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Postpartum Eclampsia in the Department of Obstetrics Gynecology and Reproductive Medicine of the Souro Sanou University Hospital;Burkina Faso: About 76 Cases

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Open Journal of Obstetrics and Gynecology 2024年第8期14卷 1176-1184页

作者： Yaméogo Rélwendé Barnabé Sawadogo Amidou Kaboré Ahmed Komboigo Béwendin Evelyne dembélé adama Somé Der Adolphe Souro Sanou University Hospital Bobo Dioulasso Burkina Faso Public Health Department of Joseph Ki-Zerbo University Ouagadougou Burkina Faso

Background: Postpartum eclampsia is a life-threatening obstetric emergency. Its management is multidisciplinary. Despite measures taken to accelerate the reduction of maternal, fetal and infant mortality in Burkina Faso, maternal deaths related to postpartum eclampsia persist. The aim of the study was to investigate the epidemiological, clinical and prognostic aspects of postpartum eclampsia in the obstetrics department of the Sourô Sanou University Hospital in Bobo-Dioulasso. Method: This was a descriptive cross-sectional study with retrospective data collection covering the period from June 1, 2018 to May 31, 2019. We included 76 patients in the study;the variables studied were the epidemiological, clinical and prognostic aspects. The data collected were entered on a microcomputer and analyzed with the EPI info version 7.2 software. Results: The prevalence of postpartum eclampsia was 0.87% compared to admissions to the obstetrics department. The average age of the patients was 23 years old with the extremes of 15 and 39 years old. Primiparas accounted for 39.47%, housewives 53%, and home births accounted for 15.79%. Seizures accounted for 55% of the reasons for admission, the average time to onset of these seizures postpartum was 3.8 days with extremes of 1 and 30 days with 45% of seizures occurring postpartum immediately. Maternal complications were noted in 42.10% of cases with 5 cases of Hellp syndrome, 3 cases of renal failure, and 3 cases of acute pulmonary edema. We recorded 4 cases of maternal death, representing a case fatality rate of 5.2%. Conclusion: Postpartum eclampsia is common in the obstetrics department of the Souro Sanou University Hospital Center with a significant case fatality rate. Emphasis should be placed on monitoring and prevention, especially women at risk of developing postpartum eclampsia for better maternal prognosis.

关键词： Eclampsia Postpartum Epidemiology Prognosis

Symphyseal Disjunction after Dystocic Vaginal Delivery: About Two Cases at the SourôSanou University Hospital of Bobo-Dioulasso (CHUSS)

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Open Journal of Obstetrics and Gynecology 2024年第1期14卷 1-6页

作者： Millogo Jean De la Croix Sanou Jean de Dieu Gadigbé Akofa Méré Godé Sabi Tokobou William Ouédraogo André Togbé Eric Serge Alihonou Yaméogo Rélwendé Barnabé dembélé adama Somé Der Adolphe Ouattara Souleymane Obstetrics-Gynecology and Reproductive Medecine Departement of Sourô Sanou Teaching Hospital Bobo-Dioulasso Burkina Faso Higher Institute of health Sciences (INSSA) Université nazi Boni Bobo-Dioulasso Burkina Faso

Diastasis of the symphysis pubis is a rare postpartum complication. We report two cases of symphysis diastasis after dystocic delivery, in two patients who presented in the postpartum period with functional impotence, pubalgia and acute urine retention. A frontal radiograph of the pelvis confirmed the diagnosis, showing a symphyseal separation of 12 mm and 18 mm. In our case, management was mainly medical, with a favorable clinical outcome.

关键词： Pelvis Symphyseal Disjunction/Diastasis Post-Partum Burkina Faso

Palpebral Reconstruction in a Secondary Ophthalmology Center in Mali: About a Case

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Surgical Science 2023年第2期14卷 97-103页

作者： dembélé adama Sidibe Moro Sidibe Oumar dembele Ahmadou Poma Hachimi Amadou Abdoulaye Konaté Oumar Diallo Djonny Jonas dembele Mamadou adama Togo Kadiatou Ba Koita Abdoulaye Nouhoum Coulibaly Cheick Fantamady Tounkara Nouhoum Touré Napo Abdoulaye Régional Hospital of Sikasso Sikasso Mali Alliance for the Development of Community Ophthalmology (ADOC) Bamako Mali Center Médical Jean Marie Cissé Sikasso Mali

Introduction: Significant trauma to the periocular region can seriously damage ocular structures and their adnexa. The eyelids can be damaged during these traumas. The most frequent lesions are lacerations, the surgical treatment of which is generally simple. In some cases, there are complex traumas where there is a loss of tissue, which is difficult to treat. We report the case of a 26-year-old young man, farmer with no medical and surgical history, referred by the odontostomatology and maxillofacial surgery department for burns to the left hemi face by the exhaust pipe of his motorbike which occurred following a public road accident (AVP). Observation: A 26-year-old young man with no medical-surgical history, visual acuity was 5/10 with good mobility of the globe. In collaboration with the maxillofacial surgeon, a graft of the hemi face was performed using a flap from the inner side of the thigh first. In the second time we carried out a recovery by a flap which consisted in taking a supra-superciliary flap and suturing it at the level of the palpebral edges which, in spite of a fragile vitality of the tissues. Conclusion: The reconstruction of the eyelid is a real problem in our service because of the technical platform and the availability of consumables, which limits us in the choice of the operating technique.

关键词： Road Accident Hemi-Face Burn Eyelid Reconstruction

Symphyseal Disjunction after Dystocic Vaginal Delivery: About Two Cases at the Sourô Sanou University Hospital of Bobo-Dioulasso (CHUSS)

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Epidemiological and Clinical Study of Cardiac Diseases in the Pediatric Department of the University Hospital Gabriel Touré(UH GT), Bamako (Mali)

Open Journal of Obstetrics and Gynecology（妇产科期刊） 2024年第1期

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World Journal of Cardiovascular Diseases 2018年第7期8卷 328-336页

作者： Maiga Belco Ba Hamidou Oumar Sacko Karamoko dembélé adama Sanogo Nouhoum Cissé Mohamed Elmouloud Togo Pierre Diakité Abdoul Aziz Dicko-Traoré Fatoumata Sylla Mariam Pediatric Department UH GT Bamako Mali Cardiology UH GT Bamako Mali

Introduction: Children’s heart disease is a major public health problem in developing countries and especially in Mali. The purpose of our work was to determine frequency, different types of heart disease and their short term evolution in the pediatric department. Methods: We performed a retrospective study among children aged 0 to 15 years, hospitalized in the pediatric department from January to December 2015 and whose diagnosis was confirmed using trans-thoracic echocardiography. Results: We included 103 cases of heart disease out of a total of 8613 admissions in the pediatric department, giving an hospital prevalence of 1.2%. Mean age was 4.1 years (from 1 day to 15 years) and children under 5 years were the most affected with 73.80% of cases. Male predominance was noted (sex ratio = 1.2). Respiratory distress was the most common circumstance of discovery (93.20%). Cardiac murmur and tachycardia were the most common cardiac signs with respectively 88.35% and 83.50%. Congenital heart disease accounted for 70.87% and was dominated by ventricular septal defect (VSD) with 30.13%. Acquired heart disease (29.13% of the sample) was dominated by mitral regurgitation (MR) with 56.67%. Mortality rate was 31.9% for congenital heart disease and 11.1% for acquired heart disease. Conclusion: children’s heart disease is responsible for high mortality. Early detection improves the management of this pathology, which remains frequent.

关键词： Cardiac Disease Congenital Acquired Pediatric Bamako

Fournier’s Gangrene in a Child Hospitalised in the Paediatric Emergency Department of the Gabriel Touré Teaching Hospital

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Open Journal of Pediatrics 2023年第2期13卷 214-219页

作者： dembélé adama Cissé Mohamed Elmouloud Togo Pierre Tall Koureissi Maïga Belco Keïta Djeneba Doumbia Abdoul Karim Coulibaly Oumar Issa Amadou Ahamadou Ibrahim Coulibaly Bakary Traoré Kalirou Togo Boubacar Department of Paediatrics Gabriel Touré Teaching Hospital Bamako Mali Bamako Dermatological Hospital Bamako Mali Department of Paediatric Surgery Bamako Mali

Fournier’s gangrene is a form of necrotizing fasciitis that has multiple causes and is relatively uncommon in children. We report a case of Fournier’s gangrene of infectious origin in a 12-month-old infant following... 详细信息

关键词： Pediatrics Infant Fournier’s Gangrene Insect Bite

Etiological Factors of Infective Endocarditis in Children Aged 1 Month to 15 Years Hospitalised in the Paediatric Department of CHU Gabriel Touréof Bamako (Mali)

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World Journal of Cardiovascular Surgery 2022年第2期12卷 13-20页

作者： Maiga Belco Sacko Karamoko Konaté Djéneba Diakité Abdoul Aziz dembélé adama Cissé Mohamed Elmouloud DansoKo Nassira Traoré Kalilou Togo Pierre Doumbia Abdou Karim Traoré Fousseini Diakité Fatoumata léonie Sidibé lalla Maiga leila Ahmadou Ibrahim Coulibaly Oumar Diall Hawa Sylla Mariam Department of Pediatrics CHU Gabriel Touré Bamako Mali

Introduction: In emerging countries where studies are rarer, the epidemiological profile of infective endocarditis resembles that of developed countries at the beginning of the antibiotic era. There is little data available in Mali on this subject, motivating this study, the aim of which was to study the etiological factors of infective endocarditis in children aged between 1 month and 15 years hospitalised in the paediatric department of the CHU Gabriel Touré. Patients and Methods: We conducted a cross-sectional and descriptive study, which took place from August 2018 to August 2019 (13 months), in children aged between 1 month and 15 years hospitalised in the paediatric department of the Gabriel Touré University Hospital with an ultrasound- confirmed cardiac disease and a temperature above 38°C. Results: The hospitalization rate was 0.4%. The average age was 11 months, the sex ratio was 1.35. Respiratory distress (63.6%) and fever (30.3%) were the most common reasons for referral. Congenital heart disease (87.9%) and dyspnoea on feeding (24.2%) were the most common medical histories. IVC was the most frequent congenital heart disease (36.4%). The mean temperature was 39.1°C. Blood cultures were taken in 24 patients (72.7%) and were positive in 27.3%. Staphylococcus aureus was found in 55.6% of cases. Trans-thoracic ultrasound found vegetations in 03 cases. According to the modified DUKE criteria, the diagnosis of endocarditis was retained in 27.30%. The evolution was marked by a high case fatality rate (45.45%). Conclusion: Endocarditis is an uncommon disease in children with a pulmonary portal of entry and Staphylococcus aureus as the main germ. Its mortality remains high.

关键词： Infective Endocarditis Etiological Factors Pediatrics Bamako

Estimation of Groundwater Recharge Using Water Table Fluctuation Method in Bamako and Surrounding Areas, Mali

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Journal of Geoscience and Environment Protection 2024年第9期12卷 230-245页

作者： Ibrahima Konotio Hamadoun Bokar adama Touré Dpartement de Gologie et Mines Laboratoire Eau et Environnement Ecole Nationale dIngnieurs Abderrahmane Baba TOURE ENI-ABT Bamako Mali

Bamako’s geographic and demographic expansion is sure to increase the need for water, and the slow development of the water supply network seems unable to meet this need. The knowledge of the approximate quantity of water reaching the groundwater is crucial, given the high dependence of this city and its surrounding area on groundwater. The aim of this study is to estimate the average groundwater recharge on a monthly scale, based on measurements taken over a 24-month period by using Water Table Fluctuation (WTF). The monthly recharge values obtained from the 15 piezometers in the study area by using WTF method vary from 1.04 to 38.81 mm with an average value of 9.74 mm. As part of the precipitations, these values represent respectively 1.29%, 48.52% and 12.17% of monthly average precipitation. It appears in this study that despite the piezometers belonging to the same climatic zone, the recharge rate can be different because of many factors such as the thickness of the aquifers, the soil and geology type, the local land cover and land use activities.

关键词： Groundwater Recharge Specific Yield Hydrograph Precipitation

Management of Acute Myeloblastic leukaemia (AMl) Treated with Intensive Chemotherapy: Experience in a Single Centre

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Open Journal of Pediatrics 2024年第2期14卷 401-411页

作者： Abdoul Karim Doumbia Hawa Konaré Tati Simaga Pierre Togo Oumoulkairi Nana Kouma Hawa Gouro Diall Oumar Coulibaly adama dembélé Mohamed Elmouloud Cissé Karamoko Sacko Belco Maiga Aminata Doumbia Kalirou Traoré Ibrahima Cissé Boury Traoré Abdoul Aziz Diakité Fousseyni Traoré Boubacar Togo Department of Pediatrics University Hospital Gabriel Touré Bamako Mali

Introduction: Acute myeloblastic leukaemia (AMl) is a haematological malignancy with a poor prognosis, despite significant therapeutic progress. This study presents the results of AMl management in Mali according to GFAOP recommendations. Methodology: This was a retrospective, cross-sectional study. It included patients aged 0 - 15 years treated in the paediatric oncology unit for AMl and followed up between January 2016 and December 2020. Results: During the study period, 85 cases of acute leukaemia were diagnosed in the paediatric oncology unit (including 51 cases of All), of which 34 cases of AMl were included in this study. The majority were boys (59%). The mean age was 8 years, with extremes of 18 months and 15 years. The mean time to diagnosis was 68 days. In 79% of cases, patients were referred by 1st or 2nd level hospitals. Anaemia was observed in 91% of cases, an infectious syndrome in 68%, haemorrhage in 56% and a tumour syndrome in 85%. The haemogram showed hyperleukocytosis in 15% of cases, thrombocytosis in 22% and severe anaemia in 73%. Death occurred in 85% of cases, most often in the context of sepsis or haemorrhage. Conclusion: AMl is probably underestimated in Mali and diagnosis delayed, which may be explained by patient-related factors (lack of knowledge, financial constraints) and a cumbersome referral system. These results suggest the need to implement an appropriate diagnostic and therapeutic strategy, with strong involvement of the political authorities.

关键词： Acute Myeloblastic leukaemia Children Mali