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Costs of Schizophrenia at Psychiatric Hospital of Bingerville (Ivory Coast)

Open Journal of Psychiatry 2024年第1期14卷 1-10页

作者： Madjara Anoumatacky Anna-Corinne Bissouma drissa kone Laboratory of Biology and Health Department of Biosciences Félix Houphouet-Boigny University Abidjan C&#244te d’Ivoire National Mental Health Program Abidjan C&#244te d’Ivoire Centre Marguerite Té-Bonlé National Institute of Public Health Abidjan C&#244te d’Ivoire Department of Medical Sciences Félix Houphouet-Boigny University Abidjan C&#244te d’Ivoire

Schizophrenia is classified as a priority mental disorder by the World Health Organization (WHO) and accounts for around 35% of diagnoses at the Bingerville Psychiatric Hospital (HPB). The aims of the study were to identify the cost drivers for hospitalization and to calculate the costs of managing schizophrenia in hospital, with a view to planning household expenditure on care. This pilot cross-sectional study involved 31 patients with schizophrenia who had been hospitalized in the various third-category wards at the HPB between 1st January 2019 and 31st May 2020. Sampling was accidental. The methods used to estimate costs were based on the actual costs of drugs, hospitalization and additional examinations which prices were known, and on patients’ estimations for certain expenses such as food and transport. Results: The sex ratio was 3.42, the mean age was 29.52 years. The mean length of stay was 46.19 days, and the most frequent clinical forms were paranoid schizophrenia (41.9%) and schizoaffective disorder (29%). The combination of haloperidol and chlorpromazine was the most common medications for initial treatment (67.8%) and maintenance treatment (41.9%). The average cost of hospitalization at HPB for schizophrenia was XOF 164,412 (€249.90). The average direct medical cost was XOF 105,412 (€160.226) and the average direct non-medical cost was XOF 59,000 (€89.68). The average daily cost of antipsychotic treatment was XOF 795/day (€1.2084). The high cost of drugs as a proportion of hospitalization costs suggested the need of a reflection on the simplification of prescribing practices, assistance in psychiatric emergencies and the development of other alternatives to psychiatric hospitalization in Côte d’Ivoire.

关键词： Schizophrenia Cost Hospitalization HPB Côte d’Ivoire

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Costs of Schizophrenia at Psychiatric Hospital of Bingerville (Ivory Coast)

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Open Journal of Psychiatry（精神病学期刊） 2024年第1期

作者： Madjara Anoumatacky Anna-Corinne Bissouma drissa kone

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Dyslipidemia in Adults with Type 2 Diabetes in a Rural Community in Ganadougou, Mali: A Cross-Sectional Study

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Journal of Diabetes Mellitus 2024年第2期14卷 133-152页

作者： Abdoulaye Diawara Djibril Mamadou Coulibaly drissa kone Mama A. Traore drissa Konaté Dicko S. Bazi Oumar Kassogue Djeneba Sylla Fatoumata Gniné Fofana Oudou Diabaté Mariam Traore Ibrahim Antoine Nieantao Kaly Keїta Mamadou Diarra Olivia Smith Jian Li Cheickna Cisse Talib Yusuf Abbas Crystal Zheng Segun Fatumo Kassim Traore Mamadou Wele Mahamadou Diakité Seydou O. Doumbia Jeffrey G. Shaffer University of Sciences Techniques and Technologies of Bamako Bamako Mali National Federation of Community Health Associations Bamako Mali Department of Tropical Medicine Medical Microbiology & Pharmacology John A. Burns School of Medicine University of Hawaii Manoa Honolulu USA Department Biostatistics and Data Science School of Public Health and Tropical Medicine Tulane University New Orleans USA Department of Biotechnology and Computer Science Burhani College Mazgaon Mumbai India School of Medicine Tulane University New Orleans USA Medical Research Council Uganda Virus Research Institute Entebbe Uganda London School of Hygiene and Tropical Medicine London UK Departement of Biochemistry and Genetics Duquesne University College of Medicine Pittsburgh USA

Dyslipidemia is a disorder where abnormally lipid concentrations circulate in the bloodstream. The disorder is common in type 2 diabetics (T2D) and is linked with T2D comorbidities, particularly cardiovascular disease. Dyslipidemia in T2D is typically characterized by elevated plasma triglyceride and low high-density lipoprotein cholesterol (HDL-C) levels. There is a significant gap in the literature regarding dyslipidemia in rural parts of Africa, where lipid profiles may not be captured through routine surveillance. This study aimed to characterize the prevalence and demo-graphic profile of dyslipidemia in T2D in the rural community of Ganadougou, Mali. We performed a cross-sectional study of 104 subjects with T2D in Ganadougou between November 2021 and March 2022. Demographic and lipid profiles were collected through cross-sectional surveys and serological analyses. The overall prevalence of dyslipidemia in T2D patients was 87.5% (91/104), which did not differ by sex (P = .368). High low-density lipoprotein cholesterol (LDL-C) was the most common lipid abnormality (78.9%, [82/104]). Dyslipidemia was associated with age and hypertension status (P = .013 and.036, respectively). High total and high LDL-C parameters were significantly associated with hypertension (P = .029 and .006, respectively). In low-resource settings such as rural Mali, there is a critical need to improve infrastructure for routine dyslipidemia screening to guide its prevention and intervention approaches. The high rates of dyslipidemia observed in Gandadougou, consistent with concomitant increases in cardiovascular diseases in Africa suggest that lipid profile assessments should be incorporated into routine medical care for T2D patients in African rural settings.

关键词： Cholesterol Cross-Sectional Study Dyslipidemia Lipids Mali Type 2 Diabetes

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Dyslipidemia in Adults with Type 2 Diabetes in a Rural Community in Ganadougou, Mali: A Cross-Sectional Study

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Journal of Diabetes Mellitus（糖尿病） 2024年第2期 133页

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Prevalence and Clinical Relevance of Schistosoma mansoni Co-Infection with Mycobacterium tuberculosis: A Systematic Literature Review

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Open Journal of Epidemiology 2023年第1期13卷 97-111页

作者： Bocar Baya Bourahima kone Amadou Somboro Ousmane Kodio Anou Moise Somboro Bassirou Diarra Fah Gaoussou Traore drissa kone Mama Adama Traore Mahamadou kone Antieme Georges Togo Yeya Sadio Sarro Almoustapha Maiga Mamoudou Maiga Yacouba Toloba Souleymane Diallo Robert L. Murphy Seydou Doumbia University Clinical Research Center (UCRC) of the University of Sciences Techniques and Technologies of Bamako (USTTB) Bamako Mali Service of Pneumopthisiology of the University Teaching Hospital of Point G Bamako Mali Clinical Laboratory of the University Teaching Hospital of Point G Bamako Mali Havey Institute for Global Health (Havey IGH) Northwestern University (NU) Chicago USA

Tuberculosis disease stands for the second leading cause of death worldwide after COVID-19, most active tuberculosis cases result from the reactivation of latent TB infection through impairment of immune response. Several factors are known to sustain that *** mansoni, a parasite of the helminth genus that possesses switching power from an immune profile type Th1 to Th2 that favors reactivation of latent TB bacteria. The aim of the study was to assess the prevalence of the co-infection between the two endemic infections. Systematic literature was contacted at the University Clinical Research Center at the University of Sciences, Techniques, and Technologies of Bamako in Mali. Original articles were included, and full texts were reviewed to assess the prevalence and better understand the immunological changes that occur during the co-infection. In total, 3530 original articles were retrieved through database search, 53 were included in the qualitative analysis, and data from 10 were included in the meta-analysis. Prevalence of the co-infection ranged from 4% to 34% in the literature. Most of the articles reported that immunity against infection with helminth parasite and more specifically Schistosoma mansoni infection enhances latent TB reactivation through Th1/Th2. In sum, the impact of Schistosoma mansoni co-infection with Mycobacterium tuberculosis is under-investigated. Understanding the role of this endemic tropical parasite as a contributing factor to TB epidemiology and burden could help integrate its elimination as one of the strategies to achieve the END-TB objectives by the year 2035.

关键词： Schistosoma mansoni Tuberculosis Co-Infections LTBI Reactivation

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Identifying Risk Factors for Pulmonary Tuberculosis Diagnosis Delays in Mali a West-African Endemic Country

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Journal of Tuberculosis Research 2022年第1期10卷 45-59页

作者： Dianguina Soumare Bocar Baya Khadidia Ouattara Tenin Kanoute Cheick M. Sy Seydou Karembé Ibrahima Guindo Lamine Coulibaly Youssouf Kamian Aime P. Dakouo Fatoumata Sidibe Salif Koné drissa kone Oumar Yossi Gaoussou Berthe Yacouba Toloba Service of Pneumology of the University Teaching Hospital of Point-G Bamako Mali University Clinical Research Center (UCRC) University of Sciences Techniques and Technologies of Bamako (USTTB) Bamako Mali Non-Government Organization: Sante-Sud Bamako Mali.

Background: Tuberculosis was the deadliest infectious agent before covid-19;1.5 million deaths in 2020. Despite, a variety, of easy and cheap diagnostic tools, detection rates still fall below 90%;diagnosis delays are long exceeding 30 days in many continents. This study aimed to determine risk factors for pulmonary TB diagnosis delays in Mali. Methods: A cross-sectional study was conducted in Bamako to include pulmonary TB patients at treatment initiation centers. Verbal consent was obtained before the interview. Demographics, clinical, treatment cost, and patient, medical, and diagnostic delays were computed using SPSS 25.0 considering a significance level p Results: In total 266 patients were included, 80.8% were male, mean age was 40.5 ± 12 years, primary education level was 50.4%, treatment cost before diagnosis was 100 - 200 thousand CFA in 65.4%, smokers were 42.1%, median patient, medical and total diagnostic delays were 58, 57 and 114 days respectively. Education level below university, social reasons, and non-request of health workers were identified as independent risk factors for diagnostic delay > 100 days in Mali. Conclusion: Diagnostic delay is relatively very long in Mali, there is an urgent need for identification and action to shorten the delays to limit the transmission chain and avoid disabling pulmonary sequels.

关键词： Tuberculosis Diagnosis Delays Risk-Factors Mali

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Pulmonary Hypoplasia: A Rare Cause of Chronic Cough in TB Endemic Area

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Open Journal of Respiratory Diseases 2019年第1期9卷 18-25页

作者： Ouattara Khadidia Kanoute Tenin Baya Bocar Soumaré Dianguina Kamian Youssouf Mama Sidibé Youssouf Fofana Aminata Traoré Mohamed Maba Guindo Ibrahim Sidibe Fatoumata Dakouo Aimé Paul Sanogo Fatoumata Bintou Bamba Salimata Coulibaly Lamine Yossi Oumar kone drissa Samba Toloba Yacouba Department of Pneumology University Teaching Hospital of Point G Bamako Mali Department of ENT Secondary Hospital “Luxembourg” Bamako Mali Department of ENT Nianakoro Fomba Hospital Ségou Mali Department of Radiology Hospital of Mali Bamako Mali

Pulmonary hypoplasia is a rare disease characterized by a defect of lung development more often unilateral. The diagnosis requires several exams to eliminate other causes of pulmonary retraction. We report two cases at the department of pneumophtisiology of the University Teaching Hospital of Point G. The first case is a young adult who was complaining of a chronic cough. Etiological investigation required several exams including spirometry and Computed tomographic scan (CT scan). After elimination of all suspected causes of pulmonary opacity, the diagnosis of pulmonary hypoplasia was retained. The second case is a 2-year-old girl who was born with congenital cardiopathy whose respiratory complications were increasing during her childhood and respiratory explorations discovered pulmonary agenesis. Pulmonary hypoplasia is rare in our medical practice, but attention must be drawn to a retractile pulmonary opacity in young age after elimination of all infectious causes in TB endemic area.

关键词： A Chronic Cough Pulmonary Hypoplasia Bamako

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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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The Impact of Jams on the Vending Robot

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Open Journal of Applied Sciences 2024年第9期14卷 2515-2518页

作者： Bourama Coulibaly drissa Traore Bakary Dit Dembo Sylla Marie Bernard Sidibe Electrical Engineering Department Normal School of Technical and Vocational Education (ENETP) Bamako Mali National Engineering School Abderhamane Baba Tour (ENI-ABT) Bamako Mali

This study aims to identify the causes of sensor jams and its impact on the operation of vending machines. The vending machine is a machine that automatically dispenses products such as drinks, tickets, sandwiches and biscuits, by inserting change or credit card into the machine. This technological feat is due to the advent of sensors. A sensor is a part of the measurement chain, it receives the quantity to be measured and provides information directly linked to this quantity. However, these vending robots are faced with malfunctions linked to sensor jams. The identification of the jam phenomenon was possible thanks to the inspection and monitoring of the various sensors installed on the vending robot. And Cadence software was used to model, control and locate the jammed sensor(s). The various tests were carried out by setting the robot in motion to better understand the causes of the phenomenon. The jam is therefore the phenomenon which triggers the sensors permanently, which causes the automatic vending robot to stop functioning. And this jam was due to the presence of water droplets on the sensor or dirt. This presence of water droplets on the sensor is linked to an increase in temperature. Controlling the temperature and locating the jammed sensor has made it possible to considerably reduce jamming and its harmful effects on the vending machine robot.

关键词： Jam Sensor Dispenser Robot

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Incidences and Risk Factors for Surgical Site Infections in Koutiala, Mali

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Surgical Science 2024年第7期15卷 465-469页

作者： Mahamadou Coulibaly Moussa Diassana Issiaka Diarra Bréhima Bengaly Birama Togola drissa Ouattara Souleymane Sanogo Samuel Kletigui Dembélé Cheick Aka Waigalo Brehima Ballo drissa Traoré Nouhoum Ongoiba Faculty of Medicine University of Science Technique and Technologies of Bamako Bamako Mali Department of Surgery Koutiala Hospital Koutiala Mali Department of Surgery Sikasso Hospital Sikasso Mali Dpartement de Chirurgie Hpital Commune I Bamako Mali Department of Surgery University Hospital Center Point G Bamako Mali Department of Surgery Tominian Hospital Tominian Mali

Purpose: This paper aims to assess the incidences and risk factors for surgical site (ISO) infections in the general surgery department of the Koutiala District Hospital. Patients and Methods: This was a prospective and descriptive study from August 1, 2017 to October 31, 2020 involving all patients who underwent laparotomy in the general surgery department of the Koutiala District Hospital. Patients who were not operated on and who did not have a laparotomy were not included. Age, sex, frequency, patient history, National Nosocomial Infections Surveillance (NNIS) index, time to occur, bacteriological test results and course of infection were analyzed. Results: Fifty patients were registered. The average age was 34.2 ± 21.2 years old. Eleven patients were 60 years old or older. The hospital incidence rate was 4.3% and the community incidence rate was 6.1 cases per 100,000 population. The concept of smoking was noted in 15 patients. Patients were operated on in emergency 84% of cases. Peritonitis was the most common initial lesion with 32% of cases. Our patients had an NNIS index greater than 0 in 84% of cases. The time to develop infection from the surgical site was less than 3 days in 8 patients (16% of cases). Depending on the depth of the infection, it was superficial (cutaneous) in 39 patients (78%) and deep (subcutaneous and organic) in 11 patients (22%). Escherichia coli was the most common germ with 72% followed by staphylococcus aureus at 24%. We noted 22% morbidity. The median length of hospitalization was 9 ± 2.2 days. Conclusion: ISO is common in our service. Prevention and mastery require knowledge of risk factors.

关键词： Surgical Site Infection Incidence Risk Factors Surgery

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