检索结果-南通市图书馆

Open Journal of Urology 2023年第8期13卷 302-308页

作者： Diallo thierno Mamadou Oury Bah Mamadou Diawo Kanté Daouda Souaré Mamadou Billo Cissé Demba Bah Mamadou Bissiriou barry Alpha Oumar Diallo thierno Oumar Diallo Alimou Diallo Abdoulaye Bobo Bah Oumar Raphiou Urology Department Faculty of Health Sciences and Techniques of Conakry Ignace Deen National Hospital in Conakry Conakry Guinea

Introduction: Urethrocystoscopy is an examination of choice in the assessment of voiding disorders and especially macroscopic hematuria. The objective of this study was to analyze the indications and results of urethrocystoscopy in the urology department of the Ignace Deen National Hospital in Conakry. Material and Methods: We carried out a prospective descriptive study over 6 months, from 1st June to 30th November 2022, which included all patients who underwent urethrocystoscopy in the Urology Department of the Ignace Deen National Hospital in Conakry. We studied the following parameters: sex, age, indications and results of the examination, and complications. Results: 77 patients were included. The average age was 56.5 ± 19.5 years with extremes of [15 to 88 years]. The sex ratio was 2.9. Hematuria (50.7%) and lower urinary tract symptoms (32.4%) were the most frequent indications. Cystocystoscopy was normal in 14.3% of patients. Bladder tumors (29.9%) and prostatic hypertrophy (18.2%) were the most found lesions. Conclusion: Rigid urethrocystoscopy occupies an important place in the exploration of hematuria and lower urinary tract symptoms in our department. Bladder tumors and prostatic hypertrophy were the main lesions observed.

关键词： Urethrocystoscopy Hematuria Bladder Tumour

Prevalence of Metabolic Syndrome in the Medical-Surgical Emergency Department of the Donka National Hospital

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 2023年第2期13卷 85-94页

作者： Djibril Sylla Amadou Kake thierno Amadou Wann Mohamed Lamine Yaya Bah Mhamed Ciré Keita Alhassane barry Mamadou Diakhaby Lansana Diaby Internal Medicine Department of the Donka National Hospital Conakry Guinea Medical and Surgical Emergency Department of the Donka National Hospital Conakry Guinea

Introduction: The metabolic syndrome (MS) corresponds to the coexistence of several metabolic disorders including three (3) factors out of five (5) in the same individual. These five (5) major criteria are central or abdominal obesity, hypertriglyceridemia, low High-Density Lipoprotein cholesterol (HDLc), hyperglycemia, and elevated blood pressure. It has been the subject of various definitions over the past 10 years. It is a clinical-biological entity recognized by the World Health Organization (WHO) in 1998, the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III) in 2001, the International Diabetes Federation (IDF) in 2005, then the IDF Harmonization Consensus in 2009. The objective of this study was to determine the prevalence of metabolic syndrome in the medico-surgical emergency department of the Donka national hospital. Methods: This was a descriptive study, data collection took place from February 5 to July 5, 2022 and, covering all patients aged 16 and over, without distinction of sex, origin received in consultation in the medical unit in the emergency department of Donka and having agreed to participate in the study. Anthropometric, clinical and biological data were recorded. Results: We recruited 107 patients whose age ranged from 20 to 94 years with a mean age of 58.92 ± 13.78 years. The prevalence of metabolic syndrome in our study population was 6.30% with a female predominance of 73.83%. The most frequent components of the metabolic syndrome were abdominal obesity (100%) followed by hyperglycemia (85.98%) and hypertension (85.05%). Among the complications related to the metabolic syndrome, diabetes was found with (46.73%), hypertension (43.93%) and stroke (16.93%). Conclusion: Our results show a significant prevalence of the metabolic syndrome and its main complications, which were diabetes, hypertension and stroke. These data justify early detection and treatment strategies.

关键词： Prevalence Metabolic Syndrome Medicine Unit Donka National Hospital

Takayasu Disease Revealed by Arterial Hypertension in a 47-Year-Old Man

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Cardiovascular Diseases 2023年第7期13卷 341-348页

作者： Bah Mamadou Bassirou Baldé thierno Hamidou Wann thierno Amadou Baldé Elhadj Yaya Baldé Aissatou Tiguidanké Koné Alpha Doumbouya Amadou Diouldé Diallo Hafsatou barry Ibrahima Sory Samoura Sana Diakité Souleymane Béavogui Mariam Baldé Mamadou Dadhi Cardiology Department Ignace Deen Hospital Conakry Guinea Department of Imaging Ignace Deen Hospital Conakry Guinea Department of Internal Medicine Donka Hospital Conakry Guinea Cardiology Department Donka Hospital Conakry Guinea

Takayasu disease is a chronic vasculitis of the large vessels. It is rare in sub- Saharan Africa and probably under-diagnosed. Arterial hypertension (AH) is a frequent finding. We report the case of a 46-year-old man with Takayasu disease revealed by hypertension. The American College of Rheumatology (ACR) criteria were used for diagnosis, with 4 out of 6 criteria. Echodoppler and angioscanner showed signs of left subclavian stenosis and circumferential, regular arterial thickening. He had a biological inflammatory syndrome. He was treated with prednisone and amlodipine. After 6 months of follow-up, he was diagnosed with tuberculosis and put on anti-tuberculosis treatment.

关键词： Takayasu Disease Hypertension Man

Iatrogenic Urethral Stenoses: Epidemiological Aspects Clinics and Therapeutic in the Urology Department of the National Hospital of 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 Urology 2023年第1期13卷 36-47页

作者： Demba Cisse Youssouf Keita Fode Oumar Keita Mamadou II barry Alimou Diallo thierno Mamadou Oury Diallo Mamadou Diawo Bah Mamadou Bissiriou Bah Alpha Oumar barry Daouda Kante Ibrahima Bah Oumar Raphiou Bah The Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinea

The aim is to highlight the epidemiological, clinical and therapeutic aspects of iatrogenic urethral strictures. Methodology: This was a retrospective study, descriptive type, 6 years from January 1st 2012, to December 31st 2017 carried out in the Urology-Andrology department of the National Hospital Ignace Deen of Conakry. All records of patients carrying the Diagnosis of iatrogenic urethral stricture were included in this study. Results: We collected 30 cases of iatrogenic urethral stricture, with a frequency of 2.5%. The average age of the patients was 62.33 years. The most affected age group is from 71 to 80 years (33.33%). Dysuria was the main reason for consultation. Retrograde urethrocystography plus voiding cystourethrography (RUC-VCU) allowed us to make the diagnosis. The treatment was essentially surgical and several techniques were used. Endoscopic internal urethrotomy alone was the most performed surgical technique, followed by segmental uretrectomy associated with end-to-end urethrography. Conclusion: Iatrogenic urethral stricture is easy to diagnose but difficult to manage due to the frequency of recurrences. Improving the quality of care, in particular urethral catheterizations and transurethral endoscopic maneuvers, makes it possible to prevent it.

关键词： Stenosis Urethra Iatrogenic Conakry

Post Antibiotic Grade IV Anaphylaxis: A Case Report from the Emergency Department of Chu Donka

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 Emergency Medicine 2023年第3期11卷 110-114页

作者： Amadou Yalla Camara Abdoulaye Touré Ernest Ahounou Almamy Bangoura M’mah Lamine Camara thierno Sadou Diallo Alhassane barry Boubacar Atigou Dramé Joseph Donamou Medical and Surgical Emergency Department CHU-Donka National Hospital Conakry Guinea Anesthesia and Intensive Care Unit Ignace Deen National Hospital Conakry Guinea Department of Anaesthesia and Intensive Care Donka National Hospital Conakry Guinea Department of Anaesthesia and Intensive Care HKM National University Hospital Cotonou Benin

Anaphylaxis is a serious systemic reaction that is part of the general pattern of potentially fatal hypersensitivity reactions requiring immediate management. We report the case of a patient presenting to emergency with signs of malaria and pneumonia who was diagnosed with grade 4 anaphylaxis following antibiotic injection in the emergency department. The patient was 30 years old, with no previous history of anaphylaxis, and presented to the emergency department with fever, dry cough, headache and dizziness associated with prostration. Physical examination showed stable hemodynamics (BP = 110/80 mmHg, HR = 95 p/min,) and respiratory function with SpO2 = 98%, HR = 22 c/min and crepitus rales at the base of the lungs. The laboratory work-up carried out in the emergency department revealed a biological inflammatory syndrome associated with hyperleukocytosis of 11,260/mm3, a positive thick drop with GE(+) dp = 1183 T/microlitre;blood glucose = 0.83 g/l;Covid 19 RDT = (negative). A diagnosis of malaria and pneumonia was made and antibiotic therapy (ceftriaxone) and artesunate were indicated. During the injection of ceftriaxone 1 g, the patient became agitated, followed by cardiorespiratory arrest, confirming the diagnosis of stage 4 anaphylaxis. Treatment consisted of stopping the ceftriaxone injection, external cardiac massage and ventilation, intravenous adrenaline and vascular filling, which enabled the patient to recover and stabilize. The diagnosis of anaphylaxis is clinical. Early administration of adrenaline is the mainstay of treatment.

关键词： Grade 4 Anaphylaxis Adrenaline Antibiotics Emergencies

Post-Operative Mortality Analysis in the Urology Department of Conakry University Hospital

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 2023年第4期13卷 122-131页

作者： Bah Mamadou Bissiriou Kanté Daouda Cissé Demba Diallo thierno Mamadou Oury barry Mamadou Dian Diallo Alimou Bah Mamadou Diao Bah Ibrahima Diallo Abdoulaye Bobo Bah Oumar Raphiou Faculty of Health Sciences and Technique Gamal Abdel Nasser University of Conakry Urology Department CHU of Conakry Guinée

Introduction: Death is a major accident which constitutes an element whose evaluation and analysis are necessary in a surgical service. Such a study is especially important in our country where the health structure operates with limited resources and more than half of the population lives below the poverty line. The objective of this study was to determine the frequency of post-operative mortality, to describe the main comorbidity factors responsible for this mortality and to identify the main cause of post-operative death in the urology department of the Ignace Deen National Hospital Material and Method: This was a retrospective descriptive study lasting 5 years from January 1, 2015 to December 31, 2019. It had focussed on all the files of patients operated on at the Urology Department of the Ignace Deen National Hospital, either in an emergency or planned and who died in per or post-operative immediately or 30 days later. Results: We recorded 63 cases of post-operative death, or a frequency of 1.84%. The average age was 61.92 ± 16.91 with the extremes of 12 and 91 years. Bladder (20.63%) and prostate tumours (60.3%) were the main admission diagnoses. High blood pressure was the main comorbidity factor found with 38.09% of cases followed by diabetes with 12.69%. Transurethral resection of the prostate, transurethral resection of the bladder and prostate adenocomectomy were the most performed surgical procedure with respective proportion of 19.04%, 20.63% and 38.09%. Probable cause of death were anemia in 25 cases (39.68%), septic in 20 cases (31.75%), heart failure in 6 cases (9.52%), pulmonary embolism in 5 cases (7.94%), obstructive renal failure 4 cases (6.35%) and stroke in 3 cases (4.76%). Conclusion: The majority of deaths occurred in patients over the age of fifty. Anaemia was the main cause of deaths. Difficulties in procuring blood products as well as the lack of modern therapeutic means are factors that make it difficult for patients to adequately manage.

关键词： Post Operative Mortality Urology Ignace Deen

Arterial and Venous Thrombosis following Vaccination against COVID-19 with Astra-Zeneca Vaccine Revealing Thrombophilia

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Cardiovascular Diseases 2023年第4期13卷 198-204页

作者： Bah Mamadou Bassirou Doumbouya Amadou Dioulde Balde Mamadou Aliou Balde thierno Hamidou Sylla Ibrahima Sory Balde Elhadj Yaya Kone Alpha barry Ibrahima Sory Samoura Sana Beavogui Mariam Diakité Souleymane Balde Mamadou Dadhi Cardiology Department Ignace Deen Hospital Conakry Guinea Imaging Department Ignace Deen Hospital Conakry Guinea

Vaccination against COVID-19 is the most recognised means of containing the pandemic. Vaccines are not without side effects, particularly vascular thrombosis. But before blaming the vaccines, a thorough assessment of thrombotic risk factors is necessary. We report a case of arterial and venous thrombosis after vaccination with AstraZeneca revealing an exaggeration of factor VIII in a 37-year-old female patient. The angioscanner showed a venous thrombosis of the right subclavian, a pulmonary embolism and the presence of a thrombus in the aorta. The biology was in favour of a high level of factor VIII. The patient was treated with an antivitamin K, and the clinical evolution was favourable.

关键词： Thrombophilia Thrombosis Vaccine AstraZeneca

Ebstein Anomaly: A Clinical Case Series among Adolescents in Guinea

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Cardiovascular Diseases 2023年第4期13卷 228-235页

作者： Mamadou Bassirou Bah Elhadj Yaya Baldé Mamadou Aliou Baldé thierno Siradjo Baldé Mariama Djalakhan Diallo Amadou Diouldé Doumbouya Ibrahima Sory Sylla Alpha Koné Ibrahima Sory barry Souleymane Diakité Sana Samoura Mamadou Diallo Abdoulaye Camara Mamadou Dadhi Baldé Cardiology Department Ignace Deen Hospital Conakry Guinea Cardiology Department Donka Hospital Conakry Guinea

Ebstein’s anomaly is a rare congenital heart disease. We report a series of 4 cases of Ebstein’s anomaly discovered in adolescents. The mean age was 13.75 ± 0.96, with 3 boys and one girl. Three were in heart failure. The EKG showed atrial hypertrophy (1 case), right bundle branch block (1 case), Wolff-Parkinson-White (1 case), and atrial fibrillation (1 case). Cardiomegaly was present in all patients with a mean cardiothoracic index of 0.77 ± 0.03. On echocardiography, the mean apical displacement of the tricuspid septal leaflet was 22.5 ± 3.30 mm/m2, the Celermajer index was Grade 2 in 2 patients and Grade 4 in 2 patients. Depletive medical treatment was prescribed to 3 patients. Anticoagulant therapy was initiated in one patient. Two are awaiting surgery. One death was recorded, it was at Grade 4 of the Celermajer index.

关键词： Ebstein Anomaly Adolescent Congenital Heart Disease Guinea

Analysis of Bushfires Spatial and Temporal Variability in Guinea

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Atmospheric and Climate Sciences 2017年第4期7卷 463-475页

作者： Tamba Nicolas Millimono saidou Moustapha Sall Daouda Badiane Alassane Bah Moussa Diakhate Ibra Toure Mamadou Bailo barry Diakaria Diallo Idrissa Diaby Institut Superieur des Sciences de l’Education de Guinee(ISSEG) ConakryGuinea Laboratoire de Physique de l’Atmosphere et de l’Ocean-Simeon Fongang-UCAD/ESP/LAPOSF DakarSenegal Centre de Cooperation Internationale en Recherche Agronomique pour le Developpement(CIRAD) OuagadougouBurkina Faso Laboratoire d’Enseignement et de Recherche en Energetique Appliquee-UGANC/LEREA ConakryGuinea

Guinea is confronted to the increasing risks of bushfires that destroy thousands of hectares of vegetation cover every year. Very little research is devoted to the variability of those fires, which makes it a serious threat to both wildlife and human habitats. The current study investigates the spatial and temporal distribution of bushfires in the period from 2003 to 2016. The method used is the geospatial technology: we first filter pixels corresponding with active light supplied by MODIS images (Moderate Resolution Imaging Spectroradiometer) and estimate their densities following the square meshing procedure. Burned areas are deducted from the estimated pixel densities by calculations. The results highlight great occurrence of fires: 4 to 48 pixels of active fire per year and per 100 km2 depending on the location;2 to 5 million hectares per year of burned areas (20,000 to 50,000 sqkm). Almost 8 to 24% the size of the whole country. The prefectures of Beyla, Siguiri, Kouroussa, Kankan, Dinguiraye, Mali and Tougué are the most exposed areas. Every year, fire activities are observed as from October and between May and June. They are however mitigated according to the regions (or the geographical domains). Summits of bushfires activities are generally reached between December and January.

关键词： Guinea Bushfires Variability MODIS

Vesicovaginal Fistulas: Anatomical Clinical and Surgical Aspects in the Conakry University Hospital Center

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 2015年第12期5卷 224-230页

作者： Abdoulaye Bobo Diallo thierno Mamadou Oury Diallo Ibrahima Bah Mamadou Diawo Bah Mamadou 2 barry Daouda Kanté Oumar Raphiou Bah Sékou Guirassy Mamadou Bobo Diallo Urology and Andrology Unit University Teaching Hospital Conakry Conakry Guinée Service d’Urologie-Andrologie CHU Conakry Conakry Guinée

Objective: To analyze the management of VVF in the Service of Urology-Andrology Obstetrics and Gynecology of the University Hospital in Conakry. Materials and Methods: From January 2012 to December 2013, 152 patients with a mean age of 30 years (14 - 80 years) were hospitalized in the Departments of Urology-Andrology and Gynecology-Obstetrics of the Conakry University Hospital Center. Clinically fistulas were divided according to the classification of Benchekroun as single, complex and complicated. The fistulas were diagnosed after a minimum period of three months and the results were assessed with a mean follow-up of 7 months (range 3 to 10 months) according to the following criteria: complete healing, intermediate healing and failure. Results: Fistulas occur mainly in young multiparous women. The obstetric etiology was dominant (98%). Clinically, there were 30% simple fistulas, 46% complex fistulas and 24% of complicated fistulas. From a therapeutic standpoint, the treatment consisted of a single fistulorraphie (Chassar Moir) in 82% of cases and a fistulorraphie with interposition of healthy tissue in 18% of cases. After a mean follow-up of 7 months we obtained a healing in 62% of cases, a failure in 31% of cases and the results were intermediate in 7% of cases. Conclusion: It appears that the VVF represents a public health concern in Guinea and surgical treatment is technical difficult due to the higher frequency of complex fistulas.

关键词： Vesico-Vaginal Fistulas Epidemiology Treatment