral valve replacement with tricuspid valvuloplasty. Four patients had mitral valve replacement. Sixty-day mortality?was 0%. Conclusion: Safe conduct of open heart surgery in Mali Hospital setting is feasible. Grant financial aid is required for rapid growth of Open-Heart Surgery in this part of Sub-Saharan Africa.

关键词： Open-Heart Surgery Mali Africa

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Evaluation of the Practice of Immediate Care for Newborns in the Obstetric Gynecology Department of the Gabriel Touré University Hospital of Bamako, Mali

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Open Journal of Pediatrics 2024年第6期14卷 1139-1147页

作者： Guediouma Dembélé Leyla B. Maiga Fatoumata Léonie F. Diakité Fatou Diakité Mariam Kané Niomo Kountao Mady Niakaté Tiaria sanogo Marianne Djouell Nouhoum L. Traoré Hawa Diall Lala N. Sidibé Djeneba Konaté Belco Maiga Karamoko Sacko Abdoul K. Doumbia Pierre Togo Adama Dembélé Souleymane Sagara Abdoul A. Diakité Fatoumata Dicko Central Directorate of the Army Health Service Kati Mali Perinatal Clinic Mohammed VI Bamako Mali Department of Pediatrics of the University Hospital Center Gabriel Tour Bamako Mali Reference Health Center of the District IV Bamako Mali

The care provided in the neonatal period by caregivers in health facilities and by parents in the community is essential for the survival of the newborn. Our work aimed to assess the practice of essential care for newborns at the maternity hospital during the first six hours of life. Methodology: It was a cross-sectional study, which took place over a period of six months and fifteen days (from April 27 to November 12, 2020). We evaluated the practice of immediate care given to newborns over 32 weeks of amenorrhea by the health personnel involved against the recommendations of the World Health Organization (WHO) on essential newborn care (ENC). Results: Our study involved 422 live newborns, which represented 22% of all live births. The sex ratio was 1.2. The gestational age of newborns was 37 to 41Week of Amenorrhea (WA) in 69.2%. The majority of births were performed by doctors specializing in gynecology and obstetrics, or 66.4% of cases. Midwives provided care in 51.7% of cases. Out of 422 newborns, 408 were immediately dried, 96.7% of the time. Less than half (44.1% of newborns) had benefited from the late cord clamping. Eye care was administered to the vast majority of newborns (94.3% of cases). The breastfeeding technique was verified in only 2.8% of cases. Only 1.7% (7 newborns) were monitored during the first six hours of immediate postpartum. In the immediate post-partum period, 18 newborns had problems that required treatment. NNS were correctly administered in 39 newborns (9.2%). Conclusion: Our study shows inadequacies in the practice of essential care for newborns within our maternity. Thus, many newborns can be saved through the practice of essential newborn care (NHS) at different levels of the health pyramid.

关键词： Evaluation Immediate Care Newborn Bamako Mali

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Adventitial Rupture of the Ascending Thoracic Aorta Extended to the Buttock by Thoracic Crushing between Two Tanks at the Thoracic and Cardiovascular Surgery Department at the Besançon CHRU

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Open Journal of Thoracic Surgery 2018年第4期8卷 74-78页

作者： Abdoulaye Kante Andrea Perrotti Brehima Coulibaly Mamadou Almamy Keita Drissa Traore Siaka Diallo Mariam Daou Mamadou Diakite Babou Bah Brehima Bengaly MoustaphIssa Magane Bakary Keita Birama Togola Drissa Ouattara Souleymane sanogo Timbely Guidere Nouhom Ongoiba Harrison Haight Anne Sophie Lacagne Julie Ritter Anne Claire Mogenet Enrica Dorigo Camille Durst Djamel Kaili Francois Clement Sidney Chocron Service of General Surgery CHU Point GBamakoMali Servicet of Thoracic and Cardiovascular Surgery University Hospital of BesanconBesanconFrance Service of Neurology Gabriel Toure Teaching HospitalBamakoMali Service of Cardiology CHU Point GFaculty of Medicine and OdontostomatologyBamakoMali Service of Anesthesia Service and Resuscitation CHU Gabriel ToureBamakoMali

Traumatic rupture of the ascending aorta is rare. We report the case of a 23-year-old man who suffered a service accident by crushing the thorax between two tanks during army maneuvers that resulted in an adventitial rupture of the ascending thoracic aorta extending to the Crosse. Treatment consisted of replacement of the ascending aorta with a 24 mm Hemashield straight tube and re-implantation of supra-aortic vessels at the dome of the prosthesis.

关键词： Traumatic Rupture Ascending Aorta Extended to Lacrosse Service Accident

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Splenectomy in the Surgery Department “A” at the University Hospital Point G Bamako

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Surgical Science 2019年第10期10卷 347-354页

作者： O. Sacko M. Sissoko S. Koumaré L. Soumaré M. Camara S. Keita S. Diallo D. Dakouo M. Coulibaly A. Diakité M. Traoré G. Soumaré A. F. Traoré B. Touré M. Diallo M. Konaté A. Koné Y. Dianessy B. Traoré A. Koita sanogo Zimogo Department of Surgery “A” University Hospital of Point G Bamako Mali Department of Surgery “B” University Hospital of Point G Bamako Mali Department of Gynecology-Obstetrics University Hospital of Point G Bamako Mali Department of Internal Medicine University Hospital of Point G Bamako Mali Department of Hematologie University Hospital of Point G Bamako Mali Reference Health Center of Commune 6 Bamako Mali.

We conducted a retrospective study that included patients with erythrocyte and hemolytic pathology justifying a splenectomy and patients presenting splenic trauma for which hemostasis splenectomy is required. We performed 27 total splenectomy in which 26 are by laparotomy (92.86%) and 1 by laparoscopy (3.57%). A partial splenectomy was performed by laparoscopy. The morbidity was marked by 2 cases of infectious syndrome and 1 case severe anemia. The mortality was 7.14% (n = 2). Splenectomy is part of the therapeutic arsenal for benign or malignant hematological disorders that constitute the main indication for elective splenectomy. Splenectomy was one of the most common operations in abdominal surgery. During the past decade, an increased rate of late complications, specially septic and thromboembolic complications are well documented. The risk is related to the indication of splenectomy, and is less than 1% in adults without immunodeficiency. However, these overwhelming postsplenectomy infections are associated with a high mortality rate. The best treatment of these infections is preventive measures which are based on vaccination and education of asplenic patients.

关键词： Splenectomy Hematology Septic Complication Vaccination

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Podiatric Risk Assessment in Diabetic Patients at University Hospital Center of Point G

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Open Journal of Endocrine and Metabolic Diseases 2019年第8期9卷 85-94页

作者： Sy Djibril Traoré Abdel Kader Soukho Assétou Kaya Traoré Djenebou Thomas Ingrid Gladys Keita Zakaria Dembelé Ibrahima Amadou Cissoko Mamadou Sangaré Barry Boubacar Togo Mamadou Keita Kaly Keita Adramé Tolo Nagou Camara Boua Daoud Dao Karim Doumbia Alassane Alfousseni Saliou Mahamadou Fofana Youssouf Mallé Mamadou Traoré Abdramane Sangaré Drissa Cissé Sékou Mamadou Berthé Brehima Boly sanogo Abasse Sy Seydou Dembélé Mamadou Traoré Hamar Alassane Department of Internal Medicine of University Hospital Center of Point G Bamako Mali Association “Rabies in West Africa—Mali” Bamako Mali Internal Medicine Service Kati Hospital Koulikoro Mali Department of Internal Medicine Nianankoro Fomba Hospital Segou Mali Department of Medicine Regional Hospital Gao Mali Department of Medicine Regional Hospital Sikasso Mali Department of Medicine University Hospital Center Gabriel Toure Bamako Mali Department of Internal Medicine Hospital Center Mother-Child Luxemburg Bamako Mali Department of Medicine Fousseyni Daou Hospital Kayes Mali Department of Nephrology University Hospital Center of Point G Bamako Mali

Introduction: Diabetes, a chronic pathology, is the source of many acute and chronic complications whose treatment requires many daily constraints that can have a serious impact on the quality of life of the patient and his family. The diabetic foot is a real public health problem which is still dominated by a very high lower limb amputation rate even in countries with high socioeconomic status. The diabetic foot classically results from the association of three entangled mechanisms which are neuropathy, arteriopathy and infection. Objectives: To determine the frequency of arterial disease, neuropathy, and other aggravating factors that influence the podiatry risk, and to proceed with the gradation of the podiatry risk. Methodology: This was a cross-sectional study concerning the period from July 1 to October 31, 2017, covering all diabetic patients received in consultation and hospitalization in the Internal Medicine Department of the G-University Hospital Center. Results: Our study included 50 patients (35 women for 15 men) out of 95 diabetic patients receiving a frequency of 52.6%, with a sex ratio of 0.42. The average age of our patients was 54.38 ± 13.98 years. Overweight/obesity found in 44% of patients. The average Body Mass Index (BMI) of our patients was 27.16 kg/m2. Patients with diabetes less than 5 years old represented 56% with an average duration of 5.39 ± 5.34 years. The mode of discovery of diabetes was polyuria-polydipsia syndrome in 56% of cases. Type 2 diabetes represented 74% of patients. Among the patients who had performed the HbA1C test, 80.77% were not well balanced. The antecedent of macrosomia in women accounted for 77.1%. Patients who did not know foot hygiene recommendations accounted for 82%. Among the identified podiatry risk factors, diabetic neuropathy accounted for 73.8%, and arterial disease was 32.3%. Grade 1 patients in our study accounted for 52% (gradation of foot risk). Conclusion: The diabetic foot is a major public health pro

关键词： Monitoring Diabetes Foot Risk Mali

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Scleroderma and HIV Infection: A Case Report with Literature Review

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Open Journal of Internal Medicine 2018年第4期8卷 255-260页

作者： I. A. Dembélé N. R. Nyanke D. Traore A. K. Souckho D. Sy M. Cissoko A. sanogo B. B. Sangaré O. A. Cisse K. Dao K. T. Tighankpa M. Malle M. Togo A. Keita A. Traore M. Saliou Y. Fofana D. Sangaré N. Tolo N. Doumbia A. Doumbia B. B. Berthé B. D. Camara S. A. Coulibaly N. Sawadogo M. Dembélé A. K. Traore H. A. Traore Internal Medicine Department Point G Teaching Hospital Bamako Mali Department of Internal Medicine Kaya Regional Hospital Kaya Burkina Faso

Introduction: Acquired immunodeficiency syndrome (AIDS) linked to HIV infection is accompanied by auto-immune phenomena. Autoimmune diseases can develop in people living with HIV, most in a context of good immunological control (vasculitis, anti-phospholipid syndrome). Since the advent of antiretroviral therapy, an increasing number of autoimmune connective tissue diseases such as systemic lupus erythematosus, dermatomyositis, and syndromes of Sj?gren and scleroderma have been reported. Purpose: To describe this association’s not very common scleroderma and HIV infection. Observation: We report the case of a 56-year-old lady admitted into the service for functional impotence that would have been evolving for a week. Prior to her hospitalization, she presented edemas of the lower limbs associated with anesthesia of the lower limbs for 5 months. The painting is accompanied by a productive cough and an intermittent fever. At the physical examination a weight loss (BMI = 13.74 Kg/m2), fever (38.7°C): Oral candidiasis, lower lip ulceration, perlicking, undernutrition folds, sclerodactyly and homogeneous hepatomegaly was noted. The diagnosis of immunosuppression to HIV Stage 3 with TB co-morbidity and positive hepatitis B Serology was retained while diffuse Scleroderma was selected from the ACR/EULAR criteria of 2012 with a score of 10 (sclerodactyly = 4 point;Raynaud’s phenomenon = 3 point and Ac Anti Scl 70 positive = 3 point). Conclusion: These associations of chronic pathology must be described to improve the future treatment of our patients.

关键词： Scleroderma HIV Internal Medicine

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在前交叉韧带撕裂病人的MR成像中对骨损伤诊断的短期临床重要性

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国际医学放射学杂志 2012年第5期 488-488页

作者： R.Kijowski M.L.sanogo K.S.Lee A.Muoz del Río T.A.McGuine G.S.Baer 刘丽 Department of Radiology University of Wisconsin School of Medicine and Public Health600 Highland AveClinical Science Center-E3/311MadisonWI 53792-3252

摘要目的检测在早期前交叉韧带撕裂(ACL)病人中骨损伤与短期临床预后之间的联系。材料与方法此回顾性研究取得评审机构的同意,无需获得知情同意书。该研究包括114例ACL撕裂的病人(男57例,女57例,平均年龄分别为26.1及25.1岁),均行MRI检... 详细信息

摘要目的检测在早期前交叉韧带撕裂(ACL)病人中骨损伤与短期临床预后之间的联系。材料与方法此回顾性研究取得评审机构的同意,无需获得知情同意书。该研究包括114例ACL撕裂的病人(男57例,女57例,平均年龄分别为26.1及25.1岁),均行MRI检查及ACL重建手术,并且在手术前和术后1年填写国际膝关节文献委员会(IKDC)的膝关节评估问卷。所有的MR影像均由2名放射科医师单独审阅来决定每一个膝关节表面的压缩性骨折。

关键词：病人 ACL 前交叉韧带关节韧带 MR 骨损伤骨髓水肿

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