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Surgical Science（外科学） 2023年第5期

作者： Souleymane Diallo Sory Ibrahim Tambassi Kaly Tounkara Terna Traore Kalifa Coulibaly Aboubacar Diallo Soumana Traore Aboubacar Sidiki Sangaré Salif Kone Drissa Kaloga Bagayoko cheick oumar sanogo

Complications of Goitre Surgery in “A” Surgery at the Chu of Point G

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Surgical Science 2021年第3期12卷 46-52页

作者： Moussa Sissoko Mahamadou Coulibaly oumar Sacko Sekou Koumaré Adaman F. Traoré Soumaîla Keïta Sidiki Keita Siaka Diallo Mossa Camara Lamine Soumaré Adama K. Koïta A. Camara H. Dicko D. Goïta Zimogo Zié sanogo General Surgery “A” Department Hospital Point-G. Bamako Mali

Total or partial thyroidectomy has been proposed as the initial treatment for benign euthyroid oiter. The aim of this study is to determine the complications associated with surgical procedures for goiter, based on our experience. Material and method: A retrospective study over 10 years concerning 409 patients operated on for goiters in the department with 48 cases of complications. Results: 409 patients operated on for goiter in the department with 48 cases of complications (11.82%). The per- and post-operative complications were: hemorrhage (18: 4.40%), recurrent lesions (1;0.24%), 8 cases of infection (1.96%), 5 cases of transient hypocalcemia (1.22%) and phonation disorders 9 cases (2.20%). Conclusion: Complications from goiter surgery seem to be more related to thyroid disease and the surgeon’s experience than to the surgical procedure. Better knowledge of the factors leading to complications will improve the outcome of goiter surgery.

关键词： Goiter Complications Surgery Bamako

Heart Disease Scleroderma Revelators: About a Clinical Case

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World Journal of Cardiovascular Diseases 2023年第9期13卷 578-585页

作者： Coumba Thiam Boubacar Sonfo Youssouf Camara Asmaou Keita Mariam Sako Békaye Traoré Djeneba Koné Mamadou Touré Massama Konaté Hamidou oumar Bâ Ibrahima Sangaré Sanoussi Daffe Daouda Fofana Mariam cheick Traoré Boureima Dembélé Boubacar Diarra Hamidou Camara Samba Sidibé Souleymane Coulibaly Ichaka Menta Ousmane Faye Department of Cardiology Kati University Hospital Kati Mali Department of Cardiology The Mother-Child University Hospital Bamako Mali Department of Cardiology CHU Point G Bamako Mali Department of Cardiology The CHU Gabriel Touré Bamako Mali Dermatology Hospital of Bamako Bamako Mali Department of Internal Medicine Mali Hospital Bamako Mali

Scleroderma (or systemic sclerosis) is a disease characterized by abnormalities in the functioning of small blood vessels and the immune system, ultimately leading to inflammation and excessive fibrosis of the skin and various organs, including the heart. Management must be multidisciplinary, to avoid complications that are often serious. We report the case of a 20-year-old patient with no known cardiovascular history who consults for dyspnea, and retrosternal pain associated with a dry cough. On physical examination, she had tachycardia, swelling of the lower limbs, jugular turgidity, and deafening heart sounds. Cardiac Doppler ultrasound shows dilation of the right cavities, paradoxical septum and significant pulmonary arterial hypertension, pericardial effusion of medium abundance. On oral examination, it presents an ulceration of the lips, dermatological examination finds scattered hypo chromic spots in the body, more accentuated in the face. Before the hypo chromic dermatosis, a dermatological consultation was carried out with an autoimmune assessment that came back positive for systemic scleroderma.

关键词： Heart Failure Scleroderma Young Subject

ECG and Echocardiographic Findings of Athletes in Bamako—A Study among 227 Footballers

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World Journal of Cardiovascular Diseases 2019年第1期9卷 31-41页

作者： Ibrahima Sangare Hamidou oumar Ba Youssouf Camara Ichaka Menta Noumou Sidibé Souleymane Coulibaly Aladji Traoré Fousseyni Coulibaly Ilo Diall Lydie Bérenice S. Sangaré Hamidou Camara Adama Sogodogo Mohamed A. C. Cissé Mamadou Bocary Diarra Massama Konaté Kassoum M. sanogo Boubakar A. Diallo University Hospital Gabriel Touré Bamako Mali University Hospital Sidy Bocar Sall Kati Mali University Hospital Point G Bamako Mali University Hospital Odonto-Stomatology Bamako Mali University Hospital “Hô pital du Mali” Bamako Mali University Hospital Mother-Child “Le Luxembourg” Bamako Mali

Background: A cardiovascular assessment is rarely performed among athletes despite more and more frequently reported fatal events. Most of these accidents are of cardiovascular origin. Moreover, data on ECG or Echocardiography are rare in our context justifying our study to assess electrical and echocardiographic pattern among high-level footballer in Bamako. Methods: It was a cross-sectional study conducted in Bamako from April 2015 to?March 2016 among high-level footballers aged 14 to 35 years old without distinction of sex with at least 10 hours weekly training since one year. The ECG and echocardiographies were recorded respectively with a 12-lead CONTEC and an ATL 5000 echocardiographic machine. Each ECG record was analyzed by a cardiologist in accordance with the Seattle 2013 criteria and those pathological reviewed by a second cardiologist according to the same criteria and definitively classified as normal (physiological) or abnormal ECG (requiring complementary explorations). A third cardiologist was associated in case of discordance of the first results. The collected data were inserted in a Microsoft Excel sheet and analyzed with SPSS version 20. Chi Square and Fisher statistical tests were used to compare our results. The significance level was set at 0.05. Results: We collected data of 227 top footballers with male sex represented in 90.3% giving a sex ratio of 3.04. Means for age, weight, height, body mass index (BMI) were respectively 22 years, 69.90 kg, 177.21 cm and 22.21 kg/m2. Sinus bradycardia was found in a proportion of 45.8% more represented in the age group of 30 and more years (p = 0.275). First-degree atrioventricular block (AVB) was present in 19.4%. Short PR was found in 0.4% of the sample. Left ventricular hypertrophy (LVG) according to the Sokolow index was found in 70.5% (96.9% males and 3.1% females) with p Conclusion: Many electrical and echocardiographic signs of cardiac adaptation were found in our sample and must lead to a closer

关键词： Sport Football Bamako ECG Echocardiography

Assessment of Common Dental Indices and Need for Periodontal Treatment in the Cardiology Outpatients Unit at the University Hospital Gabriel Touré(UH-GT) in Bamako

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World Journal of Cardiovascular Diseases 2020年第3期10卷 131-143页

作者： Hamidou oumar Ba Ibrahima Sangaré Youssouf Camara Sidibé Noumou Daou Ousmane Maiga Asmaou Kéita Touré Mamadou Coulibaly Souleymane Sidibé Samba Konaté Massama Doumbia Coumba Thiam Sonfo Boubacar Diakité Mamadou Menta Ichaka Ilo Bella Diall Ahmed Ba Boubacar Ba sanogo Kassoum Mamourou Service de Cardiologie CHU Gabriel Touré Bamako Mali Service de Cardiologie CHU Kati Bamako Mali CHU Odontostomatologie Bamako Mali Service de Cardiologie CHU Mère-Enfant Bamako Mali Service de Cardiologie du CHU Point G Bamako Mali Service de Médecine Interne et d’Endocrinologie Hôpital du Mali Bamako Mali

Introduction: Little is known through the literature about dental status of patients seen in cardiology department, motivating this study which aims to assess most dental indices of outpatients and the need for periodontal treatment. Methodology: It was a cross-sectional study from November 2016 to April 2017 in the cardiology outpatient unit of the University Hospital Gabriel Touré (UH-GT) in Bamako. Included were all patients with minimum 24 teeth and willing to be involved in the study. History, cardiovascular parameters and dental examination by a resident in Odontostomatology were performed for each patient. Data were analyzed using SPSS 18, quantitative as means and standard deviation (SD) and categorical as proportions. Khi-2 Test, analysis of variance were applied with a significance level set at 0.05. All patients give their verbal consent after being informed about the procedures in the study. Results: Our sample involved 100 patients (66% female, mean age of 54.12 ± 16.150 and patients ≥ 60 years most represented with 50% for male and 37.9 for female patients. Tooth brush use was practiced by 100% and 98.5% respectively for male and female patients and twice daily brushing by 97.1% of male and 97% of female patients. Brushing duration was less than 3 minutes for 35.3% and 31.8% of respectively male and female patients. Plaque index and calculus index were in the male group with respectively 0.79 and 1.06 for male and 0.63 and 0.79 for female (p = 0.047 and 0.020). Mean Decayed Missed and Filled Teeth (DFMT) index showed a significantly increase from 0.22 in the age group under 30 to 0.68 for that other 60 years. Only 2.9% and 9.1% of respectively male and female patients had community paradontal index for treatment needs (CPITN) classe 0. The need for treatment was TN1 meaning instruction to an oral cavity hygiene, similar for both sex (55.9 and 57.6 respectively for male and female patients) and highest in the age-group 30 - 44 increased to 70%. The need

关键词： Dental Indices Cardiology Outpatients Bamako

Basedowian Orbitopathy Without Thyreotoxicosis : A Case Report from Sikasso Hospital

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Open Journal of Ophthalmology 2023年第3期13卷 273-279页

作者： cheickna Nomoko Adama Dembele Moro Sidibe Karim Diarra Moussa Sidibé Niamé Touré Moussa Abdou Touré Oulematou Soucko Ousmane Fané Daouda Goita oumar Diallo Djonny Jonas Dembele Mamadou Adama Togo Kadiatou Ba Koita Abdoulaye Nouhoum Coulibaly cheick Fantamady Tounkara Nouhoum Touré Abdoulaye Konaté Abdoulaye Napo Nana Kadidia Fofana Regional Hospital of Sikasso Sikasso Mali Alliance for the Development of Community Ophthalmology (ADOC) Bamako Mali Referral Health Center for Commune 3 in the District of Bamako Bamako Mali African Tropical Ophthalmology Institute Bamako Mali Referral Health Center for Commune 4 in the District of Bamako Bamako Mali

Basedowian orbitopathy is an autoimmune disease representing the most frequent extra-thyroidal manifestation. Its pathophysiology is imperfectly elucidated and is the result of cross-reactivity between thyroid antigens and orbital tissue. It is most frequently seen in the context of hyperthyroidism (basedow’s disease or Graves’ disease), sometimes hypothyroidism (Hashimoto’s thyroiditis), or euthyroidism. Diagnosis is often straightforward, but management remains difficult. The introduction of simple medical treatment exposes the patient to the risk of recurrence. In Sikasso, there have been few studies of Graves’ disease. The aim of this study was to describe the clinical, therapeutic and evolutionary features of Graves’ disease in Sikasso Hospital. The patient was a 35-year-old woman with no previous history of Graves’ disease and no history of alcohol or tobacco intoxication, consulting for bilateral exophthalmos with moderate pain for 1 year. Endocrine tests were normal (euthyroidism), as was orbital-cerebral MRI, which revealed stage II exophthalmos with no sellar or supra-saltar abnormalities. The main complication was exposure to keratitis. Our patient was treated with corticosteroids. The evolution was favorable under treatment, with no recurrence after one year’s follow-up. Graves’ disease is the most common cause of hyperthyroidism, but this should not obscure the diagnosis of euthyroidism, as demonstrated in this case report. Exophthalmos remains the main ophthalmological clinical manifestation.

关键词： Euthyroidism Basedowian Orbitopathy Orbital-Cerebral MRI Corticoster-oid Therapy

Blount Method in the Management of Supracondylar Fractures of the Humerus in Children

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Surgical Science（外科学） 2023年第5期

作者： cheick oumar sanogo Mamadou Hawa Daffe Kalifa Coulibaly Aboubacar Diallo Soumana Traore Sory Ibrahim Tambassi Mohamed Berthe Mahamadou Diallo Souleymane Diallo Ibrahim Abdou Maiga Kassim Daouda Berete Alhassane Barry

Small Cell Lymphoma of the Gastrocnemius Muscle: A Case Report

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Surgical Science（外科学） 2023年第4期

作者： Abdoul Kadri Moussa Layes Touré Kalifa Coulibaly Mahamadou Diallo Mamadou Bassirou Traoré cheick oumar sanogo LaurentDésiréNdziéEssomba Madani Ly Aboubacar Sidiki Ndiaye Safiatou A. Touré Bakarou Kamaté

Fracture of the Humeral Palette in Adult Patient: Therapeutic and Evolutive Aspect at Gabriel Touré Hospital: About 35 Cases

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Surgical Science（外科学） 2023年第4期

作者： Mahamadou Diallo Abdoul Kadri Moussa Kalifa Coulibaly Layes Touré Mahamadou Dama Mamadou Bassirou Traoré cheick oumar sanogo Terna Traoré Famakan Doumbia Mamadou Diallo Amadou Maiga AdégnéPierreTogo Tiéman Coulibaly

Pediatric Hypertension (HTN) Assessed by Various Methods: A Study among Pediatric Inpatients in University Hospital Gabriel Touré(UH-GT)

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World Journal of Cardiovascular Diseases 2020年第3期10卷 144-154页

作者： Hamidou oumar Ba Youssouf Camara Ibrahima Sangare Maiga Belco Diakite Mamadou A. Dembele Fofana cheick Hamala Toure Mamadou Hamidou Camara Sogodogo Adama Traore Aladji Sidibe Samba Sidibe Noumou Doumbia Coumba Thiam Maiga Asmaou Kéita Konate Massama Sonfo Boubacar Menta Ichaka Ilo Bella Diall Togo Boubacar Diarra Mamadou Bocary Service de Cardiologie CHU Gabriel Touré Bamako Mali Service de Cardiologie CHU Kati Bamako Mali Service de Pédiatrie CHU Gabriel Touré Bamako Mali Service de Cardiologie du CHU Point G Bamako Mali Service de Cardiologie CHU Mère-Enfant Bamako Mali Service de Médecine Interne et d’Endocrinologie Hôpital du Mali Bamako Mali

Introduction: It is known for decades that a correlation among child blood pressure and adult pressure exist. There are few publications on Hypertension (HTN) in pediatric area. We therefore conducted this study to estimate the extension of HTN among children and looking for associated factors. Methods: Blood pressure was assessed using the references released by the National institutes of health in the United States, those of the French Society of Pediatric Nephrology and z-score. We used the auscultation method with appropriate cuff adapted to the child’s upper arm. We got for each arm 3 blood pressure measures taken children seated or lying on the back and mean blood pressure was calculated and used for the evaluation of the pressure level. The arm with the higher blood pressure was considered for the study. Socio-demographical and clinical data were collected anonymously on a formulary and then inserted in a Microsoft Access Database. Analysis was done using Statistical Package for the Social Sciences (SPSS) software using appropriate tests. Results: The study involved 154 patients (boys:girls = 56.5:43.5) aged 3 to 16 years. Patients of 11 years and older made 57.1% of the sample. Most patients suffered from severe malaria (35.1%, glomerular and heart diseases with respectively 16.2% and 9.1%. The global proportion of hypertensive patients was 27%, 39% and 5.2% respectively based on references of the French society of nephrology, those of the 4th report of the NHBPEP and standard deviation. Looking for associated factors with hypertension the logistic regression found no predictor for hypertension using pressure cut-offs values based on the French society of nephrology and those of the 4th report of the National High Blood Pressure Education Programm (NHBPEP). Conclusion: Children must be checked for hypertension to avoid organ damage and later cardiovascular complications. Blood pressure assessment should be preferably done on outpatients as the role of the st

关键词： Hypertension Pediatric Bamako