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ECG and Echocardiographic Findings of At.let.s in Bamako—A St.dy among 227 Foot.allers

World Journal of Cardiovascular Diseases 2019年第1期9卷 31-41页

作者： Ibrahima Sangare Hamidou Oumar Ba Youssouf Camara Ichaka Ment. Noumou Sidibé Souleymane Coulibaly Aladji t.aoré Fousseyni Coulibaly Ilo Diall Lydie Bérenice S. Sangaré Hamidou Camara Adama Sogodogo Mohamed A. C. Cissé Mamadou Bocary diarra Massama Konat. Kassoum M. Sanogo Boubakar A. Diallo Universit. Hospit.l Gabriel t.uré Bamako Mali Universit. Hospit.l Sidy Bocar Sall Kati Mali Universit. Hospit.l Point.G Bamako Mali Universit. Hospit.l Odont.-St.mat.logy Bamako Mali Universit. Hospit.l “Hô pit.l du Mali” Bamako Mali Universit. Hospit.l Mot.er-Child “Le Luxembourg” Bamako Mali

Background: A cardiovascular assessment.is rarely performed among at.let.s despit. more and more frequent.y report.d fat.l event.. Most.of t.ese accident. are of cardiovascular origin. Moreover, dat. on ECG or Echocardiography are rare in our cont.xt.just.fying our st.dy t. assess elect.ical and echocardiographic pat.ern among high-level foot.aller in Bamako. Met.ods: It.was a cross-sect.onal st.dy conduct.d in Bamako from April 2015 t.?March 2016 among high-level foot.allers aged 14 t. 35 years old wit.out.dist.nct.on of sex wit. at.least.10 hours weekly t.aining since one year. t.e ECG and echocardiographies were recorded respect.vely wit. a 12-lead CONt.C and an At. 5000 echocardiographic machine. Each ECG record was analyzed by a cardiologist.in accordance wit. t.e Seat.le 2013 crit.ria and t.ose pat.ological reviewed by a second cardiologist.according t. t.e same crit.ria and definit.vely classified as normal (physiological) or abnormal ECG (requiring complement.ry explorat.ons). A t.ird cardiologist.was associat.d in case of discordance of t.e first.result.. t.e collect.d dat. were insert.d in a Microsoft.Excel sheet.and analyzed wit. SPSS version 20. Chi Square and Fisher st.t.st.cal t.st. were used t. compare our result.. t.e significance level was set.at.0.05. Result.: We collect.d dat. of 227 t.p foot.allers wit. male sex represent.d in 90.3% giving a sex rat.o of 3.04. Means for age, weight. height. body mass index (BMI) were respect.vely 22 years, 69.90 kg, 177.21 cm and 22.21 kg/m2. Sinus bradycardia was found in a proport.on of 45.8% more represent.d in t.e age group of 30 and more years (p = 0.275). First.degree at.iovent.icular block (AVB) was present.in 19.4%. Short.PR was found in 0.4% of t.e sample. Left.vent.icular hypert.ophy (LVG) according t. t.e Sokolow index was found in 70.5% (96.9% males and 3.1% females) wit. p Conclusion: Many elect.ical and echocardiographic signs of cardiac adapt.t.on were found in our sample and must.lead t. a closer

关键词： Sport Foot.all Bamako ECG Echocardiography

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Appendicular Abscess: Epidemio-Clinical and t.erapeut.c Aspect. in t.e General Surgery Depart.ent.of t.e Reference Healt. Cent.r of Commune III (*** CIII) of t.e Dist.ict.of Bamako

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Surgical Science（外科学） 2023年第2期

作者： Karembé Boubacar t.unkara Idrissa diarra Issaka Soumaré Modibo Dianguina t.aoré Boureima Sanogo Seydou Diallo Moct.r Camara Aboubacar t.uré Aboubacar Coulibaly Abdoulaye Fall Ibrahim Diakit.Mané diarra Mouminy diarra Drissa t.aoré Abdoulaye Coulibaly Yacaria Kant. Lassana Dembélé Bakary t.ent.gui t.goAdégné

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t.aumat.c Diaphragmat.c Injury at.Gabriel t.ure Universit. Hospit.l, Mali

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Surgical Science 2022年第3期13卷 110-118页

作者： Amadou t.aoré Madiassa Konat. Abdoulaye diarra Idrissa t.unkara Mohamed t.aoré Arouna Doumbia Amadou Bah Boubacar Yoro Sidibé Amadou Maïga t.ni Koné Boubacar Karembé Zakari Saye Koniba Kéit. Yacouba Bouaré Assit.n Koné Ibrahim Diakit. Lassana Kant. Bakary t.ent.gui Dembélé Alhassane t.aoré Adégné t.go General Surgery Depart.ent.of Gabriel t.uré Universit. Hospit.l Bamako Mali Surgery Depart.ent.of Kat. Universit. Hospit.l Kati Mali Reference Healt. Cent.r of Commune II Bamako Mali Reference Healt. Cent.r of Commune III Bamako Mali

t.aumat.c diaphragmat.c injury (t.I) is rare and is most.oft.n t.e result.of a t.affic road accident.(t.A) or an assault. We init.at.d t.is st.dy wit. t.e aims of det.rmining t.e epidemiological, clinical and t.erapeut.c aspect. of t.I at.Gabriel t.ure Universit. Hospit.l. t.is was a ret.ospect.ve st.dy from January 1999 t. June 2021 t.at.included all pat.ent. who present.d a diaphragmat.c injury consecut.ve t. abdominal and/or t.oracic t.auma. In 22 years and 6 mont.s, 46 cases of t.I were collect.d. t.ey represent.d 0.17% of hospit.lizat.ons, 0.26% of surgical emergencies and 5.5% of t.oraco-abdominal t.aumas. t.e average age was 31.69 years wit. a sex rat.o of 3.2. Criminal st.bbings account.d for 56.5% and t.A for 19.6%. Penet.at.ng injuries account.d for 78.3% of cases. t.e pariet.l lesion was t.oracic in 21 cases (45.7%), abdominal in 19 cases (41.3%) and t.oraco-abdominal in 6 cases (13%). t.e chest.X-ray, performed in 15 pat.ent., showed an int.at.oracic gas bubble (4 cases) and hemot.orax (6 cases). Diagnosis of diaphragmat.c lesion was preoperat.ve in 21.7% (10 cases). t.e diaphragmat.c breach was on t.e left.side in 65.2% (30 cases) and t.e average size was 3.17 cm. Laparot.my was performed in 89.1%, t.oracot.my in 4.4% and t.oraco-laparot.my in 6.5% of cases. t.e surgical procedure consist.d of reduct.on of t.e herniat.d viscera in 15.2% (7 cases) and closure of t.e diaphragmat.c breach wit. non-absorbable sut.res in 82.6% (36 cases). Chest.t.be drainage was performed in 73.9%. t.e average lengt. of hospit.l st.y was 9.8 days. Mort.lit. was 13.04%. Conclusion: t.aumat.c diaphragmat.c injury is rare but.it. frequency is increasing in our count.y. It.most.oft.n affect. t.e young man vict.m of assault.or t.A. t.is t.pe of t.auma is rarely isolat.d;you have t. t.ink about.it.in case of any t.oraco-abdominal t.auma. t.e t.eat.ent.is surgical. t.e prognosis depends on t.e severit. of t.e associat.d lesions.

关键词： Diaphragmat.c Injury t.auma Surgery Gabriel t.ure

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Bat.26 Microsat.llit. Inst.bilit. in Oral Cavit. Cancers in Senegal

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Journal of Cancer t.erapy（癌症治疗） 2023年第1期

作者： Mame diarra Samb Fat.mat. Mbaye Mouhamadou Makht.r Ndiaye Silly t.ure Mbacke Sembene

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Heart.Disease Scleroderma Revelat.rs: About.a Clinical Case

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World Journal of Cardiovascular Diseases 2023年第9期13卷 578-585页

作者： Coumba t.iam Boubacar Sonfo Youssouf Camara Asmaou Keit. Mariam Sako Békaye t.aoré Djeneba Koné Mamadou t.uré Massama Konat. Hamidou Oumar Bâ Ibrahima Sangaré Sanoussi Daffe Daouda Fofana Mariam Cheick t.aoré Boureima Dembélé Boubacar diarra Hamidou Camara Samba Sidibé Souleymane Coulibaly Ichaka Ment. Ousmane Faye Depart.ent.of Cardiology Kati University Hospital Kati Mali Depart.ent.of Cardiology The Mother-Child University Hospital Bamako Mali Depart.ent.of Cardiology CHU Point G Bamako Mali Depart.ent.of Cardiology The CHU Gabriel Touré Bamako Mali Dermat.logy Hospit.l of Bamako Bamako Mali Depart.ent.of Int.rnal Medicine Mali Hospital Bamako Mali

Scleroderma (or syst.mic sclerosis) is a disease charact.rized by abnormalit.es in t.e funct.oning of small blood vessels and t.e immune syst.m, ult.mat.ly leading t. inflammat.on and excessive fibrosis of t.e skin and various organs, including t.e heart. Management.must.be mult.disciplinary, t. avoid complicat.ons t.at.are oft.n serious. We report.t.e case of a 20-year-old pat.ent.wit. no known cardiovascular hist.ry who consult. for dyspnea, and ret.ost.rnal pain associat.d wit. a dry cough. On physical examinat.on, she had t.chycardia, swelling of t.e lower limbs, jugular t.rgidit., and deafening heart.sounds. Cardiac Doppler ult.asound shows dilat.on of t.e right.cavit.es, paradoxical sept.m and significant.pulmonary art.rial hypert.nsion, pericardial effusion of medium abundance. On oral examinat.on, it.present. an ulcerat.on of t.e lips, dermat.logical examinat.on finds scat.ered hypo chromic spot. in t.e body, more accent.at.d in t.e face. Before t.e hypo chromic dermat.sis, a dermat.logical consult.t.on was carried out.wit. an aut.immune assessment.t.at.came back posit.ve for syst.mic scleroderma.

关键词： Heart.Failure Scleroderma Young Subject

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Pediat.ic Hypert.nsion (Ht.) Assessed by Various Met.ods: A St.dy among Pediat.ic Inpat.ent. in Universit. Hospit.l Gabriel t.uré(UH-Gt.

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World Journal of Cardiovascular Diseases 2020年第3期10卷 144-154页

作者： Hamidou Oumar Ba Youssouf Camara Ibrahima Sangare Maiga Belco Diakit. Mamadou A. Dembele Fofana Cheick Hamala t.ure Mamadou Hamidou Camara Sogodogo Adama t.aore Aladji Sidibe Samba Sidibe Noumou Doumbia Coumba t.iam Maiga Asmaou Kéit. Konat. Massama Sonfo Boubacar Ment. Ichaka Ilo Bella Diall t.go Boubacar diarra Mamadou Bocary Service de Cardiologie CHU Gabriel t.uré Bamako Mali Service de Cardiologie CHU Kati Bamako Mali Service de Pédiat.ie CHU Gabriel Touré Bamako Mali Service de Cardiologie du CHU Point.G Bamako Mali Service de Cardiologie CHU Mère-Enfant Bamako Mali Service de Médecine Int.rne et.d’Endocrinologie Hôpital du Mali Bamako Mali

Int.oduct.on: It.is known for decades t.at.a correlat.on among child blood pressure and adult.pressure exist. t.ere are few publicat.ons on Hypert.nsion (Ht.) in pediat.ic area. We t.erefore conduct.d t.is st.dy t. est.mat. t.e ext.nsion of Ht. among children and looking for associat.d fact.rs. Met.ods: Blood pressure was assessed using t.e references released by t.e Nat.onal inst.t.t.s of healt. in t.e Unit.d St.t.s, t.ose of t.e French Societ. of Pediat.ic Nephrology and z-score. We used t.e auscult.t.on met.od wit. appropriat. cuff adapt.d t. t.e child’s upper arm. We got.for each arm 3 blood pressure measures t.ken children seat.d or lying on t.e back and mean blood pressure was calculat.d and used for t.e evaluat.on of t.e pressure level. t.e arm wit. t.e higher blood pressure was considered for t.e st.dy. Socio-demographical and clinical dat. were collect.d anonymously on a formulary and t.en insert.d in a Microsoft.Access Dat.base. Analysis was done using St.t.st.cal Package for t.e Social Sciences (SPSS) soft.are using appropriat. t.st.. Result.: t.e st.dy involved 154 pat.ent. (boys:girls = 56.5:43.5) aged 3 t. 16 years. Pat.ent. of 11 years and older made 57.1% of t.e sample. Most.pat.ent. suffered from severe malaria (35.1%, glomerular and heart.diseases wit. respect.vely 16.2% and 9.1%. t.e global proport.on of hypert.nsive pat.ent. was 27%, 39% and 5.2% respect.vely based on references of t.e French societ. of nephrology, t.ose of t.e 4t. report.of t.e NHBPEP and st.ndard deviat.on. Looking for associat.d fact.rs wit. hypert.nsion t.e logist.c regression found no predict.r for hypert.nsion using pressure cut.offs values based on t.e French societ. of nephrology and t.ose of t.e 4t. report.of t.e Nat.onal High Blood Pressure Educat.on Programm (NHBPEP). Conclusion: Children must.be checked for hypert.nsion t. avoid organ damage and lat.r cardiovascular complicat.ons. Blood pressure assessment.should be preferably done on out.at.ent. as t.e role of t.e st

关键词： Hypert.nsion Pediat.ic Bamako

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Hypopharyngeal Cancer: Epidemiological, Clinical and Paraclinical Aspect. at.t.e Universit. Hospit.l Cent.r (CHU) Gabriel t.ure in Bamako

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Int.rnat.onal Journal of Ot.laryngology and Head & Neck Surgery 2020年第1期9卷 46-51页

作者： K. Doumbia-Singare F. I. Kone M. Doumbia B. Guindo S. Soumaoro N. Cisse N. F. Konat. K. diarra M. Sangare S.-K. t.mbo M. Keit. A. G. Mohamed Depart.ent.of t.e CHU Gabriel t.ure in Bamako Bamako Mali

Int.oduct.on: Hypopharyngeal cancers are ubiquit.us cancers. t.ese are very lymphophilic cancers;cervical lymph node met.st.ses are present.in 60% t. 80% of pat.ent. at.t.e t.me of diagnosis. Alcohol and t.bacco have been implicat.d in t.eir genesis. Object.ve: t. st.dy t.e epidemiological, clinical and paraclinical aspect. of hypopharyngeal cancer in t.e ENt.depart.ent.of t.e CHU Gabriel t.ure. Pat.ent. and Met.ods: It.is a ret.ospect.ve and prospect.ve quant.t.t.ve st.dy covering a period of 4 years from June 2014 t. July 2018;all pat.ent. who present.d wit. hypopharyngeal cancer were included. Result.: t.irt.-five (35) pat.ent. were collect.d during t.e st.dy period. t.e mean age of t.e pat.ent. was 44 ± 14 years wit. ext.emes of 16 and 78 years. t.e sex rat.o was 0.47. Dysphagia was t.e reason for consult.t.on at.100%. t.e average consult.t.on t.me was 14 mont.s, wit. ext.emes of 3 t. 26 mont.s. Smoking int.xicat.on was found in 13 pat.ent.. t.e piriform sinus was int.rest.d in 52%. More t.an half of t.e pat.ent. were received at.t.e advanced st.ge (t. - t.). t.e hist.logy was dominat.d by t.e well-different.at.d epidermal carcinoma (91%). Conclusion: Hypopharyngeal cancer is common and occurs at.all ages. t. - t. t.mors are bad fact.rs, hence early diagnosis and appropriat. management.are import.nt.for improving t.e prognosis.

关键词： Cancer Hypopharynx Imaging Endoscopy Hist.logy

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Development.of a dat. collect.on and management.syst.m in West.Africa:challenges and sust.inabilit.

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Infect.ous Diseases of Povert. 2018年第1期7卷 1300-1313页

作者： Jeffrey G.Shaffer Seydou O.Doumbia Daouda Ndiaye Ayouba diarra Jules F.Gomis Davis Nwakanma Ismaela Abubakar Abdullahi Ahmad Muna Affara Mary Lukowski Clarissa Valim James C.Welt. Frances J.Mat.er Joseph Keat.ng Donald J.Krogst.d Depart.ent. of Biost.t.st.cs(1440 Canal St. Suite 1610)and Tropical Medicine(#83171430 Tulane AvenueJ.B.Johnston BuildingRoom 510)New OrleansLA 70112-2699USA Universit. of t.e Sciences Techniques and Technologies of BamakoBamakoMali Universit. Cheikh Ant. Diop DakarSenegal Medical Research Council Unit FajaraThe Gambia Sciencet.AX LLC MaconGAUSA Harvard t.H.Chan School of Public Healt. BostonMAUSA

Background:Developing and sust.ining a dat. collect.on and management.syst.m(DCMS)is difficult.in malariaendemic count.ies because of limit.t.ons in int.rnet.bandwidt.,comput.r resources and numbers of t.ained *** premise of t.is paper is t.at.development.of a DCMS in West.Africa was a crit.cally import.nt.out.ome of t.e West.African Int.rnat.onal Cent.rs of Excellence for Malaria *** purposes of t.is paper are t. make t.at.informat.on available t. ot.er invest.gat.rs and t. encourage t.e linkage of DCMSs t. int.rnat.onal research and Minist.y of Healt. dat. syst.ms and ***:We designed and implement.d a DCMS t. link st.dy sit.s in Mali,Senegal and t.e *** syst.m was based on case report.forms for epidemiologic,ent.mologic,clinical and laborat.ry aspect. of plasmodial infect.on and malarial disease for a longit.dinal cohort.st.dy and included on-sit. t.aining for Principal Invest.gat.rs and Dat. *** on t.is experience,we propose guidelines for t.e design and sust.inabilit. of DCMSs in environment. wit. limit.d resources and ***:From 2012 t. 2017,we performed biannual t.ick smear surveys for plasmodial infect.on,mosquit. collect.ons for anopheline bit.ng rat.s and sporozoit. rat.s and year-round passive case det.ct.on for malarial disease in four longit.dinal cohort. wit. 7708 individuals and 918 households in Senegal,t.e Gambia and *** challenges included t.e development.of uniform definit.ons and report.ng,assessment.of dat. ent.y error rat.s,unst.ble and limit.d int.rnet.access and soft.are and t.chnology *** included ent.mologic collect.ons linked t. longit.dinal cohort.st.dies,on-sit. dat. cent.es and a cloud-based dat. ***:At.a t.me when research on diseases of povert. in low and middle-income count.ies is a global priorit.,t.e resources available t. ensure accurat. dat. collect.on and t.e elect.onic availabilit. of t.ose dat. remain severely limit.d.

关键词： Dat. collect.on Dat.(dat.base)management.syst.m Diseases of povert. Malaria Plasmodium falciparum

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Epidemioclinical Profile and Immediat. Out.ome of Low Birt. Weight.at.t.e Reference Healt. Cent.r in Commune VI of t.e Dist.ict.of Bamako, Mali

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Open Journal of Pediat.ics（儿科学期刊） 2023年第2期

作者： Mariam Maiga Oumar Coulibaly Mariam t.aore Hibrahima Diallo Korot.umou W. Diallo Bourama Kane Alou Samake Mamadou Diallo moussa Konat. Mamadou Keit. Mohamed Saydi Ag Med Elmehdi Elansari diarra Sidy Moct.r Mamadou t.aore Djibril Kassogue Kadiat.u Ba Pierre t.go

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Met.bolic Syndrome in t.e Int.rnal Medicine Depart.ent.of Chu Point.G

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Open Journal of Int.rnal Medicine（内科学期刊） 2023年第3期

作者： Djenebou t.aoré Sy Djibril Nongoba Sawadogo Djeneba Sylla Sow Massama Konat. Nounga Romuald Nyanke Ayayi Edem D’Almeida Kaly Keit. Sekou Landouré Nouhoum Koné moussa Sangaré Mamadou Mallé Ibrahima Amadou Dembélé Mamadou Cissoko Yacouba Koné Aoua diarra Asset.u Kaya Soukho

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