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Prevalence of Ocular Trauma at the Reference Health Center (CSREF) of Kati

Surgical Science 2024年第5期15卷 371-380页

作者： Kadiatou Ba Aichata Tall Brainima Coulibaly Sadio Cissoko Bakary Danfaga Moro sidibe Seydou Diallo Oumar Diallo fatoumata Tata sidibe Aly Konipo Mory Coulibaly Ousmane Touré Aoua I. Touré Cheick Sogodogo Ibrahim Bamenta Gounon Saye Modibo Sissoko Mamadou Kole sidibe Sidi Diarra Nouhoum Guirou Lamine Traoré University Hospital Center Institute of Tropical Ophthalmology of Africa Bamako Bamako Mali Ophthalmology Department Kati Reference Health Center Koulikoro Mali Ophthalmology Department Sikasso Regional Hospital Sikasso Mali Ophthalmology Department Luxembourg Mother-Child Hospital in Bamako Bamako Mali Ophthalmology Department Somin&#233 Dolo Mopti Regional Hospital in Mopti Mopti Mali National Eye Health Program Bamako Mali

Introduction: The authors wanted to study the prevalence of ocular trauma in the ophthalmology unit of the CSREF of Kati. Patients and method: This is a retrospective study, covering the period from January to December 2015, carried out in the ophthalmology unit of the CSREF in Kati. Results: The sample consisted of 568 patients, or 6.82% of ophthalmological consultations. Children aged 0 to 14 years accounted for 154 (27.11%) of the trauma cases. Bruises constitute the main circumstance (58.1%) of eye trauma, followed by domestic accidents (15.6%). Closed globe ocular trauma was the main type of trauma (61.6%), followed by ocular adnexal trauma (30.1%) and open globe trauma (8.3%) in which the penetrating wound was the lesion, the least common (2.6%) but the most serious. Medical treatment was the most used therapeutic modality in 82.4% of cases, followed by surgery with 17.6% of cases. The evolution of the lesions after treatment was favorable in 85.6% of cases and unfavorable in 14.4% of cases. Complications were observed in 5.8% of cases and sequelae in 8.6% of cases. Conclusion: Ocular trauma constitutes an important reason for ophthalmological consultation at the CSREF of Kati. The severity of some of these lesions requires frequent recourse to surgery. The complexity of the treatment should encourage us to favor preventive measures.

关键词： Eye Trauma Prevalence CSREF Kati

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Prevalence of Refractive Errors among School Children Aged 5 to 15 Years Old at CHU-IOTA

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Surgical Science 2024年第8期15卷 480-491页

作者： Kadiatou Ba Aichata Tall Mory Coulibaly Cheick Sogodogo Zoumana Bagayogo Aoua Ibrahim Toure Ousmane Toure Brainima Coulibaly fatoumata Tata sidibe Aly Konipo Roucky Sangare Seydou Diallo Moro sidibe Oumar Diallo Assiatou Simaga Gounon Saye Modibo Sissoko Mamadou Kole sidibe Sidi Diarra Nouhoum Guirou Abdoulaye Napo Adama Guindo University Hospital Center Institute of Tropical Ophthalmology of Africa (CHU-IOTA) Bamako Bamako Mali Ophthalmology Department Sikasso Regional Hospital Sikasso Mali Ophthalmology Department Luxembourg Mother-Child Hospital in Bamako Bamako Mali

Introduction: Undetected refractive errors constitute a health problem among school children who cannot take advantage of educational opportunities. The authors studied the prevalence of refractive errors in school children aged 5 to 15 at CHU-IOTA. Patients and Method: This is a prospective, descriptive cross-sectional study carried out in the ophthalmic-pediatrics department of CHU-IOTA, from October to November 2023. Results: We received 340 school children aged 5 to 15, among whom 111 presented ametropia, i.e. a prevalence of 32.65%. The average age was 11.42 ± 2.75 years and a sex ratio of 0.59. The average visual acuity was 4/10 (range 1/10 and 10/10). We found refractive defects: astigmatism 73.87%, hyperopia 23.87% of cases and myopia 2.25%. The decline in distance visual acuity was the most common functional sign. Ocular abnormalities associated with ametropia were dominated by allergic conjunctivitis (26.13%) and papillary excavation (6.31%) in astigmatics;allergic conjunctivitis (9.01%) and papillary excavation (7.20%) in hyperopic patients;turbid vitreous (0.90%), myopic choroidosis (0.45%) and allergic conjunctivitis (0.45%) in myopes. Conclusion: Refractive errors constitute a reality and a major public health problem among school children.

关键词： Refractive Errors Prevalence Child CHU-IOTA

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Prevalence of Ocular Trauma at the Reference Health Center (CSREF) of Kati

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Surgical Science（外科学） 2024年第5期 371页

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Ocular Manifestations in Severe Acute Malnutrition in Children under 60 Months in a Secondary Health Center

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Open Journal of Ophthalmology 2023年第3期13卷 288-294页

作者： Amadou Boro Foune Keita fatoumata Tata sidibe fatoumata Traore Daniel Thera Ibrahim Kourekama Abdoulaye Napo Centre de santé de référence de Kita Kita Mali Centre de santé de référence de Niono Niono Mali CHU-Institut d’Ophtalmologie Tropicale de l’Afrique (CHU-IOTA) Bamako Mali Libéral Doctor Bamako Mali

Introduction: Severe acute malnutrition (SAM) is one of the main public health problems in the world. It is responsible in addition to the general symptoms, vitamin A deficiency which can cause serious eye damage including keratomalacia. This work aims to study possible ophthalmological lesions in severely acutely malnourished children from 0 to 60 months. Patients and Method: This study was carried out in a secondary ophthalmology center. It concerned all severely acute malnourished patients admitted for consultation in the pediatric department. Results: A total of 174 eyes of 87 children aged 0 to 60 months were examined. Two-thirds of the patients were aged between 6 and 18 months. Palpebral lesions are rare, however, we observed 12.64% blepharitis and palpebral dermatitis. Ocular involvement due to vitamin A deficiency was 6.9%, including one case of BITOT SPOT, 4 cases of conjunctival xerosis and one case of keratomalacia. Conclusion: Xerophthalmia is an ocular lesion due to a dietary intake deficient in vitamin A that occurs during severe acute malnutrition. Its occurrence is increasingly rare even in developing countries. However, some cases are observed in practice and may be responsible for profound visual impairments.

关键词： Severe Malnutrition Vitamin A Deficiency Xerophthalmia Keratomalacia

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Primary Vulvar Ewing Sarcoma in a 30-Year-Old Woman: A Case Report

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Case Reports in Clinical Medicine 2018年第3期7卷 241-248页

作者： fatoumata Matokoma sidibe Hajar Ouahbi Rajae Kanab Layla Tahiri Fatim Zhara El Mrabet Samia Arifi Hind El Fatemi Nawfel Mellas Medical Oncology Department HASSAN II University Hospital Fez Morocco Pathology Department HASSAN II University Hospital Fez Morocco

Primary Ewing sarcoma (ES) and primitive neuroectodermal tumor (PNET) are considered as Ewing sarcoma family of tumors (ESFT), characterized by chromosomal translocation t(11;22) (q24;q12) leading to a chimeric transcript EWS-FLI1 in 85% of cases. It typically involves the soft tissues of the chest wall, pelvis, paravertebral region, abdominal wall, retroperitoneal region and extremities in children, adolescents and young adults. It rarely occurs in the female genital tract. We report an extremely rare case of advanced vulvar Ewing sarcoma/PNET of the vulva confirmed by Fluorescence In Situ Hybridization (FISH) in a 30-year-old woman. The patient was treated by 6 cycles of chemotherapy followed by radiotherapy with favourable outcome.

关键词： Ewing Sarcoma/Primitive Neuroectodermal Tumor Vulva Advanced Disease Multimodal Treatment

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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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Multivariate Statistical Analysis of Dominating Groundwater Mineralization and Hydrochemical Evolution in Gao, Northern Mali

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Journal of Earth Science 2024年第5期35卷 1692-1703页

作者： Adiaratou Traore Xumei Mao Alhousseyni Traore Yahaya Yakubu Aboubacar Modibo sidibe School of Environmental Studies China University of Geosciences College of Construction Engineering Jilin University

Population growth and expanding urbanization have caused persistent shortages and contamination of groundwater resources in Mali, Africa. The increase in groundwater salinity makes it more difficult for residents to obtain drinking water, it is necessary to clarify the causes and control factors of groundwater mineralization in Gao region, northern Mali. Based on the analysis of the hydrochemical composition of groundwater in 24 boreholes, Piper and Sch?eller diagrams, principal component analysis(PCA) and hierarchical cluster analysis(HCA) are used to carry out multivariate statistical analysis on the main ions. The results show that the groundwater samples are weakly alkaline, with p H values ranging from 5.83 to 8.40, and the average values of boreholes are 7.50, respectively. The average electrical conductivity(EC) value is 354.4(μS/cm), and the extreme value is between 124.0 and 1 247(μS/cm). Water is usually mineralized and presents nine types of water phase. The three principal components explain 84.42% of the total variance for 13 parameters. The factor F1(58.85%), the factor F2(16.88%) and the factor F3(8.69%) present for the majority of the total data set. In addition, multivariate statistical analysis confirmed the genetic relationship among aquifers and identified three main clusters. Clustering related to groundwater mineralization(F1), clustering related to oxide reduction and iron enrichment(F2), and clustering of groundwater pollution caused by nitrate and magnesium(F3). We found that agriculture, weathering activities and dissolution of geological materials promote the mineralization of groundwater. Groundwater quality in the Gao region is becoming less and less potable because of increasing salinity.

关键词： hydrochemical composition multivariate statistical analysis mineralization hydro-chemical evolution Gao northern Mali hydrogeology

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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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Ocular Manifestations in Severe Acute Malnutrition in Children under 60 Months in a Secondary Health Center

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Open Journal of Ophthalmology（眼科学期刊） 2023年第3期

作者： Amadou Boro Foune Keita fatoumata Tata sidibe fatoumata Traore Daniel Thera Ibrahim Kourekama Abdoulaye Napo

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Velamentous Cord Insertion: Interest of Antenatal Diagnosis and Review of the Literature

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Open Journal of Obstetrics and Gynecology 2024年第2期14卷 234-239页

作者： Karam Harou Aboubacar Sidiki sidibe Hicham Abdelkhalki Abderaouf Soummani Department of Obstetrics and Gynecology Caddi Ayyad University Medical Hospital Med VI Marrakech Morocco

Velamentous insertion of the umbilical cord corresponds to the insertion of the cord directly on amniotic membranes. It is a rare situation whose frequency varies from 0.5% to 1.69% of single pregnancies. It must be diagnosed during the morphological ultrasound of the 2nd trimester, actively looking for the association with a vasa previa, due to the risk of fetal haemorrhagic threat. We report an antenatal diagnosis of velamentous cord insertion and its management with literature review.

关键词： Velamentous Cord Insertion Vasa Previa Antenatal Diagnosis Ultrasound Doppler Benckiser’s Hemorrhage

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