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Costs of Schizophrenia at Psychiatric Hospital of Bingerville (Ivory Coast)

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Open Journal of Psychiatry 2024年第1期14卷 1-10页

作者： Madjara Anoumatacky Anna-Corinne Bissouma drissa kone Laboratory of Biology and Health Department of Biosciences Félix Houphouet-Boigny University Abidjan C&#244te d’Ivoire National Mental Health Program Abidjan C&#244te d’Ivoire Centre Marguerite Té-Bonlé National Institute of Public Health Abidjan C&#244te d’Ivoire Department of Medical Sciences Félix Houphouet-Boigny University Abidjan C&#244te d’Ivoire

Schizophrenia is classified as a priority mental disorder by the World Health Organization (WHO) and accounts for around 35% of diagnoses at the Bingerville Psychiatric Hospital (HPB). The aims of the study were to identify the cost drivers for hospitalization and to calculate the costs of managing schizophrenia in hospital, with a view to planning household expenditure on care. This pilot cross-sectional study involved 31 patients with schizophrenia who had been hospitalized in the various third-category wards at the HPB between 1st January 2019 and 31st May 2020. Sampling was accidental. The methods used to estimate costs were based on the actual costs of drugs, hospitalization and additional examinations which prices were known, and on patients’ estimations for certain expenses such as food and transport. Results: The sex ratio was 3.42, the mean age was 29.52 years. The mean length of stay was 46.19 days, and the most frequent clinical forms were paranoid schizophrenia (41.9%) and schizoaffective disorder (29%). The combination of haloperidol and chlorpromazine was the most common medications for initial treatment (67.8%) and maintenance treatment (41.9%). The average cost of hospitalization at HPB for schizophrenia was XOF 164,412 (€249.90). The average direct medical cost was XOF 105,412 (€160.226) and the average direct non-medical cost was XOF 59,000 (€89.68). The average daily cost of antipsychotic treatment was XOF 795/day (€1.2084). The high cost of drugs as a proportion of hospitalization costs suggested the need of a reflection on the simplification of prescribing practices, assistance in psychiatric emergencies and the development of other alternatives to psychiatric hospitalization in Côte d’Ivoire.

关键词： Schizophrenia Cost Hospitalization HPB Côte d’Ivoire

The Impact of Jams on the Vending Robot

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Open Journal of Applied Sciences 2024年第9期14卷 2515-2518页

作者： Bourama Coulibaly drissa Traore Bakary Dit Dembo Sylla Marie Bernard Sidibe Electrical Engineering Department Normal School of Technical and Vocational Education (ENETP) Bamako Mali National Engineering School Abderhamane Baba Tour (ENI-ABT) Bamako Mali

This study aims to identify the causes of sensor jams and its impact on the operation of vending machines. The vending machine is a machine that automatically dispenses products such as drinks, tickets, sandwiches and biscuits, by inserting change or credit card into the machine. This technological feat is due to the advent of sensors. A sensor is a part of the measurement chain, it receives the quantity to be measured and provides information directly linked to this quantity. However, these vending robots are faced with malfunctions linked to sensor jams. The identification of the jam phenomenon was possible thanks to the inspection and monitoring of the various sensors installed on the vending robot. And Cadence software was used to model, control and locate the jammed sensor(s). The various tests were carried out by setting the robot in motion to better understand the causes of the phenomenon. The jam is therefore the phenomenon which triggers the sensors permanently, which causes the automatic vending robot to stop functioning. And this jam was due to the presence of water droplets on the sensor or dirt. This presence of water droplets on the sensor is linked to an increase in temperature. Controlling the temperature and locating the jammed sensor has made it possible to considerably reduce jamming and its harmful effects on the vending machine robot.

关键词： Jam Sensor Dispenser Robot

Incidences and Risk Factors for Surgical Site Infections in koutiala, Mali

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Surgical Science 2024年第7期15卷 465-469页

作者： Mahamadou Coulibaly Moussa Diassana Issiaka Diarra Bréhima Bengaly Birama Togola drissa Ouattara Souleymane Sanogo Samuel kletigui Dembélé Cheick Aka Waigalo Brehima Ballo drissa Traoré Nouhoum Ongoiba Faculty of Medicine University of Science Technique and Technologies of Bamako Bamako Mali Department of Surgery Koutiala Hospital Koutiala Mali Department of Surgery Sikasso Hospital Sikasso Mali Dpartement de Chirurgie Hpital Commune I Bamako Mali Department of Surgery University Hospital Center Point G Bamako Mali Department of Surgery Tominian Hospital Tominian Mali

Purpose: This paper aims to assess the incidences and risk factors for surgical site (ISO) infections in the general surgery department of the koutiala District Hospital. Patients and Methods: This was a prospective and descriptive study from August 1, 2017 to October 31, 2020 involving all patients who underwent laparotomy in the general surgery department of the koutiala District Hospital. Patients who were not operated on and who did not have a laparotomy were not included. Age, sex, frequency, patient history, National Nosocomial Infections Surveillance (NNIS) index, time to occur, bacteriological test results and course of infection were analyzed. Results: Fifty patients were registered. The average age was 34.2 ± 21.2 years old. Eleven patients were 60 years old or older. The hospital incidence rate was 4.3% and the community incidence rate was 6.1 cases per 100,000 population. The concept of smoking was noted in 15 patients. Patients were operated on in emergency 84% of cases. Peritonitis was the most common initial lesion with 32% of cases. Our patients had an NNIS index greater than 0 in 84% of cases. The time to develop infection from the surgical site was less than 3 days in 8 patients (16% of cases). Depending on the depth of the infection, it was superficial (cutaneous) in 39 patients (78%) and deep (subcutaneous and organic) in 11 patients (22%). Escherichia coli was the most common germ with 72% followed by staphylococcus aureus at 24%. We noted 22% morbidity. The median length of hospitalization was 9 ± 2.2 days. Conclusion: ISO is common in our service. Prevention and mastery require knowledge of risk factors.

关键词： Surgical Site Infection Incidence Risk Factors Surgery

Omphalocele Diagnosis Problem in Rural Environment

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Surgical Science 2024年第8期15卷 501-506页

作者： kanté Sékou Diallo Siaka Touré Cheick Amed Sékou Ousmane I. Touré Coulibaly Ibrahim Traoré drissa Bengaly Brehima Sanogo Soulemane Togola Birama Ouattara drissa Saye Jack Ongoïba Nouhoum koumaré Abdel karim Service de Chirurgie B CHU Point G Bamako Mali Facult de Mdecine de lUSTTB Bamako Mali

Introduction: An omphalocele is a congenital malformation due to a failure of closure of the umbilical ring with exteriorization of the abdominal viscera covered by the translucent and avascular amniotic membrane. We report a case of giant omphalocele unrecognized at birth followed by a review of the literature. Observation: This was a 4-year-old girl admitted to the department for umbilical swelling that had been present since birth. Clinical and paraclinical examinations made it possible to objectivize a post-omphalocele hernia with hepatic content plus ectopic accession of the left ureter, the surgical procedure consisted of reintroducing the liver associated with a cure of the hernia + ureterovesical reimplantation. Conclusion: Omphalocele is a congenital malformation, antenatal diagnosis is possible during morphological ultrasound from the 12th week.

关键词： Omphalocele Ectopic Left Ureter

Technical-Economic Performance, Carcass and Meat Quality of COBB500 Broilers Fed Rations Incorporating Mango By-Product Feeds in Ivory Coast (West Africa)

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Open Journal of Animal Sciences 2024年第1期14卷 1-13页

作者： Timbilfou kiendrébéogo Alidjata Traoré Etienne Sodre drissa Barry Isidor Ouedraogo Marcelle Grace koidja Vianney Tarpaga Centre National de la Recherche Scientifique et Technologique Institut de l’Environnement et de Recherches Agricoles Laboratoire de Recherches en Production et Santé Animales (LAREPSA) Bobo-Dioulasso Burkina Faso Centre National de la Recherche Scientifique et Technologique Institut de l’Environnement et de Recherches Agricoles Laboratoire Central d’Horticulture (LCH) Bobo-Dioulasso Burkina Faso Laboratoire d’Etude des Ressources Naturelles et des Sciences de l’Environnement (LERNSE) Ecole Doctorale Sciences Naturelles et Agronomie (ED-SNA) Université Nazi BONI Bobo-Dioulasso Burkina Faso Université Catholique de l’Afrique de l’Ouest (UCAO) Section du Burkina Faso Bobo-Dioulasso Burkina Faso Direction Régionale de l’Agriculture des Ressources Animales et Halieutiques de l’Est Fada Burkina Faso

The study evaluated the growth performance and carcass quality of COBB500 broilers fed two experimental rations incorporating feed and mango fine ED10 for a batch of 83 birds, ED20 (batch of 83 birds) in comparison with a commercial control ration CCD (84 birds). For this purpose, 250 day-old chicks of this breed were purchased in korhogo and transported to Tengréla in Ivory Coast for rearing. The results show that substituting mango provender ans and mango seed flour for maize resulted in rations with costs per kgMS of 215.35FCFA, 2016.93FCFA and 320FCFA for the ED10, ED20 and CCD rations respectively. The production costs per kg of chicken (FCPkgLW) of the CCD ration were significantly higher than those of the ED10 and ED20 (p 0.05). ADGs were significantly different and decreasing from CCD, ED20 to ED10 (p 0.05). Average weights at 42nd day for ED20 and CCD were homogeneous (p > 0.05) and significantly higher than for ED10 (p 0.05). By day 49th the average weight of ED20 had reached and exceeded that of CCD by day 42nd. PSLW, HCW and CCW were significantly different and decreasing from CCW, ED20 to ED10 (p 0.05). Average hot (HCY) and cooled (CCY) carcass yields of ED20 and CCD rations were comparable (p > 0.05) and significantly higher than those of ED10 ration (p = 0.009) and 0.003). Average drumstick and neck weights were significantly higher and lower for CCD, ED20 and ED10 (p 0.05). For all other parts of the cut, the average weights of the CCD ration were significantly higher (p 0.05) than those of the ED20 and ED10 rations, which were homogeneous (p 0.05). The incorporation of mango provender and mango seed flour in broiler rations offers the prospect of reduced production costs, less competition between man and animals over cereals, and lean meat production tha

关键词： Broiler COOB 500 Chickens Mango Feed Carcass Characteristics Tengrela Ivory Coast

Ultrasound Biometry of the Liver at the Point “G” University Hospital Center in Bamako

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Open Journal of Medical Imaging 2024年第3期14卷 86-95页

作者： Ousmane Traore Siaka Diakite drissa Mansa Sidibe Moussa konate Mamadou N’Diaye Salia Coulibaly Nouhoum Ongoiba Adama Diaman keita Department of Radiology and Medical Imaging University Hospital Center of Point G Bamako Mali Department of Family Medicine/Community Medicine Faculty of Medicine and Odontostomatology (FMOS) Bamako Mali Department of Radiology Bamako-Mali Military Health Center Bamako Mali Department of Radiology and Medical Imaging University Hospital Center Kati Mali Department of Anatomy Faculty of Medicine and Odonto-Stomatology Bamako Mali

Introduction: Biometrics therefore corresponds to the measurement of the morphological elements of humans. One of the most common ultrasound requests by clinicians is the assessment of liver size. The aim of our study was to study liver biometry using ultrasound in healthy adult subjects. Material and Methods: This was a prospective, descriptive and analytical study, carried out at CHU Point-G over a period of 7 months. A liver ultrasound was performed on 100 individuals without lesions, by a doctor in his final year of specialization in radiology and medical imaging. For each subject, we determined the height and anteroposterior diameter of the right liver and the left liver. Results: The mean age was 39.05 ± 16.86 years. The body mass index (BMI) 18.5 - 24.9 group was the most represented with 58%. The mean height of the right liver was 138.40 ± 14.85 mm. It was 136.81 ± 14.70 mm in men and 139.92 ± 14.99 mm in women (P = 0.306). That of the left liver was 95.55 ± 14.34 mm, in men, it was 91.79 ± 13.51 mm and 99.16 ± 14.31 mm in women (P = 0.019). We found a significant correlation between right liver height and BMI (P = 0.013). Conclusion: The mean values of liver biometry were established in our series. There was a significant correlation between right liver height and BMI. Liver ultrasound remains a reliable technique for liver biometry.

关键词： Liver Biometry Ultrasound Point-G University Hospital Bamako

Unusual Brain Trauma Injury

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Open Journal of Modern Neurosurgery 2024年第3期14卷 218-227页

作者： Diallo Moussa Traoré Youssouf kanikomo drissa Diarra Sounkalo Izoudine B. koumaré Sogoba Youssouf Sogoba Boubacar Diallo Oumar Gabriel Tour Teatching Hospital Bamako Mali Bocar Sidy Sall Teatching Hospital Kati Mali Hopital du Mali Teaching Hospital Bamako Mali

Unusual head trauma is rare with various mechanisms of occurrence. The injuries can be similar to those of road accidents but sometimes with significant complexities. The objective was to determine the frequency of this pathology in our practice, describe the different mechanisms and report the craniocerebral lesions caused by this type of trauma. Materials and Method: This was a descriptive study with retrospective collection spread over a period of 3 years. After selecting the files, the patients and/or their companions were contacted by telephone to inquire about them and then returned to the consultation for reassessment. Disease history and information were obtained from patients’ medical records. Result: The frequency of this pathology was 1.78% and his incidence was 0.4 cases per month. The average age of the patients was 13.47 years. All the victims were male. 41.17% of patients were in school. The mechanisms of trauma were the hoof blow 47.1%, the horn blow 29.4% and the stone blow 11.7% respectively. 23.5% of patients were confused and 11.7% children were in coma. One patient presented an anisocoria. The motor deficit was present in 5 cases. CT-scan made it possible to highlight a skull depressing fracture 58.8% and confirm a craniocerebral wound in 35.3%. The average time between patient admission to hospital and completion of surgery was 24.5 hours. The surgery had consisted of the trimming of cranio-cerebral wounds, exploration, duroplasty and lifting of skull depressing fracture. After 15 months of follow-up, the evolution was favorable in 53.3%, the morbidity was 33.4% and the mortality 17.6%. Conclusion: These are rare but serious conditions because they are fatal and disabling. An early and multidisciplinary management can hope to have a good favorable.

关键词： Brain Trauma Injury Insolite Unusual Skull Depressing Fracture Hoof kick Horn Blows Stone Bows Motorcycle Gear Lever

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超大城市空间重构中的“村政城治”

甘肃社会科学 2024年第3期 107-115页

作者：姚尚建华东政法大学政府管理学院上海201620

超大城市的规模扩张意味着广域范围的城市乡村的联动发展。在这一空间重构过程中,城乡关系的分野被忽视了,超大城市借助于交通、项目甚至新城建设“侵入”乡村,从而模糊了城乡边界。随着新城直接面向乡村治理,超大城市实现了“乡政村治... 详细信息

超大城市的规模扩张意味着广域范围的城市乡村的联动发展。在这一空间重构过程中,城乡关系的分野被忽视了,超大城市借助于交通、项目甚至新城建设“侵入”乡村,从而模糊了城乡边界。随着新城直接面向乡村治理,超大城市实现了“乡政村治”向“村政城治”的逻辑转换。在这一过程中,超大城市通过织密权力网络、集中居住等政策强化城市在地性公共服务对于乡村治理的引领,但是这一思路又强化了村庄对于超大城市的依附。超大城市的乡村振兴需要承认城乡关系的历时性特征,系统反思新城建设、乡村发展中的空间、产业与人口关系联动,通过政策均衡实现超大城市生态、生产、生活功能的内在契合。

关键词：城市治理超大城市城乡关系三生空间村政城治

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论中国古籍钤印的分类

文献 2024年第5期 80-109页

作者：莫俊暨南大学图书馆

目前古籍钤印分类研究中存在对钤印概念的内涵和外延理解不准确,对钤印类型的多样化和复杂性认识不充分,对钤印分类依据、方法的规范性和科学性把握不恰当等不足。解决上述不足,可以“古籍钤印”作为顶层概念,在借鉴既有分类成果并占有... 详细信息

目前古籍钤印分类研究中存在对钤印概念的内涵和外延理解不准确,对钤印类型的多样化和复杂性认识不充分,对钤印分类依据、方法的规范性和科学性把握不恰当等不足。解决上述不足,可以“古籍钤印”作为顶层概念,在借鉴既有分类成果并占有更多材料的基础上,以功能为分类依据,将古籍钤印分为出版印、流传印两大类目,分别包含若干下位分类,从语义、语法、语用等角度就类目的概念、印文内容及印文组织形式进行综合剖析,重新构建种类涵盖广泛、类目设计合理、层级关系分明的古籍钤印分类体系,推动新时期古籍钤印整理研究工作的深入。

关键词：古籍钤印分类出版藏书