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Iatrogenic Urethral Stenoses: Epidemiological Aspects Clinics and Therapeutic in the Urology Department of the National Hospital of Conakry

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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

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

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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

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

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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

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Health 2020年第1期12卷 63-70页

作者： thierno Mamadou Cherif diallo Sory diallo Farel Aboki Namandjan Traore Unit of Legal Medicine Donka National Hospital Conakry Guinea Institute of Child Nutrition and Health Conakry Guinea Emergency Department Donka National Hospital Conakry Guinea

Two-wheeled motorized road accidents are becoming increasingly frequent and are responsible for high mortality among a young and active population in developing countries. The objective of this study was to determine the mortality rate related to motorcycle accidents and to identify socio-demographic factors and accidental mechanisms. Methodology: This was a retrospective descriptive and analytical study involving 16,655 patients, including 312 deaths due to motorcycle accidents. The study took place from January 1, 2013 to December 31, 2017. Not all patients who died as a result of accidents involving equipment other than two motorized wheels were included in our study. The data were entered and analyzed using the *** version software. For the comparison of qualitative data, we used Pearson’s khi2. Results: We recorded 312 cases of death or 1.87% out of a total of 16,655 victims. Of the deceased victims, only 112 wore a protective helmet and 200 did not. The male predominance was clear (p p Conclusion: This study shows that two-wheeled motor vehicle accident mortality is a public health problem. Gender, occupation and time of occurrence of the accidents were most common factors associated with mortality. The effective establishment of an emergency medical assistance service (SAMU) in Conakry could improve the pre-hospital care of these traumatised people.

关键词： Accident Mortality Motorcycle Donka

Ebstein Anomaly: A Clinical Case Series among Adolescents in Guinea

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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

Progression of Minimally Invasive Urological Surgery at Hôpital Général Idrissa Pouye in Dakar in 20 Years of Practice

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Open Journal of Urology 2023年第7期13卷 214-222页

作者： Mohamed Jalloh David M. C. Loko Mouhamadou Moustapha Mbodji Medina Ndoye Abdourahmane diallo thierno Amadou diallo Serigne Abdou Diagne Moussa Sène Babou Sakho Harmonie Adanmayi Becaye Gassama Lamine Niang Issa Labou Serigne Gueye Department of Urology H&#244pital Général Idrissa Pouye Dakar Senegal Department of Urology Faculté des Sciences de la Santé de Cotonou Université d’Abomey-Calavi Cotonou Benin

Introduction: Open surgery is gradually being supplanted by minimally invasive surgical techniques worldwide. Our study aimed to describe the place of minimally invasive surgery at the Hôpital Général Idrissa Pouye (HOGIP) in Dakar. Materials and Methods: This is a descriptive cross-sectional study over a 20-years period from 1st June 2000 to 31st December 2021 in the urology department of HOGIP in Dakar. The list of all surgical procedures performed was computed. We evaluated the distribution of minimally invasive procedures (endoscopy, PCNL, laparoscopy) overall and over the years. We made calculations of proportions and statistical significance was considered for alpha = 0.05. Results: In 20 years, 14,855 surgical procedures were performed, of which 5344 (36%) were minimally invasive surgeries. The average age of men was 53.19 years (standard deviation: 21.77) vs 47.32 years (standard deviation: 18.43) for women. Minimally invasive procedures in the lower urinary tract accounted for 71.93% and involved 1033 cystoscopies (26.87%), 1020 Trans Urethral Resection of Prostate (TURP) (26.53%), 931 Direct Vision Internal Urethrotomy (DVIU) (24.21%, and 612 Trans Urethral Resection of the Bladder (TURB) (15.92%). In the upper urinary tract, 1461 (28.07%) minimally invasive procedures were performed, including PCNL in 193 cases (3.61%), laser endopyelotomy in 104 cases (1.95%), ureteroscopy in 486 cases (1.7%) and laparoscopy in 39 cases (0.46%). The proportion of minimally invasive surgery has gradually increased. Among the 5344 minimally invasive procedures, 333 (5.23%) were performed in 2000-2004 and 2332 (43.63%) in 2015-2019. Conclusion: Minimally invasive surgery represents an important part of the activity of the HOGIP urology department. Its development has improved over the years offering its advantages to the patients.

关键词： Open Surgery Endoscopy Laparoscopy PCNL

Construction Project Management Using 5D BIM: Solution for Delay and Cost Overrun

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Construction Project Management Using 5D BIM: Solution for D...

作者： diallo thierno SOULEYMANE 绍兴文理学院

学位级别：硕士

为了成功地实现建设项目,传统项目管理的目标是进行任务协调,以在合同规定时间及预算内成功及按时交付项目。为此,必须在确定的时间范围和预算内实现某些项目目标。延迟和成本超支是两个主要缺陷,因为它们会干扰项目的成功。为了使施工...

为了成功地实现建设项目,传统项目管理的目标是进行任务协调,以在合同规定时间及预算内成功及按时交付项目。为此,必须在确定的时间范围和预算内实现某些项目目标。延迟和成本超支是两个主要缺陷,因为它们会干扰项目的成功。为了使施工过程更快、更安全、更方便和更精确,仍然存在各种挑战,因为该行业遭受质量差、通信差、成本超支和项目完成延误的困扰。建筑信息模型(BIM)的兴起是一项可选的创新,它可以解决与业务成本和时间控制相关的问题,因为它可以有效地扩大合作伙伴之间的协作。对BIM应用程序的检查表明,大多数应用程序旨在最大程度地减少建筑成本和项目时间。3D模型是几何模型,当附加时间时成为4D和附加成本时成为5D。这种方法使承包商能够可靠地确定项目成本,预期成本内的进度计划,同时允许通过考虑从模型中得出的材料数量和施工团队的生产率来优化进度计划。这项研究的目的是提供对建筑行业中BIM5D的清晰理解,基于BIM的第五维度(BIM 5D)及其应用程序,我们可以很好地描述结合了3D设计和结构的结构系统。预算和进度表为建筑项目管理提供5D工具,通过查看相应的优势、困难和动机因素有利于应用。

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Mucinous Carcinoma of the Scrotum about a Case in Yaounde

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Open Journal of Urology 2023年第6期13卷 173-177页

作者： Boris Amougou Fred Dikongue Dikongue Divine Eyongeta thierno Mamadou Oury diallo David Douglas Banga Nkomo Demba Cisse Arlette Dongmo Alice Ghislaine Ndoumba Afouba Joseph Fondop Theodore Sala Beyeme Faustin Atemkeng Yaya Sow Abdoulaye Bobo diallo Fru Angwafor Department of Surgery and Surgical Specialties Faculty of Medicine and Pharmaceutical Sciences University of Dschang Dschang Cameroon Department of Surgery and Surgical Specialties Faculty of Health Sciences of Buéa University Buéa Cameroon Faculty of Medicine and Pharmacy Gamal Abdel Nasser University Conakry Guinea Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon Department of Surgery and Surgical Specialties Faculty of Health Sciences of Gaston Berger University Saint-Louis Senegal Department of Surgery Faculty of Medicine and Biomedical Sciences University of Yaoundé 1 Yaoundé Cameroon

Aim: This paper aims to report the second case of mucinous carcinoma of the scrotum revealed by scrotal fistulas listed in the literature and highlight the difficulties in the search and difficulties encountered in the management of urogenital cancers in developing countries. Case presentation: This was a 62-year-old patient who had consulted for fistulized lesions of the scrotum associated with urinary disorders. Physical examination found budding lesions in the scrotum from which mucus was leaking. The diagnostic assessment carried out consisted of a biopsy sample of the scrotal lesions, a blood analysis and medical imaging, which led to the diagnosis. The mutilating nature of the surgery proposed to the patient after multidisciplinary consultation meeting and the expensive cost of chemotherapy drugs constituted the limits of the patient’s therapeutic management. Conclusion: Mucinous carcinoma of the scrotum is rare and primary lesion should always be sought. The presence of budding lesions of the scrotum with discharge of mucus should suggest the diagnosis.

关键词： Scrotal Cancer Mucinous Carcinoma Scrotal Fistulas

Interest of Computed Tomography in the Diagnosis of Intestinal Obstruction Due to an Internal Hernia of Unusual Location: The Falciform Ligament

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Open Journal of Radiology 2023年第2期13卷 94-100页

作者： diallo Moustapha Diack Aminata Ndaw Mame Diarra Bousso Amar Ndeye Isseu Diop Massamba Diouf Cheikh Tidiane Fall Amath Ndiaye Abdou Rahmane Soko thierno Omar Mbengue Ababacar Department of Medical Imaging Dakar Principal Hospital Dakar Senegal

Pathological implications of the falciform ligament are rare and internal hernias are exceptional. The origin of the falciform ligament defect can be congenital or inflammatory (a satellite of acute cholecystitis) or even post-surgical. The internal hernias of the falciform ligament are most often revealed by an acute intestinal obstruction syndrome with an ischemic component. The scanner provides the benchmarking examination allowing us to conduct a positive diagnosis and see also the inherent complications, which drives us to take the appropriate and fast surgical procedures. It is an entity that must be known.

关键词： Internal Hernia Falciform Ligament Scanner