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Open Journal of Pediatrics 2024年第2期14卷 327-337页

作者： Bangoura Mmah Aminata Kolié Ouo Ouo Camara Salématou Hassimiou baldé Mariama Bangoura Kaba diop Mamadou Moustapha Camara Emmanuel diallo Fatoumata Binta doukouré Mamadou Aliou Mamadou Mouctar Sow Bémy Pé Néabey Institut de Nutrition et de Santé de l’Enfant Conakry Guinea Service de Pédiatrie Hô pital National Donka Conakry Guinea Service de Pédiatrie Hô pital National d’Ignace Deen Conakry Guinea

Introduction: The birth of a baby is a moment of joy and celebration. However, the neonatal period is a very delicate phase of life. Neonatal mortality rates remain high in low-income countries. In Guinea, after 20 years, this rate has fallen from 34.2% in 1998 to 32% in 2018. Objective: To identify the main risk factors for neonatal mortality. Methods: This was an observational, analytical case-control study, lasting 6 months from January 1 to June 30, 2019, conducted at the Institut de Nutrition et de la Santé de l’Enfant (INSE) at donka National Hospital. Results: We collected 242 cases and 242 controls, i.e. a total of 484 records. 748 patients were registered, with 32.35% deaths. 82.86% of deaths occurred in the early neonatal period. Statistical analysis revealed the main risk factors: prematurity (RQ 7.39 95% CI 3.27 - 16.61 p = 0.0000003), hypothermia (RQ 2.29 95% CI 1.51 - 3.46 p = 0.0001), acute fetal distress (RQ 2.13 95% CI 1.33 - 3.43 p = 0.0016), low birth weight (QR 1.91 95% CI 1.12 - 3.24 p = 0.016), home birth (QR 3.26 95% CI 1.25 - 8.46 p = 0.015). Conclusion: Neonatal mortality is a health problem in the INSE neonatology department. To reduce the mortality rate in this referral facility, it is essential to equip it and provide ongoing training for staff.

关键词： Neonatal Mortality INSE Guinea-Conakry

State of Eye Protection for Metal Welders in the Workshops of Conakry

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Occupational diseases and Environmental Medicine 2021年第4期9卷 165-172页

作者： Thierno Madjou Bah Mariame Ly Alpha Ibrahim baldé Maxime dantouma Sovogui Ramata balde Abdoul Karim baldé Alexandre délamou Centre for the Application of the diploma of Specialized Studies in Ophthalmology Donka Hospital Conakry Guinea Hospital of the Training of the Armed Forces Conakry Guinea Ophthalmology Service department National Hospital of Ignace Deen Conakry Guinea Chair of Public Health Conakry Guinea

Introduction: Welders are an occupational group at high risk for eye injuries. The aim of this study was to investigate the state of eye protection of metal welders in the workshops of Conakry. Material and Methods: The study was cross-sectional, descriptive, and included 180 welders from 45 welding workshops in the city of Conakry for a period of three months. It involved all welding professionals working in an informal unit selected by the study and who had agreed to participate in the study. Results: The average age of the participants was 33.9 ± 13.4 years, with extremes of 15 and 68 years. The study found that 99% of the welders owned glasses, 27% owned face shields, and 49% owned welding masks. Goggles were used regularly by 86% of the welders but were not suitable for welding (98%). All welders had reported having had an eye injury at least once. Foreign bodies were cited in 81%, arc strike in 65%;eye burns in 61%. However, approximately 81% of welders did not have first aid kits at their work sites. Conclusion: The use of protective equipment during welding remains very low in the workshops of Conakry, which is the cause of great ocular morbidity among welders.

关键词： Metal Welder State of Eye Protection Conakry

Perinea Trauma during Childbirth: Socio demographical Aspect and Management at Obstetrical Gynecology department donka National Hospital (Guinea-Conakry)

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Open Journal of Obstetrics and Gynecology 2019年第11期9卷 1486-1491页

作者： O. baldé M. H. diallo I. Sylla M. N. Mamy A. B. Barry I. S. baldé A. d. diallo M. d. baldé N. Keita University department of Gynecology-Obstetrics Donka National Hospital Conakry Guinea University department of Gynecology-Obstetrics Ignace Deen National Hospital Conakry Guinea Visceral Surgery department donka National Hospital Conakry Guinea

Perineal trauma is a non-surgical solution of continuity of posterior perineal committing under the effect of a violent exertion during childbirth. It occurs at the time of disengagement, either from the head or the posterior shoulder. Objectives: To calculate the perinea trauma during childbirth, describe the socio demographic profile of the women in childbed, identify contributory effects and appreciate the maternal prognostic. Methodology: It was a prospective study, descriptive type of 6 months (from May 19 to November 20, 2014). It took place at the maternity ward of donka National Hospital. It concerned all received parturient, women in bed of a single fetus in the unit and having had a perineum traumatism. The real ones were epidemiologic, therapeutic clinical and prognostic. Results: We have recorded 110 perinea traumatism cases over 3496 childbirth let say a frequency of 3%. The socio demographic profile of the woman who did perinea traumatism was a teenager (42.7%), professional occupation (29.1%), married (88.2%), schooled, secondary and Technical level (42.7%), primary (70%) having had more than 3 prenatal consultations (73.6%). Contributory effects were: prim parity, young age, instrumental extraction by obstetrical forceps and the fetal weight between 2500 to 3999 g. Surgical management was (100%). The following were simple in 88.2% cases versus 11. 8% of complications. Conclusion: The reduction of this frequency requests systematical practice and corrects recentered prenatal consultations and the respect of episiotomy indications.

关键词： Perinea Traumatism Epidemiology Management donka

Tubal Ligation under Local Anesthesia in a Country with Limited Resources: 56 Cases of Wife and Husband’s Experience in the Gynecology-Obstetrics department of Ignace deen National Teaching Hospital, Conakry, Guinea

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Open Journal of Obstetrics and Gynecology 2020年第3期10卷 348-356页

作者： I.Sylla M.H.diallo O.baldé F.B.diallo I.S.baldé A.d.diallo Telly Sy department of Gynecology-Obstetrics at Ignace deen National Hospital ConakryGuinea department of Gynecology-Obstetrics at donka National Hospital ConakryGuinea Visceral Surgery department Donka National HospitalConakryGuinea

Tubal ligation is a surgical sterilization procedure that provides permanent and reliable contraception to women.?Tubal obstruction is a method of permanent birth control that can be performed after mini-laparotomy under local anesthesia. Objective:?To determine the outcome of tubal sterilizations by mini-laparotomy under local anesthesia performed in clients who underwent the surgical operation in the Maternity Ward of Ignace deen National Hospital. Patients and Methods:?The Gynecology and Obstetrics department of Ignace deen National Hospital was used as the place for the study. The study involved all the women seeking voluntary surgical contraception. This was a retrospective study of a descriptive type carried out from January 1, 2017 to december 31, 2018. A consent form was filled out and signed by spouses after an interview and a systematically carried out pre-operative clinical and para-clinical assessment. Results:?during the study period, 56 tubal ligations were performed i.e. 4.72 percent of all family planning methods. The recruiting for the surgical contraception involved clients whose typical profile is that of women with an average age of 35, mostly housewives (35.71%), major multiparous (69.63%) with 6 living children on average. Married women made up the bulk of the recruiting i.e. 96.44%. Unmarried women made much more use of other methods. Indications of personal convenience were the most frequently encountered common reason. Among medical causes, high blood?pressure concerned the majority of cases: 38% of the indications. Surgical contraception in between was more practiced than the post-partum one. The recorded complication was the parietal hematoma due to a lack of hemostasis and it accounted for 1.79% of cases. The progress was uncomplicated in?98.68% of cases. Forty couples (71.42%) expressed their feelings of satisfaction against only 6 cases of regret (10.71%). Conclusion:?The surgical contraception has become a requirement for modern couple

关键词： Tubal Ligation Local Anesthesia Conakry Ignace deen

Traditional Pathway of Oil Extraction from <i>Quassia undulate</i>Seeds and Its Chemical Characteristic

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Food and Nutrition Sciences 2021年第5期12卷 452-461页

作者： Ndiaye Seyni Gueye Mathieu baldé Samba Ndiaye Bou Ayessou Nicolas Cyrille Laboratoire Eau-Energie-Environnement et Procédésindustriels (LE3PI) ESP-UCAD Dakar Sénégal Center for Studies on Food Safety and Functional Molecules (CESAM-RESCIF) ESP-UCAD Dakar Sénégal Laboratoire UMI 3189 Bp206 Dakar Département de Botanique et de Géologie Institut Fondamental d’Afrique Noire (IFAN) Cheikh Anta Diop University Dakar Sénégal

In Africa, traditional vegetable oil extraction often involves the use of plants in the manufacturing process. Quassia undulate oil is thus traditionally prepared. An expedition went to Kédougo (a region in southeastern Senegal involving women of the Bassaris community) in June 2018 to study the Q. undulate oil traditional extraction mode. Thus, the objective of this study is to follow the traditional extraction of Qdana;">dana;">

Forceps delivery at the Maternity Ward of donka National Teaching Hospital Conakry (Guinea): Indications and Maternal-Fœtal Prognosis

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Open Journal of Obstetrics and Gynecology 2019年第4期9卷 502-510页

作者： M. H. diallo I. S. baldé O. baldé B. S. diallo A. diallo I. Sylla B. diallo A. d. diallo Y. Hyjazi N. Keita University department of Gynecology-Obstetrics Donka National Hospital Conakry Guinea University department of Gynecology-Obstetrics Ignace Deen National Hospital Conakry Guinea University department of Visceral Surgery Donka National Hospital Conakry Guinea

Objectives: The objectives of this work were to describe the socio-demographic, clinical and prognostic characteristics of forceps deliveries at the maternity ward of the donka National Teaching Hospital of Conakry. Parturients and Method: This was a prospective and descriptive study of all forceps deliveries performed at the donka National Hospital maternity ward over a 6-month period from April 1, 2018 to September 30, 2018. Results: We performed 90 fetal extractions by forceps on 3518 deliveries i.e. a frequency of 2.55%. The socio-demographic profile of the parturient women was that of a young primiparous woman with an average age of 21.20 years and a full-term pregnancy with an average gestational age of 39 weeks of amenorrhoea. Fore position varieties were the most frequent with, in order of frequency, the fore left occipito-iliac (61.3%) and the fore right occipito-iliac (22.22%). Posterior varieties accounted for 15.55% of cases. Clinical pelvimetry showed that 88.89% of parturients had a practicable pelvis, while 11.11% had a moderately narrow pelvis. Acute fetal suffering was the most common indication (55.56%), followed by maternal exhaustion (27.78%) and prolonged expulsion (16.67%). All forceps were performed by doctors. We noted 8 cases of forceps failure (8.88%) that required a cesarean section. Maternal complications were dominated by soft tissue lesions, including 7 cases of perineal tearing (7.77%);4 cases of vaginal tearing (4.44%);3 cases of cervical tearing (3.33%) and 2 cases of hemorrhage of delivery by uterine atony (2.22%). No cases of maternal death have been recorded. The majority of newborns had a normal birth weight (88.88%) and more than half of newborns (66.66%) had an Apgar score below 7 out of 10 at the first minute. By the fifth minute there was an improvement in Apgar’s score from an average of 5 to 8 out of 10. Five newborns died, or 5.55%. Conclusion: Forceps extractions are less and less practiced in our maternity wards. Their b

关键词： Forceps delivery Complications Conakry

Surgical Intervention on Uterine Fibromyoma in a Country with Limited Resources: Case of the Gynaecology-Obstetrics department of the Communal Medical Centre of Ratoma Conakry-Guinea

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Open Journal of Obstetrics and Gynecology 2020年第5期10卷 615-625页

作者： M. H. diallo I. S. baldé A. d. diallo O. baldé F. B. diallo M. S. Fofana A. Sow A. B. Barry T. Sy N. Keita department of Gynaecology-Obstetrics Donka National Hospital Conakry Guinea department of Gynecology-Obstetrics Ignace Deen National Hospital Conakry Guinea Visceral Surgery department Donka National Hospital Conakry Teaching Hospital Conakry Guinea department of Gynecology-Obstetrics Ratoma Communal Medical Centre Conakry Guinea

In developing countries, treatment of uterine fibromyoma is confronted with numerous problems, namely: financial inaccessibility to the proposed treatments, fear of surgery and the weakness of the technical platform.?Objectives: The objectives of the study were to calculate the frequency of uterine fibromyomas, describe the socio-demographic characteristics of patients, identify the main clinical data and to describe the modalities of surgical management.?Patients and Method:?It was a mixed descriptive study, cumulative over a period of 5 years (60 months) with data collection in two phases: a 4-year retrospective study from January 1, 2015 to december 31, 2018 and a 1-year prospective study from January 1, 2019 to december 31, 2019.?Results: We collected 135 cases of uterine fibromyomas operated on out of a total of 260 cases of gynaecological pathologies, i.e.?a frequency of 51.92%.?Nulliparous women were the most concerned (45.18%), and women who attended school (60%) and those who did not attend school (40%). Women at home and housewives accounted for 42.20% and 54.07% respectively. Clinically, the circumstances of discovery were dominated by menometrorrhagia and menorrhagia respectively 77.77% and 68.14%. The large uterus was the most frequent physical sign found in 96.29% of cases. Uterine fibromyomas were recorded in 86.6% of cases in women with genital activity. The operative indications were dominated by the large polymyomatous uterus (64.44%), followed by hemorrhagic fibroma (18.52%).?The surgical treatment was conservative in 92.60%. The total hysterectomy performed in 7.40.?Lethality was 1.4%.?Conclusion: The surgical management of fibroids contrasts conservative treatment (myomectomy) with radical treatment (hysterectomy) with multiple possible approaches (hysteroscopy, vaginal surgery, laparoscopy or laparotomy). In our context, only laparotomy was possible due to lack of equipment. Laparoscopy and hysteroscopy equipment is necessary for less invasive

关键词： Fibromyoma Myomectomy Hysterectomy Ratoma

dietary Habits of an Ambulatory diabetic Population at the University Hospital of Conakry, Guinea

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Open Journal of Endocrine and Metabolic diseases 2021年第6期11卷 129-135页

作者： Mamadou Mansour diallo Alpha Mamadou diallo Jules Comlan Gninkoun Amadou Kaké Mamadou Chérif diallo Thierno Amadou Wann djénabou diallo Kadiatou diallo Elhadj Yaya baldé Joseph Samah Bangoura Amadou Bah Naby Moussa baldé Service d’Endocrinologie Diabétologie et Maladies Métaboliques Centre Hospitalier Universitaire de Conakry Conakry Guinée Service d’Endocrinologie Diabétologie Centre National Hospitalier Universitaire (CNHU) de Cotonou Cotonou Bénin Service de Médecine Interne Centre Hospitalier Universitaire de Conakry Conakry Guinée Service de Cardiologie Centre Hospitalier Universitaire de Conakry Conakry Guinée

Background: A healthy diet is essential for optimal diabetes management. However, dietary habits vary from one region to another, making it challenging to standardize practices. Objective: To describe the diet habits of patients living with diabetes in Guinea. Methods: We conducted a dietary habits survey among 102 patients living with diabetes followed-up at the University Hospital of Conakry in Guinea between January and March 2012. Data were collected by individual interview on the basis of a three-item questionnaire: diabetes data, diet mode, and food composition. Results: In total, 85% of patients were consuming 3 meals daily;13.7% had a collation and 25% had snacking habits. The meal was individual in 82.4% and collective in 17.6% of patients. The main foods consumed daily were: rice (93.1%), fish (93.1%), palm oil (91.1%), bread (87.2%). Foods consumed regularly (2 to 3 times a week) were: meat (49%), eggs (23.5%), dairy products (34.3%), fruit (43.1%), vegetables (40.2%) and peanut oil (21.5%). The food bans reported were: regular sugar (100%), sodas (62.7%), peanuts (84.3%) and sweetened fruits (55.8%). Conclusion: Combining dietary recommendations and dietary habits is essential for appropriate management of diabetic patients. The assessment of local food glycemic indexes and the training of dietitians remains a challenge in our context.

关键词： diet Habits diabetes Guinea

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带钢生产的技术革命

冶金丛刊 2000年第1期 43-49页

作者： W. bald G. Kneppe d.Rosenthal und P.Sudau SMS Schloeman-Siemag Aktiengesellschaft SMS Schloeman-Siemag AktiengesellschaftSMS Schloeman-Siemag Aktiengesellschaft

带钢生产过程的技术性和经济性直到八十年代末,带钢生产技术水平的发展,基本上是处于发展“单打一”工序的过程。比如铸钢过程,它只涉及连续铸造技术的发明、发展和最优化。而热轧和冷轧,则加入控制板型和平直度的压下系统,增加了生产... 详细信息

带钢生产过程的技术性和经济性直到八十年代末,带钢生产技术水平的发展,基本上是处于发展“单打一”工序的过程。比如铸钢过程,它只涉及连续铸造技术的发明、发展和最优化。而热轧和冷轧,则加入控制板型和平直度的压下系统,增加了生产流程的灵活性和改善了产品质量。

关键词：带钢热轧 CSP 轧机生产成本

Factors Influencing the Resumption of Postpartum Female Sexuality in Women Who Have Given Birth Once or Several Times at the Ignace deen Maternity Hospital of the Conakry University Hospital Centre (Guinea)

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Open Journal of Obstetrics and Gynecology 2023年第10期13卷 1759-1769页

作者： I. Conté d. W. A. Leno O. Sylla A. F. M. Soumah I. Sylla B. A. diallo I. S. baldé T. Sy department of Obstetrics and Gynaecology Ignace Deen National Hospital University Hospital Centre Conakry Guinea department of Obstetrics and Gynaecology Donka National Hospital University Hospital Centre Conakry Guinea

Introduction: Sexuality in the postpartum period is a taboo subject that raises many questions, especially among women. The aim of this study was to evaluate the influence of factors such as mode of delivery, parity, type of household and level of education on the resumption of sexuality, by comparing our results with those in the literature. Methods: This is a prospective descriptive and analytical study, which took place from 3 April to 2 June 2023 in the maternity ward of the Ignace deen National Hospital of the University Hospital Centre of Conakry. The sample included married women who had given birth once or several times. Results: Of 118 married women who had given birth once or several times and who were questioned about their sexuality in the postpartum period, 75.42% (89 cases) stated that they had resumed sexual activity in the postpartum period. (The majority were aged 20 - 29 years (46.61%), pauci pares (51.69%), living in a monogamous household (88.14%), with secondary education (44.92%) and self-employed (38.98%). More than half (58.47%) of these women had a normal vaginal delivery with vulvo-perineal tear (5.80%), episiotomy (15.94%) and instrumental extraction (8.69%). The main reasons for resuming sexual activity were the desire to satisfy their partner (50.56%) and to maintain the harmony of the couple (29.21%). Resumption of sexual activity was more common in patients who had given birth by caesarean section (p = 0.007) and in patients with a higher level of education (p = 0.03). However, it was not influenced by parity or household type. Conclusion: Sexuality remains a taboo subject, and its resurgence in the postpartum period is influenced by the mode of delivery and the level of education and perception of women. Certain practices and complications related to childbirth can also influence the resumption of sexuality in the postpartum period.

关键词： Female Sexuality Post Partum Resumption Influencing Factors