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Implementing uterine balloon tamponade(UBT)device for immediate postpartum hemorrhage management:Leveraging resource allocation and highlighting noteworthy experiences

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Gynecology and Obstetrics Clinical Medicine 2023年第3期3卷 175-180页

作者： Mian Dehi Boston Guie Privat Apollinaire Horo Aka Edele Kouakou konan Virginie Aholoupke Bruno konéSeydou Rochon Sarah Boni Serge Burke Thomas F Felix Houphouet Boigny University Cote d’Ivoire Division of Global Health and Human Rights Department of Emergency MedicineCote d’Ivoire National Mother and Child Health Program Côte d'Ivoire Cote d’Ivoire Massachusetts General Hospital Division of Global Health and Human Rights BostonMAUSA Harvard T.H.Chan School of Public Health BostonMAUSA Harvard Medical School BostonMAUSA

Background The use of uterine balloon tamponade(UBT)devices for intrauterine packing and management of vaginal bleeding by uterine atony has shown promising results in improving the quality of care and reducing maternal *** This report aims to provide an overview of progress made in implementing UBT devices in northern Cote d'*** and methods A four-year retrospective study was conducted in the North-East(163,645),North-Center(351,909),and North-West(57,983).In 2017,UBT was adopted by members of the healthcare ***,5 national and 32 regional trainers have been *** training session was a theoretical and practical program with a low *** is a male condom tied to a urinary catheter,filled with *** outcomes included stopping bleeding,avoiding the need for surgery,and preventing maternal deaths(MD).In 2018,3,515 UBT devices were *** 2019,monitoring tools and transmission circuits of the data were *** 2020,the collection of data and local manufacturing was *** During the process,978 health workers,mainly midwife(52.0%)and nurses(32.2%)out of the 1,295 assigned were *** number of trained individuals decreased from 209 in 2019 to 160 in 2020.A total of 1,715 UBT devices were locally manufactured,adding to the existing gift of 5,080 devices,with total availability of 6,*** distribution of devices increased from 2017 to 2019 but decreased in *** rates increased from 87.3%in 2017(365/418)to 95.0%in 2019(556/585)and slightly decreased in 2020 to 98.0%(681/695).Adverse outcomes(144/2,193),included MD(35/2,193)and medical evacuation to the surgical center(109/2,193).Conclusion The implementation of UBT in northern Cote d'Ivoire successfully reduced maternal death rates caused by immediate post-partum hemorrhage(IPPH).However,to ensure sustainability,further improvements are needed,including increased monitoring,ongoing training,and device availability.

关键词： Implementation Uterine balloon tamponade Post-partum hemorrhage Health providers Health regions

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Epidemioclinical Profile of Premature Infants at the Neonatology Unit of the Mali Hospital 2012-2015

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Open Journal of Pediatrics 2021年第3期11卷 490-502页

作者： Bourama Kané Mamadou Berthé Guédiouma Dembélé Korotoumou Wélé Diallo Diakaridia koné Fatou Diawara Fanta Sidibé Oumou koné Mamadou Coulibaly Mariam Maiga Mariam Sylla Department of Pediatrics Mali Hospital Bamako Mali National Institute of Public Health Bamako Mali Reference Health Centre of the Commune I Bamako Mali Gynaecological and Obstetric Service Mali Hospital Bamako Mali Paediatrics Department of the Centre de Santé de Référence de la Commune VI Bamako Mali Gabriel TOURE University Hospital Bamako Mali

Introduction: A newborn is preterm when it is born before 37 weeks of amenorrhoea. Preterm births account for 11.1% of live births worldwide, 60% of which are in South Asia and sub-Saharan Africa. Preterm birth is the leading cause of neonatal mortality and the second leading cause of mortality in children under 5 years of age. The aim of this study was to investigate prematurity in the neonatology unit of the Mali Hospital. Materials and Methods: This was a cross-sectional, descriptive study from January 2012 to December 2015 of premature newborns from 28 to 36 weeks of amenorrhea in the neonatology unit of Mali Hospital. Results: From January 2012 to December 2015, we recorded 1692 inpatient newborns, including 614 preterm newborns, a frequency of 36.29%. The sex ratio was 1.43 in favor of boys. The average age of the mothers was 23.9 years with a minimum of 15 and a maximum of 47 years. The majority were housewives (92.7%). The pregnancy was poorly monitored in 51.8% of the mothers. The average gestational age was 32.9 days with extremes of 25 and 36 days. The most frequent mode of delivery was vaginal delivery (93.2%), with late prematurity in 51.5%, moderate prematurity (24.4%), extreme prematurity (18.7%) and very premature (5.4%). The mean birth weight was 1464 g with a standard deviation of 485 g and 2751 g. Prematurity was associated with neonatal infection in 49.4% of newborns, perinatal anoxia (13.9%) and hypotrophy (2.6%). The most frequent maternal risk factors were fever (83.4%), twinship (38.9%) and high blood pressure (8.6%). The average length of hospitalization was 9.75 days with extremes of 0 and 68 days. We recorded a cure rate of 57.7%, a death rate of 35.7% and a dropout rate

关键词： Epidemioclinical Profile Prematurity Mali Hospital

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Metastasis to the gallbladder:A single-center experience of 20 cases in South Korea

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World Journal of Gastroenterology 2009年第38期15卷 4806-4809页

作者： Won Jae Yoon Yong Bum Yoon Youn Joo Kim Ji kon Ryu Yong-Tae Kim Department of Internal Medicine Seoul National University College of Medicine Department of Internal Medicine Korea Cancer Center Hospital

AIM： To evaluate the clinicopathologic characteristics of patients with metastases to the gallbladder （MGBs）. METHODS： We performed a single-center retrospective study of 20 patients with MGBs diagnosed pathologically from 1999 to 2007. RESULTS： Among 417 gallbladder （GB） malignancies, 20 （4.8%） were MGBs. The primary malignancies originated from the stomach （n = 8）, colorectum （n = 3）, liver （n = 2）, kidney （n = 2）, skin （n = 2）, extrahepatic bile duct （n = 1）, uterine cervix （n = 1）, and appendix （n = 1）. Twelve patients were diagnosed metachronously, presenting with cholecystitis （n = 4）, abdominal pain （n = 2）, jaundice （n = 1）, weight loss （n = 1）, and serum CA 19-9 elevation （n = 1）; five patients were asymptomatic. The median survival after the diagnosis of MGB was 8.7 mo. On Cox regression analysis, R0 resection was the only factor associated with a prolonged survival [hazard ratio （HR）： 0.01, P = 0.002]; presentation with cholecystitis was associated with poor survival （HR： 463.27, P = 0.006）. CONCLUSION： MGBs accounted for 4.8% of all pathologically diagnosed GB malignancies. The most common origin was the stomach. The median survival of MGI3 was 8.7 mo.

关键词： Gallbladder Neoplasms Gastrointestinalneoplasms Neoplasm metastasis Biliary tract neoplasms

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World Journal of Gastroenterology 2004年第5期10卷 737-740页

作者： Dong Yi Kim Jae Kyoon Joo Seong Yeob Ryu Young Jin Kim Shin kon Kim Division of Gastroenterologic Surgery Department of SurgeryChonnam National University Medical SchoolGwangjuKorea

AIM:The prognosis of early gastric carcinoma (EGC) is generally excellent after surgery. The presence or absence of lymph node metastasis in EGC is an important prognostic factor. The survival and recurrence rates of node-negative EGC are much better than those of node-positive EGC. This study examined the factors related to lymph node metastasis in EGC to determine the appropriate treatment for ***: We investigated 748 patients with EGC who underwent surgery between January 1985 and December 1999 at the Division of Gastroenterologic Surgery, Department of Surgery, Chonnam National University Hospital. Several clinicopathologic factors were investigated to analyze their relationship to lymph node metastasis: age, sex, tumor location, tumor size, gross type, histologic type, depth of invasion, extent of lymph node dissection, type of operation,and DNA ***:Lymph node metastases were found in 75 patients (10.0%). Univariate analysis showed that male sex, tumor size larger than 2.0cm, submucosal invasion of tumor, histologic differentiation, and DNA ploidy pattern were risk factors for regional lymph node metastasis in EGC patients. However, a multivariate analysis showed that three risk factors were associated with lymph node metastasis:large tumor size, undifferentiated histologic type and submucosal invasion. No statistical relationship was found for age, sex, tumor location, gross type, or DNA ploidy in multivariate analysis. The 5-year survival rate was 94.2% for those without lymph node metastasis and 87.3% for those with lymph node metastasis, and the difference was significant (P<0.05).CONCLUSION: In patients with EGC, the survival rate of patients with positive lymph nodes is significantly worse than that of patients with no lymph node metastasis. Therefore,a standard D2 lymphadenectomy should be performed in patients at high risk of lymph node metastasis: large tumor size, undifferentiated histologic type and submucosal invasion.

关键词： Stomach Neoplasms Adult Cell Differentiation Female Humans Logistic Models Lymph Node Excision Lymphatic Metastasis control Male Risk Factors Survival Rate

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Planted Sludge Drying Beds in Treatment of Faecal Sludge from Ouagadougou: Case of Two Local Plant Species

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Journal of Water Resource and Protection 2016年第7期8卷 697-705页

作者： Sawadogo Bienvenue Joceline Martine koné Ouattara Yacouba Yonli H. Arsène UFR/SEA Université de Ouagadougou Ouagadougou Burkina Faso Institut de Recherche en Sciences Appliquées et Technologies/CNRST Ouagadougou Burkina Faso

Management of wastewater is a concern of developing countries. In Burkina Faso, an on-site septic system installed on the property is predominant and those systems product high quantities of faecal sludge which are not treated adequately before discharge. Our country is mainly fed by surface water, while water is the main vector of many diseases. So it is very important to manage efficiently wastewater and faeces. The treatment of faecal sludge by planted beds can use local persistent emergent plants like Andropogon gayanus (LPA) and Cymbopogon nardus (LPN). Those planted beds are compared to a non-planted bed (sludge drying bed) (LT). Treating raw sludge (BB) we got the yield over 90% concerning the biological oxygen demand (BOD5) for the LPA while the two others gave performances of 75% and 76% respectively. Regarding the chemical oxygen demand (COD), LPN gave better yields with 77% of removal against 71% and 69% for LPA and LT respectively. Overall, the pilots assured removal of orthophosphates varying between 77% and 79%, while the Kjeldahl nitrogen is removed by the various beds with respective fields of 94%, 96.5% and 97.5% for LPN, LPA and LT. The microbiological pollution abatement is in the order of 1 log unit on average for all beds.

关键词： Sludge Drying Bed Andropogon gayanus Cymbopogon nardus Planted Beds BOD5

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阀门用金属波纹管力学特性研究

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石油化工设备 2008年第6期37卷 20-23页

作者：陈红扣南京化工职业技术学院江苏南京210048

在对阀门用金属波纹管有限元结构分析的基础上,比较了Ω形和U形金属波纹管承载和变形补偿能力。研究表明,对几何参数相同的Ω形和U形金属波纹管,Ω形金属波纹管承受内压的能力大于U形金属波纹管,而U形金属波纹管承受轴向力的能力则大于... 详细信息

在对阀门用金属波纹管有限元结构分析的基础上,比较了Ω形和U形金属波纹管承载和变形补偿能力。研究表明,对几何参数相同的Ω形和U形金属波纹管,Ω形金属波纹管承受内压的能力大于U形金属波纹管,而U形金属波纹管承受轴向力的能力则大于Ω形金属波纹管。在相等的轴向力作用下,Ω形金属波纹管轴向补偿量较大,但在各自最大轴向载荷作用下,U形金属波纹管能达到的轴向补偿量更大。

关键词：金属波纹管 Ω形 U形力学特性有限元

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Traumatic Closed Floating Kneecap: Clinical Case about Traumatic Bipolar Tendon Rupture of Extensor Knee System

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Open Journal of Orthopedics 2019年第8期9卷 159-164页

作者： koné Sam Pemboura Dom Eric Dogba Akué Koffi Abdoulaye Bana Serge Agoh Service de traumatologie-Orthopédie CHU de Cocody-Abidjan Abidjan Cote D’Ivoire

The simultaneous traumatic rupture of the patellar tendon and the quadricipital tendon is a rare lesion entity. We report the case of a bipolar rupture of the extensor knee system in a young adult following sports traumatism. Magnetic Resonance Imaging allowed the assessment of associated lesions. The management of this “floating” kneecap was surgical associated with rehabilitation. A functional assessment at 02 years of follow-up was performed. The functional prognosis is related on the one hand to the difficulties of positioning of the patella and on the other hand to the associated lesions (meniscus-ligamentous knee injuries).

关键词： Rupture Bipolar Extensor Knee System

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Habits on Social Networks at Workplace: A Survey of Motivations and Behaviour

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Open Journal of Applied Sciences 2024年第8期14卷 2154-2168页

作者： Thomas Kakou Kouassi Douatia koné Aliou Bamba Aladji Kamagaté Olivier Asseu Yvon Kermarrec Laboratoire des Sciences et Technologies de lInformation et de la Communication (LASTIC) Ecole Superieure Africaine des TIC (ESATIC) Abidjan Cte dIvoire Institut National Polytechnique Houphout Boigny (INPHB) Yamoussoukro Cte dIvoire Departement de Mathematiques Physique et Chimie Universit Plforo Gon Coulibaly (UPGC) Korhogo Cte dIvoire Agence Nationale de la Recherche (ANR) Paris France Laboratoire des Sciences et Techniques de linformation de la Communication et de la Connaissance (Lab-STICC) IMT Atlantique Brest France

This article explores the use of social networks by workers in Abidjan, Côte d’Ivoire, with particular emphasis on a descriptive or quantitative analysis aimed at understanding motivations and methods of use. More than five hundred and fifty questionnaires were distributed, highlighting workers’ preferred digital channels and platforms. The results indicate that the majority use social media through their mobile phones, with WhatsApp being the most popular app, followed by Facebook and LinkedIn. The study reveals that workers use social media for entertainment purposes and to develop professional and social relationships, with 55% unable to live without social media at work for recreational activities. In addition, 35% spend on average 1 to 2 hours on social networks, mainly between 12 p.m. and 2 p.m. It also appears that 46% believe that social networks moderately improve their productivity. These findings can guide marketing strategies, training, technology development and government policies related to the use of social media in the workplace.

关键词： Social Network Social Media Applications Poisson’s Law Statistics Digital Supports Workers Productivity

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Preclinical Long-term Magnetic Resonance Imaging Study of Silymarin Liver-protective Effects

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Journal of Clinical and Translational Hepatology 2022年第6期10卷 1167-1175页

作者： Yeon Ji Chae Hwon Heo Chul-Woong Woo Sang-Tae Kim Jae-Im Kwon Monica Young Choi Yu Sub Sung Kyung Won Kim Jeong kon Kim Yoonseok Choi Dong-Cheol Woo Department of Convergence Medicine Asan Medical CenterUniversity of Ulsan College of MedicineSeoulRepublic of Korea Convergence Medicine Research Center Asan Institute for Life SciencesAsan Medical CenterSeoulRepublic of Korea Clinical Research Center Asan Medical CenterSeoulRepublic of Korea Department of Radiology Asan Medical CenterUniversity of Ulsan College of MedicineSeoulRepublic of Korea Medical Research Institute Gangneung Asan HospitalGangneung-siGangwon-doRepublic of Korea

Background and Aims:Efficacy evaluations with preclini-cal magnetic resonance imaging(MRI)are uncommon,but MRI in the preclinical phase of drug development provides information that is useful for longitudinal *** study aim was to monitor the protective effectiveness of silymarin with multiparameter MRI and biomarkers in a thioacetamide(TAA)-induced model of liver injury in *** analysis was conducted to assess compare the monitoring of liver function by MRI and ***-ods:TAA was injected three times a week for 8 weeks to generate a disease model(TAA group).In the TAA and sily-marin-treated(TAA-SY)groups,silymarin was administered three times weekly from week *** images were acquired at 0,2,4,6,and 8 weeks in the control,TAA,and TAA-SY ***:The area under the curve to maximum time(AUCtmax)and T_(2)*values of the TAA group decreased over the study period,but the serological markers of liver abnormality increased significantly more than those in the control *** the TAA-SY group,MRI and serological biomarkers indicated attenuation of liver function as in the TAA ***,pattern changes were observed from week 6 to comparable levels in the control group with si-lymarin *** correlations between either AUCtmax or T_(2)*values and the serological biomarkers were ***:Silymarin had hepatoprotective effects on TAA-induced liver injury and demonstrated the usefulness of multiparametric MRI to evaluate efficacy in preclinical studies of liver drug development.

关键词： Liver fibrosis Magnetic resonance imaging Silymarin T1-weight-ed dynamic contrast-enhanced T_(2)*

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Prediction of Anti-Inflammatory Activity of a Series of Pyrimidine Derivatives, by Multiple Linear Regression and Artificial Neural Networks

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Computational Chemistry 2022年第4期10卷 186-202页

作者： Yafigui Traoré Jean Missa Ehouman Mamadou Guy-Richard koné Donourou Diabaté Nahossé Ziao Laboratory of Thermodynamics and Environmental Physico-Chemistry Nangui Abrogoua University Abidjan Ivory Coast Training and Research Unit Biological Sciences University Peleforo Gon Coulibaly Korhogo Ivory Coast Ivorian Research Group in Disease Modeling (GIR2M) Abidjan Ivory Coast

Anti-inflammatory activity of a series of tri-substituted pyrimidine derivatives was predicted using two Quantitative Structure-Activity Relationship models. These relationships were developed from molecular descriptors calculated using the DFT quantum chemistry method using the B3LYP/6-31G(d,p) level of theory and molecular lipophilicity. Thus, the four descriptors which are the dipole moment μD, the energy of the highest occupied molecular orbital EHOMO, the isotropic polarizability α and the ACD/logP lipophilicity were selected for this purpose. The Multiple Linear Regression (MLR) and Artificial Neural Network (ANN) models are respectively accredited with the following statistical indicators: R2=91.28%, R2aj=89.11%, RMCE = 0.2831, R2ext=86.50% and R2=98.22%, R2aj=97.75%, RMCE = 0.1131, R2ext=98.54%. The results obtained with the artificial neural network are better than those of the multiple linear regression. However, these results show that the two models developed have very good predictive performance of anti-inflammatory activity. These two models can therefore be used to predict anti-inflammatory activity of new similar pyrimidine derivatives.

关键词： Anti-Inflammatory Activity Multiple Linear Regression Artificial Neural Network QSAR

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