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Strangulation of the Penis by a Ring in Children: About a Case

Case Reports in Clinical Medicine 2023年第8期12卷 279-284页

作者： Klétigui Samuel Dembélé Korotimi Malle Issiaka Diarra Mahamadou Keita Amara Dembele Mamadou Adama Diallo Karifala Haidara Mahamadou Coulibaly Moussa Abdoulaye Diarra Sadio Camara Siaka Konate dramane Fomba Djibrila Kanthe dramane cisse Ousmane Abdoul Aziz Dicko Tominian Reference Health Center Tominian Mali Regional Directorate of Ségou Ségou Mali Commune I Reference Health center Bamako Mali General Surgery Department and Urology Department Nianakoro Fomba Hospital in Ségou Ségou Mali Koutiala Reference Health Center Koutiala Mali Bla Reference Health Center Bla Mali Kolondiéba Reference Health Center Kolondièba Mali Markala Reference Health Center Markala Mali Urology Department Somine DOLO Hospital in Mopti Mopti Mali

Strangulation of the penis by a ring is a rare but quite common event in children and is potentially serious. We found it important to report this case in order to share our experience on the management of penis rings. It was a 9-year-old child, with no particular medical-surgical history, nor any notion of known family defect, brought to the emergency room by his parents for intense pain in the penis associated with incessant crying. In front of which a clinical examination made it possible to conclude with penile strangulation by a metal ring. Our course of action was the ablation of the ring with non-medical forceps associated with local and general care. No complications were observed during treatment. The immediate consequences were simple and the patient was followed for 4 months.

关键词： Strangulation Penis Tominian

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Complete Cervico-Uretral Transections: A Vesicovaginal Fistula Not Like the Other

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Open Journal of Urology 2021年第3期11卷 73-86页

作者： dramane cisse Abdoulaye Traore Honoré Jean Gabriel Berthe Mory Kone Modibo Coulibaly Diamilatou Thiam Djibril Traoré Bréhima Traoré Mamadou Tidiani Coulibaly Alkadri Diarra Amadou Kassogue Moussa Salifou Diallo Oumar Guindo Hô pital Sominé DOLO de Mopti Mopti Mali Université des Sciences des Techniques et des Technologies de Bamako (USTTB) Bamako Mali Direction Régionale de la Santé de Mopti Mopti Mali

Introduction: Complete cervico-urethral transection is a vesicovaginal fistula characterized by total disinsertion of the urethra from the bladder. It is a fistula of the cervico-urethral intersection threatening the mechanism of continence. The aim of this study was to describe the epidemiological and therapeutic aspects of this type of fistula. Patients and Methods: This was a descriptive retrospective study on patients who have had surgery for cervico-urethral transection from June 01, 2012 to June 01, 2015. Results: Cervico-urethral transections (n = 76) accounted for 33.77% of all urogenital fistulas admitted to our department of surgery during the study period. The average age was 25.02 ± 8, 6 years. Married patients accounted for 85.58%, 72.36% had not received any classical education. Fistulas less than one year old made up 56.58% of cases, associated lesions were perineal tears 25.0%, vaginal sclerosis, 21.05%, vaginal straps, 13.15%, rectovaginal fistula, 2.63% and the shortness of the urethra less than 2.5 cm in 42.10% of cases. All surgeries were performed vaginally with a 98.68% fistula closure rate and an average of 1.68 surgeries per patient. After closure of the fistula, 10.67% of patients presented a residual urinary incontinence. Conclusion: Complete cervico-urethral transection is a frequent vesicovaginal fistula. She sometimes exposes to urinary incontinence after closing the fistula. The results of his surgery are often good at the cost of multiple intervention.

关键词： Vesicovaginal Fistula Cervico-Urethral Transection Urinary Incontinence Urethra Bladder

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Attitudes and Practices of Senegalese Dentists towards Hepatitis B

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Open Journal of Epidemiology 2017年第4期7卷 317-325页

作者： Massamba Diouf Jean-Claude Guinan Amadou Dieng Mbatio Diop Aida Kanouté Abou dramane Sanghare Ndeye Amina Diop Daouda cisse Cheikh Mamadou Mbacke Lo Daouda Faye Public Health Service Department of Dentistry Cheikh Anta Diop University Dakar Senegal Public Health Service Faculty of Dentistry Felix H Boigny University Abidjan C&ocirc te d’Ivoire Service of Dentistry Health Office Dakar Senegal

Introduction: Hepatitis B is an infectious viral disease that causes inflammation of the liver. It is transmitted through body secretions and fluids, including genital secretions, saliva and blood. The objective of this study was to assess the attitudes and practices of dental surgeons in the face infection of Hepatitis B. Methods: This was a descriptive, cross-sectional a sample of 171 dental surgeons. Probabilistic multi-stage, stratified, and systematic sampling was used. Using a questionnaire, we gathered variables related to the attitudes and practices of dentists with respect to Hep B. Results: Nearly 22% of dentists were not vaccinated against hepatitis B virus;Compliance with the use of gloves, glasses, professional clothing, and hygiene in dental offices was not systematic. Blood exposure accidents (BEA) were common, with nearly 13% suffering from needle stick injuries, 10% from eye splashes and about 6% from sharp instruments. The majority of the actions to be taken in the event of (BEA) were disinfection in the event of sticks or injuries (52.1%) and rinsing in the event of eye splashes (66.7%). Conclusion: Dentists should be educated and informed about the need for vaccination and hygiene, sterilization, and good behaviour in case of exposure to blood.

关键词： Attitudes Practices Hepatitis B Dentist Senegal

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Dental Caries and Associated Determinants among Students of the Military School of Saint Louis (Senegal)

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Open Journal of Epidemiology 2017年第4期7卷 299-306页

作者： Massamba Diouf Mababou Kebe Mamadou Lamine Guirassy Mbathio Diop Abdoulaye Diouf Aida Kanoute Jean-Claude Guinan Amadou Dieng Abou dramane Sanghare Daouda cisse Daouda Faye Cheikh Mbacké Lo Public Health Service Department of Dentistry Cheikh Anta Diop University Dakar Senegal Dental Office Military Hospital Dakar Senegal Service of Periodontology Department of Dentistry Cheikh Anta Diop University Dakar Senegal Service of Pediatric Dentistry Department of Dentistry Cheikh Anta Diop University Dakar Senegal Public Health Service Faculty of Dentistry Felix H Boigny University Abidjan C&ocirc te d’Ivoire

Introduction: Due to its health, social and economic morbidity, dental caries leads to absenteeism and a drop in school performance among schoolchildren. The objective of this work is to study dental caries and its determinants in pupils known as Children of Troop (CT) of the “Military School of Saint Louis” (MSS). Method: This was a descriptive and cross-sectional study. Recruitment was exhaustive. The collection was made at the school and has covered the period of March 10 throughout June 13, 2014 in an individual interview, based upon a deliberate consent, using a questionnaire drawn up on the basis of the variables studied. The bivariate analysis was done with the Epi Info software version 3.5.3. Results: The mean age of CT was 14.9. The prevalence of caries was 61.2%. Determinants related to caries were: sugar intake between meals (OR = 6.44 [3.4 - 11.9]);insufficient tooth brushing (OR = 14.3 [8.8 - 23.29]);(OR = 3.84 [2.38 - 7.14]) and for regular dental visits (OR = 5.26 [3.44 - 8.33]), with the last dental visit dating back more than one year. Conclusion: In the face of challenges of school performance of CT, it is necessary to set up a control plan focusing mainly on the factors identified and associated with dental caries in military school.

关键词： Military School Child of Troop Dental Caries Determinants

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