检索结果-南通市图书馆

Emergency Caesarean Section in Adolescent Girls at the Referral Health Center in Commune I

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Obstetrics and Gynecology 2020年第2期10卷 298-310页

作者： Alassane traore mamadou B. Coulibaly Soumana O. traore Modibo D. Soumare Seydou Fane Bourama Kane mamadou Sima Saliou A. traore Seydina A. Beye Yacouba L. Diallo Youssouf traore Gynecology Service of Hopital du Mali Bam Bamako Mali Gynecology-Obstetrics Service Referral Health Center of Commune IV Bamako Mali Gynecology-Obstetrics Service Referral Health Center of Commune I Bamako Mali Gynecology-Obstetrics Service University Teaching Hospital (UTH) Gabriel Touré Bamako Mali Pediatric Service of Hopital du Mali Bamako Mali Gynecology Service UTH Point G Bamako Mali Anesthesia Resuscitation Service UTH Point G Bamako Mali Medicine and Endocrinology Service Hopital du Mali Bamako Mali.

Teenage pregnancy is common in Mali due to the high rate of unwanted pregnancies and early marriages. The general objective of this study was to study emergency cesarean delivery in adolescent girls at the referral health center (RHC) in commune I of the district of Bamako. It was a descriptive study with prospective data collection from January 1 to December 31, 2018. Any adolescent girls in whom an emergency caesarean section was performed were included. The data were entered and analyzed on SPSS 20.3. Results: we have collected 616 adolescent parturients, 202 caesareans were performed in emergency, with a frequency of 32.8%. The average age was 17 with the extremes of 13 and 19. Early marriage was found out in 95.5% of our patients, 40 adolescent girls were primiparous (20%), 4 of whom had an inter-reproductive interval of less than a year. The main indications for cesarean section were fetal distress in 71 cases (35%), fetal-pelvic disproportion, scar uterus in the border pelvis (11% each), breech presentation in 15 cases (7%). Anemia (10.4%) was the main complication, followed by vascular pedicle attack (5.94%), infection of the operating site (1.5%) and a bladder wound (0.99%). Fetal mortality was 1.4% and neonatal 3.8%.?Conclusion:?the association between adolescence and caesarean section in emergency constitutes risk factors which increase maternal and neonatal morbidity and mortality. Fighting these factors improves the survival of the mother and the newborn.

关键词： Adolescent Cesarean Emergency Mortality

Clinical and Epidemiological Aspects of Hepatocellular Carcinoma at the Internal Medicine Department of Point “G” Teaching Hospital in Mali

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Gastroenterology 2023年第7期13卷 250-255页

作者： Ganda Soumaré Sanra Déborah Sanogo Abdoulaye Maiga Ouatou Mallé mamadou Mallé Ibrahima A. Dembélé mamadou Cissoko mamadou M. Coulibaly Assétou Kaya Soukho mamadou Dembélé Abdel Kader Traoré Alassane traore Hamar Alassane traore Gastroenterology Department CHU du Point G Bamako Mali Internal Medicine Department CHU du Point G Bamako Mali

Liver cancer is the malignant transformation of liver cells. It develops in 90% of cases of cirrhosis, more rarely on chronic non-cirrhotic liver disease, and exceptionally in a healthy liver. This study aimed to investigate the clinical aspects of Hepatocellular Carcinoma (HCC). It was a retrospective descriptive study covering 10 years, focusing on HCC cases seen in outpatient and inpatient settings at the Internal Medicine Department. We recorded 153 cases out of 7021 patient records, resulting in a hospital frequency of 2.17%. The male-to-female ratio was 3.5. The mean age was 52.37 ± 14.34 years. The most common presenting complaint was pain in 16.3% of cases. A history of jaundice was found in 25.5% of cases. Alcohol consumption was observed in 15.38% of cases. The main physical sign found was hepatomegaly in 76% of cases. HBsAg was positive in 33.3% of cases. Alpha-fetoprotein levels were above 400 IU/ml in 50.81% of cases. Patients classified as CHILD PUGH A represented 39.72% of cases. Abdominal ultrasound revealed portal thrombosis associated with heterogeneous multinodular hepatomegaly in 11% of cases. Cytology confirmed HCC in four out of six patients who underwent the examination. We recorded 63 deaths out of 111 hospitalized patients. Complications included encephalopathy, hematemesis, and ascites in 48 patients. Hepatocellular carcinoma remains a significant public health issue. Its predominance in men and its occurrence in adults with factors such as viral infections and ethylism mean that prevention of this pathology could greatly reduce its incidence.

关键词： Hepatocellular Carcinoma (HCC) Point G University Hospital Bamako Mali

Urological Complications of Female Genital Mutilation: A Case Report of 15 Patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Urology 2024年第9期14卷 499-506页

作者： mamadou Tidiani Coulibaly Issa Amadou Maimouna traore Falaye Sissoko Dramane Cisse Urological Surgeon at the Urology Department of CHU Gabriel Tour Bamako Mali

Objective background: This was a retrospective study of the clinical and therapeutic aspects of urological complications of female genital mutilation in the urology department of Bamako’s Gabriel Touré University Hospital. Methods: Our study took place from 2002 to 2017 in the urology department of the Gabriel Touré University Hospital in Bamako and concerned cases of complications of female genital mutilation. Our study included all girls or women presenting with urinary disorders related to complications of genital mutilation and received in urological consultation and surgical management. Results: The average age of our patients was 2.5 years, with extremes ranging from 3 months to 35 years. The oldest patient had presented with dystocia during both deliveries. Acute urine retention (n = 7) was the most frequent reason for consultation. Other signs included urinary incontinence, pollakiuria and burning. Physical examination revealed clitoridectomy and abrasion of the labia minora in 13 patients. Type III of the WHO classification of female genital mutilation was the most frequent and corresponded to infibulation.

关键词： Acute Retention of Urine Clitoridectomy Female Genital Mutilation

Acute Otitis Media in Children Aged 0-5 Years, Epidemiological Aspects and Management in the Paediatrics Department of the Hospital National Ignace Deen (Conakry)

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Epidemiology 2024年第1期14卷 19-30页

作者： Oumou Amadou Diallo M’bemba traore mamadou Cire Barry mamadou Mouctar Ramata Diallo Hasmiou Dia Alpha Oumar Diallo ENT Department Ignace Deen National Hospital Conakry Guinea Paediatrics Department Ignace Deen National Hospital Conakry Guinea ENT Department Mamou Regional Hospital Mamou Guinea

Introduction: Acute otitis media is an acute inflammation of the mucosa of the middle ear cavities. It is often secondary to nasopharyngitis, which favors the passage of infection through the Eustachian tube to the middle ear. The aim of our study was to improve the management of AOM in the Paediatric Department of the Hospital National Ignace Deen (Conakry). Patients and Methods: This was a prospective descriptive study lasting 6 months from 01 July to 31 December 2011;the study covered 525 cases out of a total of 6276 children, i.e. a frequency of 8.36%. Results: The most affected age group was 6 to 11 months. Males predominated (69.71%). 82.29% had a history of recurrent rhinopharyngitis. The most frequent reason for consultation was incessant crying (66.29%). Rhinopharyngitis and malaria were the most commonly associated pathologies (87.62% and 39.62% respectively). 72.19% of our patients were admitted with congestive AOM and received medical treatment. We recorded one case of otomastoiditis which was treated surgically. Conclusion: AOM is more common in children aged between 6 and 24 months. Good collaboration between paediatricians and ENT specialists is essential to reduce the morbidity of AOM.

关键词： Acute Otitis Media (AOM) Treatment Nasopharyngitis Eustachian Tube

Hemoglobinopathy and Systemic Lupus: A Rare Association

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

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

Ultrasound in Ti-Rads Classification of Thyroid Nodules at the Marie Curie Medical Clinic

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Medical Imaging 2024年第3期14卷 114-122页

作者： traore Ousmane Diakité Siaka Sidibe Drissa Mansa N’Diaye mamadou Diallo Aissata Bagayoko Ousmane Lansenou Camara Nagnoumague Coulibaly Modibo Cisse Issa Dembele mamadou Sidibe Assan traore Keita Adama Diaman Department of Radiology and Medical Imaging The Marie Curie Medical Clinic Bamako Mali Department of Radiology and Medical Imaging The Point G University Hospital Center Bamako Mali Teaching Researcher at the Faculty of Medicine and Odontostomatology The University of Sciences and Technologies of Bamako/USSTB Bamako Mali Department of Radiology and Medical Imaging The Health Center of the Military Camp Bamako Mali Medical Office Didinitata Bamako Mali

Introduction: A thyroid nodule is a localized hypertrophy within the thyroid parenchyma. The aim of our study was to study the benefit of ultrasound in the Ti-rads classification of thyroid nodules. Methodology: This was a prospective study with a descriptive aim, with prospective collection, which took place over a period of 17 months at the “Marie Curie” medical clinic. The ultrasound machine used was a Voluson E8 from 2011 and the examinations were carried out by two radiologists and two experienced sonographers. The parameters studied were sociodemographic data;clinical data and ultrasound aspects of the Ti-rads classification in the management of nodules. Results: We collected 235 patients out of 738 patients referred to the service for a cervical ultrasound, i.e. a frequency of 31.84% of cases. There was a female predominance with 95.7% of cases and a sex ratio of 0.04. The average age of our patients was 50 years. We found on cervical ultrasound: Isthmo-lobar glandular hyperplasia in 99 patients, i.e. a frequency of 42.1%. The Ti-rads 3 classification was the most represented in 69.4% of cases. The benignity criterion represented 85.6% of cases in our patients and the malignancy criterion represented 14.4% of cases. Conclusion: The precise description of a thyroid nodule provided by ultrasound (Ti-rads) is essential in the management of nodules.

关键词： Ultrasound Thyroid Nodules Ti-Rads “Marie Curie” Medical Clinic

Ultrasound of the Siren Syndrome (Sirenomelia) in the District of Bamako Apropos of a Case

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Medical Imaging 2022年第3期12卷 165-170页

作者： Ouncoumba Diarra Ousmane traore Ilias Guindo mamadou Dembele Souleymane traore Alassane Kouma Issa Cisse Mahamadou Diallo Siaka Sidibe Adama Diama Keita Radiology Department of the Reference Health Center of the CIII Commune of Bamako Bamako Mali Radiology Department of the Medical Clinic “Marie Curie” Bamako Mali Radiology Department of the KATI Hospital Center Bamako Mali Radiology Department of the Medical Clinic “FERTILIA-DIAFOUNOU” Bamako Mali Radiology Department of the “Luxembourg” Mother-Child Hospital Center Bamako Mali Radiology Department of the “Gabriel TOURE” Hospital Center Bamako Mali Radiology Department CHU Point G Bamako Mali

Sirenomelia is a rare fetal malformation with more or less complete fusion of both lower limbs consistently associated with bilateral renal abnormalities. The positive diagnosis can be made antenatally by ultrasound during the first trimester of pregnancy but often before the 22 weeks of amenorrhea. The objective was to think about the possible diagnosis by ultrasound in front of the urinary anomalies and the ologiamnios during the morphological study of the second trimester of pregnancy. We report a case of sirenomelia in a 25-year-old lady as part of the routine prenatal assessment suspected and confirmed during the morphological ultrasound of the second trimester of pregnancy and confirmed after the termination of pregnancy in Mali in the Health Center of Reference of commune III of the district of Bamako. The morphological ultrasound made it possible to diagnose the malformation of the urinary tract, the amniotic fluid and to make the therapeutic decision of medical termination of pregnancy at the end of confirming the siren syndrome.

关键词： Sirenomalia Ultrasound Fetal Malformation Mali

Quantum Chemical Characterization of Hydrogen Bonding Sites in Three 4-(4-Halo-Phenyl)-6-(Furan-2-yl) Pyrimidin-2-Amine Derivatives

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Computational Chemistry 2017年第3期5卷 91-102页

作者： Yafigui traore Kafoumba Bamba Nahossé Ziao Sopi Thomas Affi mamadou Guy-Richard Kone Laboratoire de Thermodynamique et de Physico-Chimie du Milieu UFR SFA Université NanguiAbrogoua Abidjan C&ocirc te-d’Ivoire

Hydrogen bonding (HB) sites in three pyrimidine compounds derivatives (DP), namely 4-(4-fluorophenyl)-6-(furan-2-yl) pyrimidin-2-amine (DP-1), 4-(4-chlorophenyl)-6-(furan-2-yl) pyrimidin-2-amine (DP-2) and 4-(4-bromophenyl)-6-(furan-2-yl) pyrimidin-2-amine (DP-3), have been investigated by quantum chemistry methods, especially at HF/6-311+G(d,p) and B3PW91/6-311+G(d,p) levels. Hydrogenfluori deserved as probe for hydrogen bonding complexes. Molecular electrostatic potential maps, geometricparameters of HB complexes, as well as energetic parameters of the complexation reactions have been computed. Finally, one out of two nitrogen atoms of pyrimidine nucleus has been identified as the major hydrogen bonding site in the three pyrimidine derivatives, with respective percentages of around 83.0% and 93.2% at HF/6-311+G(d,p) and B3PW91/6-311+G(d,p) levels.

关键词： Analgesic Hydrogen Bonding Pyrimidine Derivatives Quantum Chemistry

Management of Urological Emergencies at the Nianankoro Fomba Hospital in Segou: A Case Report of 72 Patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Urology 2022年第5期12卷 242-247页

作者： Sory I. Kone Mohamed traore Ibrahim Yattara Tièmoko traore Karifala Haidara Frank M. Omam mamadou T. Coulibaly Honoré J. G. Berthe mamadou L. Diakite Urology Department Nianankoro Fomba Hospital Ségou Mali Liberal Bamako Mali Department of Urology CHU Gabriel TOURE Bamako Mali Department of Urology CHU du point G Bamako Mali

PURPOSE: Our aim was to present the diagnostic and therapeutic aspects of urological emergencies in a regional hospital. MATERIAL AND METHODS: We conducted a prospective study over a period of 6 months (April 2021 to September 2021) collecting all the emergencies received by the on-call urology team at the Nianankoro Fomba Hospital in Segou. This team was led by a DES in urology under the supervision of a urological surgeon. We were interested in age, sex of patients, diagnosis, number of patients hospitalised and type of surgery performed in emergency. RESULTS: We registered 72 patients. The mean age of our patients was 58.8 years with extremes of 6 and 90 years. Acute bladder retention was represented in 61% and total haematuria in 24%. Renal colic was reported in 8%. Acute prostatitis was reported in 4% of cases, and acute pyelonephritis in 1%. Urogenital trauma accounted for 6%. CONCLUSION: Although underestimated, in our context, the management of urological emergencies remains a regular activity of the urology department in view of the number of patients managed. Bladder drainage remains the most frequent procedure.

关键词： Urological Emergency Nianankoro Fomba Hospital Diagnosis Treatment