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Diendéré J, Kiemtoré S, Coulibaly A, Tougri G, Ily NI, Kouanda S. [Faible niveau de dépistage du cancer du col de l'utérus, disparités géographiques et déterminants sociodémographiques du dépistage chez les femmes adultes au Burkina Faso : résultats de la première enquête nationale en population générale]. Rev Epidemiol Sante Publique 2023; 71:101845. [PMID: 37146541 DOI: 10.1016/j.respe.2023.101845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 03/22/2023] [Accepted: 03/22/2023] [Indexed: 05/07/2023] Open
Abstract
OBJECTIVE To explore the level, geographical disparities and sociodemographic determinants of cervical cancer screening uptake among adult women in Burkina Faso by using data from the first national population-based survey. METHODS This was a cross-sectional secondary analysis of primary data obtained by the 2013 World Health Organization (WHO) Stepwise Approach to Surveillance survey conducted in Burkina Faso. All 13 Burkinabè regions, with their different rates of urbanization, were surveyed. Lifetime cervical cancer screening uptake was explored. We included 2293 adult women for analyses and performed Student's t, chi-square and Fisher's exact tests, and logistic regression. RESULTS Only 6.2% (95% CI: 5.3-7.3) of women had ever been screened for cervical cancer. For two regions ("Centre" and "Hauts-Bassins"), the pooled frequency was 16.6% (95% CI: 13.5-20.1) while in the other eleven regions it was significantly lower, 3.3% (95% CI: 2.5-4.2). In urban and rural areas, the respective frequencies for the screening uptake were 18.5% and 2.8% (p < 0.001), and in educated and un-educated women, frequencies were 27.7% and 3.3% (p < 0.001) respectively. The sociodemographic factors associated with screening uptake were being educated (adjusted odd-ratio [aOR] = 4.3; 95% CI: 2.8-6.7), urban residence (aOR = 3.8, 95% CI: 2.5-5.8) and having an occupation providing income (aOR = 3.1, 95% CI: 1.8-5.4). CONCLUSION There was a significantly wide range in screening uptake between Burkina Faso regions, and the overall national as well as the region-specific levels were far below the WHO's target for cervical cancer elimination. Cervical cancer interventions should be tailored specifically for Burkinabè women with different educational levels, and prevention strategies based on community engagement integrating psychosocial considerations could be helpful.
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Affiliation(s)
- J Diendéré
- Research Institute for Health Sciences (IRSS), Ouagadougou, Burkina Faso.
| | - S Kiemtoré
- Gynecologic and Obstetrics' Department, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso.
| | - A Coulibaly
- Research Institute for Health Sciences (IRSS), Ouagadougou, Burkina Faso.
| | - G Tougri
- Ministry of Health and Public Hygiene, Ouagadougou, Burkina Faso.
| | - N I Ily
- Ministry of Health and Public Hygiene, Healthcare Center of Dafra, Bobo-Dioulasso, Burkina Faso.
| | - S Kouanda
- Research Institute for Health Sciences (IRSS), Ouagadougou, Burkina Faso; Institut Africain de Santé Publique (IAPS), Ouagadougou, Burkina Faso.
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Cortivo FD, Diallo R, Preudhomme R, Coulibaly A, Salami A, Benateau H. Exclusive surgical approach for facial arteriovenous malformations in precarious conditions. J Stomatol Oral Maxillofac Surg 2022; 123:e549-e555. [PMID: 35066172 DOI: 10.1016/j.jormas.2022.01.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Revised: 01/06/2022] [Accepted: 01/17/2022] [Indexed: 06/14/2023]
Abstract
Arteriovenous malformations (AVMs) are high-flow vascular lesions that does not regress spontaneously. They are located in the cranio-facial region in 50% of cases. Most of the time, the management of these lesions is a combination of surgery and vascular embolization. However, when the conditions are precarious, even without access to embolization, it's possible to treat some of those lesions with safety. We report four cases of patients suffering from cranio-facial AVM, treated exclusively by surgery during humanitarian missions.
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Affiliation(s)
- F Dal Cortivo
- Department of Maxillofacial Surgery, Caen University Hospital, France
| | - R Diallo
- Department of Maxillofacial Surgery, Donka Hospital, Conakry, Guinea
| | - R Preudhomme
- Department of Maxillofacial Surgery, Caen University Hospital, France.
| | - A Coulibaly
- Department of Maxillofacial Surgery, University Hospital of Bamako, Mali
| | - A Salami
- Department of Maxillofacial Surgery, University Hospital of Treichville, Abidjan, Ivory Coast
| | - H Benateau
- Department of Maxillofacial Surgery, Caen University Hospital, France
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Millogo M, Sanfo M, Idani M, Dargani MF, Coulibaly A, Konsem T. Pertes de substances maxillo-faciales d’origine traumatique au centre hospitalier universitaire Yalgado Ouedraogo. ANN CHIR PLAST ESTH 2022; 68:162-166. [PMID: 36207175 DOI: 10.1016/j.anplas.2022.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2022] [Revised: 08/23/2022] [Accepted: 09/15/2022] [Indexed: 11/16/2022]
Abstract
OBJECTIVE This work aims to report the modalities of management of maxillofacial substance loss following trauma in our context. METHODS This was a descriptive cross-sectional study with retrospective data collection of 55 cases of maxillofacial substance loss of traumatic origin over a period of 7 years from 2014 to 2020 in the department of stomatology and maxillofacial surgery of Yalgado Ouedraogo University Hospital. RESULTS The annual prevalence was 7.86 cases. The etiology was dominated by road traffic accidents (80% of cases). Loss of labial substance was the most frequent (58.18%). The lesions were severe, Lakmann type IV in 76.36% of cases. Bone loss occurred in 9.10% of the cases and was mainly located in the mandible. The repair of substance losses by locoregional flaps was the main technique for soft tissue reconstruction. Bone defects were repaired with non-vascularized bone grafts. The evolution was satisfactory in the majority of cases (80.3%). Infections were the main complications (5 cases) and the sequelae were dominated by unaesthetic scars (45.45%). CONCLUSION The management of maxillofacial substance loss of traumatic origin must be early and adequate for a better aesthetic and functional result.
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Affiliation(s)
- M Millogo
- Service de stomatologie et chirurgie maxillo-faciale du centre hospitalier Universitaire Yalgado Ouedraogo, Ouagadougou, Burkina Faso; Service de Stomatologie et Chirurgie Maxillo-faciale du Centre Hospitalier Universitaire de Tengandogo, Burkina Faso.
| | - M Sanfo
- Service de Stomatologie et Chirurgie Maxillo-faciale du Centre Hospitalier Universitaire de Tengandogo, Burkina Faso
| | - M Idani
- Service de stomatologie et chirurgie maxillo-faciale du centre hospitalier Universitaire Yalgado Ouedraogo, Ouagadougou, Burkina Faso
| | - M F Dargani
- Service de Stomatologie et Chirurgie Maxillo-faciale du Centre Hospitalier Universitaire de Tengandogo, Burkina Faso
| | - A Coulibaly
- Service de Stomatologie et Chirurgie Maxillo-faciale Centre Hospitalier Universitaire de Ouahigouya, Burkina Faso
| | - T Konsem
- Service de stomatologie et chirurgie maxillo-faciale du centre hospitalier Universitaire Yalgado Ouedraogo, Ouagadougou, Burkina Faso
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Dao SZ, Traoré BA, Traoré T, Konaté S, Togo E, Sidibé K, Coulibaly A, Sylla C, Haïdara M, Dembélé AB, Traoré Y, Dolo A. [Postpartum family planning at the district hospital of the commune II of Bamako, Mali]. Mali Med 2022; 38:31-34. [PMID: 38506200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 03/21/2024]
Abstract
Postpartum family planning is the prevention of pregnancy during the 12 months following childbirth. OBJECTIVE To study the use of contraceptive methods in the postpartum period in the obstetrics gynecology department of the district hospital of the commune II of Bamako. MATERIALS AND METHODS We conducted a descriptive and analytical cross-sectional study with prospective data collection from January 1, 2019 to December 31, 2020. All women who had given birth who had chosen and benefited from a contraceptive method were included. The statistical test used was Fisher's test with a significance level set at 5%. RESULTS In 2 years, the contraceptive prevalence in the postpartum was 26.1%. More than 2/3 of counseling (61%) was done during prenatal consultations, 8% during the latency phase, 26% in the immediate postpartum and 5% during the postnatal visit. The most chosen methods were implants (47.1%), intrauterine device (29.6%), miro-progestin pills (12.5%), injectable progestogens (8%) and condoms (3.2%). CONCLUSION Postpartum family planning contributes to increasing contraceptive prevalence.
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Affiliation(s)
- S Z Dao
- Centre de santé de référence de la commune II, Bamako, Mali
| | - B A Traoré
- Centre de santé de référence de la commune II, Bamako, Mali
| | - T Traoré
- Hôpital Nianankoro Fomba, Ségou, Mali
| | - S Konaté
- Centre de santé de référence de la commune II, Bamako, Mali
| | - E Togo
- Centre de santé de référence de la commune II, Bamako, Mali
| | - K Sidibé
- Hôpital Nianankoro Fomba, Ségou, Mali
| | - A Coulibaly
- Centre hospitalier Universitaire du Point G, Bamako, Mali
| | - C Sylla
- Centre hospitalier Universitaire Gabriel Touré, Bamako, Mali
| | - M Haïdara
- Centre de santé de référence de Kalaban-coro, Koulikoro, Mali
| | - A B Dembélé
- Centre de santé de référence de la commune II, Bamako, Mali
| | - Y Traoré
- Centre hospitalier Universitaire Gabriel Touré, Bamako, Mali
| | - A Dolo
- Polyclinique Pasteur, Bamako, Mali
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Dao SZ, Samaké TK, Traoré BA, Konaté S, Togo E, Sidibé K, Coulibaly A, Sylla C, Traoré T, Keita M, Kanté IO, Haïdara M, Sissoko H, Dembélé AB, Koné CS, Traoré Y, Dolo A. [Knowledge, attitudes and practices of Bamako media Men' on family planning]. Mali Med 2022; 37:65-70. [PMID: 38506211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 03/21/2024]
Abstract
INTRODUCTION Contraceptive prevalence is low in Mali. The information provided by the media men can help to increase or decrease the use of contraceptive methods. OBJECTIVE To study the knowledge, attitudes and practices of Bamako media Men on family planning. MATERIAL AND METHODS We carried out a descriptive cross-sectional study with prospective data collection from June 1 to August 30, 2019. It concerned journalists and presenters of 15 radio and 6 televisions in Bamako. RESULTS During the 3 months, 615 media Men agreed to participate in this study. These are men and women from 36 to 45 years old in 37.2% of cases, married in 81.3% of cases. The radio with 85.5% was their main source of information on family planning. They all knew at least one contraceptive method. The best-known methods were pills (94.3%), injectables (57%) and implants (49.1%). They were in favor of the practice of family planning in 77.2% of cases, 76.9% had already used a method and 56.7% had already hosted a program on family planning. CONCLUSION Media men are essential in the transmission of information. The quality of the information provided by these Media men can be influenced by their personal perceptions and attitudes. Their better involvement in the promotion of family planning can help to increase contraceptive prevalence.
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Affiliation(s)
- S Z Dao
- Centre de santé de référence de la commune II, Bamako, Mali
| | - T K Samaké
- Centre de santé de référence de la commune II, Bamako, Mali
| | - B A Traoré
- Centre de santé de référence de la commune II, Bamako, Mali
| | - S Konaté
- Centre de santé de référence de la commune II, Bamako, Mali
| | - E Togo
- Centre de santé de référence de la commune II, Bamako, Mali
| | - K Sidibé
- Hôpital Nianankoro Fomba, Ségou, Mali
| | - A Coulibaly
- Centre hospitalier universitaire du Point G, Bamako, Mali
| | - C Sylla
- Centre hospitalier universitaire Gabriel Touré, Bamako, Mali
| | - T Traoré
- Hôpital Nianankoro Fomba, Ségou, Mali
| | - M Keita
- Centre de santé de référence de la commune VI, Bamako, Mali
| | - I O Kanté
- Centre hospitalier universitaire du Point G, Bamako, Mali
| | - M Haïdara
- Centre de santé de référence de Kalaban-Coro, Koulikoro, Mali
| | - H Sissoko
- Centre de santé de référence de la commune III, Bamako, Mali
| | - A B Dembélé
- Centre de santé de référence de la commune III, Bamako, Mali
| | - C S Koné
- Centre de santé de référence de la commune II, Bamako, Mali
| | - Y Traoré
- Centre hospitalier universitaire Gabriel Touré, Bamako, Mali
| | - A Dolo
- Polyclinique Pasteur, Bamako, Mali
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Soumaré D, Ouattara K, Kanouté T, Gakou B, Baya B, Guindo I, Sidibe F, Sanogo FB, Bamba S, Koné D, Kamian Y, Oumarou Y, Dakouo AP, Coulibaly L, Koné S, Djigandé G, Coulibaly A, Toloba Y. [Community acute bacterial pneumonitis of the subject age in pulmonology at the Point-g hospital and university center, Bamako-Mali]. Mali Med 2022; 37:54-57. [PMID: 38514959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Abstract
INTRODUCTION Community-acquired acute bacterial pneumonia (ABP) is an acute, non-suppurative, non-tuberculosis lower respiratory infection of the lung parenchyma acquired within the community. They have an atypical clinical presentation and a poor prognosis in the elderly. MATERIALS AND METHODS This was a prospective cross-sectional study conducted in the Pneumology department of the University Hospital Center (CHU) of Point-G, from October 30, 2018 to September 30, 2019. The objective was to determine the clinical, etiological, therapeutic and progression of BAP in the elderly. Were included any age ≥ 65 years, presenting clinical and radiological signs of a PAB. RESULTS During the study period, 85 patients met the inclusion criteria out of 178 hospitalized. The sex ratio was 3/1. About 2/3 were smokers and 11% were HIV positive. Fever was not constant recorded in 51.76% of cases. Respiratory signs were dominated by cough (96.47%), dyspnea (94.11%) and extra respiratory by impaired consciousness. Klebsiella pneumoniae was the most found germ. The most commonly used antibiotic was amoxicillin-clavulanic acid. The average length of hospitalization was 9 days. Mortality was 19%. CONCLUSION The PAB in the elderly is of a frustrating clinical symptomatology. It is serious with excess mortality.
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Affiliation(s)
- D Soumaré
- Service de Pneumo-phtisiologie CHU Point-G
| | - K Ouattara
- Service de Pneumo-phtisiologie CHU Point-G
| | - T Kanouté
- Service de Pneumo-phtisiologie CHU Point-G
| | - B Gakou
- Centre de Santé Communautaire de Missira (Commune II du district de Bamako-Mali)
| | - B Baya
- Service de Pneumo-phtisiologie CHU Point-G
| | - I Guindo
- Service de Pneumo-phtisiologie CHU Point-G
| | - F Sidibe
- Service de Pneumo-phtisiologie CHU Point-G
| | - F B Sanogo
- Service de Pneumo-phtisiologie CHU Point-G
| | - S Bamba
- Service de Pneumo-phtisiologie CHU Point-G
| | - D Koné
- Service de Pneumo-phtisiologie CHU Point-G
| | - Y Kamian
- Service de Pneumo-phtisiologie CHU Point-G
| | - Y Oumarou
- Service de Pneumo-phtisiologie CHU Point-G
| | - A P Dakouo
- Service de Pneumo-phtisiologie CHU Point-G
| | | | - S Koné
- Service de Pneumo-phtisiologie CHU Point-G
| | - G Djigandé
- Service de Pneumo-phtisiologie CHU Point-G
| | | | - Y Toloba
- Service de Pneumo-phtisiologie CHU Point-G
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Bonnet E, Bodson O, Le Marcis F, Faye A, Sambieni NE, Fournet F, Boyer F, Coulibaly A, Kadio K, Diongue FB, Ridde V. The COVID-19 pandemic in francophone West Africa: from the first cases to responses in seven countries. BMC Public Health 2021; 21:1490. [PMID: 34340668 PMCID: PMC8327893 DOI: 10.1186/s12889-021-11529-7] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Accepted: 07/21/2021] [Indexed: 12/11/2022] Open
Abstract
Background In early March 2020, the COVID-19 pandemic hit West Africa. In response, countries in the region quickly set up crisis management committees and implemented drastic measures to stem the spread of the SARS-CoV-2 virus. The objective of this article is to analyse the epidemiological evolution of COVID-19 in seven Francophone West African countries (Benin, Burkina Faso, Côte d’Ivoire, Guinea, Mali, Niger, Senegal) as well as the public health measures decided upon during the first 7 months of the pandemic. Methods Our method is based on quantitative and qualitative data from the pooling of information from a COVID-19 data platform and collected by a network of interdisciplinary collaborators present in the seven countries. Descriptive and spatial analyses of quantitative epidemiological data, as well as content analyses of qualitative data on public measures and management committees were performed. Results Attack rates (October 2020) for COVID-19 have ranged from 20 per 100,000 inhabitants (Benin) to more than 94 per 100,000 inhabitants (Senegal). All these countries reacted quickly to the crisis, in some cases before the first reported infection, and implemented public measures in a relatively homogeneous manner. None of the countries implemented country-wide lockdowns, but some implemented partial or local containment measures. At the end of June 2020, countries began to lift certain restrictive measures, sometimes under pressure from the general population or from certain economic sectors. Conclusion Much research on COVID-19 remains to be conducted in West Africa to better understand the dynamics of the pandemic, and to further examine the state responses to ensure their appropriateness and adaptation to the national contexts. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-11529-7.
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Affiliation(s)
- E Bonnet
- Résiliences / PRODIG, French National Research Institute for Sustainable Development, 32 Avenue Henri Varagnat, 93140, Bondy, France
| | - O Bodson
- Faculty of Social Sciences, University of Liège, Place des Orateurs 3, 4000, Liège, Belgium
| | - F Le Marcis
- Triangle (UMR 5206), ENS de Lyon, TransVIHMI (UMI 233), French National Research Institute for Sustainable Development, Lyon, France
| | - A Faye
- Institut de Santé et Développement (ISED), Université Cheikh Anta Diop, Dakar, Senegal
| | - N E Sambieni
- Faculty of Letters, Arts and Human Sciences (FLASH) and Laboratoire de recherches sur les dynamiques sociales et le développement local (Lasdel), University of Parakou, Parakou, Benin
| | - F Fournet
- MIVEGEC (Univ Montpellier, IRD, CNRS), French National Research Institute for Sustainable Development, 911 Avenue Agropolis, BP 64501, 34394, Montpellier Cedex 5, France
| | - F Boyer
- Research Unit "Migration and Society", French National Research Institute for Sustainable Development, Associated with the Study and Research Group on Migration, Spaces and Societies, Abdou Moumouni University, Niamey, Niger
| | - A Coulibaly
- Faculty of Medicine and Odontostomatology, University of Sciences, Techniques and Technologies, Bamako, Mali
| | - K Kadio
- Institute for Health Science Research (IRSS), Ouagadougou, Burkina Faso.,Institute of Research for Development, Ouagadougou, Burkina Faso
| | - F B Diongue
- Institut de Santé et Développement (ISED), Université Cheikh Anta Diop, Dakar, Senegal
| | - V Ridde
- Centre Population et Développement (Ceped), IRD, French National Research Institute for Sustainable Development and Université de Paris, Inserm ERL 1244, 45 rue des Saints-Pères, 75006, Paris, France. .,Institut de Santé et Développement, Université Cheikh Anta Diop, Dakar, Senegal.
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Napo A, Aboubakar H, Sidibe M, Tounkara CFM, Konaté D, Nadio T, Coulibaly A, Togo M, Sidibe F, Boro A, Keita F, Sylla F, Traore L, Le Mer Y, Cochereau I, Nordmann JP. [Efficacy and tolerance of Latanoprost given as a first intention in the treatment of primitive open angle glaucoma in African melanoderm]. J Fr Ophtalmol 2021; 44:1223-1228. [PMID: 34281763 DOI: 10.1016/j.jfo.2021.01.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Revised: 12/24/2020] [Accepted: 01/04/2021] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To assess the reduction in IOP and ocular symptoms in patients newly diagnosed with POAG and treated with latanoprost as monotherapy. PATIENTS AND METHOD A multicentric, cross-sectional, descriptive study was conducted. We included adults newly diagnosed with POAG. All patients received one drop of preserved latanoprost 0.005% in each eye every night for 12 weeks. Changes in IOP and ophthalmic signs and symptoms were assessed during and at the end of treatment. RESULTS A total of 524 patients were included, with a participation rate of 93% at 12 weeks. The mean age was 52.79±17.33 years, and the sex ratio M/F was 1.39. At inclusion, the mean IOP was 21.68±9.72mmHg. After 2 weeks of treatment, the mean IOP was 15.49±5.81mmHg, for a reduction of 28.55%. After 12 weeks of treatment, the mean IOP was 13.16±3.54mmHg, for a reduction of 39.30%. The main symptom recorded was a gritty foreign body sensation, the frequency of which was 4.72% at W2 and 2.45% at W12. The main sign was hyperemia (4.33% at W2 and 1.84% at W12). CONCLUSION Latanoprost given as first-line monotherapy in POAG in blacks considerably reduces IOP. The incidence of side effects remains low; it is higher at the start of treatment.
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Affiliation(s)
- A Napo
- IOTA, université des sciences, des techniques et des technologies de Bamako, Bamako, Mali.
| | - H Aboubakar
- Faculté de médecine et des sciences pharmaceutiques, université de Douala, Douala, Cameroun
| | - M Sidibe
- IOTA, université des sciences, des techniques et des technologies de Bamako, Bamako, Mali
| | - C F M Tounkara
- Centre de Santé de Référence de la Commune III et de la Commune IV
| | - D Konaté
- IOTA, université des sciences, des techniques et des technologies de Bamako, Bamako, Mali
| | - T Nadio
- Centre de Santé de Référence de la Commune III et de la Commune IV
| | - A Coulibaly
- IOTA, université des sciences, des techniques et des technologies de Bamako, Bamako, Mali
| | - M Togo
- IOTA, université des sciences, des techniques et des technologies de Bamako, Bamako, Mali
| | - F Sidibe
- IOTA, université des sciences, des techniques et des technologies de Bamako, Bamako, Mali
| | - A Boro
- IOTA, université des sciences, des techniques et des technologies de Bamako, Bamako, Mali
| | - F Keita
- IOTA, université des sciences, des techniques et des technologies de Bamako, Bamako, Mali
| | - F Sylla
- IOTA, université des sciences, des techniques et des technologies de Bamako, Bamako, Mali
| | - L Traore
- IOTA, université des sciences, des techniques et des technologies de Bamako, Bamako, Mali
| | - Y Le Mer
- Fondation ophtalmologique Adolphe-Rothschild, Paris, France
| | - I Cochereau
- Fondation ophtalmologique Adolphe-Rothschild, Paris, France
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Traore H, Sogodogo E, Coulibaly A, Toure A, Thiocary S, Sidibé M, Timbiné L, Sangaré A, Traoré B, Ouedraogo J, Sogodogo D, Kouriba B. Case report: a rare case of NOMA (cancrum oris) in a Malian woman. New Microbes New Infect 2021; 42:100907. [PMID: 34188939 PMCID: PMC8219893 DOI: 10.1016/j.nmni.2021.100907] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 05/12/2021] [Accepted: 05/17/2021] [Indexed: 11/05/2022] Open
Abstract
Noma or cancrum oris is a multi-bacterial and opportunistic infection that destroys soft tissue, as well as muscle and bone, and can be fatal. We present a rare case of Noma in a 32-year-old Malian woman, from whom we isolated an Escherichia coli extended-spectrum beta-lactamase.
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Affiliation(s)
- H. Traore
- Centre National d’Odonto-Stomatologie (CNOS), Bamako, Mali
| | - E. Sogodogo
- Centre d'infectiologie Charles-Mérieux (CICM), Bamako, Mali
| | - A. Coulibaly
- Centre National d’Odonto-Stomatologie (CNOS), Bamako, Mali
| | - A. Toure
- Centre National d’Odonto-Stomatologie (CNOS), Bamako, Mali
| | - S. Thiocary
- Centre National d’Odonto-Stomatologie (CNOS), Bamako, Mali
| | - M.D. Sidibé
- Centre National d’Odonto-Stomatologie (CNOS), Bamako, Mali
| | - L.G. Timbiné
- Centre d'infectiologie Charles-Mérieux (CICM), Bamako, Mali
| | - A.K. Sangaré
- Centre d'infectiologie Charles-Mérieux (CICM), Bamako, Mali
| | - B.Y. Traoré
- Centre d'infectiologie Charles-Mérieux (CICM), Bamako, Mali
| | - J. Ouedraogo
- Centre d'infectiologie Charles-Mérieux (CICM), Bamako, Mali
| | - D. Sogodogo
- Centre Hospitalier Mère-enfant - Le Luxembourg, Bamako, Mali
| | - B. Kouriba
- Centre d'infectiologie Charles-Mérieux (CICM), Bamako, Mali
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10
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Dramé HB, Diallo D, Coulibaly G, Kone M, Diallo F, Diarra HB, Coulibaly A, Camara F, Diakité MT, Dégoga B, Traoré FG, Somboro A, Dolo O, Denou L, Koné K, Coulibaly M, Togo A, Togo J, Somboro AM, Sanogo M, Bane S, Diallo M, Guindo I, Koné A, Tolofoudié M, Sarro Y, Toloba Y, Dao S, Diakité M, Diarra B, Doumbia S. [Contribution of the University Clinical Research Center's laboratoryin the diagnosis of SARS-CoV-2 in Mali]. Mali Med 2021; 36:14-18. [PMID: 37973586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
INTRODUCTION The rapid diagnostic capacities of laboratories in Mali have been an essential element in the response to COVID-19. The University Clinical Research center (UCRC) diagnosed the first cases of Mali COVID-19. OBJECTIVE The objective was to describe the contribution of the UCRC in the diagnosis of Covid-19 and to clinically and epidemiologically characterize the patients tested in the UCRC laboratory. MATERIALS AND METHODS A cross-sectional study was conducted during eight months of intense activity. The samples were sent from the National Institute of Public Health (INSP) to the UCRC. RESULTS The UCRC tested 12,406 contacts and suspected samples and confirmed the diagnosis in 1091 patients, or 9%. The most common symptoms were cough (48.78%), headache (34.14%), fatigue / weakness (34.14%), while (33.33%) of the patients were asymptomatic. The sample positivity rate among new cases decreased from May to September 2020, despite almost 230% of the number of samples tested. CONCLUSION The laboratory played a major role in the response and there may be a low transmission of the virus in the Malian community.
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Affiliation(s)
- H B Dramé
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - D Diallo
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - G Coulibaly
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - M Kone
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - F Diallo
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - H B Diarra
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - A Coulibaly
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - F Camara
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - M T Diakité
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - B Dégoga
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - F G Traoré
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - A Somboro
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - O Dolo
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - L Denou
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - K Koné
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - M Coulibaly
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - Acg Togo
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - J Togo
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - A M Somboro
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - M Sanogo
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - S Bane
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - M Diallo
- Département de Laboratoire et de Recherche Biomédicale, Institut National de Santé Publique (INSP), Ministère de la Santé et des Affaires Sociales, Bamako, Mali
| | - I Guindo
- Département de Laboratoire et de Recherche Biomédicale, Institut National de Santé Publique (INSP), Ministère de la Santé et des Affaires Sociales, Bamako, Mali
| | - A Koné
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - M Tolofoudié
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - Yds Sarro
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - Y Toloba
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - S Dao
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - M Diakité
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - B Diarra
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
| | - S Doumbia
- Centre Universitaire de Recherche Clinique (UCRC), Université des Sciences, des Techniques, et des Technologies de Bamako (USTTB), Bamako, Mali
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11
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Sylla C, Dao SZ, Dembélé S, Sylla M, Traoré BA, Coulibaly A, Kanté I, Traoré MS, Sima M, Sidibé K, Traoré SO, Koné S, Bocoum A, Théra A, Touré M, Traoré Y, Mounkoro N. [Epidemiology and prognosis of eclampsia in Bougouni]. Mali Med 2021; 36:49-51. [PMID: 37973573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
OBJECTIVES The objectives were to describe the epidemiological and prognostic aspects of eclampsia in the Bougouni reference health center. METHODS This was a transversal prospective, descriptive study from January 1 to December 31, 2015 in the gynecology-obstetrics department of Bougouni reference health center. Were included, all pregnant or postpartum women diagnosed with eclampsia during the study period. RESULTS The frequency of eclampsia was 2.54%. They were adolescent girls in 50% of cases, primigest in 62.5% of cases, unschooled in 67.5% of cases, having not performed any antenatal care in 70% of cases. Eclampsia occurred in antepartum in 37.5% of cases, in 5% in perpartum and in 57.5% in postpartum. Therapeutically, nicardipine with 72.5% and nifedipine with 22.5% were the antihypertensive drugs used. As for anticonvulsants, magnesium sulfate (MgSO4) was used in 92.5% and diazepam in 7.5%. The maternal-fetal prognosis was marked by 2.5% of maternal death, 27% of prematurity and 27.5% of fetal death in utero. CONCLUSION Eclampsia is a dreadful pathology with serious maternal and fetal complications.
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Affiliation(s)
- C Sylla
- Centre de santé de référence de Bougouni
| | - S Z Dao
- Centre de santé de référence de la commune II
| | | | - M Sylla
- Centre de santé de référence de Bougouni
| | - B A Traoré
- Centre de santé de référence de la commune II
| | | | - I Kanté
- Centre hospitalo-universitaire du Point G
| | - M S Traoré
- Centre hospitalo-universitaire du Point G
| | - M Sima
- Centre hospitalo-universitaire du Point G
| | - K Sidibé
- Hôpital Nianankoro Fomba de Ségou
| | - S O Traoré
- Centre de santé de référence de la commune V
| | - S Koné
- Centre de santé de référence de Bougouni
| | - A Bocoum
- Centre hospitalo-universitaire Gabriel Touré
| | - A Théra
- Centre hospitalo-universitaire du Point G
| | | | - Y Traoré
- Centre hospitalo-universitaire Gabriel Touré
| | - N Mounkoro
- Centre hospitalo-universitaire Gabriel Touré
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12
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Steinhauff D, Ellwanger JH, Lewinska M, Sanganyado E, Ji Y, Karawdeniya BI, Bochatay N, Moore EB, Coulibaly A, Ibrahim S, Jansen DS, James JI, Cole DM, Lipkin A, Adamowicz BM, Cohen CM, Fatehi S, Holmstrom MH, Li R. NextGen advises "Trying to Manage". Science 2020; 366:28-30. [PMID: 31604289 DOI: 10.1126/science.aaz5828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- Douglas Steinhauff
- Department of Biomedical Engineering, University of Utah, Salt Lake City, UT 84112, USA.
| | - Joel Henrique Ellwanger
- Department of Genetics, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, 91501-970, Brazil.
| | - Monika Lewinska
- Biotech Research and Innovation Centre, Faculty of Medicine, University of Copenhagen, Copenhagen, 2200, Denmark.
| | - Edmond Sanganyado
- Marine Biology Institute, Shantou University, Shantou, Guangdong, 515063, China
| | - Yongsheng Ji
- Department of Human Parasitology, Anhui Medical University, Hefei, Anhui, 230032, China.
| | | | - Naike Bochatay
- Department of Pediatrics, Division of Pediatric Critical Care, University of California, San Francisco, San Francisco, CA 94143, USA
| | - Eric Britt Moore
- Department of Agronomy, Iowa State University, Ames, IA 50011, USA.
| | - Aminata Coulibaly
- Departments of Neurology and Neuroscience, University of Virginia, Charlottesville, VA 22908, USA
| | - Shaima Ibrahim
- Department of Chemistry, The American University in Cairo, Cairo, 11321, Egypt.
| | - Déna Skye Jansen
- Department of Environmental & Geographical Science, University of Cape Town, Cape Town, Western Cape, 7700, South Africa.
| | - Joshua I James
- Legal Informatics and Forensic Science Institute, Hallym University, Chuncheon, Gangwon, 24252, South Korea.
| | - David M Cole
- Interdisciplinary Program in Neuroscience, Utah State University, Logan, UT 84322-7000, USA.
| | - Anna Lipkin
- Department of Neuroscience, University of California, San Francisco, San Francisco, CA 94158, USA
| | - Beth McKinnon Adamowicz
- Department of Genetics, Cell Biology, and Development, University of Minnesota, Minneapolis, MN 55455, USA
| | - Carl M Cohen
- Science Management Associates, Newton, MA 02458, USA
| | - Shervin Fatehi
- Department of Chemistry, The University of Texas, Rio Grande Valley, Edinburg, TX 78539-2909, USA.
| | - Maria Helena Holmstrom
- Department of Neuroscience, Gothenburg University, KlinKem, Sahlgrenska Akademin, GU, Gothenburg, 40530, Sweden.
| | - Rosa Li
- Duke Institute for Brain Sciences, Duke University, Durham, NC 27710, USA
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13
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Dao SZ, Traoré BA, Sidibé K, Konaté S, Ouattara K, Keita C, Bah K, Coulibaly A, Sima M, Traoré MS, Kanté I, Diarra I, Traoré Y, Sy AS, Dolo AI. [Spontaneous triple pregnancy on bicicatricial uterus in the referral health center of commune II of Bamako, Mali]. Mali Med 2020; 35:77-78. [PMID: 37978736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
The trimellar pregnancy on bicicatricial uterus is a rare situation. It can be associated with many maternal-fetal complications. Given these risks, some teams opt for an embryonic reduction. We report a case of spontaneous trimellar pregnancy on bicicatricial uterus. This was a 38 year-old patient, third pregnancy, second birth, 2 alive with a history of 2 caesareans. The evolution of the pregnancy was marked by a urinary tract infection at 34 weeks of gestation. The caesarean section performed at 36 weeks of gestation allowed the birth of 3 newborns, 2 of which were females in 2000 and 1900 grams, and one male weighing 2400 grams. The postpartum was marked by a rapidly resolved eclampsia crisis.
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Affiliation(s)
- S Z Dao
- Centre de santé de référence de la commune II, Bamako, Mali
| | - B A Traoré
- Centre de santé de référence de la commune II, Bamako, Mali
| | - K Sidibé
- Centre de santé de référence de la commune II, Bamako, Mali
| | - S Konaté
- Centre de santé de référence de la commune II, Bamako, Mali
| | - K Ouattara
- Centre de santé de référence de la commune II, Bamako, Mali
| | - C Keita
- Centre de santé de référence de la commune II, Bamako, Mali
| | - K Bah
- Centre de santé de référence de la commune II, Bamako, Mali
| | - A Coulibaly
- Centre hospitalo-universitaire du Point G, Bamako, Mali
| | - M Sima
- Centre hospitalo-universitaire du Point G, Bamako, Mali
| | - M S Traoré
- Centre hospitalo-universitaire du Point G, Bamako, Mali
| | - I Kanté
- Centre hospitalo-universitaire du Point G, Bamako, Mali
| | - I Diarra
- Centre de santé de référence de Mopti, Mali
| | - Y Traoré
- Centre hospitalo-universitaire Gabriel Touré, Bamako, Mali
| | - A S Sy
- Centre de santé de référence de la commune II, Bamako, Mali
| | - A I Dolo
- Centre hospitalo-universitaire Gabriel Touré, Bamako, Mali
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14
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Sylla C, Dao SZ, Dembele S, Sylla M, Traoré BA, Coulibaly A, Kanté I, Traoré MS, Sima M, Sidibé K, Traoré SO, Guindo S, Diarra I, Bocoum A, Traoré Y, Mounkoro N. [Materno-Fetal Prognosis Of Anemia In Bougouni]. Mali Med 2020; 35:39-41. [PMID: 37978745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
GOAL The goal was to assess the maternal-fetal prognosis of anemia in pregnant women in the Bougouni reference health center. METHODS We carried out a prospective descriptive and analytical cross-sectional study from January 1 to December 31, 2013 at the Bougouni reference health center. It covered all pregnant women with a hemoglobin level below 11g/dl regardless of the outcome of the pregnancy. RESULTS The prevalence of anemia in pregnant women was 33.2%. They were women married to peasants in 88.6% of cases, unschooled in 93.2% of cases, having not done antenal care in 56.8% of cases. Malaria was the most common etiology in 75% of cases. Anemia was severe in 61.4% of cases. The maternal-fetal prognosis was dominated by 3.3% of maternal death, 12.5% of abortion, 7.6% of prematurity and 6.8% of fetal death in utero. CONCLUSION Anemia in pregnant women is the source of many maternal-fetal complications.
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Affiliation(s)
- C Sylla
- Centre de santé de référence de Bougouni
| | - S Z Dao
- Centre de santé de référence de la commune II
| | | | - M Sylla
- Centre de santé de référence de Bougouni
| | - B A Traoré
- Centre de santé de référence de la commune II
| | | | - I Kanté
- Centre hospitalo-universitaire du Point G
| | - M S Traoré
- Centre hospitalo-universitaire du Point G
| | - M Sima
- Centre hospitalo-universitaire du Point G
| | - K Sidibé
- Hôpital Nianankoro Fomba de Ségou
| | - S O Traoré
- Centre de santé de référence de la commune V
| | - S Guindo
- Centre de santé de référence de Bougouni
| | - I Diarra
- Centre hospitalo-universitaire le Luxemburg
| | - A Bocoum
- Centre hospitalo-universitaire Gabriel Touré
| | - Y Traoré
- Centre hospitalo-universitaire Gabriel Touré
| | - N Mounkoro
- Centre hospitalo-universitaire Gabriel Touré
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15
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Dao SZ, Traoré BA, Sidibé K, Konaté S, Togo E, Traoré E, Sima M, Coulibaly A, Traoré MS, Kanté I, Diarra I, Traoré Y, Sy AS, Dolo AI. [Pregnancy And Delivery In The Large Multiparous In The Reference Health Center Of Commune II Of Bamako, Mali]. Mali Med 2020; 35:23-26. [PMID: 37978748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
AIM The aim was to compare the maternal-fetal prognosis of pregnancies in large multiparous with that of other parities. MATERIALS AND METHODS We conducted a case-control study from March 1st, 2014 to February 1st, 2015. It concerned all parturients admitted in our service during the study period. We have chosen 1 case for 2 witnesses. All the large multiparous were included as cases and as witnesses the primiparous, the pauciparous and the multiparous who gave birth just before and after the case. The statistical test was the Chi2 with a significance level at 5%. RESULTS The frequency of pregnancy in the large multiparous was 4.93%. They were housewives in 84% of cases, unschooled in 74.7% of cases. The maternal-fetal outcome was dominated by uterine rupture in 0.6% of cases, immediate postpartum hemorrhage in 9.8% of cases, vicious presentations in 5.5% of cases and cord prolapse in 6.8% of cases. CONCLUSION Large multiparity is common in our practice. It is a high-risk pregnancy because of its many maternal-fetal complications.
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Affiliation(s)
- S Z Dao
- Service de gynécologie obstétrique du centre de santé de référence de la commune II de Bamako, Mali
| | - B A Traoré
- Service de gynécologie obstétrique du centre de santé de référence de la commune II de Bamako, Mali
| | - K Sidibé
- Service de gynécologie obstétrique du centre de santé de référence de la commune II de Bamako, Mali
| | - S Konaté
- Service de gynécologie obstétrique du centre de santé de référence de la commune II de Bamako, Mali
| | - E Togo
- Service de gynécologie obstétrique du centre de santé de référence de la commune II de Bamako, Mali
| | - Eco Traoré
- Service de gynécologie obstétrique du centre de santé de référence de la commune II de Bamako, Mali
| | - M Sima
- Service de gynécologie obstétrique du CHU du Point G de Bamako, Mali
| | - A Coulibaly
- Service de gynécologie obstétrique du CHU du Point G de Bamako, Mali
| | - M S Traoré
- Service de gynécologie obstétrique du CHU du Point G de Bamako, Mali
| | - I Kanté
- Service de gynécologie obstétrique du CHU du Point G de Bamako, Mali
| | - I Diarra
- Centre de santé de référence de Mopti, Mali
| | - Y Traoré
- Service de gynécologie obstétrique du CHU Gabriel Touré de Bamako, Mali
| | - A S Sy
- Service de gynécologie obstétrique du centre de santé de référence de la commune II de Bamako, Mali
| | - A I Dolo
- Service de gynécologie obstétrique du CHU Gabriel Touré de Bamako, Mali
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16
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Ngatchou W, Kamdem F, Lemogoum D, Ewane DF, Doualla MS, Jansens JL, Sango J, Origer P, Hacquebard JJ, Berre J, de Cannière D, Alima MB, Dzudie A, Ngote H, Mouliom S, Hentchoua R, Kana A, Coulibaly A, Jingi AM, Mfeukeu-Kuaté L, Priso EB, Luma H, Ménanga AP, Kingue S. Late mortality after cardiac interventions over 10-year period in two Cameroonian government-owned hospitals. Cardiovasc Diagn Ther 2019; 9:43-49. [PMID: 30881876 DOI: 10.21037/cdt.2018.11.10] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Background Cardiac surgery is a growing activity in Sub-Saharan Africa, however, data related to long-term mortality are scarce. We aimed to analyze outcome data of cardiac interventions in two hospitals in Cameroon over 10 years' period. Methods we conducted a retrospective analytical and descriptive study at the Douala General Hospital and Yaoundé General Hospital. All patients operated between January 2007 and December 2017, or their families were contacted by phone between January and April 2018 for a free of charges medical examination. Results Of a total of 98 patients operated during the study period, 8 (8.2%) were lost to follow-up. Finally, 90 patients [49 (54.4%) women and 41 (45.6%)] men were included. The mean age was 49±22 years (range, 13-89 years). The surgical indications were valvular heart diseases in 37 (41.1%) cases, congenital heart diseases in 11 (12.2%) cases, chronic constrictive pericarditis in 4 (4.4%) cases, and intra cardiac tumor in 1 (1.1%) case. Valve replacement was the most common type of surgery carried out in 37 (41.1%) cases-mostly with mechanical prosthesis. Pacemaker-mostly dual-chambers were implanted in 36 (40.0%) patients. The median follow-up was 26 months. The overall late mortality was 5.7%, and the overall survival rates at 5 and 10 years were 95.5% and 94.4% respectively. The overall survival rates at 5 and 10 years for mechanical valve prosthesis were 93.3% and 90% respectively. The survival at 10 years was 100% for patients with bioprosthesis. The survival rates at 10 years were 94.1% and 100% respectively for dual and single chamber pacemaker. Conclusions Long-term outcome of cardiac surgery in hospitals in Cameroon are acceptable with low mortality rate. However, outcome metrics beyond mortality should be implemented for a prospective data collection.
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Affiliation(s)
- William Ngatchou
- Faculty of Medicine and Pharmaceutical Sciences of Douala, Douala, Cameroon
| | - Félicité Kamdem
- Faculty of Medicine and Pharmaceutical Sciences of Douala, Douala, Cameroon.,Internal Medicine Department, Douala General Hospital, Douala, Cameroon
| | - Daniel Lemogoum
- Faculty of Medicine and Pharmaceutical Sciences of Douala, Douala, Cameroon
| | | | - Marie Solange Doualla
- Faculty of Medicine and Pharmaceutical Sciences of Douala, Douala, Cameroon.,Internal Medicine Department, Douala General Hospital, Douala, Cameroon
| | - Jean Luc Jansens
- Department of Cardiac Surgery, Erasme Hospital of Brussels, ULB, Belgium
| | - Joseph Sango
- Faculty of Medicine and Pharmaceutical Sciences of Douala, Douala, Cameroon
| | - Pierre Origer
- Department of Anesthesiology, St Pierre Hospital of Brussels, ULB, Belgium
| | | | - Jacques Berre
- Department of Cardiac Surgery, Erasme Hospital of Brussels, ULB, Belgium
| | | | | | - Anastase Dzudie
- Internal Medicine Department, Douala General Hospital, Douala, Cameroon
| | - Henry Ngote
- Internal Medicine Department, Douala General Hospital, Douala, Cameroon
| | - Sidiki Mouliom
- Internal Medicine Department, Douala General Hospital, Douala, Cameroon
| | - Romuald Hentchoua
- Anesthesiology and Intensive Care Units, Douala General Hospital, Douala, Cameroon
| | - Albert Kana
- Anesthesiology and Intensive Care Units, Douala General Hospital, Douala, Cameroon
| | - Aminata Coulibaly
- Anesthesiology and Intensive Care Units, Douala General Hospital, Douala, Cameroon
| | - Ahmadou M Jingi
- Faculty of Medicine and Biomedical Sciences of Yaoundé, Yaoundé, Cameroon
| | | | | | - Henry Luma
- Faculty of Medicine and Biomedical Sciences of Yaoundé, Yaoundé, Cameroon
| | | | - Samuel Kingue
- Department of Cardiology, Yaoundé General Hospital, Yaoundé, Cameroon
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17
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Maiga B, Sacko K, Cissouma A, Dembélé A, Cissé M, Diakité AA, Diall H, Touré A, Togo P, Doumbia AK, Coulibaly O, Doumbia A, Coulibaly A, Konaté D, Koné I, DickoTraoré F. [Caracteristics Of Severe Malaria In Child From 0 To 5 Years At The Hospital Of Sikasso In Mali]. Mali Med 2019; 34:1-5. [PMID: 35897226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
UNLABELLED In Mali, malaria is a major public health problem. The region of Sikasso is classified according to the geo-climatic facies as a zone with a long seasonal transmission of malaria greater than 6 months. OBJECTIVE To describe the epidemiological, clinical and therapeutic characteristics of children aged 0- 5 years hospitalized for severe malaria in the pediatric ward of the Sikasso hospital. Variables analyzed were epidemiological, clinical, paraclinical, therapeutic and evolutionary. PATIENTS AND METHODS This is a retrospective, 12-month (January-December 2014) cross-sectional study of all 0-5-year-olds hospitalized for severe malaria at the Sikasso Regional Hospital. RESULTS The hospital frequency of severe malaria was 55.82%. The age group of 12-35 months was the most concerned (45.3%). The peak frequency was in August (21.2%). Anemic, mixed (anemia and neurological) and neurological forms were the most frequent. Artemether and quinine were the antimalarials used. The use of a blood transfusion was frequent (82.8%). The lethality was 10% and the mixed form (anemia and neurology) was the most lethal ((P<10-6). CONCLUSION Malaria remains a national concern in Mali. Improving the quality of care and prevention must be a priority to reduce the lethality that remains high.
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Dao SZ, Konaté S, Traoré BA, Sidibé K, Samaké GM, Bocoum A, Coulibaly A, Traoré MS, Ongoiba I, Sima M, Kanté I, Diarra I, Fané S, Traoré Y, Sy AS, Dolo A. [Pregnancy and delivery for women aged 40 years and over at the reference health center of commune II of Bamako district, Mali]. Mali Med 2019; 34:12-16. [PMID: 35897213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
GOAL The aim of this study was to compare the maternal-fetal prognosis of pregnancies at 40 years of age and above with that of pregnancies obtained before 40 years of age in the obstetric gynecology department of the reference health center of commune II of Bamako district. MATERIALS AND METHODS This was a prospective cohort study that was conducted at the maternity ward of Reference Health Center of Commune II of Bamako district from 1st January to 31 December 2012. Were included in our study as patients exposed, all the pregnant women of 40 years and over and as unexposed patients, pregnant women aged 20-39 who gave birth in our service. Teenage pregnancies were not included in this study. The statistical tests used were Pearson's Khi2 and Fisher's test with a significance level of 5%. RESULTS The frequency of pregnancy among women aged 40 and over was 1.68%. These were large multiparas unschooled patients in 60% of cases, with hypertension in 6.7% of cases. Pregnancy in her patients was associated with a high rate of caesarean section in 16.7% of cases, term overrun in 6.7% of cases, seat presentation in 6.7% of cases, macrosomia in 6.7% of cases and fetal malformation in 1.7% of cases. CONCLUSION Slight account of its many maternal-fetal complications, pregnancies in women 40 years and older deserve special attention.
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Affiliation(s)
- S Z Dao
- Service de gynécologie obstétrique du centre de santé de référence de la commune II de Bamako, Mali
| | - S Konaté
- Service de gynécologie obstétrique du centre de santé de référence de la commune II de Bamako, Mali
| | - B A Traoré
- Service de gynécologie obstétrique du centre de santé de référence de la commune II de Bamako, Mali
| | - K Sidibé
- Service de gynécologie obstétrique du centre de santé de référence de la commune II de Bamako, Mali
| | - G M Samaké
- Service de gynécologie obstétrique du centre de santé de référence de la commune II de Bamako, Mali
| | - A Bocoum
- Service de gynécologie obstétrique du CHU Gabriel TOURE de Bamako, Mali
| | - A Coulibaly
- Service de gynécologie obstétrique du CHU du Point G de Bamako, Mali
| | - M S Traoré
- Service de gynécologie obstétrique du CHU du Point G de Bamako, Mali
| | - I Ongoiba
- Service de gynécologie obstétrique du CHU du Point G de Bamako, Mali
| | - M Sima
- Service de gynécologie obstétrique du CHU du Point G de Bamako, Mali
| | - I Kanté
- Service de gynécologie obstétrique du CHU du Point G de Bamako, Mali
| | - I Diarra
- Centre de santé de référence de Mopti, Mali
| | - S Fané
- Service de gynécologie obstétrique du CHU Gabriel TOURE de Bamako, Mali
| | - Y Traoré
- Service de gynécologie obstétrique du CHU Gabriel TOURE de Bamako, Mali
| | - A S Sy
- Service de gynécologie obstétrique du centre de santé de référence de la commune II de Bamako, Mali
| | - A Dolo
- Service de gynécologie obstétrique du CHU Gabriel TOURE de Bamako, Mali
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Halle MPE, Chipekam NM, Beyiha G, Fouda H, Coulibaly A, Hentchoya R, Kaze FF, Luma NH, Ashuntantang G. Incidence, characteristics and prognosis of acute kidney injury in Cameroon: a prospective study at the Douala General Hospital. Ren Fail 2018; 40:30-37. [PMID: 29285953 PMCID: PMC6014289 DOI: 10.1080/0886022x.2017.1419970] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Objective: There are limited data on AKI in sub-Saharan Africa. We aim to determine the incidence, characteristics and prognosis of AKI in Cameroon. Patients and methods: A prospective study including all consenting acute admissions in the internal medicine and the ICU of a tertiary referral hospital in Cameroon from January 2015 to June 2016. Serum creatinine assay was done on admission, days 2 and 7 to diagnose AKI. For patients with AKI, serum creatinine was done on discharge, days 30, 60 and 90. AKI was defined according to the modified KDIGO 2012 criteria as an increase or decrease in serum creatinine of 3 mg/l or greater, or an increase of 50% or more from the reference value obtained at admission or the known baseline value. AKI severity was graded using KDIGO2012 criteria. Outcome measures were renal recovery, mortality and causes of death. Renal recovery was complete if serum creatinine between the first 90 days was less than baseline or reference, partial if less than diagnosis but not baseline or reference, no-recovery if creatinine did not decrease or if the patient remained on dialysis. Results: Of the 2402 patients included, 536 developed AKI giving a global incidence of 22.3% and annual incidence of 15 per 100 patients-years. Of the 536 patients with AKI, 43.3% were at stage 3, 54.7% were males, median age was 56 years. Pre-renal AKI (61.4%) and acute tubular necrosis (28.9%) were the most frequent forms. Main etiologies were sepsis (50.4%) and volume depletion (31.6%). Renal outcome was unknown in 34% of patients. Of the 354 patients with known renal function at 3 months, 84.2% recovered completely, 14.7% partially and 1.1% progressed to CKD. Global mortality rate was 36.9% mainly due to sepsis. Conclusions: AKI is frequent in our setting, mainly due to sepsis and hypovolemia. It carries a poor prognosis.
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Affiliation(s)
- Marie Patrice E Halle
- a Faculty of Medicine and Pharmaceutical Sciences , University of Douala , Douala , Cameroon.,b Department of Internal Medicine , Douala General Hospital , Douala , Cameroon
| | | | - Gérard Beyiha
- a Faculty of Medicine and Pharmaceutical Sciences , University of Douala , Douala , Cameroon.,c Intensive Care Unit , Douala General Hospital , Douala , Cameroon
| | - Hermine Fouda
- b Department of Internal Medicine , Douala General Hospital , Douala , Cameroon.,d Faculty of Medicine and Biomedical Sciences , University of Yaounde , Yaounde , Cameroon
| | | | | | - Folefack Francois Kaze
- d Faculty of Medicine and Biomedical Sciences , University of Yaounde , Yaounde , Cameroon
| | - Namme Henry Luma
- b Department of Internal Medicine , Douala General Hospital , Douala , Cameroon.,d Faculty of Medicine and Biomedical Sciences , University of Yaounde , Yaounde , Cameroon
| | - Gloria Ashuntantang
- b Department of Internal Medicine , Douala General Hospital , Douala , Cameroon.,d Faculty of Medicine and Biomedical Sciences , University of Yaounde , Yaounde , Cameroon
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Gannon SM, Hawk K, Walsh BF, Coulibaly A, Isaacson LG. Retrograde influences of SCG axotomy on uninjured preganglionic neurons. Brain Res 2018; 1691:44-54. [PMID: 29679543 DOI: 10.1016/j.brainres.2018.04.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Revised: 04/06/2018] [Accepted: 04/13/2018] [Indexed: 10/17/2022]
Abstract
There is evidence that neuronal injury can affect uninjured neurons in the same neural circuit. The overall goal of this study was to understand the effects of peripheral nerve injury on uninjured neurons located in the central nervous system (CNS). As a model, we examined whether axotomy (transection of postganglionic axons) of the superior cervical ganglion (SCG) affected the uninjured, preganglionic neurons that innervate the SCG. At 7 days post-injury a reduction in choline acetyltransferase (ChAT) and synaptophysin immunoreactivity in the SCG, both markers for preganglionic axons, was observed, and this reduction persisted at 8 and 12 weeks post-injury. No changes were observed in the number or size of the parent cell bodies in the intermediolateral cell column (IML) of the spinal cord, yet synaptic input to the IML neurons was decreased at both 8 and 12 weeks post-injury. In order to understand the mechanisms underlying these changes, protein levels of brain-derived neurotrophic factor (BDNF) and tyrosine receptor kinase B (TrkB) were examined and reductions were observed at 7 days post-injury in both the SCG and spinal cord. Taken together these results suggest that axotomy of the SCG led to reduced BDNF in the SCG and spinal cord, which in turn influenced ChAT and synaptophysin expression in the SCG and also contributed to the altered synaptic input to the IML neurons. More generally these findings provide evidence that the effects of peripheral injury can cascade into the CNS and affect uninjured neurons.
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Affiliation(s)
- Sean M Gannon
- Center for Neuroscience and Behavior, Miami University, Oxford, OH 45056, United States; Department of Biology, Miami University, Oxford, OH 45056, United States
| | - Kiel Hawk
- Center for Neuroscience and Behavior, Miami University, Oxford, OH 45056, United States; Graduate Program in Cell, Molecular, and Structural Biology, Miami University, Oxford, OH 45056, United States
| | - Brian F Walsh
- Department of Biology, Miami University, Oxford, OH 45056, United States
| | - Aminata Coulibaly
- Center for Neuroscience and Behavior, Miami University, Oxford, OH 45056, United States; Graduate Program in Cell, Molecular, and Structural Biology, Miami University, Oxford, OH 45056, United States
| | - Lori G Isaacson
- Center for Neuroscience and Behavior, Miami University, Oxford, OH 45056, United States; Graduate Program in Cell, Molecular, and Structural Biology, Miami University, Oxford, OH 45056, United States; Department of Biology, Miami University, Oxford, OH 45056, United States.
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Sidibé BY, Dembélé BT, Bah A, Maiga A, Coulibaly A, Traoré A, Konaté M, Kelly B, Traoré AA, Koné T, Karembé B, Kanté L, Diakité I, Almeimoune AH, Togo A. [Bilio-Digestives Derivative In The Palliative Surgery Of Pancreatic Head Cancer At The CHU Gabriel TOURE]. Mali Med 2018; 33:29-32. [PMID: 35897198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
OBJECTIVES Our objective was to determine the frequency of bilio-digestive bypass in palliative surgery in pancreatic head cancers, to determine the clinical and para-clinical aspects and to analyze the results of the treatment. METHODS This was a-15 year retrospective study from 1999 to 2014 including any patient with confirmed pancreatic cancer in the anatomo-pathology treated by palliative surgery in the department. RESULTS In 15 years, we operated152 cases of cancer of the head of the pancreas. The bilio-digestive derivation was performed in 78 patients, or 51.32%. The average age was 58.61 years ± 11.22 years with the extremes of 34 and 79 years old, the sex ratio was 1.44. The disease duration was 4.88 months on average with a standard deviation of 4.28 months and extremes of 1 and 24 months. Courvoisier-Terrier's disease was observed in 76 cases with lesions of the cases. The average pancreatic tumor size was 62.98 mm, and standard deviation = 8.68 with the extremes of45 and 121 mm. We performed a choledoco-duodenal anastomosis and a gastro-entero-anastomosis (GEA) in 85.90% of cases (n = 67), a choledocojejunal anastomosis and a GEA in 7 cases and a choledoco-duodenal anastomosis without GEA in 4 cases. The morbidity and the mortality rates were15.4% and 6.41%, respectively. At six (6) months postsurgery, a complete disappearance the majority of the functional signs was observed. CONCLUSION Pancreatic cancer is a slowly developing tumor. Therefore its diagnosis is late; the derivation makes it possible to improve the quality of life of the patients.
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Affiliation(s)
- B Y Sidibé
- Département de chirurgie CHU Gabriel Touré de Bamako, Mali
| | - B T Dembélé
- Département de chirurgie CHU Gabriel Touré de Bamako, Mali
| | - A Bah
- Département de chirurgie CHU Gabriel Touré de Bamako, Mali
| | - A Maiga
- Département de chirurgie CHU Gabriel Touré de Bamako, Mali
| | - A Coulibaly
- Département de chirurgie CHU Gabriel Touré de Bamako, Mali
| | - A Traoré
- Département de chirurgie CHU Gabriel Touré de Bamako, Mali
| | - M Konaté
- Département de chirurgie CHU Gabriel Touré de Bamako, Mali
| | - B Kelly
- Département de chirurgie CHU Gabriel Touré de Bamako, Mali
| | - A A Traoré
- Département de chirurgie CHU Gabriel Touré de Bamako, Mali
| | - T Koné
- Département de chirurgie CHU Gabriel Touré de Bamako, Mali
| | - B Karembé
- Département de chirurgie CHU Gabriel Touré de Bamako, Mali
| | - L Kanté
- Département de chirurgie CHU Gabriel Touré de Bamako, Mali
| | - I Diakité
- Département de chirurgie CHU Gabriel Touré de Bamako, Mali
| | - A H Almeimoune
- Département d'anesthésie, de réanimation et de médecine d'urgence CHU Gabriel Touré
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Ba B, Keita K, Coulibaly A, Ba M, Touré A, Koita H, Kassambara A, Théra TD, Guindo M, Diallo M, Coulibaly DT, Diombana ML. [Maxillary ameloblastoma at the odonto-stomatology University Hospital in Bamako]. Mali Med 2017; 32:1-8. [PMID: 30079662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
INTRODUCTION The aim of this study was to determine the sociodemographic, therapeutic, pathological and clinical aspects of patients with maxillary ameloblastoma at the University Hospital of Odonto-Stomatology (CHU OS) of Bamako. MATERIALS AND METHOD We performed a retrospective and prospective study over three years (January 2007 - December 2010), examining cases of maxillary ameloblastoma, as confirmed by clinical, associated with radiology or anatomic pathology. Data was collected from medical records, then entered and analyzed using Epiinfo. RESULTS Tumor lesions were found in 55 men and 43 women with a sex ratio of 1.27. Housewives represented the majority of cases with 35.7%. Maxillary radiography was performed on 96% of patients and biopsy in 66.3% of cases. The most common anatomical location was mandibular in 89.80% of cases, with the preferred area being the mandibular symphysis in 34.7% of cases. Conservative surgery was performed in 50% of patients and radical surgery in 26.5% of cases. CONCLUSION This study has shown a high frequency of maxillary ameloblastoma, and the fundamental benefits of early treatment, in order to minimize recidivism.
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Affiliation(s)
- B Ba
- Service de Chirurgie Buccale CHU CNOS
- Faculté de Médecine et d'Odontostomatologie
| | - K Keita
- Service de Stomatologie et Chirurgie Maxillo-faciale du CHU CNOS
| | - A Coulibaly
- Service de Stomatologie et Chirurgie Maxillo-faciale du CHU CNOS
- Faculté de Médecine et d'Odontostomatologie
| | - M Ba
- Service de Chirurgie Buccale CHU CNOS
| | - A Touré
- Service de Stomatologie et Chirurgie Maxillo-faciale du CHU CNOS
- Faculté de Médecine et d'Odontostomatologie
| | - H Koita
- Service de Stomatologie et Chirurgie Maxillo-faciale du CHU CNOS
- Faculté de Médecine et d'Odontostomatologie
| | - A Kassambara
- Service de Stomatologie et Chirurgie Maxillo-faciale du CHU CNOS
- Faculté de Médecine et d'Odontostomatologie
| | - T D Théra
- Service de Stomatologie et Chirurgie Maxillo-faciale du CHU CNOS
| | - M Guindo
- Service de Radiologie CHU Gabriel TOURE
- Faculté de Médecine et d'Odontostomatologie
| | - M Diallo
- Service de Radiologie CHU Gabriel TOURE
- Faculté de Médecine et d'Odontostomatologie
| | - D T Coulibaly
- Service de Stomatologie et Chirurgie Maxillo-faciale du CHU CNOS
- Faculté de Médecine et d'Odontostomatologie
| | - M L Diombana
- Service de Stomatologie et Chirurgie Maxillo-faciale du CHU CNOS
- Faculté de Médecine et d'Odontostomatologie
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Konsem T, Millogo M, Ouedraogo YI, Ili V, Coulibaly A, Ouedraogo RWL, Ouedraogo D. [Epidemiology of maxillo-facial traumatism s sequels at stomatology and maxillo-facial surgery service of Yalgado Ouedraogo University Hospital Center]. Odontostomatol Trop 2016; 39:66-72. [PMID: 30240553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
INTRODUCTION Our study brings back the epidemiological and anatomo-clinical characteristics of the maxillo-facial traumatisms sequels at Yalgado Ouedraogo University Hospital Center of Ouagadougou. METHODOLOGY It was a transversal descriptive study going from May 2013 to April 2015. RESULTS AND DISCUSSION In all, 152 cases of post traumatisms sequels were collected. The masculine sex was more affected with a sex-ratio of 2,53. The mean age was 30,80 years. The public road accidents (73,68%) were the main etiology of initial lesions. The isolated functional and morphological sequels respectively represented 1/3 and 1/6 of cases. Half of patients had mixed sequels. The odontological sequels (41,45%), the disgracious scars (93,68%), the neurological sequels (15,79%), the ocular sequels (11,18%), and the temporo-mandibular ankylosis were the main sequels found in our study. These sequels could be explained by the nature of initial lesions and the lateness of consultations. CONCLUSION Development of population’s awareness and close interdisciplinary collaboration helped to reduce the frequency of these sequels.
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Coulibaly A, O’Brien H, Galibois I. Development of a Malian food exchange system based on local foods and dishes for the assessment of nutrient and food intake in type 2 diabetic subjects. South African Journal of Clinical Nutrition 2016. [DOI: 10.1080/16070658.2009.11734214] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Jakobs A, Uttarkar S, Schomburg C, Steinmann S, Coulibaly A, Schlenke P, Berdel WE, Müller-Tidow C, Schmidt TJ, Klempnauer KH. An isoform-specific C/EBPβ inhibitor targets acute myeloid leukemia cells. Leukemia 2016; 30:1612-5. [PMID: 26854027 DOI: 10.1038/leu.2016.16] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Affiliation(s)
- A Jakobs
- Institute for Biochemistry, Westfälische Wilhelms-Universität, Münster, Germany
| | - S Uttarkar
- Institute for Biochemistry, Westfälische Wilhelms-Universität, Münster, Germany
| | - C Schomburg
- Institute for Pharmaceutical Biology and Phytochemistry, Westfälische Wilhelms-Universität, Münster, Germany
| | - S Steinmann
- Institute for Biochemistry, Westfälische Wilhelms-Universität, Münster, Germany
| | - A Coulibaly
- Institute for Biochemistry, Westfälische Wilhelms-Universität, Münster, Germany
| | - P Schlenke
- Department of Blood Group Serology and Transfusion Medicine, Medical University Graz, Graz, Austria
| | - W E Berdel
- Department of Medicine A, Hematology and Oncology, Westfälische Wilhelms-Universität, Münster, Germany
| | - C Müller-Tidow
- Department of Medicine, Hematology and Oncology, University of Halle, Halle, Germany
| | - T J Schmidt
- Institute for Pharmaceutical Biology and Phytochemistry, Westfälische Wilhelms-Universität, Münster, Germany
| | - K-H Klempnauer
- Institute for Biochemistry, Westfälische Wilhelms-Universität, Münster, Germany
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Ngatchou W, Ngbwa Evina A, Halle MP, Massom A, Ekane S, Basile E, Origer P, Haquebard JP, Olinga Olinga A, Jansens JL, Watel A, Lecain A, Bol Alima M, Van Uytvanck A, Segers B, Haentjens L, Berre J, Bal O, Preumont N, Kana J, Kamdem F, Hentchoya R, Etori P, Ndofor B, Ngote H, Kasum A, Coulibaly A, Doualla MS, Luma H, Cogan E, Lebrun E, Gamela G, Germay O, Mouelle A, Belley Priso E, Dzudie A, Lemogoum D, Dehon P. Outcome of permanent vascular access for haemodialysis in patients with end-stage renal disease in Cameroon: results from the pilot experience of the Douala general hospital. Acta Chir Belg 2016; 116:36-40. [PMID: 27385139 DOI: 10.1080/00015458.2015.1136496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Background Chronic Kidney disease is a major health problem in the world. Native arteriovenous Fistula (AVF) is well established as the best vascular access for haemodialysis. Little is known about the outcome of AVF in sub-Saharan Africa. We aim to analyze the outcome of patients undergoing AVF creation during the pilot program established at the Douala general hospital (DGH). Method This was hospital-based, longitudinal study with a retrospective phase (April 2010-January 2014) and a prospective phase (January 2014-April 2014). All consecutive patients operated for AVF creation were included in this study. Socio-demographics data, functionality, and complications were analyzed. Results Eighty-one patients including 52 men were enrolled in this study (49 prospectively and 32 retrospectively). The mean age was 52, 3 years (range 18-81 years). Hypertension (66, 7%), diabetes (17, 3%), and HIV (8, 6%) were the most observed co-morbidities. About 96.3% of AVF were native and 3.7% were prosthetic graft. Radiocephalic AVF was performed at a rate of 77.8%. The primary function rate was 97.7% and the mean follow-up period 43.4 weeks. The overall rate of complications was 44.4% of whom 30.5% were early, 30.5% secondary, and 39% lasted. The treatment of these complications was conservative in 48.7% of cases. Conclusions The results of the pilot program of AVF creation at the DGH are encouraging. However, the sustainability of this project requires human capacity building.
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Diagne S, Coulibaly A, De Bertrand De Beuvron F. Complex product modeling based on a Multi-solution eXtended Conceptual Design Semantic Matrix for behavioral performance assessment. COMPUT IND 2016. [DOI: 10.1016/j.compind.2015.06.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Ake-Tano S, Mory G, Sablé P, Ekou F, Tetchi E, Konan Y, Kpebo D, Coulibaly A, Brou A, Kaudhjis R, Ake-Konan A, Dagnan N. P-506 – Facteurs associés aux pratiques alimentaires chez les nourrissons à Abidjan. Arch Pediatr 2015. [DOI: 10.1016/s0929-693x(15)30682-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Théra T, Kouma A, Touré M, Coulibaly A, Sima M, Ongoiba I, Sagara A, Maiga B. [Obstetrical complications of genital mutilation in Malian rural environment]. ACTA ACUST UNITED AC 2014; 44:276-9. [PMID: 24461341 DOI: 10.1016/j.jgyn.2013.12.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2013] [Revised: 11/24/2013] [Accepted: 12/04/2013] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To describe maternal and fetal complications during delivery of mutilated women. MATERIALS AND METHODS It was a case study, witnesses with matching going from February 1st, 2008 till January 31st, 2009 which took place in Mopti's region. We compared maternal and fetal complications of mutilated and non-mutilated women. Using statistical tests were Chi(2) (P<0.05), Odd-Ratio (OR) and its 95% confident interval (CI95%). RESULTS We recorded 410 deliveries among which 280 mutilated women (68%). One hundred and forty excised women were included. There is a significant difference between duration of eviction>30 mm (RC=8.27 [4.66-14.76], P<0.001); simple perennials lacerations (RC=14.54 [4.79-49.56], P<0.001) and full perennials lacerations (RC=8.90 [1.91-57.23], P<0.001) in the two groups. The scores of morbid Apgar (RC=9.70 [4.35-22,29], P<0.001) were more important in groups of cases. Moreover, we recorded 3 neonatal deaths and 4 complicated perennials lacerations in the group of cases only. CONCLUSION Maternal and fetal complications are significantly more important for the excised woman's than for the not excised women.
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Affiliation(s)
- T Théra
- Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali.
| | - A Kouma
- Service de gynécologie-obstétrique, CHU de Kati, Kati, Mali
| | - M Touré
- Service de gynécologie-obstétrique, hôpital du Mali, Bamako, Mali
| | - A Coulibaly
- Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali
| | - M Sima
- Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali
| | - I Ongoiba
- Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali
| | - A Sagara
- Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali; Service de gynécologie-obstétrique, CHU de Kati, Kati, Mali; Service de gynécologie-obstétrique, hôpital du Mali, Bamako, Mali
| | - B Maiga
- Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali
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Traoré Y, Ekra Kouadio D, Coulibaly D, Koutouan Mayet GG, Coulibaly A, Bénié Bi Vroh J. Riposte lors de l’épidémie de choléra en Côte d’Ivoire, 2012. Rev Epidemiol Sante Publique 2013. [DOI: 10.1016/j.respe.2013.07.674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Coulibaly A. M146 THE ENTRANCE IN THE CONTRACEPTION AND ITS IMPLICATIONS ON THE WOMEN'S CONTRACEPTIVE ITINERARY IN MALI. Int J Gynaecol Obstet 2012. [DOI: 10.1016/s0020-7292(12)61340-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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32
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Ravit M, Philibert A, Coulibaly A, Dumont A, Tourigny C, Fournier P. Analyse des dépenses des femmes césarisées dans la région de Kayes au Mali. Rev Epidemiol Sante Publique 2012. [DOI: 10.1016/j.respe.2012.06.347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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33
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Traoré M, Togo A, Traoré Y, Dembélé BT, Diakité I, Traoré SO, Traoré OM, Coulibaly A, Keita SI, Diabaté A. [Hysterectomy: indications and advantages of the vaginal route in Mali]. Med Trop (Mars) 2011; 71:636-637. [PMID: 22393643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The purpose of this report was to determine the frequency of hysterectomy and describe its indications and outcomes. A retrospective, descriptive study related to active hysterectomy of was conducted at the reference health centre of commune V in Bamako, Mali from January 1st, 2004 to December 31st, 2008. All hysterectomy patients with complete medical files were included. A total of 172 files were identified including 152 that were complete. Hysterectomy accounted for 1.38% of all interventions during the study period. The procedure was carried out in emergency in 0.14% and electively in 13.39%. Mean patient age was 47.9 +/- 11.7 years; 89 patients were older than 45 years. The indications for hysterectomy were complicated uterine fibroids in 82 patients, genital prolapse in 44, adenomyosis in 10, obstetrical hysterectomy in 13 and cervical dysplasia in 3. The abdominal route was used in 100 patients (65.8%) and the vaginal rout in 52 (34.2%). The duration of the procedure and hospital stay was longer after hysterectomy by the abdominal (p<0.05). Perioperative complications were observed in 17% of patients after abdominal hysterectomy versus 7.69% after vaginal hysterectomy. Two maternal deaths due to hemorrhagic shock were observed after obstetrical hysterectomy. Hysterectomy is a frequent intervention that is not without complication risks. Choice of route depends on the indication and skill of the operator. Although endoscopic surgery is still difficult to perform in developing countries, development of vaginal hysterectomy is necessary to reduce perioperative complications.
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Tiembré I, Benié J, Coulibaly A, Dagnan S, Ekra D, Coulibaly S, Tagliante-Saracino J. [Impact of armed conflict on the health care system of a sanitary district in Cote d'Ivoire]. Med Trop (Mars) 2011; 71:249-252. [PMID: 21870550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Since September 2002, Côte d'Ivoire has been in the throes of armed conflict that has split the country in two. In the government-controlled area, access to health care services has continued. In the area under the control of the "New Forces", access to health care services decreased dramatically due to departure of qualified health personnel and subsequent shutdown of sanitary facilities. The purpose of this transversal descriptive survey was to measure the impact of this crisis on the health care system in the Séguéla sanitary district that is located in the war zone. Findings showed that 60.7% of sanitary facilities are no longer operational, that 77.7% of qualified personnel have left their workstation, and that 46.2% of sanitary structures have been damaged. A few reference hospitals and sanitary facilitates have been able to remain open thanks to the support of the humanitarian organisations. As a result of declining access to health care services, a recrudescence of measles and IST has been observed and gastritis and traumatology have appeared among the top 10 causes of morbidity. Access to effective health care in the Séguéla sanitary district cannot be envisioned without the return of qualified health care personnel and the renovation of the sanitary facilities.
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Affiliation(s)
- I Tiembré
- UFR des Sciences Médicales, Université d'Abidjan
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Aké-Tano O, Konan EY, Tetchi EO, Ekou FK, Ekra D, Coulibaly A, Dagnan NS. [Beriberi, recurrent nutritional disease in a detention house in Côte-d'Ivoire]. ACTA ACUST UNITED AC 2011; 104:347-51. [PMID: 21336653 DOI: 10.1007/s13149-011-0136-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2010] [Accepted: 12/07/2010] [Indexed: 11/29/2022]
Abstract
As a re-emerging disease, beriberi caused by a lack of thiamine in food threatens more and more prisons in developing countries. Indeed in 2008, a beriberi epidemic occurred in a detention house of Côte-d'Ivoire called Maca. The goal of our retrospective investigation was to describe this epidemic in order to improve prisoners' health. The study related to 131 subjects, 64% of cases affected (N = 205). The total rate of beriberi attack was estimated at 38.6‰. The mean age was 33; all patients were male and they were detained in "Batiment C" (70.2%), synonymous with heavy punishment. They spent about 28.1 month in Maca. The clinical symptoms were neurological signs (swarming: 41%) and cardiovascular signs (dyspnoea: 42%, thoracic pain: 35%). Half of the patients (51%) presented oedemas of the lower limbs. The rate of healing was about 97% when patients followed treatment. Providing good nutrition to the prisoners and the distribution of vitamin complements will avoid other epidemics.
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Affiliation(s)
- O Aké-Tano
- Département de Santé Publique et de Médecine Communautaire, UFR SMA, Abidjan, Côte-d'Ivoire.
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Diaby B, Kroa E, Niaré A, Coulibaly D, Traoré Y, Giani S, Coulibaly A, Niaré B, Guindo A, Keita MT, Sylla AO, Sanogo R, Doumbo OK. [Not Available]. Mali Med 2011; 26:8-12. [PMID: 22949300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
INTRODUCTION : An estimated 300 to 500 million clinical cases of malaria occur each year worldwide, 90% in Africa, mostly among young children. In Cote d'Ivoire, malaria is 46.03% of disease states and 62.44% of hospital admissions. In children under 5 years, it is 42.67% of the reasons for consultation and 59.68% of hospital admissions. In pregnant women, it represents 22.91% of disease states and 36.07% of hospital admissions. In Africa, traditional medicine is the first resort for the vast majority of people, because of its accessibility both geographically, economically and culturally. However, some modern practitioners show an attitude of distrust of traditional medicine and its players, calling them irrational. This work had set out to assess knowledge, attitudes and practices of traditional healers in the uncomplicated and complicated in the context of collaboration between traditional and modern medicine for the optimal management of critical cases. MATERIALS AND METHOD : The study focused on traditional healers practicing in the city of Abidjan. The study was conducted using individual interviews over a period of 30 days. The interviews were conducted in local languages, with the assistance, if necessary, translators. For data collection, we used a questionnaire containing four items: the socio-demographic characteristics of traditional healers, their knowledge on malaria, diagnostic practices and traditional therapies. RESULTS : Of the 60 healers and included in the study, only six were women (10%), a sex-ratio of a woman to 9 men. 66.7% of respondents traditional healers are herbalists and 25% of naturopaths.Only 8.3% were spiritualists. The etiology of malaria most commonly cited by the traditional healers were mosquito bites (16.7%), food (1.7%), solar (1.7%) and fatigue (1.7%) . 25% of traditional healers are associated with mosquitoes, sun and fatigue. Symptomatology most cited were fever (100%), dark urine (86%), the yellow or pale conjunctiva (80%), vomiting (71.7%), nausea (58.3%) and abdominal pain (48.3%). Traditional healers recognized three types of malaria: the white shape, form yellow / red and the black form. Traditional healers malarious patients surveyed were receiving both first (58.3%) than second-line (41.7%). 78.3% of them practiced an interview and physical examination of theirpatients before the diagnosis. In 13.3% of cases they were divinatory consultation. Medications used to treat malaria were herbal in 95% of cases. The main sign of healing was the lack of fever (58.3%). 90%of traditional healers interviewed referring cases of malaria black (severe malaria). This reference is made to modern health facilities (90.2%). 68.3% of respondents practiced traditional healers of malaria prophylaxis among pregnant women and children under 5 years.CONCLUSION : A description of clinical malaria by traditional practitioners in health is not very far from that of modern medicine. Nevertheless, the logics of our respondents are etiological more complex and linked to their cultural context. The management of cases is made from medicinal plants in treatment failure patients are usually referred to modern health facilities. The involvement of traditional healers in the detection and quick reference risk cases can contribute to reducing child mortality due to severe malaria.
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Affiliation(s)
- B Diaby
- Institut National d’Hygiene Publique, INHP Abidjan, Cote d’Ivoire.
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Diaby B, Kroa E, Niaré A, Coulibaly D, Traoré Y, Giani S, Coulibaly A, Niaré B, Guindo A, Keita MT, Sylla AO, Sanogo R, Doumbo OK. [Knowledge, attitude, and practice of traditional healers on the topic of malaria in the city of Abidjan]. Mali Med 2011; 26:8-12. [PMID: 22977888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
INTRODUCTION An estimated 300 to 500 million clinical cases of malaria occur each year worldwide, 90% in Africa, mostly among young children. In Cote d'Ivoire, malaria is 46.03% of disease states and 62.44% of hospital admissions. In children under 5 years, it is 42.67% of the reasons for consultation and 59.68% of hospital admissions. In pregnant women, it represents 22.91% of disease states and 36.07% of hospital admissions. In Africa, traditional medicine is the first resort for the vast majority of people, because of its accessibility both geographically, economically and culturally. However, some modern practitioners show an attitude of distrust of traditional medicine and its players, calling them irrational. This work had set out to assess knowledge, attitudes and practices of traditional healers in the uncomplicated and complicated in the context of collaboration between traditional and modern medicine for the optimal management of critical cases. MATERIALS AND METHOD The study focused on traditional healers practicing in the city of Abidjan. The study was conducted using individual interviews over a period of 30 days. The interviews were conducted in local languages, with the assistance, if necessary, translators. For data collection, we used a questionnaire containing four items: the socio-demographic characteristics of traditional healers, their knowledge on malaria, diagnostic practices and traditional therapies. RESULTS Of the 60 healers and included in the study, only six were women (10%), a sex-ratio of a woman to 9 men. 66.7% of respondents traditional healers are herbalists and 25% of naturopaths.Only 8.3% were spiritualists. The etiology of malaria most commonly cited by the traditional healers were mosquito bites (16.7%), food (1.7%), solar (1.7%) and fatigue (1.7%) . 25% of traditional healers are associated with mosquitoes, sun and fatigue. Symptomatology most cited were fever (100%), dark urine (86%), the yellow or pale conjunctiva (80%), vomiting (71.7%), nausea (58.3%) and abdominal pain (48.3%). Traditional healers recognized three types of malaria: the white shape, form yellow / red and the black form. Traditional healers malarious patients surveyed were receiving both first (58.3%) than second-line (41.7%). 78.3% of them practiced an interview and physical examination of theirpatients before the diagnosis. In 13.3% of cases they were divinatory consultation. Medications used to treat malaria were herbal in 95% of cases. The main sign of healing was the lack of fever (58.3%). 90%of traditional healers interviewed referring cases of malaria black (severe malaria). This reference is made to modern health facilities (90.2%). 68.3% of respondents practiced traditional healers of malaria prophylaxis among pregnant women and children under 5 years. CONCLUSION A description of clinical malaria by traditional practitioners in health is not very far from that of modern medicine. Nevertheless, the logics of our respondents are etiological more complex and linked to their cultural context. The management of cases is made from medicinal plants in treatment failure patients are usually referred to modern health facilities. The involvement of traditional healers in the detection and quick reference risk cases can contribute to reducing child mortality due to severe malaria.
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Affiliation(s)
- B Diaby
- Institut National d’Hygiene Publique, INHP Abidjan, Cote d’Ivoire.
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Buraïma F, Kouassi YM, Coulibaly A, Touré A, Tanon-anoh MJ, Kouassi B. A case of middle-ear angiosarcoma. Eur Ann Otorhinolaryngol Head Neck Dis 2010; 128:87-9. [PMID: 21035421 DOI: 10.1016/j.anorl.2010.09.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2010] [Revised: 08/31/2010] [Accepted: 09/02/2010] [Indexed: 12/01/2022]
Abstract
INTRODUCTION Middle-ear angiosarcoma is a rare malignant tumor that requires early diagnosis to allow satisfactory removal. The objective of the present study was to describe and discuss the diagnosis and treatment of this rare malignant middle-ear tumor. CASE REPORT A 12-year-old girl was admitted for a left retroauricular mass and a budding left external auditory canal tumor without associated peripheral facial nerve palsy. CT scan showed a mastoid-region tumor extending to the external auditory canal with mastoid and occipital bone-loss. Tumor removal used a retroauricular approach. Postoperative diagnosis was of angiosarcoma. At 12 months' regular follow-up, there were no signs of local recurrence. DISCUSSION AND CONCLUSION Middle-ear angiosarcoma is a rare tumor, in which diagnosis is late because early symptoms are not specific. A multidisciplinary approach is essential for efficient management.
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Affiliation(s)
- F Buraïma
- Service d'ORL et de chirurgie cervicofaciale, CHU de Yopougon, 21 BP 632 Abidjan 21, Côte d'Ivoire
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Testa J, Cissé M, Coulibaly A, Diallo N, Konaté T. Évolution de la prise en charge des PvVIH au Cesac de Bamako de 2000 à 2009. Rev Epidemiol Sante Publique 2010. [DOI: 10.1016/j.respe.2010.06.150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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41
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Coulibaly A, O’brien HT, Galibois I. Apports nutritionnels, caractéristiques anthropométriques et contrôle métabolique de diabétiques de type 2 à Bamako au Mali. ACTA ACUST UNITED AC 2010. [DOI: 10.1051/mnut/2007432049] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Touré A, Bahi C, Bagré I, N'Guessan J, Djama A, Coulibaly A. In vitro antifungal activity of the soap formulation of the hexane leaf extract of morinda morindoides (morinda; rubiaceae). TROP J PHARM RES 2010. [DOI: 10.4314/tjpr.v9i3.56283] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Schiff M, Loublier S, Coulibaly A, Bénit P, Ogier de Baulny H, Rustin P. Mitochondria and diabetes mellitus: untangling a conflictive relationship? J Inherit Metab Dis 2009; 32:684-698. [PMID: 19821144 DOI: 10.1007/s10545-009-1263-0] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2009] [Revised: 08/19/2009] [Accepted: 08/25/2009] [Indexed: 01/19/2023]
Abstract
Diabetes mellitus is occasionally observed in patients with skeletal muscle respiratory chain deficiency, suggesting that skeletal muscle mitochondrial dysfunction might play a pathogenic role in type 2 diabetes (T2D). In support of this hypothesis, decreased muscle mitochondrial activity has been reported in T2D patients and in mouse models of diabetes. However, recent work by several groups suggests that decreased muscle mitochondrial function may be a consequence rather than a cause of diabetes, since decreased mitochondrial function in mice affords protection from diabetes and obesity. We review the data on this controversial but important issue of potential links between mitochondrial dysfunction and diabetes.
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Affiliation(s)
- M Schiff
- Hôpital Robert Debré, Paris, France
- Université Paris 7, Faculté de médecine Denis Diderot, IFR02, Paris, France
- Centre de référence Maladies Métaboliques, Hôpital Robert Debré, APHP, Paris, France
| | - S Loublier
- Hôpital Robert Debré, Paris, France
- Université Paris 7, Faculté de médecine Denis Diderot, IFR02, Paris, France
| | - A Coulibaly
- Hôpital Robert Debré, Paris, France
- Université Paris 7, Faculté de médecine Denis Diderot, IFR02, Paris, France
| | - P Bénit
- Hôpital Robert Debré, Paris, France
- Université Paris 7, Faculté de médecine Denis Diderot, IFR02, Paris, France
| | - H Ogier de Baulny
- Centre de référence Maladies Métaboliques, Hôpital Robert Debré, APHP, Paris, France
| | - P Rustin
- Hôpital Robert Debré, Paris, France.
- Université Paris 7, Faculté de médecine Denis Diderot, IFR02, Paris, France.
- INSERM U676, Bâtiment Ecran, Hôpital Robert Debré, 48, boulevard Sérurier, 75019, Paris, France.
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Alloh D, Nandjui B, Bombo J, Manou B, Twoolys A, Alloukou R, Ake N, Konate-Konan E, Pillah L, Coulibaly A. Organizational and operational capabilities of specialist centres for children with psychomotor disability in Abidjan. Ann Phys Rehabil Med 2009; 52:414-26. [PMID: 19623685 DOI: 10.1016/j.rehab.2009.02.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To describe the organizational and operational capabilities of specialized centres for children with psychomotor disability in Abidjan, Republic of Côte d'Ivoire. MATERIALS AND METHODS This descriptive study was carried out from February to May, 2006 at the various specialized centres for children with psychomotor disability that exist in the district of Abidjan. The procedure comprised a clinical description of the disabled children admitted to these centres and an assessment of the centres' organization and operational capabilities. RESULTS AND COMMENTS Six specialist centres for children with psychomotor disability were identified, namely the Infant Guidance Centre, the Awakening and Stimulation Centre for disabled Children, the "Sainte-Magdeleine" Centre, the Medical and Training Institute, the "Page Blanche" institute and the "Colombes Notre Dame de la Paix" Centre. Among the children, 97.15% were day patients, 66.37% were mentally challenged, 30.96% had psychomotor impairment and 2.66% had motor impairments. The level of organization varied but the centres nevertheless had operational administrative, medical and paramedical staff, despite the absence of certain specialties. However, the lack of personnel, equipment and infrastructure is hindering the delivery of adequate services to the children. CONCLUSION In Abidjan District, reception centres for children with psychomotor impairments are essentially privately run. Organizational and operational performances were suboptimal, with a low carer-to-patient ratio. Reinforcement of the centres' operational capabilities appears to be necessary.
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Affiliation(s)
- D Alloh
- Physical Medicine and Rehabilitation Service, Yopougon University Hospital, Abidjan, Cote d'Ivoire.
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Ekra KD, Attoh-Touré H, Bénié BVJ, Coulibaly D, Koutouan MG, Aka LN, Dagnan SN, Coulibaly A, Douba A, Tiembré I, Odéhouri-Koudou P, Tagliante-Saracino J. [Five years of cholera surveillance in Ivory Coast during social and political crisis, 2001 to 2005]. Bull Soc Pathol Exot 2009; 102:107-109. [PMID: 19583033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
For an efficient struggle against infectious diseases with epidemic potential, the Cdte d'Ivoire set up a precocious alert system in 2001 with a main objective: to detect epidemics of cholera, measles, yellow fever and meningitis and to provide necessary information for their control and their prevention. During the 2001 to 2005 period, the country was marked by military and political crisis which occurred in 2002; the country had to face up to a reappearance of cholera. How did it evolve in such a context? The question was to describe the performances of the system and the evolution of cholera from weekly data collected by the centers of epidemiological monitoring in health districts. The cases and declared deaths were compiled and the indicators of morbidity and mortality were then studied according to time site and individual features on the period of 2001 to 2005. From 2001 to 2005, 11,874 cases were notified with 564 deaths and a lethal rate of 4.7%. In 2001, from the initial source of infection, the civil jail, the epidemic of cholera disseminated itself through visitors in the whole city of Abidjan where 3250 cases were notified. Out of city, 20 outbreaks have been declared with a total of 3010 cases. The yearly highest impact, 37 living cases/100,000 inhabitants recorded in 2001, decreased regularly until 2005 with 0.2 living cases/100,000. After 2002, outbreaks were located mainly in the half south of the country which welcomed displaced populations from the north, preferably in transition or settling zones near the front line. The lethal rate in Abidjan (2.3%) was less important than that of other health districts (8.6%). The lethal rate globally increased as the impact decreased. Vibrio cholerae was responsible for the epidemics. The group of 15 years old and over was the most affected (12.69 living cases/100,000) whereas the highest lethal rate appeared in the group under 5 years old (6.6%). The reappearance and constant cholera epidemics in Côte d'Ivoire are due to bad general hygiene conditions, insufficient supply of drinking water from wells or packaged, concentration of populations in the south of the country due to war and uncontrolled development of the poor and unsanitary precarious boroughs. Outburst during the dry season is a warning signal of an important epidemic during the raining season especially in poor urban areas. The precocious alert system has permitted to detect the epidemics, to follow up their evolution and to orientate the struggle against cholera in Côte d'Ivoire.
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Affiliation(s)
- K D Ekra
- Département de santé publique et informatique médicale, UFR sciences médicales de l'Universita de Cocody, BPV 34 Abidjan, Côte d'Ivoire
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Toure S, Bana A, Koné S, Koné S, Coulibaly A, Gogoua R. La technique de Didier Patte dans les luxations récidivantes de l’épaule : notre expérience à propos de 35cas avec un suivi d’une dizaine d’années. Sci Sports 2009. [DOI: 10.1016/j.scispo.2008.06.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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N’guessan JD, Dinzedi MR, Guessennd N, Coulibaly A, Dosso M, Djaman AJ, Guede-Guina F. Antibacterial activity of the aqueous extract of Thonningia sanguinea against Extended-Spectrum-b-Lactamases (ESBL) producing Escherichia coli and Klebsiella pneumoniae strains. TROP J PHARM RES 2007. [DOI: 10.4314/tjpr.v6i3.14659] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Kéita S, Faye O, Ndiaye H, Coulibaly A, Traoré P, Coulibaly K, Sagara H. CO15 - Aspects épidemio-cliniques et thérapeutiques des mycoses superficielles en milieu scolaire de Bamako (Mali). Ann Dermatol Venereol 2007. [DOI: 10.1016/s0151-9638(07)89048-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Sidibé S, Coulibaly A, Traoré S, Touré M, Traoré I. [Role of ultrasonography in the diagnosis of axillary lymph node metastases in breast cancer: a systematic review]. Mali Med 2007; 22:9-13. [PMID: 19434975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Axillary lymph nodes metastases are an important prognostic factor in patient with breast cancer. Even the diagnosis of metastatic invasion of axilla is perfomed by histologic exam, the preoperative diagnosis on ultrasonography is evoked in literature. The aim of this study was to evaluate through systematic review, the accuracy of ultrasonography in the diagnosis of axillary lymph node invasion in patients with breast cancer. 132 articles were consulted. We included in the study articles in which the invasion of axilla was proved by histology and additionally, studies in which sensibility, specificity and accuracy parameters of ultrasonography can be calculated. The Chi square test was used to evaluate the hetegenicity between studies. Twelve articles with above criteria were included in the study and divided in two groups: group 1: studies on breast cancer with palpable and non palpable axillary lymph node; group 2 : studies on breast cancer in which axillary lymph node biopsy was guided by ultrasonography. In group I, when lymph node size, more than 5 mm was taken as presumption criteria of invasion, sensibility and specificity of ultrasonography varied from 66.1 to 87.1% (p > 0.05) and from 44.1 to 97.9% (p < 0.05) respectively; when the lymph node morphology was the mean criteria of axilla invasion, these parameters varied respectively from 40.5 to 92.3% (p < 0.05) and from 55.6 to 95.2% (p < 0.05). In group II, sensibility and specificity of ultrasonography in diagnosis presumption of axillary lymph node invasion in patient with breast cancer varied respectively from 43.5 to 94.9 (p < 0.05) and from 96.9 to 100% (p > 0.05). In conclusion, according to the sanitary and psychological impact of lymph node invasion in patient with breast cancer, axillary ultrasonography is helpful in the management of this pathology.
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Affiliation(s)
- S Sidibé
- Service de radiologie et de médecine nucléaire, hôpital du Point G Bamako, Mali
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