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Maternal Deaths in Patients Evacuated to the Fousseyni Daou Hospital in Kayes over a Decade

Open Journal of Obstetrics and Gynecology 2023年第8期13卷 1389-1398页

作者： Mahamadou Diassana Sitapha Dembele Ballan Macalou Alima Sibibe Falaye Keita Mamadou haidara Famakan Kane Cheickna Sylla Amadou Bocoum Sanogo Siaka Amara Soumaila Traoré Department of Gynecology and Obstetrics Fousseyni Daou Hospital Kayes Mali Kayes Reference Health Centre Kayes Mali Reference Health Center of Kalaban-Coro Bamako Mali Bla Reference Health Centre Ségou Mali Department of Gynecology and Obstetrics Gabriel Toure University Hospital Center in Bamako Bamako Mali Department of Gynaecology and Obstetrics Regional Hospital of Sikasso Sikasso Mali

Introduction: Evacuation refers to the rapid transfer of a patient in an emergency, from one health center to another more equipped and better specialized. The objective of this study was to study maternal mortality in patients evacuated to the gynecology and obstetrics department at the Fousseyni Daou Hospital in Kayes over a period of 10 years. Materials and Methods: This was a descriptive, cross-sectional, retrospective study over nine years from January 1, 2011 to December 31, 2019 and prospective over one year from January 1, 2020 to December 31, 2020 involving all patients or parturients evacuated for obstetrical causes and died in the gynecology-obstetrics department of the Fousseyni Daou Hospital. Confidentiality and anonymity were respected. The processing and analysis of the statistical data was carried out using SPSS 20.0 software. Results: during our study period we identified 38,854 obstetric admissions including 6758 evacuations or 17.4%, among the 6758 cases of obstetric evacuations 284 died, a frequency of 4.2%. The maternal death audit committee of the Fousseyni Daou hospital in Kayes audited 101/284 cases (files) or 35.5% of which 64 maternal deaths (63.4%) were considered inevitable. In our study the 20 - 29 age group was more represented with 38%. 85% of the deceased patients lived in rural areas. In our series, 63.7% of the deceased patients had not had antenatal consultations (NPC). Eclampsia accounted for 26.8% of admissions diagnoses and 30.9% of causes of death. Seventy-two (72%) of deaths occurred postpartum, 15% perpartum and 13% prepartum. Direct obstetric causes were predominant at 65.1%. Conclusion: Indicators of maternal deaths among evacuated patients remain poor in our work. Maternal deaths were driven by socio-economic and cultural factors, but also by factors related to the health system.

关键词： Maternal Mortality Evacuation Kayes Hospital

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Clinical Factors Influencing the Neurological Recovery of Patients Operated for a Cervical Myelopathy at the Teaching Hospital of Bouake

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Open Journal of Modern Neurosurgery 2023年第2期13卷 51-59页

作者： Derou Louis Dongo Soress Yao Konan Serge Teti Landry Keke Jean-Baptiste Fionko Yao Bernard Tokpa André Broalet Espérance haidara Aderehime Neurosurgery Department Bouaké Teaching Hospital Bouaké Ivory Coast Neurosurgery Department Yamoussoukro Saint Joseph Moscatti’s Hospital Yamoussoukro Ivory Coast

Introduction: Cervical myelopathy is the most common myelopathy among people over 50 of age. Cervicosteoarthritis is the main etiology. The purpose of this work was to identify clinical factors that may influence neurological recovery in patients undergoing surgery for cervical myelopathy in our work setting. Materials and Methods: We performed a retrospective analytical study on patients operated on for cervical myelopathy at the teaching hospital of Bouake. The logistic regression model was used to identify the factors influencing post-operative neurological recovery. Results: 50 patients’ records have been enrolled in this study. The mean age of our patients was 53 years with extremes ranging from 25 to 78 years and 39 of our patients (62%) were male. The mean modified pre-operative JOA score was 11.62 versus 12.94 after the surgery. Age, sex, the number of levels operated on and the duration of the evolution of the signs showed no significant link with neurological recovery. Preoperative mild myelopathy (P = 0.0491) and post-operative functional rehabilitation (P = 0.0459) were identified as factors favouring neurological recovery after cervical myelopathy surgery. Conclusion: The good conducts of functional rehabilitation sessions as well as a mild myelopathy were the factors favouring neurological recovery.

关键词： Spinal Spondylosis Medullary Compression Myelopathy

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Men’s Knowledge, Attitudes and Perceptions on Family Planning in Tourourou Village, Gogui Rural Commune, Nioro Circle, Kayes Region of Mali

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Open Journal of Obstetrics and Gynecology 2023年第3期13卷 662-680页

作者： Alou Samaké Sitapha Dembele Mamadou Keita Cheickna Sylla Dramane haidara Mamadou haidara Mamadou Diallo Moussa Konaté Mariam Maiga Mohamed Saydi Agmed Elméhdi Elansari Djibril Kassogué Seydou Zana Dao Hawa Samaké Abdoulaye Nouhoun Coulibaly Brehima Samaké Coulibaly Moussa Mariko Seydou Abdoulaye Cissé Séma Kéita Siaka Amara Sanogo Seydou Fané Reference Health Center of Commune VI of the District of Bamako Bamako Mali Department of Gynecology-Obstetrics of Fousseyni Daou Hospital in Kayes Kayes Mali Centre Hospitalo-Universitaire Gabriel Toure Bamako Mali Timbuktu Hospital Bamako Mali Reference Health Centre of Commune V of the District of Bamako Bamako Mali Kalaban Coro Reference Health Center Bamako Mali Nianankoro Fomba Hospital of Segou Segou Mali Reference Health Center of Commune II of the District of Bamako Bamako Mali National Institute of Training in Health Sciences Bamako Mali Regional Health Directorate of Kayes Kayes Mali Fana Reference Health Center Koulikoro Mali

Introduction: The involvement of men in reproductive health programmes and more specifically in family planning has always been of concern to the various development actors at both national and international levels. Objective: To study the births, ideas and opinions of men on Family Planning in the village of Tourourou. Material and Methods: This was a prospective cross-sectional, descriptive and analytic study from February 1 to July 31, 2020 in the village of TOUROUROU on the Knowledge, Attitudes and Perceptions of Men on Family Planning. We included in our study, all men residing in TOUROUROU whose age is between 14 and 99 years, who agreed to participate in the study. Results: Our study involved 200 men. The 25 - 29 age group was the most represented with 25.5%. The Soninke had represented 41%. In our study, 97.5% of men had heard of family planning, 62% had spontaneously cited at least one modern contraceptive method, and the pill ranked first with 64.5%. Radio and friends were the most frequent sources of information with 57.5% and 54.5% respectively. Birth spacing was the most cited family planning goal by men in 43.5% of cases. Men supported the practice of family planning in 50.5% of cases. Conclusion: In the village of Tourourou men play a crucial role in decision-making concerning the health of the couple and the family, their effective involvement in Reproductive Health especially in Family Planning will contribute enormously to the improvement of the health of the family.

关键词： Knowledge Attitudes Perceptions Men Planning Family

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Bart’s Syndrome: A Neonatal Observation about a Case Report

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Open Journal of Pediatrics 2021年第3期11卷 406-412页

作者： Assetou Cissouma Djibril Kassogue Mala Sylla Guedioma Dembélé Soumaila Alama Traoré Abdoulaye Kissima-Traoré Dadé Ben Sidi haidara Mamadou Bernard Coulibaly Madou Traore Mady Niakaté Sikasso Hospital Sikasso Region Mali Timbuktu Hospital Timbuktu Region Mali Bougouni Reference Health Centre Bougouni Mali Mali Hospital Bamako Mali Luxembourg Hospital Bamako Mali

Introduction: Bart’s syndrome is a rare neonatal pathology combining congenital skin aplasia affecting the extremities and congenital epidermolysis bullosa, exceptionally described on black skin. Observation: A 2-day-old male newborn was referred for multiple ulcerations of the limbs observed at birth. The clinical examination found an absence of bilateral and symmetrical skin occupying almost all of the two lower limbs with some flaccid bubbles. The vascular network was clearly visible. The rest of the skin coating was normal. The diagnosis of Bart syndrome in connection with epidermolysis bullosa was evoked clinically and despite pediatric and dermatological management, the evolution was rapidly fatal by severe sepsis. Discussion: Bart syndrome corresponds to a clinical picture of congenital skin aplasia associated with congenital epidermolysis bullosa suspected by areas of fragility and sometimes bubbles. All types of congenital epidermolysis bullosa may be associated with this syndrome. The clinical diagnosis is generally easy but the therapeutic management is difficult and the prognosis reserved. Conclusion: Bart syndrome is a curious congenital association of well-defined skin symptoms, the etiopathogeny of which still remains poorly elucidated, hence the difficulty of establishing an antenatal diagnostic strategy or giving appropriate genetic advice.

关键词： Skin Aplasia Congenital Newborn Skin Black

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Socio-Epidemiological Aspects and Prognosis of Unassisted Deliveries Arriving at Fousseyni Daou Hospital in Kayes

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Open Journal of Obstetrics and Gynecology 2023年第2期13卷 360-371页

作者： Sitapha Dembele Mahamadou Diassana Ballan Macalou Alima Sibibe Albachar Hamidou Daouda Fomba Mamadou haidara Famakan Kane Cheickna Sylla Amadou Bocoum Sanogo Siaka Amara Soumaila Traoré Department of Gynecology and Obstetrics of the Fousseyni DAOU Hospital Kayes Mali Kayes Reference Health Centre Kayes Mali Reference Health Center of Kalaban-Coro Bamako Mali Bla Reference Health Centre Ségou Mali Department of Gynecology and Obstetrics of the CHU GABRIEL TOURE Bamako Mali Department of Gynaecology and Obstetrics of the Regional Hospital of SIKASSO Bamako Mali

Introduction: The World Health Organization estimates that each year more than 20 million women suffer from the after-effects of unattended childbirth, of which 800 women die every day as a result of obstetric complications. Objective: Study the socio-epidemiological aspects and prognosis of unassisted deliveries arriving at the Fousseyni Daou De Kayes hospital. Materials and Methods: This was a descriptive, cross-sectional study with prospective collection, case-control that took place at the maternity ward of the Fousseyni Daou hospital in Kayes, from 1 January to 31 December 2021. Results: The frequency of unattended birth was 4.1%. The 30 - 35 age group was the most represented with 32.5%. In our study 58.1% of cases were out of school, 19.4% were primigestes and 39.4% were multiparous. In our series 60.6% of cases had given birth at home and 39.4% along the way. The majority of cases regretted having given birth without the assistance of qualified personnel in 45.6%. Maternal complications were dominated by perineal lesions in 14.4% of cases, haemorrhage of delivery in 25% of cases, severe anaemia in 30% of cases;16.7% of newborns were in poor condition, 13.6% were fresh stillbirths, 15.6% of newborns had obstetric trauma. The maternal death rate on arrival was 3%. Conclusion: The frequency of unassisted childbirth is high in the Kayes region. Its complications can be serious for both the mother and the newborn.

关键词： Childbirth Unassisted Prognosis Complications Kayes

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Contribution of Surgery in the Care of Intracranial Hematomas in Developing Countries: Case Series of 30 Patients in Abidjan

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Open Journal of Modern Neurosurgery 2018年第4期8卷 406-413页

作者： Abd El Kader Moumouni Romuald Kouitcheu Essohanam Kpelao Abdoulaye Ouattara Moussa Diallo Dabou Abiba Tamou Tabe Ibrahima Berete Daniel Memia Zolo Pascal Compaore Aderehime haidara Department of Neurosurgery CHU Yopougon Abidjan Ivory Coast Intensive Care Unit CHU Cocody Abidjan Ivory Coast Department of Neurosurgery CHU Sylvanus Olympio Lomé Togo Department of Radiology HIA Parakou Benin Department of Neurosurgery Faculty of Medicine University Gamal Abdel Nasser Guinea Conakry Department of Neurosurgery CHU Martinique Martinique

Intracranial hematomas, whatever its causes, represent an important disabling, and dreaded adult’s lesion. This brain’s condition has not well been studied in developing countries. The aim of our study is to overview the management of intracaranial hematomas in Abidjan. It is a retrospective analytical and descriptive study, involving patients who had been admitted and monitored by neurosurgeons for intracranial hematomas, documented in brain CT scan and had been operated on from 1 January 2007 to December 31, 2009 in Abidjan. These 30 patients were 23 men and 7 women. The average age was 58.6 years old. 90% of the patients were admitted with wakefulness issues. Half had a Glasgow score of less than 8. The brain scanner allowed identification of an intraparenchymal hematoma associated or not with a cerebral ventricle contamination in 28 patients. There were 18 external ventricle derivations with or without decompressive craniectomy and 12 independent decompressive craniectomy. The evolution was marked by 20 deaths. 10 patients (33.3%) survived. Among the survivors, the first attack and arterial hypertension were the only illness before the attack. None had blood in the membranes and all had Glasgow scores greater than or equal to 9 at admission. Around 7 out of 10 patients were operated on during the first 48 hours. The operative indications of intracranial hematomas are still the subject of controversy. By basing itself on criteria and rigorous clinical and neuroimaging selection, surgery could eventually contribute to the management of this pathology which has become very frequent in Africa.

关键词： Spontaneous Intracranial Hematomas Surgery Developing Countries

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Management of Urological Emergencies at the Nianankoro Fomba Hospital in Segou: A Case Report of 72 Patients

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Open Journal of Urology 2022年第5期12卷 242-247页

作者： Sory I. Kone Mohamed Traore Ibrahim Yattara Tièmoko Traore Karifala haidara Frank M. Omam Mamadou T. Coulibaly Honoré J. G. Berthe Mamadou L. Diakite Urology Department Nianankoro Fomba Hospital Ségou Mali Liberal Bamako Mali Department of Urology CHU Gabriel TOURE Bamako Mali Department of Urology CHU du point G Bamako Mali

PURPOSE: Our aim was to present the diagnostic and therapeutic aspects of urological emergencies in a regional hospital. MATERIAL AND METHODS: We conducted a prospective study over a period of 6 months (April 2021 to September 2021) collecting all the emergencies received by the on-call urology team at the Nianankoro Fomba Hospital in Segou. This team was led by a DES in urology under the supervision of a urological surgeon. We were interested in age, sex of patients, diagnosis, number of patients hospitalised and type of surgery performed in emergency. RESULTS: We registered 72 patients. The mean age of our patients was 58.8 years with extremes of 6 and 90 years. Acute bladder retention was represented in 61% and total haematuria in 24%. Renal colic was reported in 8%. Acute prostatitis was reported in 4% of cases, and acute pyelonephritis in 1%. Urogenital trauma accounted for 6%. CONCLUSION: Although underestimated, in our context, the management of urological emergencies remains a regular activity of the urology department in view of the number of patients managed. Bladder drainage remains the most frequent procedure.

关键词： Urological Emergency Nianankoro Fomba Hospital Diagnosis Treatment

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Radio-Anatomical Variations of Both Origin and Foraminal Entrance of Vertebral Arteries in Black African Human: Experience from Côte d’Ivoire

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Forensic Medicine and Anatomy Research 2024年第3期12卷 27-39页

作者： Ousmane Toumany Cherif haidara Thiam Sokhna Astou Gawane Kemesso Boubacar Sanogo Maïmouna Kanté Abdoulaye Magaye Gaye Ongoïba Nouhoum Zunon-Kipré Yvan Kakou Konan Médard Department of Neurosciences Faculty of Medicine and Odonto-Stomatology University of Sciences Techniques and Technologies Bamako Mali Laboratory of Morphological Anatomy and Organogenesis Faculty of Medicine Pharmacy and Odonto-Stomatology Cheikh Anta Diop University Dakar Senegal Laboratory of Morphological and Functional Anatomy Faculty of Medicine and Odonto-Stomatology University of Sciences Techniques and Technologies of Bamako Bamako Mali Imaging Department Fann University Hospital Center Dakar Senegal Department of Cardiovascular Surgery Fann University Hospital Center Dakar Senegal Laboratory of Morphological Anatomy and Biomechanics Faculty of Medical Sciences Flix HOUPHOUT Boigny University Abidjan Cte dIvoire

The vertebral arteries (VAs) are a system of two blood vessels through which blood is transported to the posterior cerebral fossa. VAs may emerge at different sides from the aortic ostium. The aim of our study was to establish a reference of radio-anatomical variations of the VAs in black African human from Côte d’Ivoire experience. Materials and Methods: Forty patients underwent Computed Angio-Tomography (CAT) of the supra-aortic vessels (SAoVs). Included in our study were patients who underwent CAT of the SAoV from January 2019 to December 2021, those excluded in our study as Caucasians and other leucoderma humans. This exclusion allowed for highlighting only black humans VAs variations. The variations of both origins and foraminal entrance of VA were assessed. We carried out a model of univariate regression for assessing the occurrence of VA variations related to demographic included mainly age, gender and clinical features. Results: The average age was 48 ± 12 years with 0.66 of sex ratio. The most frequent indication for carrying out CAT was brain ischemic stroke assessment (25%). The atypical origin of the VAs out of subclavian arteries (SCA) was 25%. Origin from the aortic arch (AoA) was 17.5%. Six (15%) were unilateral while one (2.5%) was bilateral variation from a common trunk as pattern. Bilateral sixth cervical foramina inlet was 85%. Female sex and ischemic stroke assessment had a statistically significant correlation. Conclusion: VAs variations studies in black African human are lacking in the literature. Our findings depicted a considerable amount of VAs variations opening the field for further observational studies in black African human.

关键词： Vertebral Artery Variations Morphology Vessels Supra-Aortic Back African

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Surgical Reports of the Inferior Laryngeal Nerve and the Inferior Thyroid Artery in General Surgery and in ENT

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Forensic Medicine and Anatomy Research 2019年第1期7卷 24-30页

作者： Youssouf Sidibé Abdoulaye Kanté Bréhima Bengaly Siaka Diallo Mariam Daou Drissa Ouattara Babou Ba Bréhima Coulibaly Birama Togola Drissa Traoré Abdoul Wahab haidara Boubacar Sanogo Nouhoum Ongoï ba ENT and Head and Neck Surgery Department CHU “Mother-Child” The Luxembourg Bamako Mali Service of Surgery B. CHU Point G Bamako Mali Laboratory of Anatomy of the Faculty of Medicine and Odontostomatology Bamako Mali Service of Neurology CHU Gabriel Touré Bamako Mali

Aim: The purpose of this study was to determine the frequency of the hurts of the inferior laryngeal nerve, according to its anatomical reports with the inferior thyroid artery during the thyroid surgery. Methodology: We realized a forward-looking and retrospective study from January, 1979 till December, 2017 in the service of surgery “B” to the University hospital of the Point G of Bamako and in the service of ENT and cervico-facial surgery of the Teaching Hospital “Mother-Child”, the Luxembourg of Bamako (Mali). All the patients operated in both services for mild goiters were retained. Cancers and other thyroid pathologies were not included. The diagnosis of mild goiter was paused by the histological examination realized on all the surgical specimens. Results: On 2109 dissections of the inferior laryngeal nerve realized during the surgical operations on the thyroid, the frequency of lesion of the inferior laryngeal nerve was 1.09% (20 cases) when it passed dorsally with regard to the inferior thyroid artery (1837 cases) and when 4.04%, it was transvascular or prevascular (272 cases). Conclusion: The prevascular route or transvascular of the inferior laryngeal nerve favors its lesion per operating.

关键词： Anatomy Inferior Laryngeal Nerve Recurring Nerve Thyroid Surgery Goiter

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The Epidemiology of Influenza in Children Hospitalized at the Hospital of Sikasso, Mali 2015-2019

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Open Journal of Pediatrics 2021年第3期11卷 460-467页

作者： Assetou Cissouma Madou Traoré Guédiouma Dembélé Seydou Diarra Adama Mamby Keita Abdoulaye Kissima-Traoré Djibril Kassogué Soumaila Alama Traoré Flagnouma Diallo Dade Ben Sidi haidara Samba Sow Pediatric Department Sikasso Hospital Sikasso Mali Department of Medicine and Infectious Disease Sikasso Hospital Sikasso Mali Pediatric Department Mali Hospital Bamako Mali Centre for Vaccine Development-Mali (CVD-Mali) Bamako Mali Cardiology Department Sikasso Hospital Sikasso Mali Pediatric Department Timbuktu Hospital Timbuktu Mali Gynecology and Obstetrics Department of Sikasso Hospital Sikasso Mali

Introduction: Influenza is an acute respiratory infectious disease, highly contagious due to influenza viruses. The objective of this work was to identify, understand the epidemiology of circulating strains and estimate disease transmission. Patients and Methods: The study was carried out in the pediatric department of the Sikasso Hospital. This was a prospective, longitudinal descriptive study over a five-year period (January 1, 2015 to December 31, 2019). She was interested in severe acute respiratory infections (SARI) for hospitalized patients in the pediatric department. Results: During the study period the prevalence of severe acute respiratory infections among hospitalized children was 21.85‰. The majority of cases were observed in 2019 with 58 cases, the sex ratio was 1.8. The age group from 0 to 1 was the most represented with 100 cases (48.30%) followed by 2 to 4 years 73 cases (35.24%) and 5 to 15 years 34 cases (16.46%). More than half of the patients lived in rural areas 129 (62.31%). Fever and cough were present in the majority of patients. No children had received influenza vaccination. In study 36 (17.39%) cases were positive for influenza A and B.

关键词： Sentinel Surveillance Seasonal Influenza Sikasso Hospital

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