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Evaluation of 15 Years Practice of Coelioscopic Treatment of Ectopic Pregnancy in the Surgery Department“A”at the University Hospital Point G

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Surgical Science 2018年第11期9卷 454-460页

作者： S.Koumaré L.Soumaré m.Sissoko S.Keita m.Camara O.Sacko A.Camara m.Sima m.Traoré H.Dicko B.Bengali D.Traoré S.Togo D.Koné S.Diallo m.sangaré A.Koita Z.Z.Sanogo D.sangaré Department of Surgery“A” University Hospital of Point GBamakoMali Department of Gynecology-Obstetrics University Hospital of Point GBamakoMali Department of Intensive Care University Hospital of Point GBamakoMali Department of Surgery“B” University Hospital of Point GBamakoMali Department of Thoracic and Cardiovascular Surgery Hospital of MaliBamakoMali Faculty of medicine and Odontostomatology(FmOS) University of SciencesTechniques and Technologies of Bamako(USTTB)BamakoMali

Aim: To evaluate 15 years practice of coelioscopic Treatment of ectopicpregnancy in the Surgery Department “A” at the University Hospital Point G. material and methods: We conducted a descriptive retrospective study at the Surgery Department “A” at the University Hospital Point G from January 2001 to August 2015. Inclusion criteria were all pregnant women with ectopic pregnancy treated with coelioscopy. Sociodemographic, clinical, paracclinical and therapeutic aspects were recorded. Results: In 15 years, 42 cases of ectopic pregnancy out of 3840 gynecologic coelioscopies (1.04%) were collected. The average age was 28.5 years old with the extremes of 16 and 41 years old. metrorragia was associated to pain in 83.3% (35/42);amenorrhea was found in 66.7% (28/41). Physical exam revealed pain with abdominal defense in 59.5% (25/42), adnexal mass in 31% (13/42), and pelvic contracture in 9.5% (4/42). In pre-operative, ectopic pregnancy was diagnosed complicated in 71.4% (30/42) and uncomplicated in 28.6% (12/42). Patients underwent salpingectomy in 85.7% (36/42), delivery from the fallopian tube in 9.8% (4/42), and hemostatic salpingectomy in 4.4% (2/42). The average duration of hospital stay was 1.88 day with the extremes of 1 and 7 days. The postoperative evolution was favorable in 97.6% (41/42), infection at the site of surgery was reported in 2.4% (1/42). Not a single death was registered. Conclusion: Treatment of ectopic pregnancy is of routine at the surgery department “A” in Point G. Fertility is preserved in the future.

关键词： Ectopic Pregnancy Coelioscopic Surgery“A” CHU Point G

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migration and Pathological Journeys: A Case Report of 5 Patients at the National Hospital in Niamey

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Open Journal of Psychiatry 2025年第1期15卷 24-34页

作者： Ousseyni Zika Oumou moussa Djibrilla Ataigba Iréti Néthania Elie Salifou A. m. mobarak Daou mamane Nanéma Désiré Abdou Bakari sangaré Ismaël Coulibaly modibo Douma maiga Djibo Ouédraogo Arouna Faculty of Health Sciences Abdou moumouni University Niamey Niger Faculty of Health Sciences Andr Salifou University Zinder Niger Faculty of medicine and Nursing and Obstetrics Training Institute University of Parakou Parakou Bnin Health Sciences Training and Research Unit (UFR/SDS) Joseph Ki-Zerbo University Ouagadougou Burkina Faso Ecole Normale Suprieure Abdou Moumouni University Niamey Niger

This study aims to explore the unconscious motivations underlying migration in Niger, with an emphasis on understanding the phenomenon of pathological travel. Its aim is to identify the unconscious factors of pathological travel among migrants. Pathological travel, as discussed in the scientific literature on psychopathology, is characterised by movements initiated under the influence of delusions, hallucinations or other serious psychiatric disorders. The aim of this research is to contribute to our understanding of how these unconscious factors influence migration decisions. Using a retrospective analysis of five cases, this study examines the psychological and psychiatric dimensions of migration, particularly among patients referred to the psychiatry department of the Niamey National Hospital between 2017 and 2018. The five cases analysed, representing 12% of a cohort of 40 migrant patients, suffered from chronic psychotic disorders, including schizophrenia and chronic hallucinatory psychosis. By means of diagnostic interviews and categorical sorting, three main unconscious motivations were identified: the delusional state with themes of filiation and persecution, the hallucinations that dictated the travel behaviour, and the dissociative states manifested by depersonalisation and derealisation. It also emerges from this analysis that pathological travel often involves prolonged journeys on foot and without purpose. Thus, untreated mental illness plays a significant role in shaping and influencing individual and social behaviour. The results of this study have important implications for public health and migration policy. They highlight the need to integrate health assessments into migration management systems, particularly in regions serving as transit hubs for migrants. The research also highlights the need for culturally sensitive psychiatric interventions to address the interaction between pre-existing mental disorders and migration. This study contributes to

关键词： migration mental Illness Pathological Journeys Unconscious Psychological motivations Niger

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ECG and Echocardiography Findings: A Comparative Study between Sportive and Sedentary Female Patients (Bamako, mali)

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World Journal of Cardiovascular Diseases 2019年第7期9卷 458-466页

作者： Ibrahima sangaré Hamidou Oumar Ba Youssouf Camara Ichaka menta Rokiatou mété Noumou Sidibé Souleymane Coulibaly Fousseyni Coulibaly Aladji Traoré Illo Diall Lydia Berenice Sita sangaré Boubakar Diallo Kassoum mamourou Sanogo University Hospital Gabriel Touré Cardiology Bamako Mali University Hospital Sidy Bocar Sall Cardiology Kati Mali University Hospital Point G Cardiology Bamako Mali University Hospital for Odontostomatology Bamako Mali

Objective: To study cardiovascular cardiac and echocardiographic features in high-level footballers and sedentary women in Bamako. materials and methods: This was a cross-sectional study conducted in Bamako from April 2015 to march 2016 among 14 to 35 years old high-level footballers and a group of untrained women. Data including socio-demographic, physical examination, ECG record and echocardiogram was inserted in microsoft Excel and analyzed with IBm SPSS. Chi Square and Fisher statistical tests were used to compare our results. The significance level was p 0.05. Results: Forty-three female subjects, 51% being sedentary were recruited. mean age, weight and height were significantly higher in sportswomen than in sedentary women with respectively p of minant in sportswomen. Conclusion: Bradycardia, left ventricle hypertrophy and dilatation were found more in sportswomen. These changes acquired through physical training are aspects of cardiac adaptation that we found in our sample. Other aspects were not found probably due to the small size of the sample.

关键词： ECG Echocardiography Footballers Women Sedentary Bamako

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The Evolution of Pore Water Pressure in a Saturated Soil Layer between Two Draining Zones by Analytical and Numerical methods

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Open Journal of Civil Engineering 2015年第4期5卷 390-398页

作者： Abib Tall Cheikh mbow Daouda sangaré mapathé Ndiaye Papa Sanou Faye Laboratoire de mé canique et modé lisation UFR Sciences de l’Ing&eacute nieur Univer-sit&eacute de Thiè s Thi&egrave s S&eacute né gal Groupe de Recherches sur les dynamiques des Systè mes et la mé canique des Fluides Fac-ult&eacute des Sciences et Techniques Universit&eacute Cheikh Anta Diop Dakar S&eacute né gal Laboratoire d’Analyse Numé rique et d’Informatique UFR Sciences Appliqu&eacute es et Technologie Universit&eacute

The building of the infrastructure on the compressible and saturated soils presents sometimes major difficulties. The infrastructure undergoes strong settlement that can be due to several phenomena of consolidation of the soils. The latter results from the dissipation of the excess pore pressure and deformation of the solid skeleton. Terzaghi theory led to the equation modeling the dissipation of excess pore pressure. The objective of this study is to establish solutions, by analytical and numerical method, of the equation of the pore water pressure. We considered a compressible saturated soil layer, between two drainage areas and subjected to a uniform load. Separation of variables is used to obtain an analytical solution and the finite element method for the numerical solution. The results obtained by the finite element method have validated those of analytical resolution.

关键词： Pore Water Pressure Primary Consolidation Saturated Soil Separated Variables Finite Element

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Assessment and Impact of Leachate Generated by the Landfill City in Abidjan on the Quality of Ground Water and Surface Water (m’Badon Bay, Côte d’Ivoire)

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Journal of Water Resource and Protection 2018年第1期10卷 145-165页

作者： sangaré Naminata Kouassi Edith Kwa-Koffi Kouassi Aka marcel Yao Koffi marcellin Laboratoire de Chimie Physique Université Félix Houphou&euml t Boigny Abidjan C&ocirc te d’Ivoire Centre de Recherches Océanologiques (CRO) Abidjan C&ocirc te d’Ivoire

The municipal Akouedo landfill of the city of Abidjan (Cote d’Ivoire) is composed of more than 60% of household waste. It lacks a leachate collecting and treatment device. To highlight the impact of the leachate on the receiving environments, some sampling campaigns of leachate, groundwater and surface waters were conducted from June 2013 to January 2014. Analyses of leachate samples revealed relatively high concentrations of trace metals: Fe (6450 ± 8690 μg/L), Cu (400 ± 272 μg/L), Zn (520 ± 240 μg/L), Cd (113 ± 105 μg/L), Pb (550 ± 237 μg/L), Ni (312 ± 97 μg/L) and Co (77 ± 56 μg/L). Fe is the most abundant chemical element. The analysis of groundwater and surface indicates that the levels of trace metals in these waters are higher than WHO standards except Zn.

关键词： Leachate Coastal Lagoon Groundwater Trace metals Pollution

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Etiological and Radiological Profile of Acute Lower Respiratory Infections during the Pre-COVID Period in the Paediatric Ward of the Teaching Hospital of mali and in the Community Health Centre of Yirimadio in Bamako

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Open Journal of Pediatrics 2023年第2期13卷 262-275页

作者： Bourama Kané mariam maiga Oumou Koné Korotoumou Wélé Diallo Aboubacar sangaré mody Abdoulaye Camara mariam Doumbia Abdoul Karim.sangaré Bréhima Traoré Lassine G. Timbiné Ibrahima Cissé Ahmadou I. Dramé Bréhima Kouriba Department of Paediatrics CHU Hôpital du Mali Bamako Mali Paediatric Department of the Centre de Santé de Référence de la Commune VI Bamako Mali National Institute of Public Health Bamako Mali medical imaging department of the CHU Hôpital du mali Bamako Mali Charles mérieux Infectious Diseases Centre Bamako Mali Centre de Santé Communautaire de Yirimadio Bamako Mali Department of Anaesthesia and Intensive Care CHU Hôpital du Mali Bamako Mali

Introduction: Every year, nearly 4 million people pass away from acute respiratory infections. 98% of such deaths are due to lower respiratory tract infections. Even though studies have been carried on lower respiratory infections x-ray aspects in mali, very few studies have been done to reveal bacteriological and virological evidence of this disease. materials and methods: It is about a descriptive prospective study carried out from January to December 2018 having involved patients of all ages, coming for medical consultation at the Yirimadio Community-based health center as well as children from 6 months to 15 years old coming at the pediatric department of UHC Hôpital du mali for a lower respiratory infection. They had all undergone chest X-ray and a PCR. The purpose: of this work is to study etiological and x-ray aspects of acute lower respiratory infections at the Yirimadio Community-based Health Center and at the UHC pediatric department of Hôpital du mali. Findings: From January to December 2018, we recorded a frequency of 1.19%. The age group 0 - 5 years was the most represented (64.5%) with a sex ratio of 0.97 for women. Cough was the most common clinical sign (98.7%) followed by fever (58.9%). Standard frontal chest X-ray was pathological in 70% of our patients. It was bronchitis in 75.4% of cases, pneumonia (13.5%), and bronchopneumonia (12.3%). PCR positive was in 83.9% of patients. It revealed a co-infection in more than half of the patients (52.5%), bacterial infection (16.1%) and viral infection (15.2%). Pathogens isolated ranked by frequency were Streptococcus pneumoniaa (87.6%) followed by Staphylococcus aureus (24.9%) and human rhinovirus (17%). The most common viral causes were human rhinovirus (17%), followed by influenza A and B virus (7%) and human parainfluenza virus (7%). Conclusion: It stemed from the study that lower respiratory infections were mainly due to Streptococcus pneumonea and human rhinovirus during pre-COVID at the Yirimadio Comm

关键词： Lower Respiratory Infections Etiologies Children mali

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Evolutive Trend of Water Level in the Ebrie Lagoon by Reconstitution of the Tide Gauge Time Series in Front of the Abidjan Coastline (Côte d’Ivoire)

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Journal of Water Resource and Protection 2023年第10期15卷 526-538页

作者： Samassy Rokyatou Yéo Kokoa Chia marie Reine Allialy Tano Anoumou Rene mondé Sylvain sangaré Seydou Kouadio Affian Laboratory of Geology mining Resources and Energy Felix Houphouet Boigny University Abidjan C&ocircte d’Ivoire Laboratory of Fundamental and Applied Physic Nangui Abrogoua University Abidjan C&ocircte d’Ivoire Department of Hydrography Autonomous Port of Abidjan Abidjan C&ocircte d’Ivoire

The latest Intergovernmental Panel on Climate Change (IPCC) report shows that sea-level rise, which has been accelerated since the 19th century resulting to the global warming, threatens coastal areas with high population growth. A Global Sea Level Observing System (GLOSS) assessment highlighted the lack of data in Africa, and in Côte d’Ivoire in particular. In order to estimate the evolutionary trend of sea level along the Ivorian coast, and to draw up preventive plans to protect properties and populations, we digitized 65 years of historical tidegrams recorded in the Ebrie Lagoon, using the “Surfer” and “Nunieau” software, then processed them using “T-Tide” and “U-Tide” software. The average levels were calculated using the Demerliac filter from complete daily (day and night) recordings for providing a usable database of 31 years of hourly lagoon data from 1979 to 2015. Our results show that a mean water level in lagoon is 1.04 m. The evolutionary trend in sea level, estimated in the lagoon via the Vridi canal, during the rainy season is the most significant at 2.93 mm/year. This is followed by the dry season, with a trend of 2.89 mm/year. The flood season trend is 2.78 mm/year. This suggests that marine water inflows dominate continental inflows. Our results highlight the vulnerability of Côte d’Ivoire’s coasts to the risk of marine submersion.

关键词： Tide mean Water Level Temporal Variability Vridi Channel marine Submersion

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Analysis of the Relationship between Oral Diseases and Glycemic Control of Diabetes in the West African Context: Survey at the Centre Anti-Diabetique d’Abidjan (CADA),cote d’Ivoire

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Open Journal of Epidemiology 2018年第4期8卷 213-225页

作者： Jean-Claude Guinan Guanga David meless Abou Dramane sangaré Datté Atta Sébastien mamadou Samba Viviane Da-Danho Ramata Bakayoko-Ly Département de Santé Publique UFROS UFHB Abidjan cote d’Ivoire Laboratoire de Santé Publique Cariologie et Plantes Médicinales Abidjancote d’Ivoire

The relationship between diabetes and periodontitis is established and described as a bidirectional influence, whereas that with dental caries is still controversial. The objective of this study was to analyze the relationship between blood glucose control and oral diseases in a population of diabetics followed at the “Centre Anti Diabétique d’Abidjan” (CADA). The dental condition of the diabetics included in this cross-sectional study was assessed by the DmF index, periodontal condition by the CPITN and oral hygiene by the OHIS index. Diabetes data were extracted from CADA patient medical records. Blood glucose control has been defined by an average of the blood glucose values of the last 3 months less than or equal to 1.26 g/l. Regression models were constructed to estimate the risk of diabetes imbalance adjusted for all characteristics collected. The sample of 356 diabetics consisted of 53.7% women with an average age of 55.6 years (range: 12 - 85 years). The average DmF index was 7.9 (Std: 6.6) with an estimated prevalence of caries of 77.0%, that of periodontitis of 53.1%. The proportion of subjects with good glycemic control was estimated at 41.3%. The characteristics associated with glycemic control were: dry mouth (p = 0.005), type of diabetes treatment (p med the link between periodontitis and glycemic control of diabetes described in the literature but didn’t find significant association between dental caries and diabetes.

关键词： Diabetes Glycemic Control Oral Health Periodontitis Dental Caries West Africa cote d’Ivoire

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Laboratory Confirmation of Human Rabies by RT-PCR and qRT-PCR Bamako: Report of a Case in a 4-Year-Old Girl at the mali Hospital

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Open Journal of Pediatrics 2022年第1期12卷 252-262页

作者： Garan Dabo Bourama Kane Lassina Doumbia Korotoumou Wélé Diallo Aboubacar sangaré Guediouma Dembélé Sanata Sogoba mamadou Traoré Ousmane Koita Daouda Kassim minta Service de médecine Hô pital du mali Bamako Mali Department of Paediatrics mali Hospital Bamako Mali Laboratory of molecular and Applied Biology Bamako Mali Service de Santé Publique Hô pital du mali Bamako Mali Pediatric service of the Commune Reference Health Center V Bamako Mali Infectious Diseases Department Centre Hospitalier Universitaire du Point G Bamako Mali

Rabies is a zoonotic disease of viral origin transmitted mainly to humans by biting or licking the injured skin of sick animals. It is an untreatable disease that is fatal once it has been declared. Worldwide, 59,000 cases of rabies-related deaths are recorded each year. The diagnosis of rabies is clinical, biological, and anatomopathological. The aim was to establish the laboratory confirmation capacity for human rabies in mali. The patient, a malian female, aged four years, was bitten by a dog around her house in district sixth of Bamako near national road number six in 2020. The patient visited the doctor after a two-month bite. However, she was neither referred to the health center for an effective therapeutic measure nor vaccination (post-exposure prophylaxis). The patient was presented with psychomotor excitation, hypersalivation, aerophobia, and hydrophobia symptoms and visited a malian hospital named “Hospital of mali”. The patient was admitted with a history of animal bites and symptoms of rabies, and the patient was classified as a probable rabies case. The patient was then referred to an infectious disease physician and hospitalized. After referring the patient to the infectious disease physician, the physician sent oral swab and cerebrospinal fluid (CSF) samples to confirm to the Laboratory of Applied molecular Biology. Human rabies was confirmed (RT-PCR) by the zoonotic unit of the Laboratory of Applied molecular Biology. Diagnosis and therapy of human rabies without post-exposure management after a dog bites were still challenging. It was possible to confirm the human rabies case in mali by RT-PCR and qRT-PCR.

关键词： Dog Bite Human Rabies Diagnosis mali

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Double Emergency Pulmonary Embolism and Aortic Dissection: About a Clinical Case

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World Journal of Cardiovascular Diseases 2020年第8期10卷 550-557页

作者： Coumba Thiam Boubacar Sonfo Youssouf Camara Souleymane Sanogo Hamidou Oumar Bâ Sidibé Samba massama Konaté Asmaou Keita Sako mariam mahamadou Cissé Ibrahima sangaré massama Camara menta Ichaka Cardiology Department of CHU Kati Bamako Mali Imaging Department CHU Mère-Enfant Bamako Mali Cardiology Department CHU Gabriel Touré Bamako Mali Cardiology Department CHU Point G Bamako Mali Internal medicine Service Mali Hospital Bamako Mali Cardiology Department CHU Mère-Enfant Bamako Mali

Introduction: Pulmonary embolism and aortic dissection are two formidable cardiovascular emergencies. Their exceptional association has a poor prognosis with very high mortality. The aim of our study was to report the case of a 31-year-old patient with pulmonary embolism associated with De Bakey’s type I aortic dissection, admitted to the cardiology department of Kati University Hospital. Case Presentation: We report the case of a young patient of 31 with no known cardiovascular history, on estrogen-progestogen contraception for 10 years, who consults for a left basal thoracic pain of increasing intensity, a whitish productive cough, hemoptysis and dyspnea stage III. She was admitted to the cardiology department, transthoracic cardiac ultrasound objectified aortic insufficiency, dissection of the aorta, the presence of the intimal flap, the false and the true channel, dilation of the right cavities with HTAP. The chest CT scan revealed bilateral lobar and segmental pulmonary embolism, De Bakey’s type I aortic dissection. Medical treatment was instituted for hemodynamic stabilization at the end of sending her to a center specializing in cardiovascular surgery for better management; unfortunately she succumbed before the preparations for her evacuation were finished. Conclusion: The pulmonary embolism associated with aortic dissection constitutes a medical emergence of rare incidence in a cardiological environment;mily:Verdana;">if the diagnosis was quickly made in our patient, the lack of technical platform m

关键词： Pulmonary Embolism Aortic Dissection CHU Kati

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