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Traumatic Perforation of the Small Intestine in General Surgery of the CHU Gabriel Touré

Surgical Science 2017年第9期8卷 414-421页

作者： Alhassane Traoré Bakary Tientigui Dembélé Ibrahima Diakité Adégné Togo Lassana Kanté Amadou Traoré Madiassa konaté Boubacar Karembé Abdoulaye Diarra Amadou Bah Boubacar Sidibé Tany koné Astan koné Nouténé koné Djibo Mahamane Diango Gangaly Diallo Department of General Surgery CHU Gabriel Touré Bamako Mali Department of Anesthesia and Intensive Care CHU Gabriel Touré Bamako Mali

Goal: To determine hospital frequency, to describe the clinical and therapeutic aspects and to determine the prognosis. Patients and Methods: This was a retrospective and prospective study carried out in the General Surgery Department from 1 January 1999 to 31 December 2015. Inclusion criteria: 1) open or closed trauma of the abdomen with perforation of the small bowel;2) clinical examination (abdominal pain, vomiting, fever, abdominal contracture, evisceration, intraoperative findings);3) paraclinical examinations: pneumoperitoneum on the abdominal X-ray without preparation (ASP) and CT scan. Exclusion Criteria: Abdominal trauma without perforation of the small bowel. We selected 128 patients operated for traumatic perforation of the small bowel. The data was entered and analyzed using Word, Excel 2007 and Statistical Package and Social Science Windows 16.0. The statistical analysis consisted in the calculation of the different frequencies of the variables studied. We used the Khi2 test with significance level P Results: We recorded 119 men versus 9 women and the sex ratio was 13.22. The mean age was 25 years with extremes varying between 15 and 70 years. The majority of patients 57.7% (74 cases) came from the capital, 46.1% (59 cases) were workers, 26.6% (34 cases) of the students. The average time to admission was 29 hours. The main etiologies were road traffic accidents 36.7% (47 cases), stabbing 21.9% (28 cases), firearm 14.8% (19 cases), and sports accidents 10.1% (13 cases). The main clinical signs were abdominal pain 48.44% (62 cases), abdominal contracture 60% (76 cases), disappearance of pre-liver dullness 66.36% (84 cases), and Douglas painful 74.4% (94 cases). The abdominal X-ray without preparation (A.S.P) allowed to objectify a pneumoperitoneum in 45.31% and the scanner a liquid effusion in 45.31% with the associated lesions in 37.5% (48 cases). The surgical treatment consisted of 60.15% suture excision (77 cases), 25% anastomosis resection (32 cases)

关键词： Abdominal Trauma Small Perforation Surgery Mali

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Valorisation of Auriferous Indices: Case of the Siribaya Deposit, Western Mali

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Open Journal of Geology 2021年第10期11卷 457-470页

作者： Fodé Tounkara Jianguo Chen Mory Sidibe Oumar Soumare Adama Youssouf koné Université de Ségou Ségou Mali State Key Laboratory of Geological Processes and Mineral Resources China University of Geosciences Wuhan China Ecole Nationale d’Ingènieurs Abderhamane Baba Touré Bamako Mali Laboratoire de Cartographie Département de Géologie Faculté des Sciences et Techniques (FST) Université des Sciences des Techniques et des Technologiques de Bamako (USTTB) Bamako Mali

The purpose of this paper is to understand the valorization of gold showings in the Seribaya deposit, western Mali. Samples taken from Air Core (AC) boreholes were subjected respectively to the magnetic susceptibility test and the X-ray fluorescence analysis. These results lead to the development of a simple methodology, based on signatures/indicators geochemical to identify lithology or to locate mineralization. We note that, compared to other chemical elements, Arsenic remains the most correlated with gold in the study area. Since this correlation remains weak (r = 0.16), it shows that Arsenic does not always accompany gold. There would be a generation of Arsenic related to mineralization, and other generations that would not be. The observation of the strip logs led to the identification of the lithologies (focusing on the immobile elements, Ti, V, Cr, Y, Zr) and the establishment of the alteration profile. Highly altered levels (Saprolite ± Saprock) are characterized by the disappearance of most mobile elements. A medium to strong correlation between gold mineralization and magnetic susceptibility measurements has been observed, in some places, and at depths. These mineralized intervals typically consist of quartz veins, suggesting that they have structural control over the mineralization. Gold mineralization is believed to be related to quartz veins. In addition, gold would be in paragenesis with a generation of Arsenic hosted in coarse sediments.

关键词： Valorization Gold Index Strip Logs Magnetic Susceptibility

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Evaluation of the Quality of Household Waste Leachate Treated by Settling Ponds at the Ouagadougou Waste Treatment and Valorization Center

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Journal of Environmental Protection 2017年第12期8卷 1567-1582页

作者： Vianney Demakoye koné Martine Ouattara Yacouba Guinko Seydou Sawadogo Siméon Ecole Supérieure Polytechnique Privée de la Jeunesse Ouagadougou Burkina Faso Centre National de la Recherche Scientifique et Technologique Ouagadougou Burkina Faso Direction de la Propreté de la Commune de Ouagadougou Ouagadougou Burkina Faso

In African cities, today’s patterns of consumption are increasingly generating solid and liquid waste. This waste requires adequate management as it poses significant risks to public health and the environment. To meet the challenge in Ouagadougou, a waste treatment and recycling center has been implemented. The leachates from household refuse evacuated in this center are treated by two series settling ponds whose performances have been evaluated throughout the present study. For this purpose, samples were taken from the basins and analyzed weekly for two months. On these samples, the physical parameters (pH, temperature, conductivity), organic pollution indicators (BOD5, COD, SS), nitrogen pollution (nitrate, nitrite) and phosphorus pollution (ortho-phosphates) were evaluated according to AFNOR standards. The average of suspended-matter contents above 13,000 mg/L and this particulate pollution abatement recorded is 2.04%, whereas the Chemical Oxygen Demand reached respective maximum values of 660 and 480 mg/L for both basins. Nutrients such as nitrates were well eliminated whereas orthophosphates are released. PH values varied between 8.62 and 9.51, while electrical conductivity values varied between 482 and 625 μS/cm. The Fecal Coliforms reached maximum concentrations of 10,000 and 12,800 UFC/100mL.

关键词： Waste Leachate BOD5 Fecal Coliforms Conductivity COD NO3

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Prevention of Cervix Cancer in a Low Resources Country: Operational and Clinical Aspects of a Screening’s network in a Suburb of Abidjan (Côte d’Ivoire)

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Open Journal of Obstetrics and Gynecology 2016年第1期6卷 85-91页

作者： Horo Apollinaire Koffi Abdoul Aka Kacou Edele Seni konan koné Mamourou University Hospital Yopougon Abidjan Cote d’Ivoire

Background: Cancer of the cervix is the most common cancer and the leading cause of death by cancer in women in developing countries. According to WHO, there were in 2002 in the world more than 500,000 new cases of cervical cancer, with more than 90% in developing countries. Secondary prevention of cervical cancer is done through screening of precancerous lesions and early diagnosis of cancer followed by treatment. Objectives: Our experience was reported in the management of a network of screening in the prevention of cancer of the uterine cervix. Method: After a program of training and upgrade to a pool of specialist doctor of obstetrics and gynaecology and midwifery centers health on visual screening methods, a reference site that is also a trainer site was defined and equipped with video-colposcopy and cryotherapy device. In April 2014, four peripheral sites have been installed with an equipment of lamp, magnifying glasses, acid acetic 5% and Lugol’s iodine. The screening network has been implemented and works on the model of reference-cross-reference. Results: The assessment of a year’s activity of the peripheral centers reported 993 patients, 653 consultations at the reference site, 106 precancerous lesions (6%), and 86 cases of references. The age of attendance peak lies in the age group of 35 - 55 years. Conclusion: The improvement of women’s participation requires organized screening, mass communication strategies, and systematic proposal of screening in consultation.

关键词： network Screening Cervical Cancer

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Comparison of cytological and histological preparations in the diagnosis of pancreatic malignancies using endoscopic ultrasoundguided fine needle aspiration

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Hepatobiliary & Pancreatic Diseases International 2017年第4期16卷 418-423页

作者： Dong Kee Jang Sang Hyub Lee Jun Kyu Lee Woo Hyun Paik Kwang Hyun Chung Ban Seok Lee Jun Hyuk Son Jae Woo Lee Ji kon Ryu Yong-Tae Kim Kyoung-Bun Lee Department of Internal Medicine Dongguk University Ilsan Medical CenterGoyang-siGyeonggi-doKorea Department of Internal Medicine and Liver Research Institute Seoul National University HospitalSeoul National University College of MedicineSeoulKorea Department of Internal Medicine Inje University Ilsan Paik HospitalGoyang-siGyeonggi-doKorea Department of Pathology Seoul National University College of MedicineSeoulKorea

BACKGROUND:Endoscopic ultrasound-guided fine needle aspiration(EUS-FNA) has become a crucial diagnostic technique for pancreatic *** specimen obtained by EUS-FNA can be prepared for either cytological or histological *** study was to compare diagnostic performance of cytological and histological preparations using EUSFNA in the same lesions when pancreatic malignancies were ***:One hundred and eighteen patients who underwent EUS-FNA for suspected pancreatic malignancies were consecutively *** procedures were conducted by a single echoendoscopist under the same *** adequate preparations were obtained by 22-gauge needles with 20 to-and-fro movements for each *** 4 preparations included 2 cytological and 2 histological *** pathologic reviews of all specimens were conducted independently by a single experienced ***,specificity,and accuracy of the 2 preparations were ***:The enrolled patients consisted of 62 males(52.5%),with the mean age of 64.6±10.5 *** was performed in 23(19.5%) *** hundred and sixteen(98.3%) lesions were classified as malignant,while 2(1.7%) were *** of cytology and histology were 87.9% and 81.9%,respectively,with no significant difference(P=0.190).Accuracy was also not significantly *** preparation was more sensitive when the size of lesion was <3 cm(86.7% vs 68.9%,P=0.033).CONCLUSIONS:Our results suggested that the diagnostic performances of cytological and histological preparations are not significantly different for the diagnosis of pancreatic ***,cytological preparation might be more sensitive for pancreatic lesions <3 cm.

关键词： endoscopic ultrasound-guided fine needle aspiration pancreatic neoplasms cytology pathology histology

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Management of Tracheal Stenosis in Sub-Saharan Medicalized Context: Real Challenge about Two Clinical Cases

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International Journal of Otolaryngology and Head & neck Surgery 2023年第3期12卷 151-162页

作者： Kassim Diarra Demba Coulibaly Nfaly konaté Boubacary Guindo Adama Coulibaly Mahamadou Sidibé Adama Dao Naoma Cissé Fatogoma Issa koné Kalifa Coulibaly Youssouf Sidibe Siaka Soumaoro Moussa Bourama Keita Doumbia Kadidiatou Singaré Mohamed Amadou Keita ENT and Head and neck Surgery Department University Hospital Center “Gabriel Touré” Bamako Mali Department of Anesthesia Resuscitation University Hospital Center Gabriel Toure Bamako Mali Imaging Department University Hospital Center “Gabriel Touré” Bamako Mali ENT and Head and neck Surgery Department University Hospital Center “Le Luxembourg” Bamako Mali

Introduction: Post-intubation tracheal stenosis (STPI) is a complication of ventilatory assistance by intubation and/or tracheotomy. Her frequency is estimated between 10% to 20%. The treatment of choice remains surgery. It is based on tracheal resection-anastomosis which guarantees satisfactory and reliable long-term results. Objectives: To determine the frequency of post-intubation tracheal stenosis, to specify the diagnostic and therapeutic methods, to determine the complications and the evolution. Material and methods: This was a study carried out in the ENT and head and neck surgery department of the University Hospital Center Gabriel TOURE. Our study focused on two (02) cases of post-intubation tracheal stenosis (STPI) collected during a period of 1 year (January 2021 to December 2021). Results: They are all acquired, secondary to an intubation. The two (02) cases benefited from a tracheal anastomosis resection, the indications of which were specified and the results and complications evaluated. Conclusion: Our results show that resection anastomosis remains the reference treatment for STPI.

关键词： Tracheal Stenosis Intubation Tracheostomy

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Monkeypox in an Immunocompetent Vaccined Adult: A Case Report at the University Teaching Hospital of Bouake

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Case Reports in Clinical Medicine 2022年第10期11卷 457-464页

作者： kone Djakaridja Yapo Martine Tatiana Kadiane-Oussou Juliette Akanji Iburaima Alamun Gue Irené Kouabenan Amon Stéphene koné Famoussa Sule Mutiyu Akanbi Kouamé Kouamé Gilles Renaud Karidioula Jean Marie Aba Yapo Thomas Kra Ouffoue Department of Infectious and Tropical Diseases University Teaching Hospital of Bouaké Bouaké Ivory Coast Department of Medicine Alassane Ouattara University (Bouaké) Bouaké Ivory Coast Dermatology Department University Teaching Hospital of Bouaké Bouaké Ivory Coast Internal Medicine Department University Teaching Hospital of Bouaké Bouaké Ivory Coast

Introduction: With the eradication of smallpox in 1980, vaccination against smallpox ceased and there was an upsurge in cases of monkeypox. The objective of this observation is to describe the characteristics of monkeypox in the vaccinated subject. Case Report: A 45-year-old, heterosexual, rural resident was referred for a rash. The history of the disease revealed signs of acute course marked by headache, asthenia, diffuse myalgia, chest pain, fever and pruritic rash. His background is marked by vaccination against smallpox in 1977, cohabitation with game hunters and domestic animals as well as a notion of contact with a person who presented similar but more generalized signs. The physical examination revealed a conscious patient with good general state, feverish, tachycardic, eupneic presenting skin lesions in the type of striated vesicles more or less umbilical, on the scalp, face, neck, trunk and the upper limbs associated with cervical lymphadenopathy. RT-PCR was performed on a dry swab by rubbing several vesicles and a throat swab proved positive for Monkeypox Virus (MPXV). Management consisted of isolation and symptomatic treatment. The evolution has been favorable. Conclusion: The symptomatology of monkeypox is similar to that of smallpox. Without widely available treatment or prophylaxis, rapid identification of cases is essential. Vaccination of people at risk is an alternative to curb the epidemic. However, the main prevention strategy is to raise awareness of the risk factors.

关键词： Monkeypox Rash Immunocompetent Bouaké

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Overview of Child Otological Care at the Reference Health Center of Commune V, Bamako

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International Journal of Otolaryngology and Head & neck Surgery 2023年第4期12卷 203-213页

作者： Djibril Samaké Kadidia Bagayoko neuilly Ghislaine Tafo Ngniée Siaka Soumaoro Boubacary Guindo Fatogoma Issa koné Sinaly Thiocary Yatemelou Dara Fatoumata konaté Ibrahim Diébakaté Kadidiatou Singaré Samba Karim Timbo Mohamed Amadou Kéïta ENT and Head and neck Surgery Department Commune V Reference Health Center Bamako Mali

Aim: To profile the diagnostic and the care provided for otological conditions in children. Method: This was a prospective cross-sectional study carried out from March 1, 2022 to May 30, 2022 at the ENT Unit of the Reference Health Center of Commune V (Bamako). This study concerned the records of children with an otological condition. They were at their first consultation within the unit. The month of March was devoted to recruitment. The follow-up was done until the end of May. The parameters studied included epidemiological, clinical and therapeutic aspects. Results: We identified 184 children suffering from otological conditions out of a total of 559 patients that consulted during March 2022, i.e. an hospital prevalence of 32.9%. This study found ear infections in 60.3%. Earwax and epidermal plugs accounted for 32.60%. Traumatic injuries were 4.3%. Pre-lingual deafness was found in 1.1% of cases. Antibiotics were used for treatment in 66.3% of children without any complications detected. Conclusion: The otological affections of the child were frequent with a predominance of otitis.

关键词： Otological Disorders Otitis Child Care

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Dyspnea in a 26-Year-Old Woman with Fatal Left Atrial Myxoma

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World Journal of Cardiovascular Diseases 2023年第6期13卷 309-312页

作者： Ibrahima Sory Sylla Mamadou Aliou Baldé Mamadou Bassirou Bah Sana Samoura Souleymane Diakité Alpha koné Ibrahima Sory Barry Mariame Béavogui Djibril Sylla Elhadj Yaya Baldé Mamadi Condé Mamadou Dadhi Baldé Department of Cardiology Ignace Deen National Hospital Conakry Guinea Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinea Department of Cardiology Sino-Guinean Hospital Conakry Guinea Department of Internal Medicine CHU Conakry Guinea

Cardiac myxoma is one of the primary intracardiac tumours. We report the case of a left atrial myxoma in a 26-year-old female patient admitted for investigation of dyspnoea. Echocardiography led to the diagnosis of a giant hypermobile myxoma prolapsing into the left ventricle. The patient died before being evacuated for surgical treatment.

关键词： Myxoma Left Atrium Echocardiography

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Myocardial Perfusion Abnormalities in Patients with Hereditary Hypertrophic Cardiomyopathy: A Study of Three Cases and Review of the Literature

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World Journal of Cardiovascular Diseases 2023年第6期13卷 289-296页

作者： Ngardjibem Djita Ibrahima Sory Sylla Mamadou Bassirou Bah Felix Collard Sana Samoura Mamadou Aliou Baldé Souleymane Diakité Ibrahima Sory Barry Alpha koné Elhadj Yaya Baldé Mariame Béavogui Mamadou Dadhi Baldé Philippe Chevalier Department of Cardiology Alen&ccedilon Hospital Alen&ccedilon France Department of Cardiology CHU Ignace Deen Conakry Guinea Department of Cardiology Sino-Guinean Friendship Hospital Conakry Guinea Department of Cardiology CHU Lyon Lyon France

Introduction: Hypertrophic cardiomyopathy (HCM) belongs to the very heterogeneous group of cardiomyopathies. This study aimed to study myocardial perfusion abnormalities on scintigraphy and assess the risk of sudden death from ventricular arrhythmia in hereditary sarcomeric HCM. Patients and Methods: This is a retrospective and prospective descriptive study over 18 months (January 01, 2021, to July 31, 2022) on the records of patients over 18 with the diagnosis of hypertrophic sarcomeric cardiomyopathy with or without ventricular rhythm disorders and who have undergone myocardial scintigraphy. Results: Three patients were included. The average age of our patients was 66 years old. Dyspnea is the primary symptomatology found in our patients. One patient presented with syncope and unsustained ventricular tachycardia. His risk score for sudden death from ESC at five years is estimated at 6.45%, and the patient received an ICD in primary prevention. The average sudden death risk score of our patients was 3.78%. The mean LV wall thickness was 20 mm. The mean maximum left intraventricular gradient was 39 mmHg. Myocardial fibrosis was present in all our patients. Myocardial scintigraphy was normal in all cases. Conclusion: Hypertrophic cardiomyopathy is a very heterogeneous group of cardiomyopathies. The rhythmic risk is multifactorial and constitutes a significant prognostic factor.

关键词： Hypertrophic Cardiomyopathy Myocardial Scintigraphy Sudden Death Ven-tricular Arrhythmia

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