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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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Screening of Foot at Risk in Diabetic Patients

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Open Journal of Internal Medicine 2019年第3期9卷 62-71页

作者： Djenebou Traore Djeneba Sylla Sow Massama Konaté Ousmane Sidibé Modibo Mariko Djibril Sy Bah Traoré Karim Dao Amadou Koné Nanko Doumbia Nouhoum Ouologuem Yacouba Lazard Diallo Boua Daoud Camara Nongoba Sawadogo Ibrahima Amadou Dembélé Barry Boubacar Sangaré Mamadou Cissoko Mahamadou Saliou Youssouf Fofana Mamadou Mallé Mamadou Togo Adramé keita Abdramane Traoré Nagou Tolo Madani Ouologuem Abdel Kader Traoré Assa Traoré Sidibé Department of Internal Medicine The University Teaching Hospital of Point G Bamako Mali Department of Internal Medicine and Endocrinology The Mali Hospital Bamako Mali CHR Internal Medicine Department of Kaya Kaya Burkina Faso Department of Internal Medicine The Mother and Children Hospital “Luxembourg” Bamako Mali Department Internal Medicine The Hospital of Kati Bamako Mali

Introduction: The term “diabetic foot” refers to all conditions that affect the foot and are directly related to the impact of diabetes. Objective: Screen the foot at risk in diabetic patients at the hospital of Mali. Methods: It was a cross-sectional study from January 1st, 2016 to June 30, 2016, at the Department of Internal Medicine and endocrinology of the Hospital of Mali. It was focused on all hospitalized diabetic patients. Results: Thirty-two (32) patients had a foot at risk among 76 diabetic patients during the study period representing 42.10%. The sex ratio was 0.52. Type 2 diabetes accounted for 82%. A glycemic imbalance (HBA1C > 7%) was observed in 88.15%. Eighteen percent (18%) of patients had a history of ulceration or amputation;33% were walking barefoot;78.9% had tingles in the foot;31.6% had intermittent claudication;64.5% had foot cleanliness;8% claw toes;42% had abolition or reduction of superficial tenderness to monofilament and 21% had mixed foot (neuropathy + arteriopathy). In our study, 58.9% of patients had no risk of podiatry. Conclusion: Screening of foot at risk is essential in the management of diabetes because it determines the podiatric risk enabling to minimize future functional disabilities.

关键词： Foot at Risk Diabetes Hospital of Mali

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曰本合掌造民居复原研究案例一一白川村加须良地区旧山本家住宅

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建筑遗产 2016年第3期 80-97页

作者： [日]松本继太 [日]宫海智士胡佳林(译) 唐聪(译) 白川村办事处歧阜大野郡5015629 长冈造形大学新潟长冈罔市9402108 不详

19世纪80年代,旧山本家住宅建造于日本岐阜县白川村的加须良地区。作为该地区具有代表性的合掌造民居实例,虽然前后经过几次拆解复建、变化较大,但是每次改造的痕迹都被清晰地保留下来,十分珍贵。对山本家住宅建筑拆解构件的调查研究,... 详细信息

19世纪80年代,旧山本家住宅建造于日本岐阜县白川村的加须良地区。作为该地区具有代表性的合掌造民居实例,虽然前后经过几次拆解复建、变化较大,但是每次改造的痕迹都被清晰地保留下来,十分珍贵。对山本家住宅建筑拆解构件的调查研究,可以探明其初始建筑结构与历次改造重塑的经过。通过分析构件本体的风化情况、叠压关系等证据,得出若干结论,如:在建筑始建期未安置佛堂的构架部分,而是将里居室作为佛龛客间使用;作为僧侣接待室的书院造风格的侧居室是在建筑完成后另行增设;等等。这些结论较为准确地把握了旧山本家住宅的始建面貌与历史变迀过程。旧山本家住宅作为加须良地区具有代表性的合掌造民居实例,其重要性在于它展示了以佛龛客间为中心,带有书院造风格侧居室的"书院造居室"布局形式的形成过程。

关键词：白川村合掌造佛坛佛龛客间僧侣接待室书院造

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Splenectomy in the Surgery Department “A” at the University Hospital Point G Bamako

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Surgical Science 2019年第10期10卷 347-354页

作者： O. Sacko M. Sissoko S. Koumaré L. Soumaré M. Camara S. keita S. Diallo D. Dakouo M. Coulibaly A. Diakité M. Traoré G. Soumaré A. F. Traoré B. Touré M. Diallo M. Konaté A. Koné Y. Dianessy B. Traoré A. Koita Sanogo Zimogo Department of Surgery “A” University Hospital of Point G Bamako Mali Department of Surgery “B” University Hospital of Point G Bamako Mali Department of Gynecology-Obstetrics University Hospital of Point G Bamako Mali Department of Internal Medicine University Hospital of Point G Bamako Mali Department of Hematologie University Hospital of Point G Bamako Mali Reference Health Center of Commune 6 Bamako Mali.

We conducted a retrospective study that included patients with erythrocyte and hemolytic pathology justifying a splenectomy and patients presenting splenic trauma for which hemostasis splenectomy is required. We performed 27 total splenectomy in which 26 are by laparotomy (92.86%) and 1 by laparoscopy (3.57%). A partial splenectomy was performed by laparoscopy. The morbidity was marked by 2 cases of infectious syndrome and 1 case severe anemia. The mortality was 7.14% (n = 2). Splenectomy is part of the therapeutic arsenal for benign or malignant hematological disorders that constitute the main indication for elective splenectomy. Splenectomy was one of the most common operations in abdominal surgery. During the past decade, an increased rate of late complications, specially septic and thromboembolic complications are well documented. The risk is related to the indication of splenectomy, and is less than 1% in adults without immunodeficiency. However, these overwhelming postsplenectomy infections are associated with a high mortality rate. The best treatment of these infections is preventive measures which are based on vaccination and education of asplenic patients.

关键词： Splenectomy Hematology Septic Complication Vaccination

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Partial Ventricular Atrioventricular Canal Aged about a Case

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World Journal of Cardiovascular Diseases 2019年第1期9卷 51-55页

作者： C. A. Thiam S. Sidibé Y. Camara S. Coulibaly A. K. Sacko H. O. Ba M. Diakite S. Diallo I. Sangaré S. J. B. Tougouma M. Konaté S. Sidibé A. keita N. Sidibé S. Mariko M. Sako I. Menta B. Diallo Cardiology Department Hospital Kati Bamako Mali Cardiology Department Point “G” Hospital University Center Bamako Mali Cardiology Department Gabriel TOURE Hospital University Center Bamako Mali Cardiology Department Mother Hospital Child “le luxembourg” Bamako Mali Higher Institute of Health Sciences Nazi Boni de Bobo Dioulasso University Bobo Dioulasso Burkina Faso Cardiology Department Hospital Mali Bamako Mali Cardiology Department Hospital Tombouctou Tombouctou Mali

Introduction: The partial ventricular atrioventricular canal is a congenital heart malformation of the ostium primum type of variable surface that can reach the single atrium where the interatrial septum is no more than a cephalic muscular vestige attached to the roof of the atrium. His diagnosis at the age of 73 is not a common situation. The interest of this clinical case that we report lies in the peculiarity of its mode of discovery and its evolution under medical treatment. Observation. He was a 73-year-old patient with no known cardiovascular risk factor and has since been at about 18 years of age with heart failure syndrome with progressive dyspnea, cough and edema of the lower limbs, but never explored for lack of financial means, and the evolution was enamelled by episodes of cardiac decompensation, the last of which dated back to 03/07/2018 justifying a hospitalization in our service. Cardiac ultrasound shows a partial atrioventricular canal. The care was medical. Conclusion: The atrioventricular canal is a congenital heart disease complex of poor prognosis.

关键词： Partial Ventricular Atrioventricular Canal Heart Disease Mali

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黄斑裂孔术中玻璃体腔内注射吲哚青绿后的视野缺损

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美国医学会眼科杂志（中文版） 2005年第3期17卷 183-183页

作者： Shigeru Kanda Akinori Uemura Takehiro Yamashita Hazuki Kita keita Yamakiri Taiji Sakamoto 李婵（译）蒋幼芹（校）

目的：报道一组患者发现在黄斑裂孔手术中使用吲哚青绿（ICG）辅助内界膜剥离后的视野缺损，并评估视野缺损与使用ICG间的关系。设计：回顾性、非对照性干预的一组病例。参与者：本研究中的39只眼来自38例临床诊断黄斑裂孔患者，自2001... 详细信息

目的：报道一组患者发现在黄斑裂孔手术中使用吲哚青绿（ICG）辅助内界膜剥离后的视野缺损，并评估视野缺损与使用ICG间的关系。设计：回顾性、非对照性干预的一组病例。参与者：本研究中的39只眼来自38例临床诊断黄斑裂孔患者，自2001年1月1日至2002年12月31日问均接受了玻璃体切割术。

关键词：视野缺损黄斑裂孔吲哚青绿玻璃体腔内注射手术中玻璃体切割术患者发现内界膜剥离临床诊断

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Scleroderma and HIV Infection: A Case Report with Literature Review

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Open Journal of Internal Medicine 2018年第4期8卷 255-260页

作者： I. A. Dembélé N. R. Nyanke D. Traore A. K. Souckho D. Sy M. Cissoko A. Sanogo B. B. Sangaré O. A. Cisse K. Dao K. T. Tighankpa M. Malle M. Togo A. keita A. Traore M. Saliou Y. Fofana D. Sangaré N. Tolo N. Doumbia A. Doumbia B. B. Berthé B. D. Camara S. A. Coulibaly N. Sawadogo M. Dembélé A. K. Traore H. A. Traore Internal Medicine Department Point G Teaching Hospital Bamako Mali Department of Internal Medicine Kaya Regional Hospital Kaya Burkina Faso

Introduction: Acquired immunodeficiency syndrome (AIDS) linked to HIV infection is accompanied by auto-immune phenomena. Autoimmune diseases can develop in people living with HIV, most in a context of good immunological control (vasculitis, anti-phospholipid syndrome). Since the advent of antiretroviral therapy, an increasing number of autoimmune connective tissue diseases such as systemic lupus erythematosus, dermatomyositis, and syndromes of Sj?gren and scleroderma have been reported. Purpose: To describe this association’s not very common scleroderma and HIV infection. Observation: We report the case of a 56-year-old lady admitted into the service for functional impotence that would have been evolving for a week. Prior to her hospitalization, she presented edemas of the lower limbs associated with anesthesia of the lower limbs for 5 months. The painting is accompanied by a productive cough and an intermittent fever. At the physical examination a weight loss (BMI = 13.74 Kg/m2), fever (38.7°C): Oral candidiasis, lower lip ulceration, perlicking, undernutrition folds, sclerodactyly and homogeneous hepatomegaly was noted. The diagnosis of immunosuppression to HIV Stage 3 with TB co-morbidity and positive hepatitis B Serology was retained while diffuse Scleroderma was selected from the ACR/EULAR criteria of 2012 with a score of 10 (sclerodactyly = 4 point;Raynaud’s phenomenon = 3 point and Ac Anti Scl 70 positive = 3 point). Conclusion: These associations of chronic pathology must be described to improve the future treatment of our patients.

关键词： Scleroderma HIV Internal Medicine

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抽吸与切取方法获取的脂肪组织的结构特征和细胞组成的对比研究

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中国美容整形外科杂志 2011年第7期22卷 I0022-I0022页

作者： Hitomi Eto Hirotaka Suga Daisuke Matsumoto keita Inoue Noriyuki Aoi Harunosuke Kato Jun Araki Kotaro Yoshimura 魏峰(译) 高景恒(译) 张晨(译) 日本东京东京大学医学院整形外科《中国美容整形外科杂志》编辑部大连大学附属新华医院整形外科

背景脂肪组织是一种容易获取的组织，可当做软组织填充物，也是成人多功能细胞的来源，这种多功能细胞被称为脂肪源性干细胞／基质细胞／祖细胞。然而，由于脂肪细胞和脂肪组织的结构很脆弱，脂肪细胞的许多解剖特征仍不清楚。方法纳入... 详细信息

背景脂肪组织是一种容易获取的组织，可当做软组织填充物，也是成人多功能细胞的来源，这种多功能细胞被称为脂肪源性干细胞／基质细胞／祖细胞。然而，由于脂肪细胞和脂肪组织的结构很脆弱，脂肪细胞的许多解剖特征仍不清楚。方法纳入抽吸方法获取的皮下脂肪组织标本15例，完整皮下脂肪组织标本9例，采用以下方法进行评估：①采用组织全层包埋结合三重荧光染色技术，对活脂肪组织进行三维成像；②甘油一3．磷酸脱氢酶试验；③多色流式细胞术（CD34、CD31和CD45）；④培养血管基质部分细胞的贴壁细胞，以产生脂肪源性基质细胞。结果组织全层包埋方法显示脂肪组织旁存在毛细血管网，抽吸获取的脂肪组织中的毛细血管网被部分破坏。抽吸脂肪组织也缺少大的脉管结构，其小脂肪粒（破碎脂肪组织，P=0．00016）和死亡细胞（P=0．0038）的数量均高于切取脂肪组织。抽吸与切取的脂肪组织中，脂肪细胞数量占全部细胞数的比例均小于20％，且脉管系统相关细胞（包括内皮细胞和脂肪源性基质细胞）占到细胞总量的一半以上。甘油一3．磷酸脱氢酶试验显示，抽吸和切取脂肪组织中破裂的脂肪组织所占百分比分别为大于30％和5％（P=0．032）。多色流失细胞术分析结果显示，抽吸脂肪组织中受污染的血源性细胞（CD45＋）数量在总细胞中所占百分比更大（P=0．0038），抽吸脂肪组织内的脂肪源性基质细胞产量大约是切取脂肪组织的一半（P=0．011）。结论作者研究表明两种组织有不同的结构特征和细胞成分，且抽吸脂肪组织内组织损伤更严重，祖细胞产量也不足。

关键词：脂肪组织细胞组成抽吸方法切取方法结构特征脂肪源性干细胞毛细血管网多色流式细胞术

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