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Study on the Treatment of Reusable Care Equipment in Public and Private Dental Practices in the City of Conakry

Open Journal of Stomatology 2024年第8期14卷 351-361页

作者： Magna Condé Aly Badara Nabé Moussa Doré Julie Gaëlle Yepmo Sambou Alhassane Alpha Camara Amadou traoré Kouamé Patrice Attogbain Department of Odontology Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinea African Center of Excellence for the Prevention and Control of Communicable Diseases (CEA-PCMT) Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinea Department of Odontology and Maxillofacial Surgery Ignace Deen National Hospital Conakry Guinea Department of Pathology and Therapeutics UFR Odonto-Stomatology Flix Houphouet University Boigny Abidjan Cte dIvoire

Introduction: The effective sterilization of reusable instruments in dental care is a crucial issue for public health. The aim of this study was to contribute to improving the processing conditions of reusable care instruments in dental practices in the city of Conakry. Methods: We carried out an observational and cross-sectional study of a descriptive type lasting three months from January to April 2022 in public and private dental practices approved for activities. Results: A total of 48 dental practices were surveyed, including 7 public and 41 private. 91.67% had the trays for instrument sterilization. 77.08% had a sterilization device. The instruments were: cleaned 100%, disinfected 70.83%, sterilized 20.83% and 20.83% reused the instruments without being sterilized. 72.97% sterilized the instruments at the end of the day. 50% of respondents declared that there were six stages of sterilization. According to standard standards, one dental office or 2.70% respected the normal sterilization process and 13.51% respected the duration and temperature. The storage quality was inadequate at 95.83%. 95.83% of dental practices are at high risk of contamination. The difficulties encountered by staff in daily activity during our study were lack of hygienists (87.50%), insufficient material resources (58.33%), and lack of protocol procedure (45.83%). Conclusion: This study allowed us to note shortcomings of dental surgeons in the process of processing reusable care materials.

关键词： Treatment Materials Care Reusable Dental Practices Conakry

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Unusual Brain Trauma Injury

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Open Journal of Modern Neurosurgery 2024年第3期14卷 218-227页

作者： Diallo Moussa traoré Youssouf Kanikomo Drissa Diarra Sounkalo Izoudine B. Koumaré Sogoba Youssouf Sogoba Boubacar Diallo Oumar Gabriel Tour Teatching Hospital Bamako Mali Bocar Sidy Sall Teatching Hospital Kati Mali Hopital du Mali Teaching Hospital Bamako Mali

Unusual head trauma is rare with various mechanisms of occurrence. The injuries can be similar to those of road accidents but sometimes with significant complexities. The objective was to determine the frequency of this pathology in our practice, describe the different mechanisms and report the craniocerebral lesions caused by this type of trauma. Materials and Method: This was a descriptive study with retrospective collection spread over a period of 3 years. After selecting the files, the patients and/or their companions were contacted by telephone to inquire about them and then returned to the consultation for reassessment. Disease history and information were obtained from patients’ medical records. Result: The frequency of this pathology was 1.78% and his incidence was 0.4 cases per month. The average age of the patients was 13.47 years. All the victims were male. 41.17% of patients were in school. The mechanisms of trauma were the hoof blow 47.1%, the horn blow 29.4% and the stone blow 11.7% respectively. 23.5% of patients were confused and 11.7% children were in coma. One patient presented an anisocoria. The motor deficit was present in 5 cases. CT-scan made it possible to highlight a skull depressing fracture 58.8% and confirm a craniocerebral wound in 35.3%. The average time between patient admission to hospital and completion of surgery was 24.5 hours. The surgery had consisted of the trimming of cranio-cerebral wounds, exploration, duroplasty and lifting of skull depressing fracture. After 15 months of follow-up, the evolution was favorable in 53.3%, the morbidity was 33.4% and the mortality 17.6%. Conclusion: These are rare but serious conditions because they are fatal and disabling. An early and multidisciplinary management can hope to have a good favorable.

关键词： Brain Trauma Injury Insolite Unusual Skull Depressing Fracture Hoof Kick Horn Blows Stone Bows Motorcycle Gear Lever

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Stranched Internal Hernia Revealed by Occlusion of the Large Libra: A Propos of a Case

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Case Reports in Clinical Medicine 2024年第1期13卷 37-42页

作者： Abdoulaye Kanté Mamady Almami Kéita Idrissa Tounkara Drissa Ouattara Bréhima Bengaly Souleymane Sanogo Bréhima Togola Drissa traoré Nouhoum Ongoiba General Surgery Department of The Kati-Mali Reference Health Center Koulikoro Mali Service of Surgery “B” of The CHU Du Point G Faculty of Medicine and Odontostomatology Bamako Mali

The left para-duodenal internal hernia, whose origin is generally embryological, is a rare etiology of intestinal obstruction found mainly in young adults. We report here the case of acute intestinal obstruction by left para-duodenal internal hernia in a 36-year-old young man. It was a patient who consulted urgently for occlusive syndrome with cessation of materials and gases. Abdominal percussion noted abdominal tympanism and pre-hepatic dullness was preserved. The flow and icicle signs were negative. Palpation did not objectify hepatosplenomegaly and did not find any organomegaly either. On the other hand, she found an epigastric defense. The abdominal X-ray without preparation showed water levels that were wider than high, hail-like. We performed a median above and below umbilical laparotomy and intraoperatively, it was an internal hernia with incarceration of small loops in a voluminous left paraduodenal sac of 12 cm. They were not necrotic and quickly recolored after extrication. We resected the hernial sac and closed the hernial orifice with separate stitches with absorbable suture 0. The postoperative course was simple. The patient was discharged from the hospital on the 4th postoperative day. After 18 months of hindsight, he is doing well.

关键词： Paraduodenal Internal Hernia Occlusion Laparotomy

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Petrographic and Geochemical Characteristics of the Pouni Palaeoproterozoic Formations North of the Léo Square Degree (Burkina Faso, West Africa)

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Open Journal of Geology 2024年第1期14卷 126-141页

作者： Adama Ouédraogo Yaméogo Pascal Ouiya Hubert Gounwendmanaghré Zongo Omar Akonyiré Abraham Seydoux traoré Saga Sawadogo Séta Naba Unité de Formation et de Recherche en Sciences et Technologies Département des Sciences de la Vie et de la Terre Université Norbert Zongo Koudougou Burkina Faso Unité de Formation et de Recherche en Sciences de la Vie et de la Terre Laboratoire Géosciences et Environnement (LaGE) Département des Sciences de la Terre Université Joseph Ki-Zerbo Ouaga Burkina Faso Ecole Normale Supérieure (ENS) Institut des Sciences et de Technologie (IST) Ouaga Burkina Faso Ecole Supérieure d’Ingénieries Université de Fada N’gourma Fada N’Gourma Burkina Faso

The Pouni area is made up of basalts belonging to the Boromo belt, lamprophyres and granitoids. These geological formations are similar to geological formations of the same type in other regions of the Palaeoproterozoic domain of the Man/Leo shield. This study, which focused on the petrographic and geochemical characteristics of these geological formations, led to the following main conclusions: The lamprophyres are basic plutonic rocks that cut through other geological formations. The basalt belongs to the northern part of the Borormo belt and is thought to be a relic of overthickened oceanic plateaus. There are two groups of granitoid rocks. The granodiorite has a geochemical signature close to that of Archean TTGs and is metaluminous in character. It has a low potassium content. The minor element and rare earth element spectra indicate that it could be derived from partial melting of basic magmatic rocks. Biotite granites are peraluminous and highly potassic. Minor element contents and rare earth spectra indicate that they could be derived from partial melting of felsic materials. Geotectonic diagrams show that the granitoids identified in the Pouni zone were emplaced in an active tectonic context, similar to that of present-day subduction zones.

关键词： Burkina Faso Dori Man/Léo Shield Petrography Geochemistry Partial Melting Geotectonic Context

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Evaluation of Antibiotic Prescribing in the Pediatric Department of Gabriel TouréTeaching Hospital, Bamako, Mali

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Open Journal of Pediatrics 2024年第3期14卷 645-656页

作者： Pierre Togo Hawa Konaré Mariam Maïga Karamoko Sacko Djénéba Konaté Abdoul Karim Doumbia Adama Dembélé Oumar Coulibaly Aminata Sangaré Mohamed Elmouloud Cissé Fousseyni traoré Belco Maïga Ibrahim Ahamadou Aminata Doumbia Lala N’Drany Sidibé Amadou Touré Yacouba Aba Coulibaly Kalirou traoré Tati Simaga Souleymane Sagara Leyla Bagna Maïga Bory traoré Abdoul Aziz Diakité Fatoumata Dicko Mariam Sylla Sounkalo Dao Boubacar Togo Paediatric Department Gabriel Tour&#233 Teaching Hospital Bamako Mali Pediatric Department Distric VI Reference Health Center Bamako Mali Infectious Diseases Department Point G Teaching Hospital Bamako Mali

Objectives: The main objective was to evaluate antibiotic prescribing in the Department of Pediatrics at Gabriel Touré teaching hospital. Methods: This was a prospective descriptive study conducted from September 1 to November 31, 2018, in the Department of Pediatrics at Gabriel Touré teaching hospital. All children aged 0 to 15 years hospitalized for any pathology during the study period and having received at least one antibiotic had been included. Results: We collected 445 children’s records out of 1032 admissions during the study period, representing a hospital frequency of 43.1%. The sex ratio was 1.3%. The 2 - 5 age group accounted for 48.1%. Fever was the reason for consultation in 45.6% of cases. Patients’ general condition was altered in 60% of cases. The fathers were blue-collar workers in 65.4% and the mothers housewives in 85%, and had no education in 42.9% and 64.5% respectively. Hepatomegaly was present in 18.2%, splenomegaly in 9.6% and peripheral adenopathy in 3.1%. The site of infection was pulmonary in 37.6% and ENT in 9.2%. Bacterial infection was assumed on admission in 54% of cases, and meningitis in 57.7%. The discharge diagnosis was malaria in 54.6%, severe acute malnutrition in 18.6% and meningitis in 6.7%. The death rate was 3.8%. Neutrophilic leukocytosis was present in 47.3% of patients. CRP was positive in 85% of patients. Blood cultures taken in 27.6% of patients were positive in 5. CSF analysis in 30% of patients showed elevated leukocytes in 6.5%. No cultures were positive. Antibiotic prescription was justified by infectious hypotheses in 43.1% of patients. β-lactam antibiotics were prescribed in 98.6%. Antibiotic therapy was not adapted to national/international recommendations in 68.3% of cases, and was not justified in 16.3% of cases on D5 of hospitalization. Conclusion: Antibiotic use was justified in more than half of patients, but remained inadequate in almost two-thirds of cases, in line with national and international recommend

关键词： Antibiotic Prescription Hospitalization Child

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Insight from Lithostructural and Aeromagnetic Data from the Léo Square Degree, Central-Western Burkina Faso

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Open Journal of Geology 2024年第1期14卷 19-28页

作者： Adama Ouédraogo Yaméogo Pascal Ouiya Gounwendmanaghré Hubert Zongo Omar Akonyiré Abraham Seydoux traoré Saga Sawadogo Séta Naba Unité de Formation et de Recherche en Sciences et Technologies Département des Sciences de la Vie et de la Terre Université Norbert Zongo Koudougou Burkina Faso Unité de Formation et de Recherche en Sciences de la Vie et de la Terre Laboratoire Géosciences et Environnement (LaGE) Département des Sciences de la Terre Université Joseph Ki-Zerbo Ouaga Burkina Faso Ecole Normale Supérieure (ENS)/Institut des Sciences et de Technologie (IST) Ouaga Burkina Faso Ecole Supérieure d’Ingénieries Université de Fada N’gourma Fada N’Gourma Burkina Faso

This study, carried out in the Léo square degree (west-central Burkina Faso) in the Palaeoproterozoic domain of the Man/Léo ridge, aims to define the shapes and positions of granitic plutons and the organisation of deformation structures using aeromagnetic data. These data have shown that there are small sub-circular granitic bodies to the north of the granitic masses in this region, and a large sub-circular granitic body to the south, around which are other smaller granitic bodies. The lineament map shows that the deformation structures are organised along three main directions and largely form these sub-circular plutonic bodies. We suggest that the granitic plutons are coalescent, pending identification of the internal structures of these granites to further refine the geodynamic model.

关键词： Burkina Faso Lineaments Belts Rocks Leo’s Leaf Granitoïd Airbornes Magnétics

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Petrographic and Geochemical Characteristics of the Granitoids in the South of Godé (North of the Square Degree of Léo-Burkina Faso, West Africa)

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International Journal of Geosciences 2024年第2期15卷 106-118页

作者： Adama Ouédraogo Yaméogo Hubert Gounwendmanaghré Zongo Pascal Ouiya Omar Akonyiré Abraham Seydoux traoré Saga Sawadogo Séta Naba Unité de Formation et de Recherche en Sciences et Technologies Département des Sciences de la Vie et de la Terre Université Norbert Zongo Koudougou Burkina Faso Unité de Formation et de Recherche en Sciences de la Vie et de la Terre Laboratoire Géosciences et Environnement (LaGE) Départe-ment des Sciences de la Terre Université Joseph Ki-Zerbo Ouaga Burkina Faso Ecole Supérieure d’Ingénieries Université de Fada N’gourma Fada N’Gourma Burkina Faso Ecole Normale Supérieure (ENS)/Institut des Sciences et de Technologie (IST) Ouaga Burkina Faso

South of Godé, in the central-western region of Burkina Faso, granitoids of Paleoproterozoic age are similar to those of the Man/Leo shield. This study focused on the petrographic and geochemical characteristics of these granitoids, with the following results: 1) The tonalite that outcrops in the south-west of the study area belongs to the TTG group or first generation granitoids. They are most often ribboned at outcrop and have a geochemical signature close to that of Archean TTGs. Tonalite has a metaluminous character and the REE spectrum indicates that it may be derived from partial melting of basic magmatic rocks. 2) Biotite granites have no outcrop structure. They are weakly metaluminous to peraluminous and potassic to highly potassic. Their rare earth spectra indicate that they may be derived from the partial melting of TTG granitoids. 3) Geotectonic diagrams show that the granitoids studied to the south of Godé were emplaced in an active tectonic context similar to that of present-day subduction zones.

关键词： Burkina Faso Godé Man/Leo Shield Petrography Geochemistry Partial Melting Geotectonic Setting

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Prevalence and Tasks Associated with Respiratory Symptoms among Waste Electrical and Electronic Equipment Handlers in Ouagadougou, Burkina Faso in 2019

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Occupational Diseases and Environmental Medicine 2024年第3期12卷 199-210页

作者： Marthe Sandrine Sanon Lompo Sombenewindé Bienvenu Alexandre Nikiéma Issa traoré Marius Kédoté Jules Owona Manga Nicolas Méda Dpartement de Sant Publique Unit de Formation et de Recherche en Sciences de la Sant Universit Joseph Ki Zerbo Ouagadougou Burkina Faso Institut Suprieur en Sciences de la Sant Universit Nazi BONI Bobo Dioulasso Burkina Faso Centre Rgional de Formation en Sant Publique Ouidah Benin Facult des Sciences de la Sant Universit de Yaound Yaound Camroun

Introduction: The uncontrolled management of waste electrical and electronic equipment (W3E) causes respiratory problems in the handlers of this waste. The objective was to study the stains associated with respiratory symptoms in W3E handlers. Methods: The study was cross-sectional with an analytical focus on W3E handlers in the informal sector in Ouagadougou. A peer-validated questionnaire collected data on a sample of 161 manipulators. Results: the most common W3E processing tasks were the purchase or sale of W3E (67.70%), its repair (39.75%) and its collection (31.06%). The prevalence of cough was 21.74%, that of wheezing 14.91%, phlegm 12.50% and dyspnea at rest 10.56%. In bivariate analysis, there were significant associations at the 5% level between W3E repair and phlegm (p-value = 0.044), between W3E burning and wheezing (p-value = 0.011) and between W3E and cough (p-value = 0.01). The final logistic regression models suggested that the burning of W3E and the melting of lead batteries represented risk factors for the occurrence of cough with respective prevalence ratios of 4.57 and 4.63. Conclusion: raising awareness on the wearing of personal protective equipment, in particular masks adapted by W3E handlers, favoring those who are dedicated to the burning of electronic waste and the melting of lead could make it possible to reduce the risk of occurrence of respiratory symptoms.

关键词： Respiratory Symptoms W3E Associated Tasks Ouagadougou

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Prevalence and Factors Associated with Chronic Low Back Pain in the Mining Sector in Burkina Faso

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Occupational Diseases and Environmental Medicine 2024年第3期12卷 211-224页

作者： Marthe Sandrine Sanon Lompo Gaston Kaboré Jules Owona Manga Issa traoré Ibrahim Mama Cissé Marius Kédoté Ahmed Kaboré Nicolas Méda Dpartement de Sant Publique Unit de Formation et de Recherche en Sciences de la Sant Universit Joseph Ki Zerbo Ouagadougou Burkina Faso Centre Hospitalier Universitaire Yalgado Oudraogo Ouagadougou Burkina Faso Facult des Sciences de la Sant Universit de Yaound Yaound Camroun Institut Suprieur des Sciences de la Sant Universit Nazi BONI Bobo Dioulasso Burkina Faso Facult de Mdecine Universit de Parakou Parakou Bnin Centre Rgional de Formation en Sant Publique Ouidah Benin

Introduction: Low back pain is nowadays a real public health problem in companies. The objective of the study was to determine the prevalence and factors associated with chronic low back pain among workers of a mining company in Burkina Faso. Material and Methods: This was a descriptive and analytical cross-sectional study with a retrospective collection that took place from August 1, 2021 to March 16, 2022 in a gold mine in Burkina Faso. It focused on mine workers who participated in the 2019 annual medical visit. Results: Out of a total workforce of 880 workers who took part in the annual medical visit in 2019, 165 had chronic common low back pain, i.e. a prevalence of 18.75%. The average age of low back pain workers was 37.21 ± 7.5 years. Among the workers suffering from low back pain, 62 (37.58%) held the position of machine operator. Clinically, mechanical pain was found in 113 low back pain workers (76%) and twenty-nine (17.58%) had radicular pain. Standard radiography of the lumbar spine was abnormal in 129 workers (78.18%. In the univariate analysis, the factors associated with the pathology were sex, level of study, work station and seniority in the position. After a logistic regression, the factors associated with its occurrence were whole-body vibration (Fisher’s test = 12.7541;P = 0.000), male sex (Fisher’s test = 8.363;P = 0.004), and seniority for 4 to 5 years (Chi2 = 4.0234;p = 0.046). Conclusion: The study reveals the existence of chronic low back pain cases among the workers of the mining company. There is a predominance of the pathology in men, workers exposed to vibrations and those with a seniority of 4 to 5 years. It is necessary to establish a policy of prevention of low back pain for the benefit of workers, in particular those exposed to vibrations.

关键词： Chronic Low Back Pain Prevalence Associated Factors Mine Burkina Faso

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Liposarcoma Retro-Peritoneal in the General Surgery Department of the Hospital of the District of the Commune IV

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Surgical Science 2024年第7期15卷 430-437页

作者： Moussa Samaké Souleymane Bingué Dembelé Yely Dianessy Abdou Guiré Dorcas Laurel Sodjiné Yede Youssouf Boiré Mahamane Dicko Mantia Sara Nouhoum Sanogo Amaguiré Saye Sirama Diarra Brahima Dembele Thierno Nadio Ibrahima Maiga Modibo Diarra Siaka Konaté Birama Cheick traoré Boubacar Diassana Bathio traoré Amadou Maiga Boubacar Yoro Sidibé Adégné Togo General Surgery Department of Bamako District IV Hospital Bamako Mali Anesthesia and Resuscitation Service of the Hospital of the District of the Commune IV of Bamako Bamako Mali Anatomopathology Department of the CHU of Point G Bamako Mali Obstetric Gynecology Department of the Bamako District IV Hospital Bamako Mali Department of Ophthalmology of the Hospital of the District of the Commune IV of Bamako Bamako Mali Imaging Service of the Bamako District IV Hospital Bamako Mali Internal Medicine Department of the District Hospital of Commune IV of Bamako Bamako Mali General Surgery Department Kolondjeba Referral Health Centre Sikasso Mali Gynecology and Obstetrics Department of the San Reference Health Center Segou Mali General Surgery Department of Sikasso Hospital Sikasso Mali General Surgery Department of the Gabriel Tour University Hospital Bamako Mali

Retroperitoneal soft tissue sarcomas in the retroperitoneal/intra-abdominal regions represent 10% - 15% of all cases of soft tissue sarcoma. Liposarcomas, which are the most common histological type, account for 20% - 45% of retroperitoneal/intra-abdominal sarcoma cases, and 20% of liposarcomas cases are primary retroperitoneal liposarcomas. Surgical resection in case of malignancy remains the treatment of choice for liposarcomas, according to the guidelines of most major international companies. Our goal was to improve the management of retroperitoneal liposarcoma. This was a 65-year-old patient, with no medical or surgical history, who was referred to us for abdominal swelling, in whom clinical and paraclinical examination found retroperitoneal liposarcoma stage IV, and the surgical treatment consisted in making a tumor reduction. Conclusion: Retro-peritoneal liposarcoma is an undervalued malignant tumor, and the diagnosis is often late.

关键词： Retroperitoneal Liposarcoma Diagnostic Delay

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