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Study of Cofactors Associated with Precancerous High-Grade Cervical Lesions at the Teaching Hospital Gabriel Touré, 2010 to 2015

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Surgical Science 2019年第9期10卷 328-337页

作者： Fané Seydou Bocoum Amadou Sissoko Abdoulaye Traoré Soumana Oumar Sanogo Siaka Amara Mamadou Sima kouma aminata Traoré Alassane Tegueté Ibrahima Traoré Youssouf Mounkoro Niani Teaching Hospital Gabriel Toure Bamako Mali

Introduction: High grade dysplasia of the cervix has a high incidence and can progress to cervical cancer. The aim was to study cofactors associated with high-grade cervical dysplasia. Methodology: This was a retrospective case-control study without matching. Women with high grade dysplasia were the cases while those with a normal screening test represented the controls. The study took place at the Gabriel Touré University Hospital Center in Bamako. We included 351 cases and 420 controls. The capture and analysis were performed using the SPSS 20 software. A univariate and multivariate logistic regression analysis was performed for the analysis of risk cofactors. The statistical tests used were the odds ratio and its confidence interval and the statistical significance threshold was set at p Results: In univariate analysis, the co-factors statistically significantly associated with the occurrence of high-grade dysplasia were parity 0.6 (0.5 - 0.9), gestational 0.7 (0.5 - 0.9), smoking of the spouse 3.4 (1.1 - 11.3), the non-schooling 1.4 (1.2 - 2.1). In multivariate analysis after adjusting for confounding factors, two co-factors have significantly increased the risk of high-grade dysplasia: lack of schooling 1.4 (1.2 - 2.0) and polygamy 1.5 (1.4 - 2.5). Conclusion: At the end of this study, polygamy and lack of schooling were the main risk factors. The prevention of cervical cancer will go through the education of girls and women as well as communication for behavioral change and social change.

关键词： High Grade Dysplasia Cofactor Cervical Cancer Teaching Hospital Gabriel Touré

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Perinatal Deaths in Rural a Health Area, Case of the Health District of Kadiolo, Mali

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Surgical Science 2019年第11期10卷 385-397页

作者： Seydou Fané Amadou Bocoum Youssouf Traoré Abdoulaye Sissoko Ibrahima Tegueté Mamadou Sima Mamadou Salia Traoré Tiounkani Augustin Thera Yaya Sylla Alassane Traoré Soumana Oumar Traoré aminata kouma Niani Mounkoro Gabriel Toure Teaching Hospital Center-Gynecology-Obstetrical Service Bamako Mali Hospital mère enfant le Luxembourg Bamako Mali Point G Teaching Hospital Center of Bamako Bamako Mali Referral Health Center of Kadiolo Sikasso Mali Mali Hospital Bamako Mali Reference Health Center of Commune 6 of Bamako District Bamako Mali Kati Hospital Kati Mali

The perinatal mortality is a public health issue in developing countries. In fact, the perinatal death rate seems the highest in a Malian rural area. The objective of this work was to study the perinatal mortality in a rural area of Mali (Kadiolo). Methodology: It was a cross-sectional descriptive study conducted in Kadiolo over 12 months. The study took place from April 1, 2016 to March 31, 2017. We have included in our study all dead fetuses in gestational age ≥ 28 weeks of amenorrhea (WA) or weight ≥ 500 grams (g) and infants died during the first week of life. Mothers who have experienced a perinatal death were included. Results: During the 12 months of study period, we have recorded a total of 2212 births out of which we have collected 205 perinatal deaths, a perinatal mortality rate of 205/2212 with 93 per 1000. The stillbirth rate was 152/2212 with 69‰ and the early neonatal mortality rate was 53/2212 with 24‰. The sociodemographic characteristic of the patients was: patient who has been evacuated 71.70%, unschooled 77.1%, coming out of the city Kadiolo 76%, young women 65% and patient who did not receive antenatal care 35%. Conclusion: Our study confirms the high rates of perinatal deaths in rural areas. The implementation of a coherent and efficient care strategy should help in reducing the still high rates.

关键词： Perinatal Deaths Dystocia Rural Environment Mali

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Epidemiological Study of Ametropia at the CHU-BSS of Kati

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Surgical Science 2024年第9期15卷 507-513页

作者： Daouda Konaté Bréhima Mariko Sanata Sogoba Maimouna Yattara Lucienne Dembélé Daouda Doumbia Abdramane Traoré Claude Oumar Bernard Camara aminata kouma Koniba Keita Abdoulaye Napo Fatoumata Sylla Lamine Traoré Bocar Sidy Sall University Hospital (CHU-BSS) of Kati Kati Mail University Hospital-Institute of Tropical Ophthalmology of Africa (CHU-IOTA) Bamako Mali Mali Hospital Bamako Mali International Center of Ophthalmology of Mali (CIOM) Bamako Mali National Eye Care Program Bamako Mali

Introduction: Ametropias or refractive errors are pathologies commonly encountered in ophthalmology characterized by the projection on the retina of a blurry image. There are several types of ametropia and each of them has a specific means of correction. In the literature, numerous data have been reported on the issue through studies that were mostly carried out on infant populations. To better treat ametropia in a more formal way, it is important to know their general characteristics within a larger population, hence the present investigation, the aim of which is to carry out an epidemiological study of ametropia at the Kati University Hospital-BSS. Materials and Methods: The study was carried out at Kati University Hospital-BSS between January 1 and December 31, 2022 and included 663 ametropic patients of all ages. Results: During the study period, 663 cases of ametropia were diagnosed out of 1678 new consultations, representing an incidence of 39.51%. Patients aged between 21 and 40 years were more affected. Depending on the type, these ametropias were dominated by compound astigmatism with 68.75% followed by isolated hyperopia and isolated astigmatism. Visual fatigue was the most mentioned reason for consultation. The female gender was in the majority with 70.9%. Low ametropia (Discussion: The growing visual needs of young people, especially with new information and communication technologies, would push them to consult the ophthalmologist more, and therefore to want optical correction in the event of a refractive anomaly, which would partly explain their high frequency in this age group. Conclusion: It is important to know the general characteristics of ametropia in the general population in order to improve the quality of life of patients affected by it through efficient therapeutic solutions.

关键词： Epidemiology Ametropia University Hospital Kati

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The Complications of Cesarean Section at Teaching Hospital Gabriel TOURE, Bamako Mali

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Open Journal of Obstetrics and Gynecology 2020年第4期10卷 546-557页

作者： Abdoulaye Sissoko Alassane Traore Ibrahim Kante Amadou Bocoum Soumana Oumar Traore Seydou Fane Daniel Dembele aminata kouma Mamadou Sima Fatoumata K. Tounkara Amadou Fomba Ibrahima Teguete Youssouf Traore Soumaila Keita Niani Moukoro Teaching Hospital Gabriel TOURE Bamako Mali Teaching Hospital Bamako Mali Teaching Hospital Point G Bamako Mali District Hospital Commune V Bamako Mali Teaching Hospital Kati Bamako Mali Research Center CHU of Quebec University of Laval Quebec Canada

Cesarean operation permits to save the mother and fetus. However, in developing countries as ours, complications related to this cesarean are not to be neglected. It constitutes an important cause of maternal and fetal morbidity and mortality. Here we rapport the experience of our structure about the complications of cesarean. Objectives: The objectives of this study were to study the complications the complications of cesarean section at teaching hospital Gabriel TOURE, Bamako Mali. Materials and methods: We have carried out a cross sectional analytic study from January 1st?2003 to December 31st?2013. All the patients who gave birth by cesarean operation in gynecology-obstetric service of teaching hospital Gabriel TOURE were included during this period of study. Descriptive statistics were used, Chi-square test Pearson, and?Cochran Armitage test have?been used to calculate the P-value of trend. We performed multivariate analyses with a high alpha threshold of 10%, and then logistic regression multivariate. Results: We have registered 28,376 deliveries with 9509 cases of cesarean (33.5%) and a complication cesarean rate of 32% (3049/9509). The main risk factors for cesarean operation completions were adolescence primiparity, obesity, the non-realization of antenatal care, evacuations and co-morbidities. Intraoperative complications were dominated by hemorrhage 8.3% and bladder lesion 1.1%, whereas anemia (58.8%) and parietal infection (21.1%) dominated the postoperative complications table. The evacuation (Odds Ratio adjusted (ORa) = 1.96) as well pre-eclampsia/eclampsia?(ORa = 2.34) and the sicle cell disease (ORa = 9.99) were the main influencing factors of material death. Praevia placenta (ORa = 1.75) abruption placenta (ORa = 11.08) and fetal malformation (ORa = 2.21) dominated the influencing factors of perinatal death. Conclusion:?The cesarean complications rates were high in our improvement of the quality of antenatal care.?The reorganization and revitalizati

关键词： Cesarean Complication Risk Factors Morbidity Mortality

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Epidemiological Study of Inflammatory Eye Diseases at the CHU-BSS of Kati

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Surgical Science 2024年第11期15卷 581-587页

作者： Konaté Daouda Sall Fatou Yattara Maimouna Mariko Bréhima Sogoba Sanata Dembélé Lucienne Doumbia Daouda Traoré Abdramane Camara Claude Bernard Oumar kouma aminata Keita Koniba Napo Abdoulaye Sylla Fatoumata Traoré Lamine Bocar Sidy Sall University Hospital (CHU-BSS) Kati Mali Sectorial Unit for the Fight against HIV/AIDS and Viral Hepatitis (CSLS-TBH) Bamako Mali University Hospital-Institute of Tropical Ophthalmology of Africa (CHU-IOTA) Bamako Mali Mali Hospital Bamako Mali International Ophthalmology Center of Mali (CIOM) Bamako Mali University of Bamako Bamako Mali

Introduction: Ocular inflammation is a frequently encountered entity in ophthalmology. Depending on the inflamed part of the eye, different forms of ocular inflammation are distinguished. The challenge for the clinician will be to differentiate a benign pathology from a serious pathology that threatens visual function and requires urgent management. The aim is to make an epidemiological analysis of inflammatory eye diseases at the CHU-BSS of Kati. Materials and Methods: The study was carried out at the CHU-BSS of Kati between January 1 and December 31, 2023 and involved 1159 patients with various inflammatory eye diseases. Results: During the study period, 1159 cases of ocular inflammation were diagnosed out of 2111 new consultations, i.e. an incidence of 54.90%. Patients aged between 0 and 20 years were more affected with 41%. Women were more affected with 63.7%. The predominant symptom was pruritus with 57.8%. The main pathologies diagnosed were dominated by allergic conjunctivitis, bacterial conjunctivitis, with respectively 57.9% and 23.4%. Discussion: The results obtained reflect the findings made in the current practice of ophthalmology. Indeed, inflammatory diseases of the ocular surface, generally benign, are more frequent than intraocular inflammations which can jeopardize the functional or even anatomical prognosis of the affected eye. Conclusion: Endoocular inflammations are less frequent. Despite the possibility of functional complications, a rigorous diagnosis and a well-conducted medical treatment overcome most inflammatory ocular diseases.

关键词： Epidemiology Inflammatory Eye-Disorders

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Menstrual Hygiene Management in School Setting in Two Secondary Schools in the Bamako District, Case of the School “La Chaine Grise” and the School Cheick Modibo Diarra

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Open Journal of Obstetrics and Gynecology 2020年第2期10卷 284-297页

作者： Fané Seydou Bocoum Amadou Sissoko Abdoulaye Traore Alassane Traore Soumana Oumar Kante Ibrahima Sima Mamadou Sanogo Siaka Amara kouma aminata Sanogo Abdoulaye Saleck Doumbia Salem Yargueit Teguete Ibrahima Traore Youssouf Mounkoro Niani University Teaching Hospital Gabriel Touré Bamako Mali Hospital Mother-Child the Luxemburg of Bamako Bamako Mali Hospital of Mali Bamako Mali Referral Health Center of commune V Bamako Mali University Teaching Hospital Point G Bamako Mali Hospital of Kati Bamako Mali

This study on Menstrual Hygiene Management (MHM) was carried out in two secondary schools in the Bamako district, “Chaine Grise” and “Cheick Modibo Diarra” located respectively on the right bank and the left bank depending on the geographic position of the Niger river. This work took place over a period of 6 months from January 2019 to June 2019. The objective of this study was to study menstrual hygiene management in school?setting for girls aged 16 to 18 in two secondary schools in Bamako. It was a transversal and qualitative description. The study population consists of girls aged 16 to 18 years enrolled in one of the selected secondary schools.?At the end of this study, we arrived at the following results:?*50% of the girls in our study have poor knowledge about menstruation;?*10% of girls miss school at least one day a month during menstruation;?*90% of girls use hygienic cotton to absorb menstrual blood;?*90% of the sources of supply for hygienic products are?mothers.?The unsanitary conditions of the toilets, lack of light and the non-separation of the toilets according to gender guidelines were found in 99% of the cases: *99% of girls say that the poor state of health infrastructures was one of the causes of genital infections linked to poor management of menstrual hygiene;?*lack of water in the toilets (99%). Through these results, we conclude that,?in our context,?menstruation remains a taboo and shameful subject for girls. In addition, some of their menstrual hygiene practices are a real danger to their health.

关键词： Menstrual Hygiene Management Girls from 16 to 18 Years Old Secondary Schools Bamako

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Bacteriology of Healthcare-Associated Infections in the Gynecology and Obstetrics Department of CHU Gabriel Touré

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Open Journal of Obstetrics and Gynecology 2019年第10期9卷 1336-1346页

作者： Amadou Bocoum Seydou Fané Youssouf Traoré Siaka Amara Sanogo Ibrahim Kanté aminata kouma Mamadou Sima Abdoulaye Sissoko Ibrahima Ongoiba Soumana Oumar Traore Ibrahima Tegueté Maténé Sacko Daouda Camara Alassane Traoré Assitan Wane Niani Mounkoro Amadou Dolo Gynecology-Obstetrics Department of CHU G. Touré Bamako Mali Gynecology-Obstetrics Service of CHU of Point G Bamako Mali Gynecology-Obstetrics Department of CHU of Kati Bamako Mali Gynecology-Obstetrics Service of Referral Health Center of Kati Kati Mali Gynecology-Obstetrics Service of Referral Health Center of Commune V Bamako Mali Gynécology-Obstétrics Department of CHU of Mali Bamako Mali

Introduction: Healthcare-associated infections (HAIs) are a public health issue. An infection is said to be associated with the care if it occurs during or after the care of a patient, and if it was neither present nor incubation at the beginning of the care. Objective: The purpose of this work was to study the bacteriology of infections associated with obstetric care in the gynecology-obstetrics department of CHU Gabriel Touré. Patients and Methods: This is an epidemiological, descriptive, analytical study conducted in the gynecology-obstetrics department of the CHU Gabriel Touré, from April 11th, 2016 to August 29th, 2016 (5 months). Data collection focused on the clinical and laboratory characteristics of healthcare-associated infections in patients during their hospitalization. Included in the study were any patients hospitalized in the Gynecology and Obstetrics Department who agreed to participate in the study. The criteria used to diagnose the associated infection were those of the Atlanta CDC. Operative wound monitoring was done up to the 30th postoperative day. Results: We have recorded 200 patients, out of whom 138 were operated on and 23 cases of bacterial infection associated with care (11.50%). The average age of the patients was 32.52 years ± 13.36 years against 29.36 years ± 10.28 years for the patients who did not present the infection. Seven point five percent of the evacuated patients had an infection associated with care. The most common types of infection were surgical site infection (60.86%), urinary tract infection (26.08%), endometritis and sepsis with 13.04% each. The isolated organisms were all resistant to Amoxicillin, to Amoxicillin + Clavulanic acid (88.88%) and to Ciprofloxacin (77.77%). The average duration of hospitalization for patients who developed the infection was 14.70 days. The lethality was 1.50%. The average cost of management of patients who developed the surgical site infection was 119,837 FCFA. Conclusion: The bacterial infe

关键词： Bacterial Infection Resistances Gabriel Touré University Hospital Antibiotics Obstetrics

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Toxicology,biosynthesis,bio-control of aflatoxin and new methods of detection

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Asian Pacific Journal of Tropical Biomedicine 2016年第9期6卷 808-814页

作者： Mohamed Amine Gacem aminata Ould El Hadj-Khelil Laboratory of Protection of Ecosystems in Arid and Semi-Arid Area University of Kasdi Merbah Department of Biology Faculty of ScienceUniversity of Amar Tlidji

Mycotoxins and their derivatives since their discoveries and until the present time are behind unspecified economic and medical *** are classified according to their physical–chemical and toxicological characters in the most dangerous row of the *** aflatoxins are in part responsible,of irreversible medical disasters that are not easily manageable such as cancer of the liver and kidneys,and in the other part,of losses in the stored cereal *** on these crucial findings,monitoring of this toxin became imperative in post-harvest food products,during storage,during transformation chain and even during the long phases of *** of this toxin is delivered by detection methods using very advanced technologies to respond in the shortest possible *** addition,the knowledge of factors supporting the biosynthesis of aflatoxins such as the temperature,moisture content,concentration of nitrogen and carbon,and the molecules responsible for the genetic control of the synthesis will be reflected later in the choice of bio-control *** control is currently based on new strategies using the bioactives substances of the plants,the lactic bacteria and some strains of actinomycetes that have good inhibiting activity against aflatoxins with fewer side effects on *** the other hand,this brief review summarizes the results of new studies demonstrating the toxicity of the toxin,new detection methods and bio-control.

关键词： Mycotoxins Aflatoxins Cancer Biosynthesis Bio-controls Detection methods

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Compliance of Magnetic Resonance Imaging Examination Requests at the Diagnostic Center of the National Social Security Fund of Conakry

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Open Journal of Radiology 2023年第1期13卷 58-66页

作者： Ousmane aminata Bah aminata Sakho Alpha Abdoulaye Balde Alpha Issiaga Barry Kaba Mohamed Douty Aboubacar Toure Armed Forces Reference Imaging Center (CIRA) Conakry Guinea Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinea Diagnostic Center of the National Social Security Fund (CNSS) Conakry Guinea

Introduction: MRI is a rapidly growing technique with more and more indica-tions and requests in the Republic of Guinea. Its correct prescription is a guar-antee for the satisfaction of the actors, both prescribers, radiologists and pa-tients. The main objective of this study was to evaluate the compliance of MRI examination requests at the Diagnostic Center of the National Social Se-curity Fund (CNSS) in Conakry. Material and Methods: This was a descriptive cross-sectional study of MRI prescription forms sent to the MRI unit of the CNSS Diagnostic Center from February 1 to May 1, 2021. The 8 compliance criteria established by the French High Authority for Health were used to evaluate the compliance of the examination requests. Results: A total of 7003 examination forms were sent to the facility, including 7% (n = 468) of MRIs. 56.2% of MRI requests were performed by specialists. We observed an overall compliance of 10%. Administrative and clinical compliance were missing in 24% and 38%, respectively. More specifically, the purpose of the examination was not mentioned in 60%, followed by the requesting department in 48.1% and the patient’s age in 35.1%. Conclusion: This study allowed us to highlight the gaps in establishing MRI requests. It would be important to organize an awareness campaign for prescribers on the usefulness of correctly filling an MRI request and to design templates to be filled out by prescribers.

关键词： CNSS Compliance Conakry Exams MRI

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互动公平对道德领导与员工工作满意度的中介作用 ——基于保险公司LAFIA的案例研究

互动公平对道德领导与员工工作满意度的中介作用 ——基于保险公...

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作者： SINGARE,aminata 华中师范大学

学位级别：硕士

近年来企业越来越意识到员工工作满意度不仅与企业本身的稳定和发展有关,也关系到员工自身的稳定,同时会影响他们在生活和工作中的积极性和乐观性。因此,如何有效提高员工工作满意度的问题逐步受到关注。目前,许多研究已经证实,领导风... 详细信息

近年来企业越来越意识到员工工作满意度不仅与企业本身的稳定和发展有关,也关系到员工自身的稳定,同时会影响他们在生活和工作中的积极性和乐观性。因此,如何有效提高员工工作满意度的问题逐步受到关注。目前,许多研究已经证实,领导风格对员工行为有非常重要的影响,而在不同的领导风格中,伦理型领导具有以德服人、公平负责,容易获得员工的认可。基于此,本文探讨伦理型领导、感知的互动公平与员工工作满意度的关系,并进一步探讨以感知的互动公平为中介变量下伦理型领导对员工工作满意度的影响路径,在感知的互动公平方面,我们更多地针对的是员工对在司法待遇和信息公平方面与领导者互动公平的感觉。在回顾和分析已有文献的基础上,提出了研究假设和研究模型。通过对LAFIA保险公司的200名员工进行问卷调查,结果发现,伦理型领导会提升员工感知到的互动公平,进而增加员工的工作满意度,即感知的互动公平中介了伦理型领导和员工工作满意度之间的关系。最后,基于以上研究结论,本文由伦理型领导、感知的互动公平和员工工作满意度三者的影响关系提出部分管理建议。

关键词：道德领导工作满意度互动公平保险

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