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Become Immediate of newborns Operated in the neonatology Department of the Hospital and University Center Gabriel toure of Bamako (Mali)

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Open Journal of Pediatrics 2022年第1期12卷 12-18页

作者： Oumar Coulibaly Hawa Gouro Diall Pierre togo Hawa Camara Fatoumata Léonie Françoise Diakité Lala ndrayni sidib. Leyla Maiga Ibrahima Ahamadou Abdoul Karim Doumbia Adama Dembelé Belco Maiga Karamoko Sacko Mohamed Elmouloud Cissé Djeneba Konaté Fousseyni traoré Yacouba Aba Coulibaly Issa Amadou touré Hamadi Sissoko Mariam Maiga Alou Samake Bourama Kané Guédiouma Dembelé Abdoul Aziz Diakité Fatoumata Dicko traoré Mariam Sylla Boubacar togo neonatology Department of the Gabriel touré CHU Bamako Mali Pediatric Surgery Department of the Gabriel touré CHU Bamako Mali Reference Health Center of the Municipality III Bamako Mali Reference Health Center of the Municipality VI Bamako Mali Mali Hospital Bamako Mali

neonatal surgical pathologies in developing countries are characterized by high mortality. the aim of this work was to describe the characteristics of the newborn and its surgical pathologies treated in the neonatal department of the Gabriel touré University Hospital in Bamako (Mali). Patients and method: this is a retrospective study of 626 files of newborns hospitalized over a period of 3 years (January 2016 to December 2018) for a surgical pathology, whether operated on or not. We have studied the etiological, therapeutic and evolutionary aspects. Results: During the study period, we collected 626 patients who had surgical pathology, i.e. a frequency of 5.35%. the average therapeutic consultation time was 2 days with extremes (1 and 30 days). Pathologies of the abdominal wall and digestive tract represented 57.9% (n = 84) followed by pathologies of the spine 26.9% (n = 39). the mean treatment time was 4.5 days. twenty-three point sixteen (23.16%) newborns could be operated on. the neonatal mortality rate was 12.4% (n = 18). Mortality was postoperative (100%) with a mean time to onset of 5 days. Abdominal wall pathologies were responsible for 8.7% (n = 13) of deaths. Conclusion: Surgical pathologies of the newborn are characterized by delayed treatment with high mortality. Improving their prognosis requires early diagnosis (prenatal diagnosis) and adequate management.

关键词： newborn Surgical Pathologies Mortality

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Simple calculator to estimate the medical cost of diabetes in sub-Saharan Africa

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World Journal of Diabetes 2015年第16期6卷 1312-1322页

作者： Koffi Alouki Hélène Delisle Stéphane Besancon naby Baldé Assa sidib.-traoré Joseph Drabo Francois Djrolo Jean-Claude Mbanya Serge Halimi Department of nutrition Faculty of MedicineUniversity of MontrealDowntown Station Santé-Diabète (nGO) Mali Chapter Endocrinology Department Donka Teaching Hospital Internal Medicine Department Bamako University Hospital Internal Medicine Department Ouagadougou University Hospital Endocrinology Department National University Health Centre Department of Internal Medicine and Specialties Faculty of Medicine and Biomedical SciencesUniversity of Yaoundé I University Joseph Fourier and University Hospital Centre

AIM: to design a medical cost calculator and show that diabetes care is beyond reach of the majority particularlypatients with ***: Out-of-pocket expenditures of patients for medical treatment of type-2 diabetes were estimated based on price data collected in Benin,Burkina Faso,Guinea and Mali. A detailed protocol for realistic medical care of diabetes and its complications in the African context was defined. Care components were based on existing guidelines,published data and clinical experience. Prices were obtained in public and private health facilities. the cost calculator used Excel. the cost for basic management of uncomplicated diabetes was calculated per person and per year. Incremental costs were also computed per annum for chronic complications and per episode for acute complications. RESULtS: Wide variations of estimated care costs were observed among countries and between the public and private healthcare system. the minimum estimated cost for the treatment of uncomplicated diabetes(in the public sector) would amount to 21%-34% of the country's gross national income per capita,26%-47% in the presence of retinopathy,and above 70% for nephropathy,the most expensive complication. COnCLUSIOn: the study provided objective evidence for the exorbitant medical cost of diabetes considering that no medical insurance is available in the study countries. Although the calculator only estimates the cost of inaction,it is innovative and of interest for several stakeholders.

关键词： Diabetes non-communicable diseases Africa Advocacy Cost-of-illness

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Invasive <i>Haemophilus influenzae</i>type b (Hib) Infections in Children in the Pediatric Department of the University Hospital Gabriel touré(UH-Gt)

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Open Journal of Pediatrics 2021年第1期11卷 100-107页

作者： B. Maiga A. A. Diakité K. Sacko M. Sylla M. Maiga M. E. Cissé A. Dembélé F. traoré D. Konaté F. L. Diakité L. sidib. A. K. Doumbia O. Coulibaly P. togo A. touré K. traoré L. Maiga A. Ibrahim H. Diall A. Doumbia H. Konare S. Sagara M. niakaté A. Cissouma Pediatric Departement University Hospital Gabriel Touré Bamako Mali

Introduction: According to Mali’s national Immunization Center, the Haemophilus influenzae b (Hib) vaccine coverage rate was 90% in 2015. Our work aimed to study invasive bacterial infections due to Haemophilus influ... 详细信息

trong>Introductiontrong>: According to Mali’s National Immunization Center, the Haemophilus influenzae b (Hib) vaccine coverage rate was 90% in 2015. Our work aimed to study invasive bacterial infections due to Haemophilus influenzae type b in children aged 0n> - 15 years hospitalized in the pediatrics department of the UH-GTn>. Method: We carried out a retrospective descriptive study from January 2017 to December 2018 (i.e. 2 years) among children aged 0n> - 15 years and hospitalized for Haemophilus influenzae type b infection confirmed by culture (blood culture, Cerebro-spinal Fluid, and pleural and skin fluid).n> Results: n sty

关键词： Invasive Bacterial Infections Haemophilus influenzae b Children Pediatrics

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