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

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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Invasive <i>Haemophilus influenzae</i>Type b (Hib) Infections in Children in the Pediatric Department of the University Hospital gabriel Touré(UH-GT)

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Open Journal of Pediatrics 2021年第1期11卷 100-107页

作者： B. Maiga A. A. Diakité K. sacko M. sylla M. Maiga M. E. Cissé A. Dembélé F. Traoré D. Konaté F. L. Diakité L. sidibé A. K. Doumbia O. Coulibaly P. Togo A. Touré K. Traoré L. Maiga A. Ibrahim H. Diall A. Doumbia H. Konare s. sagara M. Niakaté A. Cissouma Pediatric Departement University Hospital Gabriel Touré Bamako Mali

Introduction: According to Mali’s National Immunization Center, the Haemophilus influenzae b (Hib) vaccine coverage rate was 90% in 2015. Our work aimed to study invasive bacterial infections due to Haemophilus influ... 详细信息

strong>Introductionstrong>: According to Mali’s National Immunization Center, the Haemophilus influenzae b (Hib) vaccine coverage rate was 90% in 2015. Our work aimed to study invasive bacterial infections due to Haemophilus influenzae type b in children aged 0span> - 15 years hospitalized in the pediatrics department of the UH-GTspan>. Method: We carried out a retrospective descriptive study from January 2017 to December 2018 (i.e. 2 years) among children aged 0span> - 15 years and hospitalized for Haemophilus influenzae type b infection confirmed by culture (blood culture, Cerebro-spinal Fluid, and pleural and skin fluid).span> Results: span sty

关键词： Invasive Bacterial Infections Haemophilus influenzae b Children Pediatrics

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Etiology of Pediatric Jaundice: Observation in the Pediatric Ward of the gabriel Toure University Hospital

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Open Journal of Pediatrics 2020年第4期10卷 759-768页

作者： K. sacko A. A. Diakité F. Traoré B. Maiga P. Togo O. Coulibaly G. Guindo D. Konaté A. K. Doumbia H. Konaré s. sagara A. Dembélé A. Touré F. L. Diakité L. N. sidibé H. Diall M. Traoré Y. A. Coulibaly M. E. Cissé A. sangaré A. Ibrahim F. T. Dicko M. sylla B. Togo Pediatric Department of gabriel Toure University Hospital Bamako Mali Pediatric service of the Reference Health Center of Municipality 5 Bamako Mali Pediatric service of the Mali Hospital Bamako Mali

Objective: Pediatric jaundice is caused by various conditions. Although some data is available on this issue, data from Mali is insufficient. The present retrospective observational study was an attempt to determine the etiology of pediatric jaundice in the pediatric department of gabriel Touré teaching hospital in Bamako, Mali. Methods: We reviewed all pediatric patients with jaundice who were hospitalized and treated in this department span>during January 1 to December 31, 2016 (n = 168). Result: Pediatric jaundice patients accounted for 1.88% of the hospitalized patients, with median age of 6 years and male/female ratio being 1.6. Infectious, cholestatic, and hemolytic jaundice accounted for 75%, 11% and 10%, respectively. Malaria and sickle cell disease accounted for 67% and 9%, respectively. Hepatomegaly and splenomegaly were observed in 49 (29%) and 23 (13.7%) patients, respectively. Of 168, 9 patients died. Conclusion: Infectious jaundice, especially jaundice due to malaria, was the most frequent. However, variety of etiologies was observed, of which the practitioners should be awarespan style="font-family:Verdana;">. The observation presented here may become fundamental data in health-policy making in this area.

关键词： Jaundice Etiology Paediatrics Mali

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处理腹股沟神经痛中射频神经松解术:初步研究

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国际医学放射学杂志 2012年第2期 187-187页

作者： A.Kastler s.Aubry B.Barbier-Brion J.Jehl B.Kastler 陈柱 Department of Radiology Hpital Gabriel Montpied CHU Clermont-Ferrand58 Rue MontalembertF-63000 Clermont-FerrandFrance

目的评估CT引导下射频神经松解术作用于难治性腹股沟神经痛的可行性及疗效。材料与方法本研究获得了当地机构审查委员会的批准,并免除了书面知情同意书。选取2005年—2011年间12例慢性(大于6个月)难治性腹

关键词：腹股沟神经松解难治性松解术神经痛周围神经系统疾病神经

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CT引导下星状神经节阻滞术与射频神经松解术在治疗上肢难治性复杂区域疼痛综合征Ⅰ型的比较

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国际医学放射学杂志 2013年第4期 392-392页

作者： A. Kastler s. Aubry N. sailley D. Michalakis G. siliman G. Gory Hpital gabriel Montpied CHU Clermont -Ferrand58 Rue Montalembert 63000 Clermont-Ferrand France

目的描述和评价CT引导下射频神经松解术(RFN)与局部星状神经节阻滞术治疗上肢慢性难治性复杂区域疼痛综合征(CRPs)Ⅰ型的可行性和有效性。方法此次回顾性研究共收集2000—2001年间的67例病人。均患有慢性上肢Ⅰ型CRPs,且对常规疼痛治疗... 详细信息

目的描述和评价CT引导下射频神经松解术(RFN)与局部星状神经节阻滞术治疗上肢慢性难治性复杂区域疼痛综合征(CRPs)Ⅰ型的可行性和有效性。方法此次回顾性研究共收集2000—2001年间的67例病人。均患有慢性上肢Ⅰ型CRPs,且对常规疼痛治疗无效。33例病人接受星状神经节阻滞术,另外34例病人接受星状神经节射频神经松解术。2组均在CT引导下进行。疼痛缓解≥50%、持续至少2年认为该手术有效。结果该研究包括39例女性(58.2%)和28例男性(41.8%),平均年龄49.5岁。阻滞术组和RFN组的单变量分析显示,RFN组(67.6%,23/34)比阻滞术组(21.2%,7/33)的成功率明显更高(PsⅠ型的安全、成功的方法。它比星状神经节阻滞术更有效。要点①复杂区域疼痛综合征是令人痛苦的,可致残并且通常难以治疗。②67%的病人在射频神经松解术后疼痛缓解(持续2年)。③回顾性研究显示射频神经松解术具有更高的成功率。④CT引导是保证手术成功和安全的必要手段。

关键词： CT引导星状神经节神经松解术射频渗透

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subcutaneous Emphysema Associated with Pneumomediastinum and Complicated Pneumopericardium in a 14-Month-Old Infant

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Open Journal of Pediatrics 2021年第1期11卷 108-113页

作者： K. sacko B. Maiga G. Dembelé P. Togo Y. Coulibaly A. Dembélé F. Traoré H. Ba A. Touré K. Traoré N. L. sidibé F. L. Diakité A. sangaré O. Coulibaly H. Konaré I. Ahamadou Y. A. Coulibaly M. E. Cissé s. sagara D. Konaté A. K. Doumbia M. Kanta H. Diall L. Maiga R. Fané A. Cissouma N. L. Traoré M. Niakaté A. A. Diakité Faculty of Medicine and Odontosmatology University of Sciences Techniques and Technology of Bamako Bamako Mali Department of Pediatrics of the University Hospital gabriel Toure Bamako Mali sickle Cell Disease Control and Research Center Bamako Mali

Pneumomediastinum is sometimes observed in adult patients but its occurrence in pediatric patients (especially infants) is very rare. We here report a 14-month-old male infant who had subcutaneous emphysema, pneumomediastinum, and importantly, pneumopericardium. He had no particular past histories. He abruptly had cough, fever, and eruption on the abdomen. Computed tomography and echocardiography revealed pneumomediastinum and pneumopericardium. Antibiotics, rest, and supportive therapy ameliorated the condition. We must be aware that pneumomediastinum, and importantly pneumopericardium, can be present in a pediatric patient with subcutaneous emphysema.span>span> span>span>The infantspan>span>’span>span>s symptoms disappeared under strict monitoring of respiratory status, nasal oxygen therapy and antibiotic therapyspan>span>span>span>span style="font-family:"">.

关键词： subcutaneous Emphysema Pneumopericardium Infant Bamako University Hospital gabriel Touré

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Digestive Bleeding by Rupture of Esophageal Varicose Veins and Prognosis Value of Blood Transfusion in the Hepatogastroenterology Department of the gabriel Toure Hospital

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Open Journal of Gastroenterology（肠胃病学期刊） 2021年第5期

作者： K. Doumbia H. sow M. Y. Dicko s. D. sanogo M. s. Tounkara K. Péliaba M. Koumaré G. soumaré A. Konaté M. T. Diarra M. Y. Maiga

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