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The Epidemiology of Influenza in Children Hospitalized at the Hospital of Sikasso, Mali 2015-2019

Open Journal of Pediatrics 2021年第3期11卷 460-467页

作者： Assetou Cissouma Madou traoré Guédiouma Dembélé Seydou Diarra Adama Mamby Keita Abdoulaye Kissima-traoré Djibril Kassogué Soumaila Alama traoré Flagnouma Diallo Dade Ben Sidi Haidara Samba Sow Pediatric Department Sikasso Hospital Sikasso Mali Department of Medicine and Infectious Disease Sikasso Hospital Sikasso Mali Pediatric Department Mali Hospital Bamako Mali Centre for Vaccine Development-Mali (CVD-Mali) Bamako Mali Cardiology Department Sikasso Hospital Sikasso Mali Pediatric Department Timbuktu Hospital Timbuktu Mali Gynecology and Obstetrics Department of Sikasso Hospital Sikasso Mali

Introduction: Influenza is an acute respiratory infectious disease, highly contagious due to influenza viruses. The objective of this work was to identify, understand the epidemiology of circulating strains and estimate disease transmission. Patients and Methods: The study was carried out in the pediatric department of the Sikasso Hospital. This was a prospective, longitudinal descriptive study over a five-year period (January 1, 2015 to December 31, 2019). She was interested in severe acute respiratory infections (SARI) for hospitalized patients in the pediatric department. Results: During the study period the prevalence of severe acute respiratory infections among hospitalized children was 21.85‰. The majority of cases were observed in 2019 with 58 cases, the sex ratio was 1.8. The age group from 0 to 1 was the most represented with 100 cases (48.30%) followed by 2 to 4 years 73 cases (35.24%) and 5 to 15 years 34 cases (16.46%). More than half of the patients lived in rural areas 129 (62.31%). Fever and cough were present in the majority of patients. No children had received influenza vaccination. In study 36 (17.39%) cases were positive for influenza A and B.

关键词： Sentinel Surveillance Seasonal Influenza Sikasso Hospital

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Small Bowel Obstruction Induced by Phytobezoar: A Case Report in Innocent Abdomen and Literature Review

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Surgical Science 2021年第6期12卷 187-195页

作者： Bréhima traoré Djibril traoré Modibo Coulibaly Oumar Guindo Abdoulaye traoré Fodé Mory Keita Kiffery Ibrahim Keita Korotimi Mallé Pierre Coulibaly Aly Boubacar Diallo Dramane Cissé Dramane Samaké Pierre A. Togo Department of General Surgery H&ocirc pital Sominé DOLO de Mopti Mopti Mali Department of Biomedical Laboratory H&ocirc pital Sominé DOLO de Mopti Mopti Mali Department of Public Health H&ocirc pital Sominé DOLO de Mopti Mopti Mali Department of Anesthesia and Resuscitation H&ocirc pital Sominé DOLO de Mopti Mopti Mali Department of Surgery Polyclique des Armées de Kati Koulikoro Mali Department of Gynecology and Obstetrics H&ocirc pital Sominé DOLO de Mopti Mopti Mali Department of General Surgery H&ocirc pital Régional de Sikasso Sikasso Mali Department of Medicine H&ocirc pital Sominé DOLO de Mopti Mopti Mali Faculty of Medicine and Odonto Stomatology University of Sciences Technics and Technologies de Bamako Bamako Mali

Introduction: Small bowel obstruction (SBO) is defined as a complete and persistent cessation of the transit of materials and gases. It occurs in a segment of the digestive tract located between the pylorus and the colorectal junction. Herein, we report a case of small bowel obstruction (SBO) following excessive consumption of wild grapes with no previous abdomen medical or surgical history. Presentation of case: A 65-year-old male farmer presented with cessation of materials and gas associated with vomiting of food and then bilious. The abdomen was bloated and painful on palpation with a moving, painful mass in the left iliac fossa. The hypothesis of acute occlusion of the colon was retained and confirmed on the X-Ray which showed a dilation of small bowel with air-fluid levels. The diagnostic of acute SBO was retained. We performed urgently a median laparotomy. We found the dilation of the loops from the jejunum to the sigmoid colon with a compact mass at the sigmoid colon of 15 cm in length and 6 cm in diameter. We proceeded to crush the mass that was made up with wild grape seed fecal, and push it back to the rectum. The phytobezoar made up with wild grape seeds was extracted through the anus with the fingers after anal dilation. After extraction of the bezoar, the patient’s complaints completely subsided. Discussion: SBO is a frequent emergency surgical pathology. SBO induced by phytobezoar often occurs in patients with abdomen surgery history. However, it is particularly rare in virgin abdomen. Conclusion: This case report aims to raise awareness of phytobezoar as a cause of SBO in elderly even though without abdomen surgery history.

关键词： Small Bowel Obstruction Phytobezoars Innocent Abdomen

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Vibration-Based Analysis for Detecting Turbocharger Blade Defect on High-Power Diesel Generator

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World Journal of Mechanics 2020年第1期10卷 1-10页

作者： Metaga Jeremi Sogoba Badié Diourté Moussa Magara traoré Ecole Nationale d’Ingénieurs Abderhamane Baba TOURE (ENI-ABT) Bamako Mali

This study is concerned with 12-MW capacity turbochargers on diesel power generators. These are generators equipped with 18 cylinders. Our previous studies [1] showed that the processing of vibration signature collected from a power generator is very complex, insomuch the dominant vibration remains the one originating from explosion frequency in the diesel generator cylinders, with a fairly high number of cylinders. This vibration drowns out all other possible vibrations, which can expose defects. The study at hand is focused on turbochargers with 20,940 rpm, while the rotation speed in the diesel engine is 600 rpm only. With the turbocharger rotating at very high speed, it results in severe mechanical constraints on the rotor shaft in the turbocharger and its related organs (turbine blades). The wear of turbine blades can result in breakdowns in the turbocharger. This article is an attempt to early detect defaults in turbine blades based on vibration signature that can be experimentally determined. We noted in our investigations that a diesel engine and its turbochargers do not bear the same mechanic loads. While the diesel engine is the seat of violent shocks brought about by explosions in cylinders, the turbochargers are driven by the action of exhaust gas from explosions, without being affected by explosion shocks. The study found that explosion frequency in the diesel engine cylinders, which disrupted the vibration signals in the diesel engine and alternator, did not impact on the vibration signals in the turbocharger. We experimentally determined, following several campaigns of measurements, a vibration signature on the turbochargers under study, which corresponds to a defect in turbine blades.

关键词： Vibration Signature Fast Fourier Transform Method (FFT) Turbocharger Tur-bine Blades

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A framework for the use of decision-support tools at various spatial scales for the management of irrigated agriculture in West-Africa

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Agricultural Sciences 2013年第8期4卷 9-15页

作者： Joost Wellens Farid traoré Mamadou Diallo Bernard Tychon Association pour la Promotion de l’Education et de la Formation à l’Etranger (APEFE) Brussels Belgium Département Sciences et Gestion de l’Environnement Université de Liège Arlon Belgium Institut de l’Environnement et de Recherche Agricole (INERA) Ouagadougou Burkina Faso Observatoire de l’Eau Bobo-Dioulasso Burkina Faso

The Kou watershed, situated in the Southwestern part of Burkina Faso, has succumbed since a couple of decades in a typical theater play of anarchistic water management. With its 1800 km2, this small watershed holds the second largest city of Burkina Faso (Bobo-Dioulasso), a former State ran irrigated rice scheme and several informal agricultural zones. Despite the abundance on water resources, most water users find themselves regularly facing to water shortages due to an increase in population and low irrigation efficiencies. Local stakeholders are hence in need of easy-to-use and low-cost decision support tools for the monitoring and exploitation of the water resources at different spatial and user levels. A top-to-bottom string of adapted water management tools has been successfully installed to tackle the problems: from watershed (top) to field level (bottom), passing by the 1200 ha irrigation scheme. Land use maps have been derived from time-series of free satellite images. Combined with data from a network of hydrologic gauging stations, regional water use maps were established. SIMIS was put in place for the public-private management of the regions irrigated rice scheme. Day to day water use on irrigated plots was followed by soil humidity and crop canopy measurements. A simple field-cropwater balance model Aqua Crop was used by extension workers to draft optimal irrigation charts. Each tool was applied independently, requiring only limited data;but their combined results contributed to an improved integrated water management.

关键词： Irrigation Remote Sensing Multi-Level Decision-Support Tool

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Natural Radioactivity Measurement and Dose Assessment in Soil Samples from Some Selected Areas of Mali

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World Journal of Nuclear Science and Technology 2019年第2期9卷 67-73页

作者： Issiaka traoré Abdramane Ba Abdel Mjid Nourreddine Département de Physique Université des Sciences des Techniques et Technologies de Bamako Bamako Mali Institut Pluridisciplinaire Hubert Curien (IPHC) Université de Strasbourg Strasbourg France

This is the first time that a study applies the gamma ray spectroscopy using a high purity germanium to evaluate the terrestrial gamma radiation level by detector in selected regions of Mali. The results reveal that the activity concentrations of naturally occurring 226Ra, 232Th and 40K radionuclides ranges between respectively 17.26 ±1.81 and 105.43 ±10.36;20.41 ±2.52 and 180.85 ±19.69;41.33 ±8.26 and 627.63 ±85.62 Bq⋅kg−1. The measures of radium equivalent activity (Raeq), absorbed dose rates (ADR), annual effective dose rate (AEDR), external hazard index (Hex), internal hazard index (Hin) and excess lifetime cancer risk (ELCR) were evaluated. Some of the obtained values exceed the recommended safe levels. Further studies are necessary to constitute a baseline reference data about the terrestrial radiation in Mali.

关键词： Soil Radioactivity Radiological Hazard Population Exposure Gamma Spectrometry Mali

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Epidemiology, the Main Reasons and Maternal-Fetal Complications of Unassisted Childbirth in the Health District of V Bamako Commune, Mali

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Open Journal of Obstetrics and Gynecology 2020年第10期10卷 1381-1395页

作者： Soumana Oumar traoré Cheickna Sylla Saleck Doumbia Alou Samaké Amadou Bocoum Seydou Fané Rokiatou Torian Sangaré Fatoumata Keita Ibrahima Tegueté Youssouf traoré Niani Mounkoro Mamadou traoré Amadou Ingré Dolo Obstetric Gynecology Department The Reference Health Centre of Commune V Bamako Mali Obstetric Gynecology Department The Koutiala Reference Health Centre Koutiala Mali Obstetric Gynecology Department The Commune VI Reference Health Centre Bamako Mali Obstetric Gynecology Department The Gabriel Touré University Hospital Centre Bamako Mali

Objective: To describe the epidemiological aspects, to determine the reasons leading women to give birth outside of health facilities and to determine the maternal prognosis. Patients and Methods: This was a cross-sectional, analytical, quantitative and qualitative descriptive study over a period from 1 June to 31 December 2016 (7 months) on unassisted childbirth in the health district of commune V of Bamako. Results: We recorded 70 unsured deliveries, a frequency of 1.04% out of a total of 6719 deliveries. The extreme ages were 15 years and 41 years with an average age of 28 years. 90% of the birth attendants were married and 10% were single. The women's profession: 48% were housewives, 11% saleswomen, 13% hairdressers, 4% female teachers. Education level: 71% were uneducated and 29% educated. Among those who are educated, their level was primary in 50%, secondary in 32% and higher in 18%. 42% had done antenatal consultation. The main reasons: ignorance of work 44.3%;religious beliefs and societal burdens 10.0%;fear of caesarean section 4.3%;late-night birth labour 5.7%;lack of financial and/or transport means 17.1%; distance from the locality 2.9%;insecurity 2.9%. Maternal and perinatal prognosis: complications were mostly hemorrhagic and concerned 27 (39%) patients. These included uterine atony (13 cases), placental retention (8 cases), soft pa

关键词： Childbirth Unsured Reasons

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Maternal-Fetal Prognosis of Eclampsia at the Second Reference Hospital in the Urban Commune of Segou in Mali

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Open Journal of Obstetrics and Gynecology 2020年第10期10卷 1414-1429页

作者： Tidiani traoré Cheickna Sylla Kassoum Sidibé Babou traoré Sylvain Guindo Adama Coulibaly Seydina A. Beye Seydou Z. Dao Famakan Kané Youssouf traoré Ibrahima Téguété Moustaphe Touré Department of Gynecology and Obstetrics NianankoroFomba Hospital Ségou Mali Department of Gynecology and Obstetrics Reference Health Centre in Koutiala Sikasso Mali Department of Gynecology and Obstetrics Reference Health Centre of Commune II Bamako Mali Department of Gynecology and Obstetrics Reference Health Centre in Bla Ségou Mali Department of Gynecology and Obstetrics Gabriel TOURE University Hospital Center Bamako Mali Department of Gynecology and Obstetrics University Hospital Center of the Mali Hospital Bamako Mali

Aim: To describe the epidemiological, therapeutic and prognostic aspects of eclampsia at the second reference hospital in the urban commune of Ségou in Mali. Patient and Methods: This was a descriptive, cross-sectional, analytical, retrospective and prospective study based on a comprehensive de-engineering. It covered a 3-year period from January 1, 2010 to December 31, 2012 and involved 176 cases. Results: The incidence of eclampsia during the study period was 2.9%. Classically, it occurred in 74.4% in young primigeste, in 73.9% in the 3rd trimester of pregnancy and 26.1% of cases during postpartum. We recorded maternal complications such as retro-placental hematoma, acute kidney failure and delivery hemorrhage. The case fatality rate was 2.3% or 4 cases of maternal death. At the fetal level, there was 29.5% prematurity, 31.8% neonatal suffering, 11.4% hypotrophy, 11.9% in utero fetal death and 7.4% early neonatal death. Conclusion: The maternal-fetal prognosis remains reserved despite the progress made in the management of eclampsia in our services.

关键词： Pronostic Maternal Fetal Eclampsia Unsealed Pregnancy

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Maternal and Perinatal Prognosis of Artificial Induction of Labor with Misoprostol at the Reference Health Center of Commune 2 in Mali

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Open Journal of Obstetrics and Gynecology 2022年第4期12卷 267-275页

作者： Tidiani traoré Seydou Z. Dao Seydou traoré Adoul Azize Togo Bakary Abou traoré Ahmadou Coulibaly Ibrahim Ousmane Kanté Kassoum Sidibé Thierno Boubacar Bagayoko Alpha Sanogo Famakan Kané Adama Bah Ibrahima Donigolo Babou traoré Adama Coulibaly Abdrahamane Diarisso Youssouf traoré Ibrahima Teguété Augustin Tiongani Théra Nianankoro Fomba Hospital Ségou Mali Common Reference Health Center II Bamako Mali Koutiala Reference Health Center Koutiala Mali Point G University Hospital Center Bamako Mali Bla Reference Health Center Bla Mali Center Hospitalier Universitaire Gabriel Touré Bamako Mali

Introduction: The artificial induction of labor is increasingly common. Objective: Evaluate the maternal-fetal prognosis of artificial induction with misoprostol at the referral health center of the commune II. Methods: This is a cross-sectional, prospective, descriptive and analytical study which took place from September 1, 2019 to December 31, 2020. Included in the study were pregnant women carrying an evolving or terminated single-fetal pregnancy of at least 28 WA in cephalic presentation on a healthy uterus. The trigger has been made with 50 μg misoprostol administered sublingually into the posterior vaginal fornix. The dose was renewed as needed every 6 hours, until sufficient uterine contractions were obtained without exceeding 200 μg. Results: The frequency of artificial induction of labor was 1.25%. Indications were dominated by premature rupture of membranes (29.8%), overdue (19.1%), high blood pressure (19.1%), suitability of pregnant women (14.9%) and terminated pregnancies (10.6%). The vaginal delivery rate was 85.1% The Apgar score was greater than or equal to 7 in 83.3% of cases at the 1stminute. Maternal morbidity was marked by postpartum hemorrhage due to uterine atony in 4.3% cases. No maternal and neonatal deaths were noted. Conclusion: Induction of labor with misoprostol is a safe and effective method if careful selection of patients is made.

关键词： Childbirth Induction Artificial Misoprostol Prognosis

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Congenital Gangrene in a Premature Newborn: A Case Report

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Open Journal of Pediatrics 2021年第3期11卷 393-397页

作者： Assetou Cissouma Mamadou B. Coulibaly Djibril Kassogué Hachimi A. Poma Moussa Diassana Bathio traoré Aly Diallo Layes Touré Ternan traoré Moussa Kanté Abdoulaye Kissima-traoré Pediatric Service Sikasso Hospital Sikasso Mali Pediatric Surgery Service Sikasso Hospital Sikasso Mali Pediatric Service Timbuktu Hospital Timbuktu Mali Surgery General Service Sikasso Hospital Sikasso Mali Orthopedic and Trauma Surgery Service Sikasso Hospital Sikasso Mali Anesthesia and Intensive Care Service Sikasso Hospital Sikasso Mali Cardiology Service Sikasso Hospital Sikasso Mali

Introduction: Congenital limb gangrene is a rare pathology. In the majority of cases, no cause is identified and its treatment is not codified. Observation: 29-week premature newborn, female from poorly followed twin pregnancy. Clinical examination at admission found an unstable neonate, the presence of necrosis of the left hand and forearm well limited, with absent humeral pulse and absence of hand movement. Surgical treatment was scheduled for amputation of the limb after the agreement of the parents whose postoperative follow-ups were simple. Conclusion: Congenital gangrene remains a rare entity in neonatology.

关键词： Gangrene Upper Limb Newborn Prematurity

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Fascist Leg Necrosis at the Bocar Sidi Sall University Hospital (BSS) in Kati (Mali)

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Surgical Science 2022年第3期13卷 119-123页

作者： Abdoulaye Diarra Assitan Koné Amadou traoré Koniba Kéïta Idrissa Tounkara Tounkara Issa traoré Oumou traoré Boubacar Karembé Madiassa Konaté Oulématou Coulibaly Modibo Togola Daouda Diallo Alhassane traoré Bkary Tientigui Dembélé Ibrahim Diakité Adégné Togo Department of General Surgery Kati University Hospital Kati Mali Department of General Surgery CHU Gabriel Touré Bamako Mali Department of Anesthesia and Resuscitation CHU of Kati Kati Mali

Necrotizing fasciitis is a bacterial dermo-hypodermitis of necrotizing type with involvement of the superficial fascia of the muscles. We report the case of a 50-year-old patient with necrotizing fasciitis of the left leg following erysipelas. Clinical Case: A 50-year-old patient, received at the emergency department for necrotizing wound of the left leg, evolving for 25 days. The examination of the patient made it possible to find: an alteration of the general condition with a WHO score classified stage II. A necrotizing wound of the lower 2/3 of the left leg and the dorsal side of the left foot allowing pus to flow in places, the pedious pulse was well perceived, lymphadenopathy at the root of the homolateral thigh. The complete blood count made it possible to objectify a predominantly neutrophil hyperleukocytosis greater than 10,000/mm3. We first carried out a complete debridement of the necrotic tissues, in a second time we took the patient back to do the autocutaneous graft. The surgical follow-up was simple. Conclusion: Necrotizing fasciitis is a serious infection, management is multidisciplinary.

关键词： Necrotizing Fasciitis Lower Limb Kati Mali

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