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Maternal and Perinatal Prognosis of Arterial Hypertension and Pregnancy in a Peripheral Health Center in Mali

Open Journal of Obstetrics and Gynecology 2024年第5期14卷 855-867页

作者： Samaké Alou Diarra Lasseny keita mamadou Haidara Dramane Haidara mamadou Diallo mamadou Konaté Moussa Maiga Mariam MS Ag Med Elméhdi Elansari Kassogue Djibril Dao Seydou Zana Samake Hawa Konate Karim Dembele Bertin Coulibaly Moussa Mariko Seydou Colette Dohinnon Reference Health Center in Commune VI of the Bamako District Bamako Mali Bamako Dermatology Hospital (HDB) Bamako Mali Kalaban Coro Reference Health Center Bamako Mali Timbuktu Hospital Timbuktu Mali Reference Health Center of Commune II of the Bamako district Bamako Mali Reference Health Center in Commune V of the Bamako district Bamako Mali National Institute for Training in Health Sciences Bamako Mali Mali Hospital Bamako Mali

Introduction: Maternal mortality constitutes a public health problem and its rate is an indicator of a country’s development. Among the causes of maternal and perinatal death, high blood pressure associated with pregnancy occupies a significant part. It represents 5% of direct maternal deaths. Objective: to study the maternal and perinatal prognosis of high blood pressure during pregnancy in the Tenenkou reference health center in Mali. Methodology: This was a descriptive, analytical and retrospective cross-sectional study over a period of twelve months from January 1, 2021 to December 31, 2021 and involving 144 cases of high blood pressure associated with pregnancy. Results: We obtained a frequency of 11.75%. The majority of patients 70.9% were aged between 20 - 35 years. The important risk factor found was young age. During our study, 46.5% of patients had performed at least one CPN and only 13.9% performed 04 CPN. Pre-eclampsia was the most common type of high blood pressure during pregnancy, i.e. 61.1%. Eclampsia and retroplacental hematoma were the most common maternal complications, respectively 27.8% and 11.1%. The most common fetal complications were premature births and fetal distress with 20.9% and 17.4% respectively. Conclusion: Hypertension associated with pregnancy still remains a major cause of maternal-fetal morbidity and mortality in our context where diagnosis is often late. The main clinical form was preeclampsia. Eclampsia and retroplacental hematoma were the most frequent maternal complications. Fetal complications were mainly prematurity and fetal distress.

关键词： Pregnancy High Blood Pressure Prognosis

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Maternal Fetal Prognosis: Pregnancy and Delivery in Women of 40 Years Old and Over in a Second Reference Hospital in Bamako

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Open Journal of Obstetrics and Gynecology 2024年第4期14卷 509-519页

作者： Samaké Alou Diarra Lasseny keita mamadou Haidara Dramane Haidara mamadou Diallo mamadou Konaté Moussa Maiga Mariam Mohamed Saydi Ag Med Elmehdi Elansari Kassogue Djibril Seydou Zana Dao Samake Hawa Konate Karim Dembele Bertin Coulibaly Moussa Mariko Seydou Collarete Dohino Reference Health Center of Commune VI of the Bamako District Bamako Mali Bamako Dermatology Hospital (BDH) Bamako Mali Kalaban Coro Reference Health Center Bamako Mali Timbuktu Hospital Timbuktu Mali Reference Health Center of Commune II of the Bamako District Bamako Mali Reference Health Center in Commune V of the Bamako District Bamako Mali National Institute for Training in Health Sciences Bamako Mali Mali Hospital Bamako Mali

Introduction: Late pregnancies are considered a public health problem linked to maternal mortality due to their complications. These risks, which worsen with maternal age, should be better known and taken into account in monitoring these pregnancies. Objective: To evaluate the impact of age on the prevalence of obstetric and neonatal complications among parturients of 40 years old and over. Methodology: This was an 11-year retrospective analytical case control study from January 1, 2007 to December 31, 2017. The study population was female patients of 40 years old or older for cases and female patients younger than 40 years of control case. Results: In total, we collected 640 cases of parturients of 40 years old and over out of a total of 84,234 deliveries during the study period;i.e. a frequency of 0.76%. Spontaneous abortion increased in patients of 40 and over with 8.28%. Hypertension and diabetes were higher of women of 40 and over, 52.65%. Concerning the method of admission: 55% of parturients of 40 and over were referrals. Incidents occurring among women of 40 and over were more pronounced than in control cases. Complications during vaginal delivery, cervical tear, perineal tear, uterine dehiscence and uterine rupture are high in our cases, i.e. 11.88%;3.59%;2.19%;2.66. During our study, depending on the type of delivery, the cesarean rate was much higher among women of 40 and over than among control cases, i.e. 54.22% versus 12.24%. Hemorrhages in the 3rd trimester were the main indications for cesarean section. Hemorrhages in the 3rd trimester were more frequent with women of 40 and over, i.e. 10.47%;5.94% versus 1.74% and 0.42%. As for the different types of malformations in parturients, women under 40 years old fetal malformations were absent in 92.29%, on the other hand they were more frequent in patients with 40 years and over, i.e. a normal frequency of 36.72%. Conclusion: Pregnancy at a late age exposes the elderly patient and the newborn to several ri

关键词： Advanced Maternal Age Childbirth Risk Mali

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Epidemiological-Clinical Aspects of Uterine Leiomyoma at the Reference Health Center of Commune VI of the Bamako District

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Open Journal of Obstetrics and Gynecology 2024年第5期14卷 674-681页

作者： Alou Samaké Lasseny Diarra mamadou keita Dramane Haidara mamadou Haidara Coulibaly Soumana mamadou Diallo Moussa Konaté Mariam Maiga MS Ag Med Elméhdi Elansari Kassogue Djibril Dao Seydou Zana Samake Hawa Konate Karim Dembele Bertin Coulibaly Moussa Mariko Seydou Colette Dohino Reference Health Center of Commune VI of the Bamako District Bamako Mali Bamako Dermatology Hospital (HDB) Bamako Mali Kalaban Coro Reference Health Center Bamako Mali Hangadoumbo Moulaye Touré Hospital in Gao Gao Mali Timbuktu Hospital Tomboctou Mali Reference Health Center of Commune II of the Bamako District Bamako Mali Reference Health Center in Commune V of the Bamako District Bamako Mali National Institute for Training in Health Sciences Bamako Mali Mali Hospital Bamako Mali

Introduction: Uterine fibroid is a mixed mesenchymal tumor, developing from smooth muscle cells of the myometrium, separated by connective tissue. The majority of fibroids are asymptomatic and do not require any intervention or other exploratory measures. However, in some cases fibroids are symptomatic, their treatment should aim to improve symptoms and quality of life. Objectives: Describe the epidemiological-clinical aspects of uterine fibroids in the gynecology and obstetrics department of the reference health center of commune VI of the Bamako district. Methodology: This was a retrospective descriptive study carried out over a period of one year. It concerns all patients seen in consultation in the gynecology and obstetrics department of the reference health center of commune VI. Results: during the study period, the uterine fibroid frequency was 1.80%. During this same period, fibroids represented 5.59% of gyneco-obstetric pathologies operated on in the department. The 30 - 45 year old age group was the most represented with a frequency of 75.63%. The average age was 36.87 years ± 6.2 years with extremes of 25 and 63 years. Married women were the most represented 97.48%. The vast majority of our patients 95.8% were not postmenopausal. The multigravidas were the most represented, i.e. 37.50% with a large part of the pauciparous 41.29%. In our patients, 96.64% had a clinical symptom on their fibroid with the main reason for consultation being the sensation of a pelvic mass in 97.48%. We recorded three cases of infertility as associated factors. Ultrasound was performed in all patients. The location of the myxomatous nuclei was subserosal in the majority in 42.86% and with multiple nodules in 84.85% of cases. The main indication for myomectomy was the failure of medical treatment in 86.49% of cases. Surgical treatment was mainly a myomectomy 93.30%, a hysterectomy was indicated in 6.70%. No cases of death were recorded. Conclusion: Uterine fibroid is a gynecologic

关键词： Myomas Surgery Myomectomy

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Comment on review article:Chronic hepatitis C virus infection cascade of care in pediatric patients

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World Journal of Gastroenterology 2022年第14期28卷 1494-1498页

作者： Nouhoum Bouare mamadou keita Jean Delwaide Biomedical Sciences National Institute of Public HealthBamako 1771Mali Department of Prevention Medical and Psychosocial ManagementCSLSHIV-TB-HBamako E 595Mali Department of Gastroenterology and Hepatology CHULiegeLiege 4000Belgium

An enhanced cascade of care should include a younger population,helping to achieve the goal of the World Health Organization with a focus on elimination in the pediatric ***,enhanced screening and awareness efforts and continued education of health care providers will improve the outcomes of chronic hepatitis C virus(HCV)infection in the pediatric *** present work discusses and comments on the topic"cascade of care in HCV chronic pediatric patients".

关键词： Cascade of care Hepatitis C virus Chronic patients Pediatric population Disease management Commentary

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Maternal and Perinatal Prognosis of Arterial Hypertension and Pregnancy in a Peripheral Health Center in Mali

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2024年第5期 855页

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Epidemiological-Clinical Aspects of Uterine Leiomyoma at the Reference Health Center of Commune VI of the Bamako District

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2024年第5期 674页

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新疆将军二号露天煤矿边坡变形条件下开拓运输系统设置及优化

新疆将军二号露天煤矿边坡变形条件下开拓运输系统设置及优化

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作者： keita Alpha mamadou（凯塔）中国矿业大学

学位级别：硕士

将军二号矿南推过程中,煤层标高逐渐降低,上覆剥离层变厚,提高边坡角保障边坡安全稳定后会使得坑底境界收缩,煤炭资源回收量降低。为在保证边坡安全稳定的前提下提高煤炭资源回收量,同时保障运输道路,本文利用露天采矿学基本原理、时效... 详细信息

将军二号矿南推过程中,煤层标高逐渐降低,上覆剥离层变厚,提高边坡角保障边坡安全稳定后会使得坑底境界收缩,煤炭资源回收量降低。为在保证边坡安全稳定的前提下提高煤炭资源回收量,同时保障运输道路,本文利用露天采矿学基本原理、时效边坡理论及优化理论,研究上覆岩层厚度逐渐变大条件下的边坡稳定性及稳定性保障方案,探索破碎站下坑的可行性以及在端帮运输道路中断情况下开拓运输系统布置及运距优化,结论如下:(1)根据将二矿边坡地质补充勘探资料,分析了整个矿区岩性,地质构造和水文地质,对首采区各端帮进行了边坡稳定性分析。研究表明:北帮着火区域岩体的稳定性较差,建议将530m平板从5m调整到10m,515m台阶和530m台阶从将原来的15m和10m断面高度分别调整为到13m和12m。东帮可以在满足稳定性的前提下将下部岩体的倾斜角从32°调整为35°以提高经济效益。南帮可以通过快速压帮的方式实现陡帮开采,提高煤炭资源回收。确定了外排土场和内排土场排土作业参数,设置了外排步骤和七个内排排土步骤,规划了2019年度将二矿各台阶排土量。(2)根据煤层赋存条件分析对比了地表破碎站与坑内破碎站优缺点,研究表明选用坑内破碎站可以有效的降低原煤运输距离,同时节约卡车燃油消耗。但由于端帮带式输送机布置会严重影响端帮开拓运输系统,使得南段帮车流量密度过大,同时增加剥离运距。结合当前推进度每6个月需移设带式输送机一次,移设期间会严重影响正常生产。因此综合考虑地表破碎站与坑内破碎站生产运营成本与生产效率,最终建议选择地表破碎站。(3)在年初设计的基础上对剥离物料运输道路进行了优化设计,研究表明南帮B2煤按照年计划最终到界后,在西帮B2煤顶板最南侧搭中间桥可节省运距726m。南端帮B5煤到界煤柱回收完成后,恢复南帮B5以上剥离至内排土场运输系统可节省运距971m。增加北帮472运输平盘和西帮▽490472道路后可节省运距299m。在B2煤顶板预留道路,B2煤南侧增加▽452426道路后可节省运距369m。将南帮首采区到界边帮30m宽B5底板调整为25m宽B3底板以及5m宽B5底板保安平盘,西帮可增加B3底板2顶板运输坡道,节省运距371m。运输系统设计进行优化后,共可节省5108m运距,可节省采剥运费1583.41万元,全年采剥成本降低0.437元/m。该论文有图43幅,表21个,参考文献60篇。

关键词：露天开采边坡稳定开拓运输系统布置及优化

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Acute Myocardial Infarction: Mode of Revelation of a Left Atrium Myxoma

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World Journal of Cardiovascular Surgery 2023年第3期13卷 55-60页

作者： Bréhima Coulibaly Abdoulaye Kanté mamadou A keita mamadou Diakité Bakary keita Drissa Traoré Nouhoum Ongoïba Patrice Binuani Christophe Baufreton Department of Thoracic and Cardiovascular Surgery CHU Point G Bamako Mali Cardiac Surgery Department of the University Hospital of Angers Angers France Cardiology Department CHU Point G Bamako Mali Commune II Reference Health Center Bamako Mali

True, cardiac myxoma is a benign tumor. On the other hand, it is serious by its complications, in particular embolic. The diagnosis of acute coronary syndrome in connection with a myxoma of the left atrium is retained before the association of an emboligenic intracardiac myxoma and an acute coronary syndrome in the absence of atherosclerotic lesions and the absence of intracardiac thrombus. We report a case of left atrium myxoma complicated by acute coronary syndrome in a 50-year-old patient operated on in our department and we will review the literature.

关键词： Cardiac Myxoma Embolism Acute Coronary Syndrome Cardiac Surgery

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Clinical and Epidemiological Aspects of Severe Acute Malnourished Children from 6 to 59 Months Hospitalized in a Secondary Hospital in Mali

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Open Journal of Pediatrics 2023年第1期13卷 97-103页

作者： Mariam Maiga Hibrahima Diallo Tati Simaga Mariam Traore Alou Samake mamadou Diallo Moussa Konate mamadou keita mamadou Traore Djibril Kassogue Oumou Kone Fatoumata Dicko Hawa G Diall Department of Pediatrics Reference Health Center of Commune VI Bamako MALI Department of Pediatrics CHU Gabriel TOURE Bamako MALI Department of Pediatrics Reference Health Center of Commune V Bamako MALI Timbuktu Regional Hospital Tombouctou MALI National Institute of Public Health Bamako MALI National Institute for Health Science Training Bamako MALI

Introduction: Malnutrition acts on the immune system and thus increases susceptibility to infections. Infections can weaken the body and cause malnutrition, so we speak of a vicious circle between malnutrition and infection. Objective: To study the clinical and epidemiological aspects of severe acute malnutrition in children aged 6 to 59 months. Methodology: This was a prospective and descriptive study extending from July 1, 2018 to June 30, 2019. All severely acute malnourished children aged 6 to 59 months were hospitalized at URENI whose parents or careers accepted their participation in the study. Results: Severe acute malnutrition was diagnosed in 398 of the 671 hospitalized children, i.e. 59.3%. The median age was 15.33 months (2 months - 59 months). The sex ratio was 1.03 (M = 50.8 F = 49.2). Eighty-seven percent of mothers were housewives. Parents were uneducated in 49.3% for mothers and 51.8% for fathers. Marasmus represented 93.5% of cases, children diagnosed with HIV+ represented 6.3% with exclusively HIV1 (100%). Pneumopathy was most frequently associated pathology with 33.4%. The duration of hospitalization was less than 7 days in 67.6% of cases and 93.3% of children had been successfully treated. The mortality rate was 4%. Conclusion: Malnutrition still remains a public health problem affecting mainly children aged 13 to 24 months, mainly from low-income families.

关键词： Severe Acute Malnutrition Children Hospitalized Mali

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Hemoglobinopathy and Systemic Lupus: A Rare Association

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Open Journal of Internal Medicine 2019年第3期9卷 72-77页

作者： Assétou Kaya Soukho Ibrahima Amadou Dembele Djenebou Traore Nounga Romuald Nyanke Djibril Sy Abasse Sanogo mamadou Cissoko Barry Boubacar Sangare mamadou Malle Sékou mamadou Cisse Abdramane Traore Mahamadou Saliou Nanko Doumbia Brehima Boly Berthe Kaly keita Boubacar Zoumana Cisse Drissa Sangare Youssouf Fofana Kokou Tbah Tighankpa Adramé keita mamadou keita mamadou Dembele Abdel Kader Traore Hamar Alassane Traore Department of Internal Medicine Point G University Teaching Hospital Bamako Mali

The authors report a case of systemic lupus associated with a composite heterozygosis SC with thalassemic component in a 19-year-old patient hospitalized for anemia and polyarthralgia who has a staturoponderal delay, macular erythematous lesions in butterfly wings on the face and ears, photosensitivity, puffy face, alopecia, pubic and axillary hair loss, scalp dermatophytosis, painful swelling of the interphalangeal joints, wrists and knees. The hemoglobin electrophoresis showed a compound heterozygote SC associated with β thalassemia. Antinuclear antibodies were positive with an anti-Sm positive antibody. Conclusion: The diagnosis of both diseases can be difficult when symptoms are concomitant and look alike.

关键词： Hemoglobinopathy Lupus University Teaching Hospital Point G

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