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Open Journal of Clinical Diagnostics 2024年第1期14卷 1-6页

作者： Ibrahima Amadou Dembele Abrar-Ahmad Zulfiqar Romuald Nounga Nyanke Sékou Landoure Stéphane Loique Djeugoue Adama Sinayoko Nouhoum Kone Paul Antoni Amadou Nouroudine Rosunee Ahsveen Yacouba Koné Aoua Diarra Tania Mekuiko Ngeupi Mamadou Cissoko Mamadou Mallé Keïta kaly Djibril Sy Djénébou Traoré Didier Mukéba Tshialala Assétou Soukho Kaya Emmanuel Andres Internal Medicine Department Medical Clinic B University Hospital Center of Strasbourg Strasbourg France Internal Medicine Department University Hospital Center Point G Bamako Mali Faculty of Medicine and Odontostomatology University of Sciences Techniques and Technologies of Bamako Bamako Mali Faculty of Medicine Pharmacy and Public Health University of Mbuji-Mayi Democratic Republic of Congo

Introduction: The severity of Sars-Cov-2 infection is associated with the development of acute respiratory distress syndrome (ARDS). The progression to ARDS appears to be driven by a major inflammatory mechanism potentially sensitive to corticosteroids. Observation: This article describes the case of an elderly patient was admitted to emergency departments for intense asthenia, accompanied by motor diarrhoea, dyspnoea with desaturation in ambient air, in a context of strong suspicion of infection linked to COVID-19. The article also reviews the existing literature on the diagnosis and treatment of this severe form of the disease. Conclusion: Corticosteroids, and in particular dexamethasone, have been shown to be effective in the management of patients with COVID-19, an oxygen-releasing disease.

关键词： COVID-19 Diabetes Mellitus Elderly person Corticosteroids Internal Medicine

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. Traore Drissa Konaté Dicko S. Bazi Oumar Kassogue Djeneba Sylla Fatoumata Gniné Fofana Oudou Diabaté Mariam Traore Ibrahim Antoine Nieantao kaly Keїta Mamadou Diarra Olivia Smith Jian Li Cheickna Cisse Talib Yusuf Abbas Crystal Zheng Segun Fatumo Kassim Traore Mamadou Wele Mahamadou Diakité Seydou O. Doumbia Jeffrey G. Shaffer University of Sciences Techniques and Technologies of Bamako Bamako Mali National Federation 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 significant gap in the literature regarding dyslipidemia in rural parts of Africa, where lipid profiles may not be captured through routine surveillance. This study aimed to characterize the prevalence and demo-graphic profile of dyslipidemia in T2D in the rural community of Ganadougou, Mali. We performed a cross-sectional study of 104 subjects with T2D in Ganadougou between November 2021 and March 2022. Demographic and lipid profiles 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 differ 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 significantly associated with hypertension (P = .029 and .006, respectively). In low-resource settings such as rural Mali, there is a critical need to improve infrastructure for 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 Africa suggest that lipid profile assessments should be incorporated into routine medical care for T2D patients in African rural settings.

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

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壁纸艺术

建筑技术及设计 2001年第5期 116-120页

作者： kaly

Management of the Water Slide Brought and Saline Flow in Irrigated Onion (<i>Allium cepa</i>L.) Cultivation in the Senegal River Delta

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Agricultural Sciences 2021年第11期12卷 1255-1268页

作者： Eric kaly Oumar Sarr Raymond Malou Sékouna Diatta Daouda Ngom Aliou Guisse Laboratory of Plant Ecology and Eco-Hydrology Department of Plant Biology Cheikh Anta Diop University Fann Dakar Senegal Hydrogeology Laboratory Department of Geology Cheikh Anta Diop University Fann Dakar Senegal

The find for the optimal slide of water to bring to the plot during the irrigated onion crop was important in order to limit the recharge of the water table close to the soil surface. The quantities of water supplied during onion irrigation were estimated from measurements made with a metal crest to the plot positioned at the tertiary canal. The flow rates at the tertiary canal directly irrigating the plot were recorded during irrigation. From this flow rate, the quantity of water supplied to each plot was determined. From then, the performance of the irrigated system in onion cultivation should pass on the management of this water slide at the level of the hydroagricultural facilities. The integrated soil water mass, salinity and water table dynamics monitoring system was used to assess the water requirements of onion following the irrigation. The daily water requirement of onion in the holland soil of the delta was estimated to average 0.45 g/m3. These requirements were varied according to the development stage of the crop. The water level between the ridges was between 6 and 9 mm during irrigation. This was not permanent, it infiltrated between 12 and 18 hours. This type to the stingray irrigation did not favour the arrival of the water table on the surface. The only fluctuations in the water table were observed during the bulb maturation phase. During this phase, the soil water masses were important. The electrical conductivity recorded varied during the campaign. At the beginning of irrigation, it was 3.62 mS/cm on a 30 cm profile, it decreased towards the end of the irrigations to reach 2.06 mS/cm. The quantities of salt recorded on a 30 cm profile varied from one month to the next;they were 0.468 t/ha at the beginning of irrigation (January) and 0.275 t/ha at the end of the campaign (April). From these results we can say that land degradation in the Senegal river delta would be linked to the arrival of salty groundwater on the surface.

关键词： Slide of Water Water Mass Stingray Irrigation Billon Salinity Onion

Characterization and Risk Assessment of the Collapse of the Woody Stand of Ecosystems of the Fathala Forest (Saloum Delta Biosphere Reserve-Senegal)

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American Journal of Plant Sciences 2021年第7期12卷 975-993页

作者： Eric kaly Oumar Sarr Sékouna Diatta Abdoul Aziz Diouf Djibril Diouck Daouda Ngom Laboratory of Plant Ecology and Eco-hydrology Department of Plant Biology Cheikh Anta Diop University Dakar Senegal Ecological Monitoring Center for The Management of Natural Resources (CSE) Fann Residence Dakar Senegal National Parks Directorate Ministry of Environment and Sustainable Development Dakar Senegal

The objective of this study is to characterize and assess the risk of collapse of woody plant formations in the Fathala forest. In recent years, this forest has suffered a sharp reduction in its plant cover to the point of compromising the survival of populations of certain animal species such as the Red colobuses. The methods used are respectively constituted by the transect method, the dendrometric statements method and that of establishing the red list of ecosystems of the IUCN. The specific richness comprises 56 species divided into 47 genera and 22 families. The density is higher in the unfenced area (369 ind/ha in clear forest and 53 ind/ha in gallery forest) compared to the fenced area (160 ind/ha in clear forest versus 48 ind/ha in gallery forest). A study of the plant formations shows a strong degradation of the ecosystems passing from a clear and dry Sudanese forest to a wooded savannah. The cover rate in the fenced area is 20% in gallery forests and 25% in clear forests;in the unfenced area, it is 19% and 23% in gallery forests and clear forests, respectively. The application of the IUCN criteria shows an annual rate of collapse is -6 ind/ha in gallery forests and -4 ind/ha in clear forests. The annual rate of cover collapse would be -3.75% and -2.9% for gallery forests and clear forests, respectively. These results classify the forest in the Critically Endangered category. The main factors responsible for this degradation are, among others, anthropogenic actions and climatic pejoration. These results could constitute a basic tool for undertaking an improvement in the management of this forest, which is a living environment for an animal species.

关键词： Plant Formation Woody Stand Assessment Collapse of Density and Cover

Seroprevalence of Hepatitis B Virus (HBV) among Voluntary Healthy Blood Donors at Tellewonyan Memorial Hospital Voinjama, Lofa County, Liberia

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Journal of Biosciences and Medicines 2021年第8期9卷 113-119页

作者： Ezekiel Kanue Fardolo Emmanuel Timothy Cooper Caroline Nyawira Wahome Jean K. kaly Junior S. Puiyoe Department of Medical Laboratory Science School of Medicine Kenyatta University Nairobi Kenya Department of Medical Laboratory Science Mother Patern College of Health Sciences Stella Maris Polytechnic University Monrovia Liberia USAID Infectious Diseases Research Monrovia Liberia Department of Biochemistry Microbiology and Biotechnology Kenyatta University Nairobi Kenya Medical Department Telewonyan Memorial Hospital Lofa Liberia

Background: The prevalence of transfusion associated hepatitis B virus (HBV) infection differs across different population geographically. Ascertaining the seroprevalence of HBV infection is vital to informing the way of precautionary and control strategies. This study sought to establish the seroprevalence of hepatitis B surface antigen (HBVsAg) among blood donors in Yelewonyan Memorial Hospital Lofa, Liberia. Methods: This was a retrospective study which involved reviewing of blood donation records for the year 2020 at Telewonyan Memorial Hospital in Lofa County. The data obtained from the records were analyzed. Data analysis was done using SPSS version 12 for windows. Results: A total of 584 voluntary blood donors were screened for donation in 2020. Out of 584, 554 (95.9%) were males while the rest were females. Prevalence of 3.3% was observed among blood donors in Telewonyan Memorial Hospital. There is a significant difference between gender and age with HBV seropositivity among blood donors. Conclusion: The findings of this study suggest that the study site is of low endemicity with HBV infection. Usually, males are more probably to be HBVsAg seropositive than their female’s counterpart. Planning more extensive study and educational programs would help minimize the spread of HBV infection among the general population.

关键词： Liberia Blood Donors Seropositivity HBV Infection Blood Transfusion Lofa

恢复红树林:热带发展中国家沿海管理的一种潜在手段

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人类环境杂志 1998年第8期27卷 654-659页

作者： Ursula L.kaly Geoffrey P.Jones 王燕澳大利亚昆士兰詹姆斯库克大学海洋生物系昆士兰詹姆斯库克大学大学海洋生物系

红树林生态系统是热带地区沿海的主要生境,它直接或间接地为人们提供了生活物资和商业鱼产品。然而,发展中国家红树林生态系统正在受到威胁,那里的红树林正为了满足人类各种活动而被砍伐。据估计,现在亚太地区每年损失1%的红树林面积,... 详细信息

红树林生态系统是热带地区沿海的主要生境,它直接或间接地为人们提供了生活物资和商业鱼产品。然而,发展中国家红树林生态系统正在受到威胁,那里的红树林正为了满足人类各种活动而被砍伐。据估计,现在亚太地区每年损失1%的红树林面积,有些地区已经失去了70%的原始红树林生境。由于不断的干扰、土地条件的改变和有限的扩种,自然恢复过程很缓慢。本文讨论了把恢复红树林作为管理沿海生态系统的一个潜在手段问题。我们简要地分析了红树林和渔业的关系,概述了评价恢复红树林行动的生态系统方法。过去发展中国家有关恢复红树林的项目只是着重再植树的各种方法,几乎不注重评价生态系统功能是否恢复。然而,恢复红树林项目的目的应该是积极地促进其自然群体的结构和自我维持的功能恢复(在自然变动范围内)。这个目标需要:①明确自然状态,包括维持自然基础的关键生物、维持鱼种的群落结构和食物网;②发展恢复关键生物的生物技术;③对项目能否长期保持成功进行评价。由于恢复被看作是维持发展中国家沿海生态系统健康的重要手段,所以应该优先考虑如何把恢复项目和对它的评价与沿海管理计划结合起来。

关键词：红树林热带沿海管理发展中国家潜在手段

Etiological and Evolutionary Profile of Anemia in Patients Hospitalized in the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes

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Open Journal of Internal Medicine 2023年第1期13卷 51-61页

作者： Sangaré Drissa Cissé Sékou Mamadou Guindo Youssouf Abdoulaye Diawara Diakité Niagalé Boly Berthé Bréhima keit. kaly Issa Diallo Traore Djenebou Soucko Kaya Assetou Internal Medicine Unit Kayes Hospital Kayes Mali National Center for Scientific and Technological Research (CNRST) Bamako Mali Cardiology Unit Kayes Hospital Kayes Mali Imaging Unit Kayes Hospital Kayes Mali Nephrology Unit Kayes Hospital Kayes Mali Army Health Service Bamako Mali Point G Hospital Internal Medicine Department Bamako Mali Faculty of Medicine of Bamako Bamako Mali

Introduction: Anemia is one of the most common public health problems in the world and affects all ages. Objective: To describe the etiological and evolutionary profile of anemia in patients hospitalized in the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes. Methodology: It was a descriptive and cross-sectional study with retrospective data collection which took place from January 1 to December 31, 2020 at the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes. It covered all anemic patients hospitalized during the study period. Results: We identified 91 cases of anemia out of 200 patients admitted to the Unit that is a hospital prevalence of 45.5%. The age group of 26 to 35 years was the most represented, that is to say 29 cases (31.87%) with an average age of 43.55 years ± 17.48 years, the female sex predominated, 51 cases (56.04%) with a sex ratio of 0.78. Housewives represented 41 cases (45.05%). The majority of patients resided in rural areas 48 cases (52.75%). The main manifestations were: asthenia 75 cases (78.02%), vertigo 68 cases (74.72%), dyspnea 62 cases (68.13%), headaches 59 cases (64.83%), palpitations 55 cases (60.44%), conjunctival pallor 53 cases (58.24%), tachycardia 43 cases (47.25%), systolic murmur 18 cases (19.78%) and IMO 11 cases (12.09%). The associated pathologies were: infected diabetic wounds 25.27%, followed by bacterial pleuro-pneumopathy 18.68%. Biologically, microcytic anemia was the most frequent 49 cases (53.84%), followed by normocytic anemia 35 cases (38.46%) and macrocytic anemia 7 cases (7.7%). Anemia was hypochromic, 53 cases (58.24%) were more encountered compared to normochromic anemia 38 cases (41.76%). The anemia was: severe in 43 cases (47.25%), moderate 29 cases (31.87%) and mild 19 cases (20.88%). Inflammatory anemia is the most common etiological diagnosis in 60% of cases, followed by vitamin B12 deficiency anemia observed in 21% of patients and then blood diseases in 7.33% of cases. The mai

关键词： Anemia Etiology Evolution Internal Medicine Fousseyni Daou Hospital Kayes Mali

Epidemiological, Clinical, Bacteriological Profile of Urinary Tract Infection in the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes

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Open Journal of Internal Medicine 2023年第1期13卷 62-75页

作者： Sangaré Drissa Cissé Sékou Mamadou Guindo Youssouf Abdoulaye Diawara Diakité Niagalé Boly Berthé Bréhima keit. kaly Issa Diallo Traore Djenebou Kaya Assetou Soucko Internal Medicine Unit Kayes Hospital Kayes Mali National Center for Scientific and Technological Research (CNRST) Bamako Mali Cardiology Unit Kayes Hospital Kayes Mali Imaging Unit Kayes Hospital Kayes Mali Nephrology Unit Kayes Hospital Kayes Mali Army Health Service Bamako Mali Point G Hospital Internal Medicine Department Bamako Mali Faculty of Medicine of Bamako Bamako Mali

Introduction: Urinary tract infection is one of the most frequent public health problems in the world and concerns all ages. Objective: To describe the epidemiological, clinical and biological profile of urinary tract infection in the internal medicine unit of the Fousseyni Daou hospital in Kayes. Methodology: It was a descriptive and cross-sectional study with retrospective data collection which took place from January 1 to December 31, 2020 at the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes. It covered all outpatients and hospitalized patients presenting with a urinary tract infection during the study period. Results: We identified 79 cases of urinary tract infection out of 145 requests for ECBU, that is a positivity rate of 53.10% and out of a total of 1883 admissions that is a hospital prevalence of 4.19%. The age groups of 36 to 45 years and 46 to 55 years were more represented in 28 cases (35.44%) and 25 cases (31.64%) with an average age of 45 years ± 10. The female sex was predominant, 42 cases (53.16%) with a sex ratio of 0.88. Housewives were more represented 28 cases (34.44%). The majority of patients resided in rural areas 49 cases (62.03%). The history was dominated by the following pathologies: hypertension 48.10%, diabetes 36.70% and gastropathy 30.37%. The main clinical manifestations were: Urinary burning 67 cases (84.81%), Dysuria 65 cases (82.27%), Pelvic pain 59 cases (74.68%), Fever 57 cases (72.15%). The epidemiological profile of the isolated strains was dominated by enterobacteriaceae, followed by gram-positive cocci and gram-negative bacilli. The main bacteria responsible for urinary tract infections in order of frequency: Escherichia coli (45.56%), Klebsiella pneumoniae (11.39%), Pseudomonas aeruginosa (8.86%), Staphylococcus aureus (7.59%), Streptococcus sp (6.33%), Enterobacter cloacae (3.79%), Acinetobacter sp (3.79%). The study of the susceptibility and resistance profiles of the isolated strains showed significant se

关键词： Urinary Tract Infection Epidemiology Clinic Bacteriology Internal Medicine Fousseyni Daou Hospital Kayes Mali

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

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