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Epidemiological, Clinical and Coronary Angiography Aspects of.Acute Coronary Syndrome in the Cardiology Department of.the Hospital Mother-Child “Le Luxembourg”Mali

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World Journal of.Cardiovascular Diseases 2024年第4期14卷 228-233页

作者： Sidibé Samba Toure Mamadou Konate Massama Sankaré Hamma tra.ré Ousmane Mahamat Guire Sadik Diall Mahan Ameri dicko Bahaide Daf.e Sanoussy Keita Asmaou Thiam Coumba Adiaratou Diarra Soumaila Menta Ichaka Cardiology Department CHU-M&#232re Enfant Bamako Mali Cardiology Department CHU-Point G Bamako Mali f.culty of.Medicine University of Sciences Techniques and Technologies of Bamako Bamako Mali Cardiology Department CHU-Gabriel Tour&#233 Bamako Mali Cardiology Department Mali Hospital Bamako Mali

Introduction: Cardiac catheterisation plays a f.ndamental role in the management of.acute coronary syndrome. These explorations require heavy, complex and costly equipment and a large team of.doctors, nurses and technicians with highly specialized training. Aims: To describe epidemiological, clinical and coronary angiography aspects of.patients with acute coronary syndrome. Patients and Methods: Descriptive study f.om September 2019 to December 2023 in the Cardiology Department of.the Hôpital Mère-Enf.nt of.Bamako. Inclusion criteria were patients admitted f.r coronary angiography with the diagnosis of.acute coronary syndrome. results: During the study period, 1253 patients underwent coronary angiography, 596 of.whom had acute coronary syndrome as an indication, representing a hospital f.equency of.47%. Sex-ratio was 2.10. Mean age of.patients was 58.5 ± 11.39 years. ST elevation acute coronary syndrome was the most common indication with 63.92% of.cases. High blood pressure was the main cardiovascular risk f.ctor with 58.7% of.cases, and radial access approach was used in 98% of.cases. Coronary angiography was pathological in 91.70% of.cases (n = 548). Patients with lesions of.anterior interventricular artery were 73.73% of.cases. Tritruncal lesions accounted f.r 40.63% of.cases. Conclusion: ST elevation acute coronary syndrome is the most f.equent manif.station of.acute coronary syndrome. Anterior interventricular artery is most of.en the culprit lesion f.r our patients.

关键词： Coronary Angiography Acute Coronary Syndrome Bamako Mali

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Epidemiological and Clinical Prof.le and Immediate Outcome of.Neonates transf.rred f.om the Maternity Unit to the Neonatology Unit of.the CSrEf.in Commune V of.Bamako District, Mali

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Open Journal of.Pediatrics 2024年第3期14卷 547-557页

作者： Maimouna Kante Ya tra.ré Balilé Harber Beydari Mamadou tra.ré Issiaka Koné Diéneba Sacko Maimouna Haidara Korotoumou Bamba Assitan f.rota Abdoulaye Kassogué Mohamed Diarra Dramane Touré Abdoul Salam Diarra Leyla Maïga dicko f.toumata Paediatric Ward CSR&#233f CV Bamako Mali Paediatric Ward of.Nianankoro f.mba Hospital S&#233gou Mali Paediatric Ward of.Kalaban CoroCSrEf Bamako Mali Pediatric Department of.the Mopti ref.rence Health Center Mopti Mali National Centre f.r Scientif.c and Technological research Bamako Mali Paediatrics Department Mohamed VI Perinatal Clinic Bamako Mali Department of.Paediatrics Gabriel Tour&#233 University Hospital Bamako Mali

Introduction: Neonatal mortality remains a major public health concern. According to the World Health Organisation (WHO), the number of.newborns dying each year has f.llen f.om 5 million in 1990 to 2.4 million in 2019. The aim of.our study was to describe the main morbid conditions and their lethality in newborns admitted to the paediatric ward of.the CSrEf.in Commune V. Methodology: We conducted a 12-month prospective descriptive and analytical study f.om August 2020 to July 2021. results: During the 12 months of.the study, out of.2654 neonates admitted to hospital, 216 met our inclusion criteria, i.e. 8%. Newborns admitted in the f.rst f.w hours of.lif. represented 99.54% of.cases. f.ll-term newborns accounted f.r 65.74% of.the total. f.rty-eight percent of.newborns had hypothermia on admission. The most common diagnosis was asphyxia in 55.56% of.cases, f.llowed by neonatal inf.ction in 27.78% and prematurity in 10.65%. Death was recorded in 22.2% of.cases. Asphyxia was the main cause of.neonatal death, f.llowed by prematurity in our context. Conclusion: Improving the prognosis of.newborn babies will require a thorough understanding of.neonatal pathologies and the implementation of.a pre- and perinatal prevention policy.

关键词： Newborns Morbidity Mortality

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Anal Pathologies: What Management at the ref.rence Health Center of.Bamako’s Commune V?

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Open Journal of.Gastroenterology 2024年第3期14卷 87-92页

作者： Sanra Déborah Sanogo Moussa Y. dicko Ousmane Diarra Abou A. Diarra Drissa Katilé Abdoulaye Maiga Ouatou Mallé Sabine Drabo Makan S. Tounkara Hourouma Sow Kadiatou Doumbia Anselme Konaté Moussa T. Diarra Hepato-Gastroenterology Department CHU Point G Bamako Mali Service d’hépato-gastroentérologie CHU Gabriel Touré Bamako Mali Hepato-Gastroenterology Unit CSREF Commune V Bamako Mali

Anal pathologies are conditions af.ecting the anal margin and the anal canal. The aim of.our study was to update data on anal diseases. Non-specif.c, it can reveal an emergency, a serious illness, a chronic disease or a benign condition. It was a prospective, descriptive and analytical study f.om April 2022 to March 2023, carried out in the hepato-gastroenterology unit of.the Centre de Santé de réf.rence de la commune V du District de Bamako in Mali. Out of.seven hundred and f.rty-nine (749) patients seen in consultation, 98 had anal pathology, i.e. a prevalence of.13.08%. The mean age was 40 ± 15.15 years and the sex ratio was 1.5. Hemorrhoidal disease and anal f.ssure were the most f.equent pathologies in 66.4% and 24.4% of.cases respectively. Medical treatment was initiated in 91.9% of.patients with hemorrhoidal disease and 91.7% with anal f.ssure. Anal pathologies are common in young male patients. In our context, they are dominated by benign conditions.

关键词： Anal Pathologies Hemorrhoidal Disease Anal f.ssure

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Serological Prof.le of.Hepatitis D Virus (Hepatitis Delta) in the Hepato-Gastro-Enterology Department of.Chu Gabriel Toure

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Open Journal of.Gastroenterology 2024年第3期14卷 93-98页

作者： Sanra Déborah Sanogo Kadiatou Doumbia Hourouma Sow Moussa Younoussou dicko Youssouf.Oumarou Abdoulaye Berthé Sabine Drabo Luc Sidibé Makan Siré Tounkara Abdoulaye Maiga Ouatou Mallé Ganda Soumaré Anselme Konaté Moussa Tièmoko Diarra Hepato-Gastroenterology Department CHU Point G Bamako Mali Hepato-Gastroenterology Department CHU Gabriel Touré Bamako Mali Department of.Internal Medicine Centre Hospitalier Universitaire Communautaire de Bangui Bangui Central African Republic

Inf.ction with the def.ctive hepatitis D virus (HDV) co-inf.cts or superinf.cts a patient carrying hepatitis B virus (HBV). Delta virus inf.ction is relatively common. The seriousness of.inf.ction with the hepatitis D virus (HDV), a virus def.ctive in a patient carrying the hepatitis B virus (HBV), lies in its aggravating ef.ect on the associated viral hepatitis B. Our aim was to study the serological prof.le of.HDV in HBsAg-positive patients. As this study was f.agmentary, we initiated this study with the aim of.investigating the serological prof.le of.HDV in HBsAg-positive patients. This was a descriptive and analytical cross-sectional study that ran f.om March 2019 to f.bruary 2020, a 12-month period. It f.cused on the population of.patients seen and screened positive f.r HBsAg. We obtained a f.equency of.10%. The mean age of.our patients was 41.8 ± 13.09 years. The sex ratio was 4.5. VHD rNA was detected in 50% of.patients. In 100% of.cases, the presence of.VHD rNA was associated with advanced f.brosis according to the APrI score, but without any statistically signif.cant link. All HBV-inf.cted patients should be screened f.r anti-HDV Ac. HDV inf.ction leads to rapid progression to complications of.liver disease.

关键词： HBsAg VHD rNA Liver Disease

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f.ctors Associated with Mortality in Children Aged 1 Month to 15 Years Hospitalized in the Pediatric Ward of.the Kalaban-Coro ref.rence Health Center: Cross-Sectional Study

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Open Journal of.Pediatrics 2024年第5期14卷 800-813页

作者： Abdoul Salam Diarra Mohamed Diarra Dramane Touré Tawf.q Abu Beyadari Balilé Harber Maimouna Kanté Issa Guindo Belco Maiga Karamoko Sacko Kalirou tra.ré f.toumata dicko Mamadou Togo Kalba Pélieba Mariam Sylla Mamadou Samaké Hamadoun Sangho National Center f.r Scientif.c and Technological research Bamako Mali Department of.Pediatric Health Referral Center of Kalaban Coro Koulikoro Mali Pediatric Department of.the Mopti ref.rral Health Center Mopti Mali Private Practice f.r f.mily and Emergency Medicine Casablanca Morocco Paediatric Ward of.Nianankoro f.mba Hospital Segou Mali Paediatric Ward Referral Health Center of Common V Bamako Mali Administration Department Health Referral Center of Kalaban Coro Koulikoro Mali Department of.Paediatrics Gabriel Toure University Hospital Bamako Mali Department of.Internal Medicine CHU Gabriel Tour Bamako Mali Service dHpato-Gastro-Entrologie Gabriel Toure University Hospital Bamako Mali Department of.Public Health Faculty of Medicine and Odontostomatology University of Sciences Techniques and Technologies of Bamako Bamako Mali

Introduction: Inf.nt and child mortality is a worldwide concern, but developing countries such as Mali are more af.ected. The aim of.this study was to investigate morbidity and f.ctors associated with mortality in children aged 1 month to 15 years. Methodology: This was a cross-sectional study which took place f.om January 1 to December 31, 2020 covering children aged 1 month to 15 years hospitalized at the Kalaban-Coro CSréf. Data were entered into Excel and analyzed using SPSS version 20 sof.ware. results: f.ve hundred children aged 1 months to 15 years were included. The age range 1 to 5 years (53.6%) and male sex (58.2%) were the most represented. Malaria (72.2%), acute respiratory inf.ctions (6.2%) and diarrhea/dehydration (3%) were the main morbidities. Mortality was estimated at 10.6%, and the two main causes of.death were malaria (56.6%) and acute respiratory inf.ctions (7.54%). Univariate analysis revealed a statistically signif.cant association between the dependent variable (death) and age (p Conclusion: This study conf.rms the high rate of.inf.nt and child morbidity and mortality in our health f.cilities. Strengthening human resources and intensif.ing behavior-change communication can help reverse the trend.

关键词： Children Aged 1 Months to 15 Years Morbidity f.ctors Associated with Mortality Morbidity

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Chronic Hepatitis B Virus Inf.ction: Biological Parameters in Patients Treated with Tenof.vir Disoproxil f.marate

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Open Journal of.Gastroenterology 2024年第4期14卷 145-151页

作者： Sanra Déborah Sanogo Moussa Y. dicko Lamine N’Diaye Ousmane Diarra Drissa Katilé Abdoulaye Maiga Ouatou Mallé Sabine Drabo Makan S. Tounkara Hourouma Sow Kadiatou Doumbia Anselme Konaté Moussa T. Diarra Hepato-Gastroenterology Department Centre Hospitalier Universitaire Du Point G Bamako Mali Hepato-Gastroenterology Department Gabriel Toure University Hospital Bamako Mali Hepato-Gastroenterology Unit Csref Commune V Bamako Mali

Chronic hepatitis B causes a liver disease characterized by inf.ammation of.the liver parenchyma. The aim of.this study was to investigate the evolution of.biological parameters in patients treated with Tenof.vir f.r chronic B inf.ction at the Commune V ref.rral health center in Bamako. We obtained a prevalence of.14.15%. The most represented age group was 31 - 40 years, with 36.8%. The sex ratio was 1.44 in f.vour of.men. Viral load was undetectable af.er 18 months of.treatment in 25 patients (42.37%). Tenof.vir, the 1st-line drug in Mali, is ef.ective on the biological parameters monitored in patients.

关键词： Viral Hepatitis B Tenof.vir Biological Parameters

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Knowledge Practical Attitude of.Health Prof.ssionals on Breast Cancer at the Hospital of.the District of.the Commune IV of.Bamako

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Surgical Science 2024年第5期15卷 342-356页

作者： Moussa Samaké Souleymane B. Dembelé Sirama Diarra Yely Dianessy Abdou Guiré Dorcas Laurel Sodjiné Yede Amaguiré Saye Brahima Dembele Birama tra.ré Thierno Nadio Ibrahima Maiga Mahamane dicko Modibo Diarra Siaka Konaté Amadou Maiga Bakary Tientigui Dembele Adégné Togo General Surgery Department of.Bamako District IV Hospital Bamako Mali Obstetric Gynecology Department of.the Bamako District IV Hospital Bamako Mali Department of.Ophthalmology of.the Hospital of.the District of.the Commune IV of.Bamako Bamako Mali Imaging Service of.the Bamako District IV Hospital Bamako Mali Anesthesia and resuscitation Service of.the Hospital of.the District of.the Commune IV of.Bamako Bamako Mali Internal Medicine Department of.the District Hospital of.Commune IV of.Bamako Bamako Mali General Surgery Department Kolondjeba Referral Health Centre Sikasso Mali General Surgery Department of.the Gabriel Touré University Hospital Bamako Mali

Introduction: The level of.knowledge and attitude of.health prof.ssionals about breast cancer are important determinants. General objective: To study the knowledge, attitude and practice of.health prof.ssionals of.the hospital of.the district of.the commune IV on breast cancer. Methodology: This was a cross-sectional, prospective, descriptive, qualitative and quantitative study. The study period was f.om 01 October 2022 to December 2022. results: In one week of.survey, 110 health workers (intern, obstetrician nurse, general practitioners and specialists) received the survey sheet, 80 health workers inf.rmed it, a participation rate of.73%. The male sex was most represented at 63.75% with a sex ratio of.1.76. The average age was 39.59 years with extremes of.22 and 61 years. The clinical signs evoked by the participants were: breast nodule (81.25%), f.llowed by breast discharge (48.75%). In relation to risk f.ctors: interns and obstetrician nurses had no good knowledge, 51.72% of.general practitioners had good knowledge, 43.48% of.specialist doctors had good knowledge, and 5.88% of.the wise had good knowledge. Conclusion: Breast cancer is a common pathology around the world, health prof.ssionals are at the f.ref.ont of.the f.ght against breast cancer, and this f.ght cannot be ef.ective without trained personnel.

关键词： Knowledge Attitude Practice Health Personnel Breast Cancer

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Bilharzia Appendicitis: Incidence in a Commune in Mali, about 3CAS

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Surgical Science 2024年第5期15卷 321-329页

作者： Souleymane Bingue Dembélé Yely Dianessy Moussa Samake Abdou Guiré Siaka Konaté Ousmane Sy Boubacar Yoro Sidibé Amadou Maïga Thiorno Nadio Boubacar Karembe Amaguiré Saye Sirama Diarra Dorcas Sodjiné Yede Issiaka Diarra Ibrahima Maiga Mahamane dicko Moussa Konaté Aliou Bina Diarra Bakary Tientigui Dembélé General Surgery Department of.the District Hospital of.Commune IV of.Bamako Bamako Mali Kolondié ba Reference Health Centre Sikasso Mali Epidemiology and Clinical research Bamako Mali General Surgery Department of.Gabriel Touré University Hospital Bamako Mali Ophthalmology Department of.the District Hospital of.Commune IV of.Bamako Bamako Mali Gynecology and Obstetrics Department of.the District Hospital of.Commune IV of.Bamako Bamako Mali Commune I of.the District of.Bamako ref.rence Health Centre Bamako Mali Imaging Department of.the District Hospital of.Commune IV of.Bamako Bamako Mali Commune VI of.the District of.Bamako ref.rence Health Centre Bamako Mali Anotomy-Pathology Department of.the G Point University Hospital Bamako Mali

Appendicitis bilharzia is a very rare condition and we report 3 cases of.this pathology that sense clinical and biological similarities with bacterial appendicitis. The etiological diagnosis was exclusively histopathological, this allowed to highlight eggs of.Schistosome in the appendicular wall in the three patients. The surgical treatment was supplemented by a specif.c medical treatment based on praziquantel. The surgical suites were simple f.r 2 patients, complicated by superf.cial parietal suppuration in a patient.

关键词： Bilharzial Appendicitis Endemic Histopathology Specif.c Antiparasitic Treatment

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Liposarcoma retro-Peritoneal in the General Surgery Department of.the Hospital of.the District of.the Commune IV

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Surgical Science 2024年第7期15卷 430-437页

作者： Moussa Samaké Souleymane Bingué Dembelé Yely Dianessy Abdou Guiré Dorcas Laurel Sodjiné Yede Youssouf.Boiré Mahamane dicko Mantia Sara Nouhoum Sanogo Amaguiré Saye Sirama Diarra Brahima Dembele Thierno Nadio Ibrahima Maiga Modibo Diarra Siaka Konaté Birama Cheick tra.ré Boubacar Diassana Bathio tra.ré Amadou Maiga Boubacar Yoro Sidibé Adégné Togo General Surgery Department of.Bamako District IV Hospital Bamako Mali Anesthesia and resuscitation Service of.the Hospital of.the District of.the Commune IV of.Bamako Bamako Mali Anatomopathology Department of.the CHU of.Point G Bamako Mali Obstetric Gynecology Department of.the Bamako District IV Hospital Bamako Mali Department of.Ophthalmology of.the Hospital of.the District of.the Commune IV of.Bamako Bamako Mali Imaging Service of.the Bamako District IV Hospital Bamako Mali Internal Medicine Department of.the District Hospital of.Commune IV of.Bamako Bamako Mali General Surgery Department Kolondjeba Referral Health Centre Sikasso Mali Gynecology and Obstetrics Department of.the San ref.rence Health Center Segou Mali General Surgery Department of.Sikasso Hospital Sikasso Mali General Surgery Department of.the Gabriel Tour University Hospital Bamako Mali

retroperitoneal sof. tissue sarcomas in the retroperitoneal/intra-abdominal regions represent 10% - 15% of.all cases of.sof. tissue sarcoma. Liposarcomas, which are the most common histological type, account f.r 20% - 45% of.retroperitoneal/intra-abdominal sarcoma cases, and 20% of.liposarcomas cases are primary retroperitoneal liposarcomas. Surgical resection in case of.malignancy remains the treatment of.choice f.r liposarcomas, according to the guidelines of.most major international companies. Our goal was to improve the management of.retroperitoneal liposarcoma. This was a 65-year-old patient, with no medical or surgical history, who was ref.rred to us f.r abdominal swelling, in whom clinical and paraclinical examination f.und retroperitoneal liposarcoma stage IV, and the surgical treatment consisted in making a tumor reduction. Conclusion: retro-peritoneal liposarcoma is an undervalued malignant tumor, and the diagnosis is of.en late.

关键词： retroperitoneal Liposarcoma Diagnostic Delay

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Dyslipidemia in Adults with Type 2 Diabetes in a rural Community in Ganadougou, Mali: A Cross-Sectional Study

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Journal of.Diabetes Mellitus 2024年第2期14卷 133-152页

作者： Abdoulaye Diawara Djibril Mamadou Coulibaly Drissa Kone Mama A. tra.re Drissa Konaté dicko S. Bazi Oumar Kassogue Djeneba Sylla f.toumata Gniné f.f.na Oudou Diabaté Mariam tra.re Ibrahim Antoine Nieantao Kaly Keїta Mamadou Diarra Olivia Smith Jian Li Cheickna Cisse Talib Yusuf.Abbas Crystal Zheng Segun f.tumo Kassim tra.re Mamadou Wele Mahamadou Diakité Seydou O. Doumbia Jef.rey G. Shaf.er University of.Sciences Techniques and Technologies of Bamako Bamako Mali National f.deration of.Community Health Associations Bamako Mali Department of.Tropical Medicine Medical Microbiology & Pharmacology John A. Burns School of Medicine University of Hawaii Manoa Honolulu USA Department Biostatistics and Data Science School of Public Health and Tropical Medicine Tulane University New Orleans USA Department of.Biotechnology and Computer Science Burhani College Mazgaon Mumbai India School of.Medicine Tulane University New Orleans USA Medical research Council Uganda Virus Research Institute Entebbe Uganda London School of.Hygiene and Tropical Medicine London UK Departement of.Biochemistry and Genetics Duquesne University College of Medicine Pittsburgh USA

Dyslipidemia is a disorder where abnormally lipid concentrations circulate in the bloodstream. The disorder is common in type 2 diabetics (T2D) and is linked with T2D comorbidities, particularly cardiovascular disease. Dyslipidemia in T2D is typically characterized by elevated plasma triglyceride and low high-density lipoprotein cholesterol (HDL-C) levels. There is a signif.cant gap in the literature regarding dyslipidemia in rural parts of.Af.ica, where lipid prof.les may not be captured through routine surveillance. This study aimed to characterize the prevalence and demo-graphic prof.le of.dyslipidemia in T2D in the rural community of.Ganadougou, Mali. We perf.rmed a cross-sectional study of.104 subjects with T2D in Ganadougou between November 2021 and March 2022. Demographic and lipid prof.les were collected through cross-sectional surveys and serological analyses. The overall prevalence of.dyslipidemia in T2D patients was 87.5% (91/104), which did not dif.er by sex (P = .368). High low-density lipoprotein cholesterol (LDL-C) was the most common lipid abnormality (78.9%, [82/104]). Dyslipidemia was associated with age and hypertension status (P = .013 and.036, respectively). High total and high LDL-C parameters were signif.cantly associated with hypertension (P = .029 and .006, respectively). In low-resource settings such as rural Mali, there is a critical need to improve inf.astructure f.r routine dyslipidemia screening to guide its prevention and intervention approaches. The high rates of.dyslipidemia observed in Gandadougou, consistent with concomitant increases in cardiovascular diseases in Af.ica suggest that lipid prof.le assessments should be incorporated into routine medical care f.r T2D patients in Af.ican rural settings.

关键词： Cholesterol Cross-Sectional Study Dyslipidemia Lipids Mali Type 2 Diabetes

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