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Urban schistosomiasis and associated determinant factors among school children in Bamako, Mali, West Africa

Infectious Diseases of Poverty 2015年第1期4卷 24-35,23页

作者： abdoulaye Dabo Adama Z Diarra Vanessa Machault Ousmane Touré Diarra Sira Niambélé abdoulaye Kanté abdoulaye ongoiba Ogobara Doumbo Department of Epidemiology of Infectious Diseases Faculty of MedicinePharmacy and DentistryUniversity of Techniques and Technologies of BamakoBox 1805Bamako UMI 3189Mali Unitéd’entomologie médicale Equipe 7Maladiesémergentes et moustiquesInstitut de Médecine Tropicale du Service de Santédes ArméesAllée du Médecin Colonel JamotParc du PharoBP6010913262Marseille Cedex 07France

Background:Schistosomiasis is classically described as a rural disease that occurs in areas with poor sanitary ***,over recent decades,there has been an expansion of schistosomiasis foci towards urban areas faced with a rapid and disordered *** Bamako,Mali,the impact of environmental change on vector-borne diseases such as schistosomiasis is not well *** study sought to identify the presence of schistosomiasis transmission hotspots in *** this perspective,we aimed to describe the risk factors of the endemization and maintenance of *** and methods:A cross-sectional study was carried out in the six municipalities(communes)in *** information was obtained from earth observation satellites in order to maximize ecological ***-nine blocks of 200 m x 200 m were *** selected a school inside or nearest to each block for urine and stool samples *** study cohort was school children aged between eight and 15 *** Kato-Katz technique and filtration were used for Schistosoma mansoni and *** ova research in stools and urine,*** schools and snail breeding sites were *** malacological surveys were conducted between October 2011 and February *** analysis was used to identify independent predictors of being infected with ***:The prevalence rate of *** was 14.7%(n=1,761)and that of *** 1.5%(n=1,491).Overall,the urinary form was endemic in 76.6%of *** infection significantly varied between the municipalities(p<0.001).It was also more prevalent on the left side of the Niger River than the right side(17.4%vs.9.5%respectively;p<0.001).The vicinity to snail breeding sites(OR=3.677;95%IC[2.765–4.889];p<10-3)and parents’occupations(OR=7.647;95%IC[2.406–24.305];p<0.001)were the most important risk factors associated with *** infection *** pfeifferi,Bulinus

关键词： Schistosomiasis Snails Breeding sites Endemization Bamako Mali

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Morphometry of the Portal Vein:Ultrasound Anatomy about 1000 Cases

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Forensic Medicine and Anatomy Research 2019年第2期7卷 37-43页

作者： abdoulaye Kanté abdoulaye Koné Daouda Camara Bréhima Bengaly Bréhima Coulibaly Drissa Traoré Babou Ba Mariam Daou Nouhoum ongoiba Service of Surgery B.CHU Point G BamakoMali Laboratory of Anatomy of the Faculty of Medicine and Odontostomatology BamakoMali Imaging Department CHU Point G BamakoMali Service of Gynecology and Obstetrics of the CHU KatiMali

Aim: The aim of this study is to determine from a series of 1000 cases the usual dimensions of the portal vein according to the medical ultrasound. Methodology: We realized a transverse study over 2 years (from January 2015 to December 2017). It concerned an ultrasound exploration of the portal vein. The studied population was healthy voluntary subjects visible without history of abdominal trauma and abdominal operating scar. Results: The average age was 39 years ± 12.16 with extremes of 19 years and 70 years. The decade of 21 - 29 years represented 46.2%. The transverse diameter of the portal vein in its origin varied between 8 and 10 mm in 57.9% of the cases. The average was 9.05 ± 2.82 mm with extremes of 5 and 16 mm. The transverse diameter of the portal vein in its ending varied between 8 and 10 mm in 56.9%. In 29.8% of the cases, the length of the portal vein was between 61 and 70 mm and in 8.8% between 81 and 100 mm. The average length was 58 ± 22.3 mm. Before its penetration in the liver, the portal vein divided into 2 branches in 967 cases (96.7%) and in 3 branches in 33 cases (3.3%). Conclusion: This original study shows the normal dimensions of the portal vein to Malian.

关键词： Anatomy Portal Vein Ultrasound Bamako-Mali

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Anatomy of the Gall-Bladder in the Ultrasound about 1000 Cases

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Forensic Medicine and Anatomy Research 2019年第2期7卷 44-49页

作者： Bréhima Coulibaly abdoulaye Kanté abdoulaye Koné Bréhima Bengaly Babou Ba Youlouza Coulibaly Oncoumba Diarra Adama Seriba Diarra Drissa Traoré Mariam Daou Nouhoum ongoiba Service of Surgery B.CHU Point G BamakoMali Laboratory of Anatomy of the Faculty of Medicine and Odontostomatology BamakoMali Imaging Department CHU Point G BamakoMali Service of Neurology.CHU Gabriel Touré BamakoMali

Aim: The aim of this work is to determine the dimensions and the capacity of the gall-bladder by ultrasound. Methodology: We realized a descriptive study over 2 years (from January, 2015 till December, 2017). It concerned an ultrasound exploration of the gall-bladder. The studied population was healthy voluntary subjects visible and on an empty stomach for 12 hours, without history of abdominal trauma and abdominal operating scar. The carrying subjects of the tracks of abdominal trauma or of abdominal operating scar were not included. Results: The average age was of 39 years ± 12.16 with extreme of 10 years and 89 years. It was 500 women (50%) and of 500 men (50%) with a sex ratio of 1. To 450 subjects (45%) the width of the gall-bladder of the subjects varied between 21 and 30. The average was 22.63 mm ± 7.9. Extremes were from 9 to 55 mm. The measurements made by the three sonographers showed no significant difference. The sensitivity of ultrasound in the visualization of the gallbladder was 100%. The length of the gall-bladder was between 61 and 70 mm. The average was 65.35 ± 14.48. Extremes were 26 and 142 mm. Conclusion: This original study shows the normal dimensions of the gall-bladder to Malian.

关键词： Anatomy Gall-Bladder Ultrasound Bamako-Mali

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Anatomical Study of MRI Optic Chiasm at the Bamako Anatomy Laboratory

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Forensic Medicine and Anatomy Research 2020年第2期8卷 11-17页

作者： Babou Ba Siaka Diakité abdoulaye Kanté Tata Touré Moumouna Koné Nouhoum ongoiba Abdel Karim Koumaré Siaka Sidibé Laboratoire d’Anatomie et de Morphologie Clinique FMOS BamakoMali Service de Radiologie CHU Point GBamakoMali Service de Chirurgie“B” CHU Point GBamakoMali

Roughly quadrangular, the chiasma presents many morphological variations. The optical chiasm, odd and symmetrical structure of the optical pathways, is a required passage of the axons of neurons for the visual pathways. Any modification of its morphology evokes a pathological process, generally tumoral. The quality of MRI images rivals that of anatomical slices. So the MRI is essential for the study of the chiasma. The aim of this work was to study the morphometry of the optic chiasm in patients addressed for cerebral MRI to the imaging department of the university hospital of the POINT-G, during the period from July 29, to November 30, 2016. All patients who had a normal examination of the optic chiasma, numbering 15, were included in this study. In 86.66% of cases the chiasma had a quadrilateral form. Its average length was 8.73 mm and its average width was 13 mm. The average thickness was 4.13 mm.

关键词： Optical Chiasma MRI Laboratory Anatomy

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Anatomic Dissection of the Femoral Vein at the Bamako Anatomy Laboratory

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Forensic Medicine and Anatomy Research 2019年第4期7卷 76-84页

作者： Babou Ba abdoulaye Kanté Tata Touré Moumouna Koné Fousseyni Guissé Drissa Traoré Tièman Coulibaly Nouhoun ongoiba A.K.Koumare Laboratoire d’Anatomie Faculte de Médecine et d’Odontostomatologie de BamakoBamakoMali Service de Chirurgie B CHU du Point GBamakoMali Service de Traumatologie CHU Gabriel TouréBamakoMali

Objectives: The purpose of this work was to measure the dimensions of the femoral veins, to describe the affluent and the variations of the femoral veins. Methodology: Twenty-four femoral veins of 12 fresh adult cadavers were dissected and photographed. Results: The diameter of the superficial, deep and common femoral veins was respectively 8.75 mm;7.60 mm and 13.95 mm. The common femoral vein was 80.70 mm long. At the level of the superficial vein, the modal disposition was noted in 79.17%;as anatomical variations, it was split in 2 cases, the presence of a collateral canal in 1 case and in 2, and it received a quadricipital muscle vein. At the level of the deep femoral vein, the modal disposition was noted in 16.67%, and the anatomical variations were noted in 83.33% where it received no affluent in the femoral trine. The modal disposition was noted in 91.67% at the level of the mode of birth of the common femoral vein, in 16.67% at the level of its tributaries. The anatomical variations were noted in 8.33% in the mode of birth of the femoral vein, in 83.33% in which the common femoral vein received, in addition to the large saphenous vein, other tributaries, the most frequent of which were the quadricipital veins and the circumflex femoral veins. Conclusion: The diameter of the femoral veins is important. The main tributaries of the common femoral vein are GVS, VQ and circumflex femoral veins. The femoral variations are numerous and important to know to avoid a possible misdiagnosis in case of their thrombosis.

关键词： Femoral Vein Common Femoral Vein Deep Femoral Vein Superficial Femoral Vein Circumflex Lateral Vein of the Thigh Circumflex Vein Medial Thigh Quadriceps Vein Large Saphenous Vein Anatomic Variation Deep Femoral Artery

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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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Uterine Leiomyomas Surgery: Assessment of Five Years in the Gynecology Department of Hôpital du Mali

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Open Journal of Obstetrics and Gynecology 2021年第9期11卷 1161-1171页

作者： Mamadou Bakary Coulibaly Alassane Traoré Mody abdoulaye Camara Adama Sangaré Issa ongoiba Mamadou Keïta Kalba Tembine Amadou Sidibé Ibrahim Teguete Youssouf Traore Service of Gynecology of Hô pital du Mali Bamako Mali Service of Medical Imaging of Hô pital du Mali Bamako Mali Gynecology-Obstetrics Unit of Referral Health Center of Commune VI Bamako Mali Service of Anesthesia and Resuscitation of Hô pital du Mali Bamako Mali Service of Gynecology-Obstetrics Chu Gabriel Toure Bamako Mali

Uterine leiomyomas (myomas) are the most common benign tumors of the female genital tract. They affect 20% to 25% of women of childbearing age and are 3 to 9 times more common in black women. We initiated this study in order to report the socio-demographic aspects and the indications for leiomyomas surgery at Hôpital du Mali. This was a retro-prospective descriptive study, conducted in the gynecology department of Hôpital du Mali from January 1, 2015 to December 31, 2019. Any patients, regardless of their age, in whom a leiomyomas had been detected and surgically treated were included. We had collected 180 cases of surgery for leiomyomas out of 950 surgical procedures, with a frequency of 18.94%. The 36 - 45 age group represented 45% of our patients w

关键词： Uterine Leiomyomas Surgery Hôpital du Mali

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Choked Inguino-Scrotal Hernia and Fistulising in the Scrotum at the Hospital Somine DOLO of Mopti:A Clinical Observation

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Surgical Science 2019年第3期10卷 71-75页

作者： abdoulaye Kanté Djibril Traoré Siaka Diallo Drissa Ouattara Bréhima Bengaly Drissa Traoré Moustapha Issa Magané Mariam Daou Nouhoum ongoiba Service of General Surgery Somine Dolo of Mopti HospitalBamakoMali Laboratory of Anatomy of the Faculty of Medicine and Odontostomatology BamakoMali Service of Surgery B CHU Point GBamakoMali Service of Anesthesia and Resuscitation CHU Gabriel TouréBamakoMali Service of Neurology CHU Gabriel TouréBamakoMali

We report a case of grave and rare surgical complications nowadays, which calls out to us on the necessity of a bigger raising sensitization on the coverage of the constrictions hernial at the adult. It is about a case of right inguino-scrotal hernia choked secondarily complicated with a scrotal coecostomie at a 64-year-old man. The delay in the care was in touch with a traditional treatment but also in the poverty of the patient which was a needy the total care of which was assured by the social services department of the hospital. The perioperative exploration found a cecostomy the mucous membrane of which was inverted in the opening of the stoma, an ulceration of the peristomial scrotum with a normal macroscopic aspect of the testicle homolateral. The care was made at single time: parage and scrotal suture more resection segmental of the coecum followed by an anastomosis ileocolic terminoterminal and a cure of the hernia according to Shouldice. The operating suites were simple with ablation of the threads to operating J12 comment and the liberation of the patient the next day. The clinical evolution was satisfactory with a backward movement of 4 years.

关键词： Choked Grown-Up Hernia Scrotal Coecostomie

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Premature Division of the Inferior Laryngeal Nerve in Surgery and in ENT and Cervico-Facial Surgery in Mali

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Forensic Medicine and Anatomy Research 2019年第1期7卷 1-7页

作者： Drissa Traoré abdoulaye Kanté Youssouf Sidibé Bréhima Bengaly Bréhima Coulibaly Babou Ba Drissa Ouattara Siaka Diallo Mariam Daou Birama Togola Nouhoum ongoiba Service of Surgery B.CHU Point G BamakoMali Laboratory of Anatomy of the Faculty of Medicine and Odontostomatology BamakoMali ENT and Head and Neck Surgery Department CHU“Mother-Child”BamakoMali Service of Neurology CHU Gabriel TouréBamakoMali

The purpose of this study was to study the frequency of premature division of the inferior laryngeal nerve and its consequences in thyroid surgery. Methodology: We realized a forward-looking and retrospective study from January, 1979 till December, 2017 in the service of surgery B to the University hospital of the Point G of Bamako and in the service of ENT and cervico-facial surgery of the CHU “mother-child”, the Luxembourg of Bamako (Mali). All the patients operated in both services for mild goiters were included. Cancers and other thyroid pathologies were not included. The diagnosis of mild goiter was paused by the histological examination realized on all the surgical specimens. Results: On 2109 dissections of the lower laryngeal nerve realized during the surgical operations on the thyroid 95.1% of the cases, the nerve had a single branch;in 4.1% of the cases, the nerve had two branches;and in 0.8% of the cases, the nerve had more than 2 branches. Conclusion: The complications of the thyroid surgery in touch with the hurts of the lower laryngeal nerve are known. However, our study shows that these do not seem to be influenced by the premature division of the lower laryngeal nerve.

关键词： Anatomy Inferior Laryngeal Nerve Recurring Nerve Thyroid Surgery Goiter

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Digestive Surgical Emergencies at the Commune II Reference Health Centre in the District of Bamako

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Surgical Science 2022年第5期13卷 258-264页

作者： Idrissa Tounkara abdoulaye Diarra Amadou Traore Boubacar Karembe Sayon Diakite Konimba Keita Oumar ongoiba Madiassa Konate Seydou Sangare Bakary Coulibaly Bakary Tientigui Dembele Adegne Togo Reference Health Center of the Municipality II Bamako Mali Hospital-University Center of Kati Kati Mali University Hospital Gabriel Touré Bamako Mali Reference Health Center of the Municipality III Bamako Mali Timbuktu Regional Hospital Timbuktu Mali

We conducted a prospective descriptive study from January 1 to December 31, 2018 with the objectives of determining the frequency of digestive surgical emergencies, describing the clinical and para-clinical aspects of the management of digestive surgical emergencies, evaluating the therapeutic aspect of digestive surgical emergencies and analysing the post-operative follow-up of patients operated on in emergencies. We counted 120 patients operated on for digestive surgical emergencies, which corresponds to 5.80% of all consultations and 44.80% of all surgical interventions. The male sex was the most represented with a ratio of 1.80. The average age was 27.5 years. The majority of patients were from Bamako. Abdominal pain was the reason for consultation in 80% of cases. The diagnosis was essentially clinical and paraclinical in doubtful cases. These included ultrasound, unprepared abdomen and sometimes abdominal CT scans. Acute appendicitis was the most common pathology with 42.5%. General anaesthesia and spinal anaesthesia were used with 50% each. The majority of patients were operated on between 30 minutes and 12 hours after their admission to the department (71.7%). Acute peritonitis accounted for 67% of deaths from sepsis. The surgical technique was decided according to the pathology and the surgeon’s choice. The postoperative course was simple in the majority of cases. The prognosis is good when the management is early. The treatment is medical-surgical.

关键词： Surgical Emergencies Digestive Tract General Surgery CSRéf CII

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