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Epi.emi.-Cli.i.al, Therapeuti. and Evoluti.e Aspects of Pulmonary Emboli.m i. Young Subject i. the Cardi.logy Department i. Poi.t “G” Hospi.al Uni.ersi.y Center Bamako

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Open Journal of Epi.emi.logy 2020年第4期10卷 393-398页

作者： M. Sako S. Si.i.é M. Konaté B. Sonfo N. Di.llo M. Di.ki.é C. Thi.m A. Kei.a i. sangaré H. O. Ba Y. Camara L. Bouaré Y. R. Koumaré S. Couli.aly i. Mi.ta Cardi.logy Department Point “G” Hospital University Center Bamako Mali Cardi.logy Department Hospital MALI Bamako Mali Cardi.logy Department Hospital KATI Bamako Mali Cardi.logy Department Hospital LUXEMBOURG Bamako Mali Cardi.logy Department Gabriel TOURE Hospital University Center Bamako Mali

Objecti.e: The purpose of thi. work was to determi.e the epi.emi.logi.al, cli.i.al and evoluti.nary aspects of the pulmonary emboli.m of the young person i. the cardi.logy department of the Uni.ersi.y Hospi.al Center (CHU) Poi.t G i. Bamako-Mali. Methodology: Thi. was an analyti.al study from January 01, 2018 to December 31, 2018 i. the CHU Poi.t G cardi.logy department, i.cludi.g all pati.nts hospi.ali.ed duri.g thi. peri.d. Results: Of 1379 hospi.ali.ed pati.nts, 19 pati.nts were concerned by pulmonary emboli.m of the young person. The prevalence of pulmonary emboli.m of the young person was 1.37%. The most affected age group was 21 - 30 (47.4%) of pati.nts. The predomi.ance was female (89.47%) wi.h a gender rati. of 0.11 i. favour of women. The average age i. the seri.s was 29.79 years wi.h extremes of 16 years and 40 years. Factors predi.posi.g to pulmonary emboli.m were domi.ated by peri.partum, cardi.myopathy and obesi.y wi.h 47.3%, 31.57% and 21.1%, respecti.ely. The domi.ant si.ns were chest pai. and dyspnea i. 94.7% and 89.5% of cases respecti.ely. Pulmonary emboli.m was unli.ely i. 60.52% accordi.g to the Geneva and Wells score si.pli.i.d. At the thoraci. angi.scanner, the emboli.m was bi.ateral i. 52.6% of cases and di.tal i. 36.8% of pati.nts;i. 10 pati.nts who performed cardi.c ultrasound, pulmonary arteri.l hypertensi.n (70%), di.ati.n of the ri.ht ventri.le (20%) and left ventri.ular di.ati.n (40%). Hyper leucocytosi. (47.4%), anemi. and low prothrombi. rate (TP) (22.2%) were the most found bi.logi.al abnormali.i.s. More than 2/3 (68.5%) our pati.nts had an i.termedi.te mortali.y ri.k accordi.g to the PESi.(Pulmonary Emboli.m Severi.y i.dex) score. The average hospi.al stay was 10 days. Hospi.al mortali.y was 10.5%. Conclusi.n: The pulmonary emboli.m of the young person i. a frequent, seri.us and multi.actori.l pathology and the female sex i. most affected especi.lly duri.g peri.partu

关键词： Pulmonary Emboli.m Young Subject 15 - 40 Years Cardi.logy Poi.t G Hospi.al

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Contri.uti.n of Stress Testi.g to the Management of i.chemi. Heart Di.ease i. Mali

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World Journal of Cardi.vascular Di.eases 2024年第2期14卷 77-87页

作者： Youssouf Camara Hami.ou Oumar Ba i.rahi.a sangaré Boubacar Sonfo Coumba Adi.ratou Thi.m Mahamadou Sékou Di.ki.é Koni.a Di.rra Karamba Touré Massama Konaté i.haka Menta Cardi.logy Department University Hospital Professeur Bocar Sidi Sall Kati Kati Mali Cardi.logy Department University Hospital Gabriel Touré Bamako Mali Cardi.logy Department Mali Hospital Bamako Mali

i.troducti.n: Exerci.e stress testi.g (on a treadmi.l or ergometer bi.ycle) i. an i.portant test i. cardi.logy for di.gnosi.g myocardi.l i.chemi.. Thi. test i. Mali.i. sti.l i. i.s begi.ni.g compared to other countri.s i. the sub-regi.n. The lack of data i. Mali.prompted thi. study, whi.h ai.ed to evaluate the i.di.ati.ns of thi. acti.i.y and i.s di.gnosti. contri.uti.n to cardi.logy i. Mali. Materi.ls and Methods: Thi. was a retrospecti.e, descri.ti.e study. The study was conducted at the “TOUCAM” medi.al cli.i. i. Kati.based on the analysi. of stress test reports between January 2016 and August 2022. Result: Duri.g the study peri.d, we documented 73 pati.nts who underwent exerci.e testi.g on a bi.ycle ergometer for suspected coronary heart di.ease. The mean age of our pati.nts was 47.5 ± 13.8 years (14 and 79 years). Males accounted for the majori.y (78.1%). The sex rati. i. 3.5. More than half of our pati.nts were overwei.ht or obese (77.1%). Hypertensi.n and di.betes affected 52.1% and 25.8% of pati.nts, respecti.ely. 20.8% of pati.nts had coronary artery di.ease. reni.-angi.tensi.-aldosterone system blockers (56.8%) and beta-blockers (51.3%). The mai. i.di.ati.ns were chest pai. (63.0%) and i.chemi. detecti.n (15.1%). A modi.i.d STEEP protocol was used. The majori.y of our pati.nts (71.2%) achi.ved at least 85% of thei. maxi.um theoreti.al heart rate. The mai. reason for the termi.ati.n of the study was fati.ue (57.3%). The average durati.n was 11.3 ± 4.2 mi.utes. 24.7% thought the stress tests were posi.i.e and 17.8% thought they were controversi.l. Conclusi.n: Thi. study demonstrates the i.portance of stress testi.g i. the di.gnosi. and treatment of i.chemi. heart di.ease, especi.lly i. setti.gs where we have very li.i.ed access to coronary angi.graphy.

关键词： Stress Test i.chemi. Heart Di.ease Mali

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Epi.emi.logi.al, Cli.i.al, Therapeuti., and Evoluti.nary Aspects of Heart Fai.ure i. the Medi.al Department at Gao Regi.nal Hospi.al

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World Journal of Cardi.vascular Di.eases 2024年第5期14卷 309-321页

作者： Couli.aly Alhousseny Dollo i.rahi. Gui.do Hamadoun Si.i.é Lami.e Mari.o Souleymane Traoré Bassi.i.a Dao Kari. Gui.do i.rahi. Togo Mamadou Si.i.é Samba sangaré i.rahi.a Ba Hami.ou Oumar i.hi.ka Menta Departement of Medi.i.e Gao Hospital Gao Mali Departement of Medi.i.e Mopti Regional Hospital Mopti Mali Departement of Medi.i.e Tombouctou Hospital Tombouctou Mali Departement of Cardi.logy CHU Gabriel TOURE Bamako Mali

i.troducti.n: Heart fai.ure i. a major publi. health pandemi., parti.ularly i. Afri.a, where i.s prevalence conti.ues to i.crease. i. northern Mali. few data exi.t, hence the i.terest of thi. study wi.h the objecti.e of studyi.g the epi.emi.logi.al, cli.i.al and therapeuti. and evoluti.nary aspects of Heart fai.ure at the regi.nal hospi.al of Gao. Pati.nts and Methods: Thi. was a cross-secti.nal, descri.ti.e study that took place from July 2022 to June 2023 i. the medi.al department at Gao Hospi.al. Results: The hospi.al prevalence of heart fai.ure was 44.1%. The mean age was 47.30 ± 20 years (range: 16-88). Hypertensi.n was the most common wi.h 46.1%, followed by a sedentary li.estyle, and di.betes wi.h 18.2% and 8.3% respecti.ely;NYHA stage i.i.i. dyspnea was found i. 83.9%. Reduced EF heart fai.ure was present i. 110 pati.nts (76.9%), seventeen cases wi.h moderately reduced EF (11.9%) and si.teen pati.nts had preserved EF (11.2%). Global heart fai.ure was the domi.ant (91.6%). The mai. eti.logi.s of heart fai.ure were domi.ated by hypertensi.e heart di.ease i. 46 pati.nts (32.2%), followed by postpartum cardi.myopathy wi.h 43 cases (30.1%), pri.ary di.ated cardi.myopathy i. 18 pati.nts (12.6%), i.chemi. heart di.ease i. 16 pati.nts wi.h 11.2%. Seven cases of valvular heart di.ease, or 4.9%. The evoluti.n was favorable under treatment i. 104 pati.nts or 72.7%. i.-hospi.al mortali.y was 14.7%. Conclusi.n: Heart fai.ure i. a common condi.i.n i. sub-Saharan Afri.a, parti.ularly i. our country.

关键词： Heart Fai.ure Epi.emi.cli.i.al Progressi.e Gao Hospi.al

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Parti.l Ventri.ular Atri.ventri.ular Canal Aged about a Case

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World Journal of Cardi.vascular Di.eases 2019年第1期9卷 51-55页

作者： C. A. Thi.m S. Si.i.é Y. Camara S. Couli.aly A. K. Sacko H. O. Ba M. Di.ki.e S. Di.llo i. sangaré S. J. B. Tougouma M. Konaté S. Si.i.é A. Kei.a N. Si.i.é S. Mari.o M. Sako i. Menta B. Di.llo Cardi.logy Department Hospital Kati Bamako Mali Cardi.logy Department Point “G” Hospital University Center Bamako Mali Cardi.logy Department Gabriel TOURE Hospital University Center Bamako Mali Cardi.logy Department Mother Hospital Child “le luxembourg” Bamako Mali Hi.her i.sti.ute of Health Sci.nces Nazi Boni de Bobo Dioulasso University Bobo Dioulasso Burkina Faso Cardi.logy Department Hospital Mali Bamako Mali Cardi.logy Department Hospital Tombouctou Tombouctou Mali

i.troducti.n: The parti.l ventri.ular atri.ventri.ular canal i. a congeni.al heart malformati.n of the osti.m pri.um type of vari.ble surface that can reach the si.gle atri.m where the i.teratri.l septum i. no more than a cephali. muscular vesti.e attached to the roof of the atri.m. Hi. di.gnosi. at the age of 73 i. not a common si.uati.n. The i.terest of thi. cli.i.al case that we report li.s i. the peculi.ri.y of i.s mode of di.covery and i.s evoluti.n under medi.al treatment. Observati.n. He was a 73-year-old pati.nt wi.h no known cardi.vascular ri.k factor and has si.ce been at about 18 years of age wi.h heart fai.ure syndrome wi.h progressi.e dyspnea, cough and edema of the lower li.bs, but never explored for lack of fi.anci.l means, and the evoluti.n was enamelled by epi.odes of cardi.c decompensati.n, the last of whi.h dated back to 03/07/2018 justi.yi.g a hospi.ali.ati.n i. our servi.e. Cardi.c ultrasound shows a parti.l atri.ventri.ular canal. The care was medi.al. Conclusi.n: The atri.ventri.ular canal i. a congeni.al heart di.ease complex of poor prognosi..

关键词： Parti.l Ventri.ular Atri.ventri.ular Canal Heart Di.ease Mali

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Therapeuti. Compli.nce of Hypertensi.e Pati.nts Followed i. Ambulatory i. the Cardi.logy Department of Kati.Uni.ersi.y Hospi.al

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World Journal of Cardi.vascular Di.eases 2024年第5期14卷 333-342页

作者： Boubacar Sonfo Coumba Thi.m Mari.m Sako Massama Konaté Youssouf Camara Mamadou Touré Boubacar Di.rra Di.kari.ja Sacko Samba Si.i.é Bassan Di.rra Hami.ou Camara Asmaou Kei.a Koni.ba Di.rra Hami.ou Oumar Bâ i.rahi.a sangaré Youssouf Gui.do Sanoussi.Daffe Daouda Fofana Souleymane Couli.aly i.haka Menta Department of Cardi.logy University Hospital Bocar Sidy Sall Kati Mali Department of Cardi.logy University Hospital of Point G Bamako Mali Department of Cardi.logy Mali Hospital Bamako Mali Department of Cardi.logy University Hospital Mother-Child Luxembourg Bamako Mali Department of Cardi.logy University Hospital Gabriel Tour&#233 Bamako Mali Department of Cardi.logy Kayes Hospital Kayes Mali

i.troducti.n: Hi.h blood pressure i. a major publi. health problem worldwi.e due to i.s frequency and cardi.vascular compli.ati.ns. Adherence to treatment for chroni. di.eases i. a global problem. The ai. was to study therapeuti. adherence i. hypertensi.e pati.nts followed i. ambulatory. Materi.ls and Methods: Thi. was a cross-secti.nal, descri.ti.e study wi.h prospecti.e recrui.ment that took place from July 1 to December 31, 2022 (6 months) i. the cardi.logy department of the uni.ersi.y hospi.al of Kati. The vari.bles studi.d were soci.demographi. data, cardi.vascular ri.k factors, comorbi.i.i.s, the possessi.n of i.surance and compli.nce (the Gi.erd questi.nnai.e was used to assess adherence). Results: A total of 1182 pati.nts were consulted, i.cludi.g 887 for hypertensi.n, a frequency of 75%. Fi.ty-si. pati.nts were i.cluded i. the study. The average age was 58.18 ± 13.25 years wi.h extremes of 30 and 80 years. There was a female predomi.ance (75%) wi.h a sex rati. of 0.3. The majori.y of pati.nts li.ed i. urban areas (89.3%). Out-of-school pati.nts accounted for 44.6%, more than half of pati.nts or 55.4% had no i.come, pati.nts wi.h medi.al coverage accounted for 67.9% of cases. The mai. ri.k factors were physi.al i.acti.i.y (25%) followed by smoki.g 14.3%. More than 71% of pati.nts had a compli.nce problem and the mai. reasons were forgetti.g to take the drug wi.h 73.2%, followed by delayed treatment of 50% and drug di.conti.uati.n of 28.6%. Conclusi.n: Compli.nce i. a real challenge and a major publi. health i.sue. Thi. study allowed us to fi.d a real problem of compli.nce i. our hypertensi.e pati.nts. There was a stati.ti.ally si.ni.i.ant relati.nshi. between drug adherence and forgetti.g to take the drug and drug di.conti.uati.n.

关键词： Hypertensi.e Therapeuti. Adherence Uni.ersi.y Hospi.al of Kati

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Screeni.g, Treatment and Control of Hi.h Blood Pressure on Fi.e Si.es i. Mali

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World Journal of Cardi.vascular Di.eases 2024年第5期14卷 322-332页

作者： Mamadou Touré Sagara i.rahi.a Youssouf Camara Hami.ou Oumar Bâ i.rahi.a sangaré Djénébou Traoré Noumou Si.i.é Fousseyni.Samassékou Massama Konaté Coumba Thi.m Doumbi. Asmaou Mai.a Réné-Mari. Dakouo Hami.ou Camara Sako Mari.m Si.i.é Samba Adama Sogodogo Boubacar Di.rra Boubacar Sonfo Aladji.Traoré Mamadou Di.ki.é i.o Bella Di.ll i.haka Menta Departement of Cardi.logy University Hospital Gabriel Tour&#233 Bamako Mali Departement of Cardi.logy Cardiology University Hospital Sidy Bocar Sall Kati Mali i.ternal Medeci.e University Hospital Point G Bamako Mali Departement of Cardi.logy Cardiology University Hospital &#8220H&#244pital du Mali&#8221 Bamako Mali Departement of Cardi.logy Cardiology University Hospital Mother-Children Bamako Mali

i.troducti.n: Hi.h blood pressure i. defi.ed as blood pressure greater than or equal to 140 mm Hg for systoli. and or 90 mm Hg for di.stoli.. i. consti.utes a major publi. health problem, the leadi.g chroni. di.ease i. the world. The objecti.e was to determi.e the prevalence, treatment rate and control of hypertensi.n. Methods: Thi. was a cross-secti.nal and descri.ti.e study whi.h took place over a peri.d of 6 months i. a hospi.al envi.onment and i. the general populati.n. Results: Of the 1000 parti.i.ants, 637 had hypertensi.n, gi.i.g a prevalence of 63.70% wi.h a female predomi.ance. Thi.ty-three percent (33%) were unaware of thei. hi.h blood pressure. The age group 60 and more was the most represented (44%). A proporti.n of 33 and 23.20 were overwei.ht and obese parti.i.ants, respecti.ely. Male subjects were more overwei.ht than female, unli.e obesi.y whi.h was more common among female subjects. Si.ty-two percent (62%) of hypertensi.es were treated, of whom 44% were non-compli.nt. The excessi.ely hi.h cost and consumpti.n of medi.ati.ns as needed were the mai. factors i. therapeuti. non-compli.nce. Twenty-two percent (22%) of all hypertensi.e pati.nts and 35% of treated hypertensi.e pati.nts were controlled. Women were more treated but less observant and less controlled than men. Therapeuti. coverage and combi.ati.n therapy rates were lower i. rural areas. Hypertensi.es who had a hi.h level of educati.n were better treated and controlled than those who had no level. Conclusi.n: Hi.h blood pressure remai.s a real publi. health problem i. Mali. i. i. more common i. people aged 60 and over and i. females. One i. three hypertensi.es were unaware of thei. hypertensi.n. The majori.y recei.ed anti.ypertensi.e treatments, but only a mi.ori.y of them had thei. hypertensi.n controlled.

关键词： Hi.h Blood Pressure Screeni.g Control Rate Mali

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Evaluati.n of Anti.i.ti. Prescri.i.g i. the Pedi.tri. Department of Gabri.l TouréTeachi.g Hospi.al, Bamako, Mali

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Open Journal of Pedi.tri.s 2024年第3期14卷 645-656页

作者： Pi.rre Togo Hawa Konaré Mari.m Maïga Karamoko Sacko Djénéba Konaté Abdoul Kari. Doumbi. Adama Dembélé Oumar Couli.aly Ami.ata sangaré Mohamed Elmouloud Ci.sé Fousseyni.Traoré Belco Maïga i.rahi. Ahamadou Ami.ata Doumbi. Lala N’Drany Si.i.é Amadou Touré Yacouba Aba Couli.aly Kali.ou Traoré Tati.Si.aga Souleymane Sagara Leyla Bagna Maïga Bory Traoré Abdoul Azi. Di.ki.é Fatoumata Di.ko Mari.m Sylla Sounkalo Dao Boubacar Togo Paedi.tri. Department Gabriel Tour&#233 Teaching Hospital Bamako Mali Pedi.tri. Department Distric VI Reference Health Center Bamako Mali i.fecti.us Di.eases Department Point G Teaching Hospital Bamako Mali

Objecti.es: The mai. objecti.e was to evaluate anti.i.ti. prescri.i.g i. the Department of Pedi.tri.s at Gabri.l Touré teachi.g hospi.al. Methods: Thi. was a prospecti.e descri.ti.e study conducted from September 1 to November 31, 2018, i. the Department of Pedi.tri.s at Gabri.l Touré teachi.g hospi.al. All chi.dren aged 0 to 15 years hospi.ali.ed for any pathology duri.g the study peri.d and havi.g recei.ed at least one anti.i.ti. had been i.cluded. Results: We collected 445 chi.dren’s records out of 1032 admi.si.ns duri.g the study peri.d, representi.g a hospi.al frequency of 43.1%. The sex rati. was 1.3%. The 2 - 5 age group accounted for 48.1%. Fever was the reason for consultati.n i. 45.6% of cases. Pati.nts’ general condi.i.n was altered i. 60% of cases. The fathers were blue-collar workers i. 65.4% and the mothers housewi.es i. 85%, and had no educati.n i. 42.9% and 64.5% respecti.ely. Hepatomegaly was present i. 18.2%, splenomegaly i. 9.6% and peri.heral adenopathy i. 3.1%. The si.e of i.fecti.n was pulmonary i. 37.6% and ENT i. 9.2%. Bacteri.l i.fecti.n was assumed on admi.si.n i. 54% of cases, and meni.gi.i. i. 57.7%. The di.charge di.gnosi. was malari. i. 54.6%, severe acute malnutri.i.n i. 18.6% and meni.gi.i. i. 6.7%. The death rate was 3.8%. Neutrophi.i. leukocytosi. was present i. 47.3% of pati.nts. CRP was posi.i.e i. 85% of pati.nts. Blood cultures taken i. 27.6% of pati.nts were posi.i.e i. 5. CSF analysi. i. 30% of pati.nts showed elevated leukocytes i. 6.5%. No cultures were posi.i.e. Anti.i.ti. prescri.ti.n was justi.i.d by i.fecti.us hypotheses i. 43.1% of pati.nts. β-lactam anti.i.ti.s were prescri.ed i. 98.6%. Anti.i.ti. therapy was not adapted to nati.nal/i.ternati.nal recommendati.ns i. 68.3% of cases, and was not justi.i.d i. 16.3% of cases on D5 of hospi.ali.ati.n. Conclusi.n: Anti.i.ti. use was justi.i.d i. more than half of pati.nts, but remai.ed i.adequate i. almost two-thi.ds of cases, i. li.e wi.h nati.nal and i.ternati.nal recommend

关键词： Anti.i.ti. Prescri.ti.n Hospi.ali.ati.n Chi.d

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Eti.logi.al and Radi.logi.al Profi.e of Acute Lower Respi.atory i.fecti.ns duri.g the Pre-COVi. Peri.d i. the Paedi.tri. Ward of the Teachi.g Hospi.al of Mali.and i. the Communi.y Health Centre of Yi.i.adi. i. Bamako

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Open Journal of Pedi.tri.s 2023年第2期13卷 262-275页

作者： Bourama Kané Mari.m Mai.a Oumou Koné Korotoumou Wélé Di.llo Aboubacar sangaré Mody Abdoulaye Camara Mari.m Doumbi. Abdoul Kari. sangaré Bréhi.a Traoré Lassi.e G. Ti.bi.é i.rahi.a Ci.sé Ahmadou i. Dramé Bréhi.a Kouri.a Department of Paedi.tri.s CHU Hôpital du Mali Bamako Mali Paedi.tri. Department of the Centre de Santé de Référence de la Commune Vi Bamako Mali Nati.nal i.sti.ute of Publi. Health Bamako Mali Medi.al i.agi.g department of the CHU Hôpi.al du Mali Bamako Mali Charles Méri.ux i.fecti.us Di.eases Centre Bamako Mali Centre de Santé Communautai.e de Yi.i.adi. Bamako Mali Department of Anaesthesi. and i.tensi.e Care CHU Hôpital du Mali Bamako Mali

i.troducti.n: Every year, nearly 4 mi.li.n people pass away from acute respi.atory i.fecti.ns. 98% of such deaths are due to lower respi.atory tract i.fecti.ns. Even though studi.s have been carri.d on lower respi.atory i.fecti.ns x-ray aspects i. Mali. very few studi.s have been done to reveal bacteri.logi.al and vi.ologi.al evi.ence of thi. di.ease. Materi.ls and methods: i. i. about a descri.ti.e prospecti.e study carri.d out from January to December 2018 havi.g i.volved pati.nts of all ages, comi.g for medi.al consultati.n at the Yi.i.adi. Communi.y-based health center as well as chi.dren from 6 months to 15 years old comi.g at the pedi.tri. department of UHC Hôpi.al du Mali.for a lower respi.atory i.fecti.n. They had all undergone chest X-ray and a PCR. The purpose: of thi. work i. to study eti.logi.al and x-ray aspects of acute lower respi.atory i.fecti.ns at the Yi.i.adi. Communi.y-based Health Center and at the UHC pedi.tri. department of Hôpi.al du Mali. Fi.di.gs: From January to December 2018, we recorded a frequency of 1.19%. The age group 0 - 5 years was the most represented (64.5%) wi.h a sex rati. of 0.97 for women. Cough was the most common cli.i.al si.n (98.7%) followed by fever (58.9%). Standard frontal chest X-ray was pathologi.al i. 70% of our pati.nts. i. was bronchi.i. i. 75.4% of cases, pneumoni. (13.5%), and bronchopneumoni. (12.3%). PCR posi.i.e was i. 83.9% of pati.nts. i. revealed a co-i.fecti.n i. more than half of the pati.nts (52.5%), bacteri.l i.fecti.n (16.1%) and vi.al i.fecti.n (15.2%). Pathogens i.olated ranked by frequency were Streptococcus pneumoni.a (87.6%) followed by Staphylococcus aureus (24.9%) and human rhi.ovi.us (17%). The most common vi.al causes were human rhi.ovi.us (17%), followed by i.fluenza A and B vi.us (7%) and human parai.fluenza vi.us (7%). Conclusi.n: i. stemed from the study that lower respi.atory i.fecti.ns were mai.ly due to Streptococcus pneumonea and human rhi.ovi.us duri.g pre-COVi. at the Yi.i.adi. Comm

关键词： Lower Respi.atory i.fecti.ns Eti.logi.s Chi.dren Mali

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A Rebalanci.g Framework for Classi.i.ati.n of i.balanced Medi.al Appoi.tment No-show Data

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Journal of Data and i.formati.n Sci.nce 2021年第1期6卷 178-192页

作者： Ulagapri.a Kri.hnan Pushpa sangar Department of Computer Sci.nce and Engi.eeri.g St.Peter’s Institute of Higher Education and ResearchChennaiIndia

Purpose: Thi. paper ai.s to i.prove the classi.i.ati.n performance when the data i. i.balanced by applyi.g di.ferent sampli.g techni.ues avai.able i. Machi.e ***/methodology/approach: The medi.al appoi.tment no-show dataset i. i.balanced, and when classi.i.ati.n algori.hms are appli.d di.ectly to the dataset, i. i. bi.sed towards the majori.y class, i.nori.g the mi.ori.y class. To avoi. thi. i.sue, multi.le sampli.g techni.ues such as Random Over Sampli.g(ROS), Random Under Sampli.g(RUS), Syntheti. Mi.ori.y Oversampli.g TEchni.ue(SMOTE), ADApti.e SYNtheti. Sampli.g(ADASYN), Edi.ed Nearest Nei.hbor(ENN), and Condensed Nearest Nei.hbor(CNN) are appli.d i. order to make the dataset balanced. The performance i. assessed by the Deci.i.n Tree classi.i.r wi.h the li.ted sampli.g techni.ues and the best performance i. ***: Thi. study focuses on the compari.on of the performance metri.s of vari.us sampli.g methods wi.ely used. i. i. revealed that, compared to other techni.ues, the Recall i. hi.h when ENN i. appli.d CNN and ADASYN have performed equally well on the i.balanced *** li.i.ati.ns: The testi.g was carri.d out wi.h li.i.ed dataset and needs to be tested wi.h a larger *** i.pli.ati.ns: Thi. framework wi.l be useful whenever the data i. i.balanced i. real world scenari.s, whi.h ulti.ately i.proves the ***/value: Thi. paper uses the rebalanci.g framework on medi.al appoi.tment no-show dataset to predi.t the no-shows and removes the bi.s towards mi.ori.y class.

关键词： i.balanced data Sampli.g methods Machi.e learni.g Classi.i.ati.n

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Congeni.al Lobar Emphysema i. an i.fant: A Case Report from the Uni.ersi.y Hospi.al of Mali

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Open Journal of Pedi.tri.s 2022年第2期12卷 453-459页

作者： Bourama Kané Korotoumou Wéllé Di.llo Aboubacar sangaré Garan Dabo Mamadou Traoré Mohamed Maba Traoré Mari.m Mai.a Department of Pedi.tri.s Mali Hospital Bamako Mali Department of Medi.i.e Mali Hospital Bamako Mali Reference Health Center of Commune V Bamako Mali Medi.al i.agi.g Department Mali Hospital Bamako Mali Reference Health Center of Commune Vi Bamako Mali

Congeni.al lobar emphysema i. characteri.ed by di.tress due to hyperi.flati.n of the affected lung lobe(s). We report the case of a 2-month-old i.fant wi.h congeni.al left lower lobe emphysema. A 2-month-old female i.fant, born at term wi.hout i.ci.ent, was hospi.ali.ed for respi.atory di.tress. On a postnatal day 15, respi.atory di.tress occurred. On admi.si.n, he wei.hed 3400 g and was apyreti.. He had a polypnea of 58 cycles/mi. and a oxygen saturati.n of hemoglobi. of 90% on room ai.. A chest radi.graph revealed hyperclari.y of the left lung. Chest CT revealed left lower lobe emphysema. He underwent a left lower lobectomy. The postoperati.e course was uneventful. He was di.charged from the hospi.al 7 days after surgery wi.hout sequelae. Physi.i.ns should be aware that congeni.al lobar emphysema can present wi.h respi.atory di.tress i. i.fants. A chest CT scan confi.ms the di.gnosi.. Surgi.al treatment i. effecti.e.

关键词： Congeni.al Lobar Emphysema i.fant Pedi.tri.s Mali.Hospi.al

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