2021 7th International Conference on Information Management (ICIM), 2021
Today, the world is facing an unprecedented health crisis due to the pandemic of the coronavirus.... more Today, the world is facing an unprecedented health crisis due to the pandemic of the coronavirus. Although enormous efforts are being made by all continents to find the appropriate solution, the situation remains worrying. This fact is justified on one hand by the millions of cases with the number of deaths exceeding one and half million on a global scale, and on other hand by the successive waves of lockdown in almost all countries. This situation was exacerbated December 2020 with the arrival in England of a new strain of the more transmissible coronavirus. This great challenge facing all the world's health systems requires actors in the medical domain (health agencies, researchers, and pharmaceutical laboratories, the World Health Organization) to draw and gather knowledge to identify the path for effective treatment. The objective of this work is to provide an operational expert system aimed at helping decision-makers, health workers, and hospital nursing staff in their task of analysis, diagnosis and care of Covid-19 patients. The tool may be extended to other respiratory illnesses.
Background: A trauma emergency is any aggression (direct or indirect) external to the body for wh... more Background: A trauma emergency is any aggression (direct or indirect) external to the body for which no therapeutic delay is allowed at the risk of endangering the patient's life or the functional prognosis of his limbs. The objective of this study was to report the results of the management of traumatological emergencies. Methods: This was a descriptive cross-sectional study from 11 January 2021, to 11 July 2021. It focused on patients seen for traumatological emergencies in the CHU Ignace Deen Orthopaedics-Traumatology department. Results: Trauma emergencies constitute 75.2% of admissions to the emergency department. The average age of the patients was 32.2 years, with extremes of 1 and 91 years. There was a predominance of 76.3% males with a ratio (M/F) of 3.2. Road traffic accidents were the most found aetiology in 82.9%, and motorcycles were involved in 68.7%. Limb fractures were found in 34.7%. The treatment time was ≤6 hours in 67.5%, and 203 patients received drug treatm...
Refractive errors (ametropias) are characterized by the inability of the eye to correctly focus t... more Refractive errors (ametropias) are characterized by the inability of the eye to correctly focus the image of an object on the retina. We carried out a cross-sectional study from April 11 to April 30, 2018. The three-stage cluster survey was used, 750 first cycle students were examined in 30 schools of the fundamental cycle I (public, private and medersa sectors). ) of the city of Sikasso. Of the 750 students examined, 85 ametropes were retained and studied, giving a prevalence of 11.3%. Among the ametropics: 49.41% of the hypermetropics; 44.70% of astigmatism and 5.88% of myopes. Associated pathologies were found in 23, i.e.27.1%. 91.30% of pathologies associated with ametropia were LCET followed by conjunctivitis 4.35%.
Ocular trauma is a set of lesions that affect the eyeball and its appendages. The lesions caused ... more Ocular trauma is a set of lesions that affect the eyeball and its appendages. The lesions caused are multiple and varied, the functional prognosis of which depends on the time taken for treatment. The aim was to evaluate the management of ocular trauma at Sikasso hospital. This was a retrospective study from June 1, 2017 to May 31, 2018. 256 cases of ocular trauma out of 3294 consultations, i.e. a frequency of 7.7%. The 16-45 age group accounted for 52.3% of cases and 68% were male. Pupils/students accounted for 28.5% of cases. The causative agent was vegetal and metallic with respectively 35.5% and 14.5%. Traumatic lesions were contusion in 58.2% of cases, followed by laceration in 15.2% and lamellar laceration in 11.3%.49.2% of our patients. Management was surgical in 18.8% of cases. Complications were: cataract (38.5%), post traumatic uveitis (14.1%) and bursting of the globe (2.3%). The sequelae accounted for 27.7% with 47.8% corneal damage followed by monocular blindness 29.6% ...
Introduction: A rare genetic disease, albinism is globally characterized by specific deficits of ... more Introduction: A rare genetic disease, albinism is globally characterized by specific deficits of the visual system associated with a variable hypopigmentation phenotype depending on the disruption of melanin production . It is linked to a hereditary defect in the biosynthesis of melanin. Disease results in a generalized decrease in the pigmentation of the appendages, skin and eyes . The aim of this study is to determine the different refractive errors and the different macular anomalies during the OCT examination in oculocutaneous albinism at the CHU-IOTA. Patients and Method: We conducted a prospective study in patients over 10 years of age with oculocutaneous or ocular albinism who consulted at the CHU-IOTA between July 1, 2020, and September 30, 2021. Results: Over the period, 105 cases of oculocutaneous albinism were collected out of a total of 42,024 consultations, which corresponds to a frequency of 0.2%. The average age was 26.2 years, (11 years to 48 years). The sex ratio was 1.6. Astigmatism was the most found refractive error in 50.48% of cases, followed by myopia in 29.52% of cases and farsightedness in 20% of cases. The macular thickness between 251 -350 was the most commonly found in both eyes, i.e. 47.25% on the right and 53.55% on the left. The bulging macula was the most frequent pathology on the OCT at the level of the two eyes, i.e. 41.42% on the right and 50.6% on the left. Conclusion: Following the visual impairments linked to albinism, early optical care and access to OCT are necessary. Thus the accompaniment of a subject with albinism and associations of albinism must be global and meet specific needs, in order to prevent or avoid ocular complications.
Public road accidents (AVP) are frequent and serious and are responsible for numerous cranioencep... more Public road accidents (AVP) are frequent and serious and are responsible for numerous cranioencephalic and neurological lesions. Paralyzes of the oculomotor nerves are frequently reported, especially in young subjects during these AVPs. We report the case of complete paralysis of the third pair of cranial nerves in a 22-year-old young lady, following a road accident. Clinical examination revealed intrinsic and extrinsic paralysis of the 3rd pair of cranial nerves. Computed tomography showed a subarachnoid hemorrhage. After 7 days of hospitalization under analgesics and hyperhydration, a complete regression of the lesions was obtained. An angio-scan performed 3 months after the accident showed a slight non-significant stenosis of 25. 54% of the left internal carotid without anomaly of the intracranial vascular network. Paralyzes of the third cranial pair, total or partial, most often regress within variable periods of 6 months to 2 years. The prevention of accidents on the public hig...
Palpebral trauma is common in Sikasso hospital. We report a particular localization of foreign bo... more Palpebral trauma is common in Sikasso hospital. We report a particular localization of foreign bodies (the crystal rod of the pen (Bic) and of a fish hook) in the eyelids of two children. The injuries occurred in a context of intentional assault and battery in the school environment for pen crystal and margouillat hunting with the hook. The treatment was surgical and the postoperative course was simple. Prevention through awareness would be necessary to avoid eyelid trauma.
Introduction: The aim of this study is to describe the epidemiological, lesional, therapeutic and... more Introduction: The aim of this study is to describe the epidemiological, lesional, therapeutic and evolutionary profile of open fractures of limbs by bites of domestic donkeys. Patients and Methods: This is a prospective descriptive study over 28 months made in the Orthopedics-Traumatology department of the Tambacounda Regional Hospital in Senegal, concerning patients bitten by donkeys, resulting in an open fracture of the thoracic and pelvic limbs. Results: Twelve male patients were included. The average age was 10.50 years ± 2.60. The most common circumstance was the bite when two donkeys were separated. The thoracic limbs were the most affected by the occurrence of the arm. Cauchoix-Duparc type II and AO A2 and B2 were predominant. The essential trimming/osteosynthesis was carried out within 24 hours of the bite. Serovaccination was systematic, but on the other hand, a single dose of anti-rabies serum was administered. Pinning was the most commonly used bone synthesis. Complications were mainly infectious, followed by a case of radial nerve palsy and non-union on pins. Conclusion: The typical profile of an open donkey bite fracture is a male child/adolescent who is bitten during the separation of two fighting donkeys. The lesions are most often found in the thoracic limbs with a predominance of Cauchoix-Duparc type II and type A2 and B2 fractures of the AO, whose treatment consisted of trimming and pinning. The infectious complications of the soft tissues marked the evolution.
International Journal of Case Reports in Orthopaedics
Elevator-related accidents are rare but can cause serious injury. In the United States, elevator ... more Elevator-related accidents are rare but can cause serious injury. In the United States, elevator and escalator accidents seriously injure nearly 17, 100 people and kill around 30 per year. No African study would have reported such an aetiology. This observation concerns a 38-year-old patient who allegedly free-falled into the shaft of an elevator from the 5th Floor with a reception on the roof of the cabin, which was blocked on the ground floor. Accident in the course of which she presented with polytrauma associated with a fracture of the right anterior arch of the seventh rib, two wounds in the gluteal region, a floating knee on the right and a fracture of the left tibial pilon. She was admitted to the operating room for trimming and osteosynthesis. The postoperative course was uncomplicated. The objective of this work was to present a type of accident little known in our context but of which it is necessary to have an idea of the changes in our construction style.
Zenodo (CERN European Organization for Nuclear Research), Sep 15, 2022
Le concept de gouvernance locale permet réduire l'intervention des pouvoirs publics dans plusieur... more Le concept de gouvernance locale permet réduire l'intervention des pouvoirs publics dans plusieurs domaines au profit des collectivités territoriales (santé, éducation, construction et entretiens de certaines infrastructures etc.). L'objectif de notre papier est de faire des propositions réalisables et soutenables pour corriger, les externalités négatives issues des interactions entre les parties. Comme approche méthodologique, nous exploitons les résultats des enquêtes participatives, que nous avons mené en 2020 dans la commune urbaine de Kayes, à travers l'échantillonnage par principe de saturation, des rapports d'activités de divers services (Institut Nationale de la Géographie, direction régionale de l'urbanisme, mairie de Kayes etc.), des travaux de chercheurs (Diarra
Introduction: Sever's disease or calcaneal osteochondrosis of the posterior apophysis affects... more Introduction: Sever's disease or calcaneal osteochondrosis of the posterior apophysis affects adolescent athletes between 8 and 15 years of age, boys are more affected in about 60% of cases and the involvement is uni or bilateral, described in 1912 by the surgeon James Warren Sever. Objective: To present the first case of Sever's disease in Mandiana, supported by a review of the literature. Clinical Case: This was an 11-year-old adolescent, living in Mandiana, a soccer player (right lateral), playing with his right foot, who consulted for a right posteroinferior talalgia, progressive, of mechanical appearance, triggered by walking and physical activity, calmed by rest or by taking non- steroidal anti-inflammatory drugs (NSAID). No notion of taking fluoroquinolone-based medication, no signs suggestive of an infectious focus, particularly auto-rhino-laryngology (ENT) and dental, or tumors. The painful swelling (VAS 9/10) on palpation of the medial and lateral heel cup with deg...
Giant cell tumor is a benign primary bone tumor. The phalangeal localization is rare. It is disti... more Giant cell tumor is a benign primary bone tumor. The phalangeal localization is rare. It is distinguished from other locations by the local aggressiveness of the tumor and a high rate of recurrence. We report one case of a 25-year-old right-handed nurse with no reported pathological history who complained about an ulcero-budding mass of the right little finger evolving one year ago. She would have initially consulted a bonesetter who would have taken care of her by using decoctions. The hand X-ray showed an osteolytic tumor of the first phalanx of the right little finger with a "honeycomb" appearance invading the soft tissues. We carried out the amputation of the radius. The postoperative course was simple with healing of the surgical wound and disappearance of the axillary adenopathy. The surgical specimen after anatomopathology exam concluded to be a grade 2 giant cell tumor of Senerkin.
Pure subtalar dislocation is a rare injury. It accounts for 1% of dislocations seen in trauma. It... more Pure subtalar dislocation is a rare injury. It accounts for 1% of dislocations seen in trauma. It involves a loss of anatomical relationship between the talus, calcaneus and scaphoid, but the tibio-peroneal-astragalic congruence is maintained. The aim of this study was to find an explanation between the occurrence of subtalar dislocation in its medial variety and the Jakarta motorbike crash. Five male patients who had fallen from a Jakarta motorbike were included. Two cases of open dislocation were reported. They received wound trimming under spinal anaesthesia. We proceeded to reduce the dislocation using a boot puller maneuver and restraint with a plaster boot. The postoperative course was simple with wound healing. The casting lasted 6 weeks but was extended to 8 weeks for open dislocations. After removal of the cast, rehabilitation was prescribed for all patients. This consisted mainly of proprioception in order to restore the functions of the ankle. At a mean follow-up of 25....
Léconomie malienne repose sur lagriculture et dépend largement des recettes dexportation des prod... more Léconomie malienne repose sur lagriculture et dépend largement des recettes dexportation des produits comme le coton (près de 12 % des recettes de lÉtat en 2013 selon lInstat). Les effets des instabilités sociopolitiques, le conflit dans le nord, les aléas naturels ou issus de lactivité humaine risquent de compromettre les progrès effectués jusquen 2011 dans lamélioration des conditions pour latteinte des objectifs du développement durable (ODD). Dans ce papier nous présentons lapport de la filière coton dans lamélioration de la situation socioéconomique des populations à travers léradication de lextrême pauvreté qui constitue le premier ODD.
Ce papier permet de faire le point, sur la capacite de resilience du Mali par rapport a la securi... more Ce papier permet de faire le point, sur la capacite de resilience du Mali par rapport a la securite alimentaire, malgre sa situation geographique de pays sahelien. Comme toutes les economies en developpement, il se caracterise par un poids considerable du secteur primaire. Il a un produit interieur brut (PIB) de 837 Dollars (483 924 FCFA) par habitant en 2018 selon l’Institut national de la statistique (Instat, 2019), avec 37% genere par l’agriculture. A travers une analyse documentaire et une etude de terrain, nous repondons a la problematique de la securite alimentaire dans un contexte d’instabilite majeure. Notre etude a permis de souligner la capacite du pays, face a l’insecurite alimentaire malgre les aleas dans une zone tres difficile.
Access to primary health services, especially for maternal and infant care is a key factor to imp... more Access to primary health services, especially for maternal and infant care is a key factor to improving population health status. For many years, because of the lack of facilities, the access was not possible for a large part of population in Mali, like in most of the other Sub-Saharan African countries. Responding to the national priority to improve access to primary health care facilities, the Bank and other developing partners have supported the important investment efforts to build and equip primary health care centers. But although the number of facilities has dramatically increased, the utilization rate has not significantly change and the population health status remains very poor. This study investigates why improving the supply of health care has not triggered a significant increase in utilization rates. Its purpose it to highlight factors which could stimulate a better use of health care services, and measures to be taken to support a positive evolution of utilization rate...
Introduction: Idiopathic central serous chorioretinopathy (ICSC) is characterized by the buildup ... more Introduction: Idiopathic central serous chorioretinopathy (ICSC) is characterized by the buildup of fluid leading to circumscribed elevation of the retina within the posterior pole. This condition affects young people between the ages of 20 -50 years. The disease is seen predominantly in men as compared to women. We report the cases of two (02) patients received in consultation at IOTA-Teaching Hospital between July 2019 and February 2020. Case Presentation: We report two cases of Idiopathic stress central serous chorioretinopathy. The first case is a 37-year-old man that we received in consultation for visual acuity decrease from a sudden installation for 1 hour. The clinical and paraclinical arguments permitted us to retain the diagnosis of Idiopathic stress central serous chorioretinopathy. The patient benefited from laser treatment and the clinical evolution was good. The second case is a 42-year-old man, who consulted for a sudden reduction of visual acuity that had been evolving for 3 weeks. The clinical and paraclinical contexts were in favour of the diagnosis of Idiopathic stress central serous chorioretinopathy. The patient was treated with spironolactone. The clinical evolution was favourable. Conclusion: Our study confirms the existence of central serous chorioretinopathy (CSC) in Black African patients. Studies show the connection between CSC and stress.
Background: First described by Handmann in 1929, the "Morning Glory Syndrome" is a rare congenita... more Background: First described by Handmann in 1929, the "Morning Glory Syndrome" is a rare congenital anomaly of the optic papilla whose notable ophthalmoscopic sign is papillary excavation associated with other ocular and/or non-ocular anomalies. Purpose: The main purpose of this study is to report 2 cases of this rare congenital papilla anomaly in 2 young Malian adults diagnosed in the IOTA-University Hospital respectively in January and May 2020. Materials and methods: In our study, we have included two cases of male gender. Results: In the 1 st case the defect concerned both papillae. It is also associated with other ocular malformations (bilateral macular reshaping and unilateral cataract), without associated cerebral defects. In the 2 nd case, only one papilla was affected by the malformation and there was an absence of associated malformations of other ocular and cerebral structures. Discussion: The Morning Glory Syndrome is part of the group of congenital defects of the optic nerve. It is often referred to as ectasia coloboma of the optical papilla or bindweed flower-like optical papilla because of its similarity to the tropical flower known as "bindweed". Its exact pathogenesis remains unknown, but it is linked to the poor development of the posterior sclera and lamina cribrosa during gestation. Conclusion: Morning Glory Syndrome through papillary excavation and other associated ocular and/or cerebral malformations may be a threat to vision.
La présence d'un colobome choriorétinien soulève souvent des problèmes cliniques entraînant parfo... more La présence d'un colobome choriorétinien soulève souvent des problèmes cliniques entraînant parfois une certaine confusion. Néanmoins, le diagnostic se doit d'être aussi précis que possible pour plusieurs raisons. L'association de certaines anomalies congénitales de la papille avec d'autres pathologies neurologiques endocriniennes ou systémiques et le problème de diagnostic différentiel avec d'autres pathologies ophtalmologiques. Nous rapportons un cas clinique d'un enfant âgé de 6 ans, le premier garçon d'une famille de 2 enfants présentant un colobome papillaire bilatéral sans d'autres anomalies malformatives associées. Dans ses antécédents: sont accouchement s'est déroulé normalement et sont statut vaccinal été à jour. L'examen ophtalmologique de son père et de sa petite soeur âgée de 4 ans été sans particularité, cependant sa mère présente un strabisme divergent à l'oeil droit.
2021 7th International Conference on Information Management (ICIM), 2021
Today, the world is facing an unprecedented health crisis due to the pandemic of the coronavirus.... more Today, the world is facing an unprecedented health crisis due to the pandemic of the coronavirus. Although enormous efforts are being made by all continents to find the appropriate solution, the situation remains worrying. This fact is justified on one hand by the millions of cases with the number of deaths exceeding one and half million on a global scale, and on other hand by the successive waves of lockdown in almost all countries. This situation was exacerbated December 2020 with the arrival in England of a new strain of the more transmissible coronavirus. This great challenge facing all the world's health systems requires actors in the medical domain (health agencies, researchers, and pharmaceutical laboratories, the World Health Organization) to draw and gather knowledge to identify the path for effective treatment. The objective of this work is to provide an operational expert system aimed at helping decision-makers, health workers, and hospital nursing staff in their task of analysis, diagnosis and care of Covid-19 patients. The tool may be extended to other respiratory illnesses.
Background: A trauma emergency is any aggression (direct or indirect) external to the body for wh... more Background: A trauma emergency is any aggression (direct or indirect) external to the body for which no therapeutic delay is allowed at the risk of endangering the patient's life or the functional prognosis of his limbs. The objective of this study was to report the results of the management of traumatological emergencies. Methods: This was a descriptive cross-sectional study from 11 January 2021, to 11 July 2021. It focused on patients seen for traumatological emergencies in the CHU Ignace Deen Orthopaedics-Traumatology department. Results: Trauma emergencies constitute 75.2% of admissions to the emergency department. The average age of the patients was 32.2 years, with extremes of 1 and 91 years. There was a predominance of 76.3% males with a ratio (M/F) of 3.2. Road traffic accidents were the most found aetiology in 82.9%, and motorcycles were involved in 68.7%. Limb fractures were found in 34.7%. The treatment time was ≤6 hours in 67.5%, and 203 patients received drug treatm...
Refractive errors (ametropias) are characterized by the inability of the eye to correctly focus t... more Refractive errors (ametropias) are characterized by the inability of the eye to correctly focus the image of an object on the retina. We carried out a cross-sectional study from April 11 to April 30, 2018. The three-stage cluster survey was used, 750 first cycle students were examined in 30 schools of the fundamental cycle I (public, private and medersa sectors). ) of the city of Sikasso. Of the 750 students examined, 85 ametropes were retained and studied, giving a prevalence of 11.3%. Among the ametropics: 49.41% of the hypermetropics; 44.70% of astigmatism and 5.88% of myopes. Associated pathologies were found in 23, i.e.27.1%. 91.30% of pathologies associated with ametropia were LCET followed by conjunctivitis 4.35%.
Ocular trauma is a set of lesions that affect the eyeball and its appendages. The lesions caused ... more Ocular trauma is a set of lesions that affect the eyeball and its appendages. The lesions caused are multiple and varied, the functional prognosis of which depends on the time taken for treatment. The aim was to evaluate the management of ocular trauma at Sikasso hospital. This was a retrospective study from June 1, 2017 to May 31, 2018. 256 cases of ocular trauma out of 3294 consultations, i.e. a frequency of 7.7%. The 16-45 age group accounted for 52.3% of cases and 68% were male. Pupils/students accounted for 28.5% of cases. The causative agent was vegetal and metallic with respectively 35.5% and 14.5%. Traumatic lesions were contusion in 58.2% of cases, followed by laceration in 15.2% and lamellar laceration in 11.3%.49.2% of our patients. Management was surgical in 18.8% of cases. Complications were: cataract (38.5%), post traumatic uveitis (14.1%) and bursting of the globe (2.3%). The sequelae accounted for 27.7% with 47.8% corneal damage followed by monocular blindness 29.6% ...
Introduction: A rare genetic disease, albinism is globally characterized by specific deficits of ... more Introduction: A rare genetic disease, albinism is globally characterized by specific deficits of the visual system associated with a variable hypopigmentation phenotype depending on the disruption of melanin production . It is linked to a hereditary defect in the biosynthesis of melanin. Disease results in a generalized decrease in the pigmentation of the appendages, skin and eyes . The aim of this study is to determine the different refractive errors and the different macular anomalies during the OCT examination in oculocutaneous albinism at the CHU-IOTA. Patients and Method: We conducted a prospective study in patients over 10 years of age with oculocutaneous or ocular albinism who consulted at the CHU-IOTA between July 1, 2020, and September 30, 2021. Results: Over the period, 105 cases of oculocutaneous albinism were collected out of a total of 42,024 consultations, which corresponds to a frequency of 0.2%. The average age was 26.2 years, (11 years to 48 years). The sex ratio was 1.6. Astigmatism was the most found refractive error in 50.48% of cases, followed by myopia in 29.52% of cases and farsightedness in 20% of cases. The macular thickness between 251 -350 was the most commonly found in both eyes, i.e. 47.25% on the right and 53.55% on the left. The bulging macula was the most frequent pathology on the OCT at the level of the two eyes, i.e. 41.42% on the right and 50.6% on the left. Conclusion: Following the visual impairments linked to albinism, early optical care and access to OCT are necessary. Thus the accompaniment of a subject with albinism and associations of albinism must be global and meet specific needs, in order to prevent or avoid ocular complications.
Public road accidents (AVP) are frequent and serious and are responsible for numerous cranioencep... more Public road accidents (AVP) are frequent and serious and are responsible for numerous cranioencephalic and neurological lesions. Paralyzes of the oculomotor nerves are frequently reported, especially in young subjects during these AVPs. We report the case of complete paralysis of the third pair of cranial nerves in a 22-year-old young lady, following a road accident. Clinical examination revealed intrinsic and extrinsic paralysis of the 3rd pair of cranial nerves. Computed tomography showed a subarachnoid hemorrhage. After 7 days of hospitalization under analgesics and hyperhydration, a complete regression of the lesions was obtained. An angio-scan performed 3 months after the accident showed a slight non-significant stenosis of 25. 54% of the left internal carotid without anomaly of the intracranial vascular network. Paralyzes of the third cranial pair, total or partial, most often regress within variable periods of 6 months to 2 years. The prevention of accidents on the public hig...
Palpebral trauma is common in Sikasso hospital. We report a particular localization of foreign bo... more Palpebral trauma is common in Sikasso hospital. We report a particular localization of foreign bodies (the crystal rod of the pen (Bic) and of a fish hook) in the eyelids of two children. The injuries occurred in a context of intentional assault and battery in the school environment for pen crystal and margouillat hunting with the hook. The treatment was surgical and the postoperative course was simple. Prevention through awareness would be necessary to avoid eyelid trauma.
Introduction: The aim of this study is to describe the epidemiological, lesional, therapeutic and... more Introduction: The aim of this study is to describe the epidemiological, lesional, therapeutic and evolutionary profile of open fractures of limbs by bites of domestic donkeys. Patients and Methods: This is a prospective descriptive study over 28 months made in the Orthopedics-Traumatology department of the Tambacounda Regional Hospital in Senegal, concerning patients bitten by donkeys, resulting in an open fracture of the thoracic and pelvic limbs. Results: Twelve male patients were included. The average age was 10.50 years ± 2.60. The most common circumstance was the bite when two donkeys were separated. The thoracic limbs were the most affected by the occurrence of the arm. Cauchoix-Duparc type II and AO A2 and B2 were predominant. The essential trimming/osteosynthesis was carried out within 24 hours of the bite. Serovaccination was systematic, but on the other hand, a single dose of anti-rabies serum was administered. Pinning was the most commonly used bone synthesis. Complications were mainly infectious, followed by a case of radial nerve palsy and non-union on pins. Conclusion: The typical profile of an open donkey bite fracture is a male child/adolescent who is bitten during the separation of two fighting donkeys. The lesions are most often found in the thoracic limbs with a predominance of Cauchoix-Duparc type II and type A2 and B2 fractures of the AO, whose treatment consisted of trimming and pinning. The infectious complications of the soft tissues marked the evolution.
International Journal of Case Reports in Orthopaedics
Elevator-related accidents are rare but can cause serious injury. In the United States, elevator ... more Elevator-related accidents are rare but can cause serious injury. In the United States, elevator and escalator accidents seriously injure nearly 17, 100 people and kill around 30 per year. No African study would have reported such an aetiology. This observation concerns a 38-year-old patient who allegedly free-falled into the shaft of an elevator from the 5th Floor with a reception on the roof of the cabin, which was blocked on the ground floor. Accident in the course of which she presented with polytrauma associated with a fracture of the right anterior arch of the seventh rib, two wounds in the gluteal region, a floating knee on the right and a fracture of the left tibial pilon. She was admitted to the operating room for trimming and osteosynthesis. The postoperative course was uncomplicated. The objective of this work was to present a type of accident little known in our context but of which it is necessary to have an idea of the changes in our construction style.
Zenodo (CERN European Organization for Nuclear Research), Sep 15, 2022
Le concept de gouvernance locale permet réduire l'intervention des pouvoirs publics dans plusieur... more Le concept de gouvernance locale permet réduire l'intervention des pouvoirs publics dans plusieurs domaines au profit des collectivités territoriales (santé, éducation, construction et entretiens de certaines infrastructures etc.). L'objectif de notre papier est de faire des propositions réalisables et soutenables pour corriger, les externalités négatives issues des interactions entre les parties. Comme approche méthodologique, nous exploitons les résultats des enquêtes participatives, que nous avons mené en 2020 dans la commune urbaine de Kayes, à travers l'échantillonnage par principe de saturation, des rapports d'activités de divers services (Institut Nationale de la Géographie, direction régionale de l'urbanisme, mairie de Kayes etc.), des travaux de chercheurs (Diarra
Introduction: Sever's disease or calcaneal osteochondrosis of the posterior apophysis affects... more Introduction: Sever's disease or calcaneal osteochondrosis of the posterior apophysis affects adolescent athletes between 8 and 15 years of age, boys are more affected in about 60% of cases and the involvement is uni or bilateral, described in 1912 by the surgeon James Warren Sever. Objective: To present the first case of Sever's disease in Mandiana, supported by a review of the literature. Clinical Case: This was an 11-year-old adolescent, living in Mandiana, a soccer player (right lateral), playing with his right foot, who consulted for a right posteroinferior talalgia, progressive, of mechanical appearance, triggered by walking and physical activity, calmed by rest or by taking non- steroidal anti-inflammatory drugs (NSAID). No notion of taking fluoroquinolone-based medication, no signs suggestive of an infectious focus, particularly auto-rhino-laryngology (ENT) and dental, or tumors. The painful swelling (VAS 9/10) on palpation of the medial and lateral heel cup with deg...
Giant cell tumor is a benign primary bone tumor. The phalangeal localization is rare. It is disti... more Giant cell tumor is a benign primary bone tumor. The phalangeal localization is rare. It is distinguished from other locations by the local aggressiveness of the tumor and a high rate of recurrence. We report one case of a 25-year-old right-handed nurse with no reported pathological history who complained about an ulcero-budding mass of the right little finger evolving one year ago. She would have initially consulted a bonesetter who would have taken care of her by using decoctions. The hand X-ray showed an osteolytic tumor of the first phalanx of the right little finger with a "honeycomb" appearance invading the soft tissues. We carried out the amputation of the radius. The postoperative course was simple with healing of the surgical wound and disappearance of the axillary adenopathy. The surgical specimen after anatomopathology exam concluded to be a grade 2 giant cell tumor of Senerkin.
Pure subtalar dislocation is a rare injury. It accounts for 1% of dislocations seen in trauma. It... more Pure subtalar dislocation is a rare injury. It accounts for 1% of dislocations seen in trauma. It involves a loss of anatomical relationship between the talus, calcaneus and scaphoid, but the tibio-peroneal-astragalic congruence is maintained. The aim of this study was to find an explanation between the occurrence of subtalar dislocation in its medial variety and the Jakarta motorbike crash. Five male patients who had fallen from a Jakarta motorbike were included. Two cases of open dislocation were reported. They received wound trimming under spinal anaesthesia. We proceeded to reduce the dislocation using a boot puller maneuver and restraint with a plaster boot. The postoperative course was simple with wound healing. The casting lasted 6 weeks but was extended to 8 weeks for open dislocations. After removal of the cast, rehabilitation was prescribed for all patients. This consisted mainly of proprioception in order to restore the functions of the ankle. At a mean follow-up of 25....
Léconomie malienne repose sur lagriculture et dépend largement des recettes dexportation des prod... more Léconomie malienne repose sur lagriculture et dépend largement des recettes dexportation des produits comme le coton (près de 12 % des recettes de lÉtat en 2013 selon lInstat). Les effets des instabilités sociopolitiques, le conflit dans le nord, les aléas naturels ou issus de lactivité humaine risquent de compromettre les progrès effectués jusquen 2011 dans lamélioration des conditions pour latteinte des objectifs du développement durable (ODD). Dans ce papier nous présentons lapport de la filière coton dans lamélioration de la situation socioéconomique des populations à travers léradication de lextrême pauvreté qui constitue le premier ODD.
Ce papier permet de faire le point, sur la capacite de resilience du Mali par rapport a la securi... more Ce papier permet de faire le point, sur la capacite de resilience du Mali par rapport a la securite alimentaire, malgre sa situation geographique de pays sahelien. Comme toutes les economies en developpement, il se caracterise par un poids considerable du secteur primaire. Il a un produit interieur brut (PIB) de 837 Dollars (483 924 FCFA) par habitant en 2018 selon l’Institut national de la statistique (Instat, 2019), avec 37% genere par l’agriculture. A travers une analyse documentaire et une etude de terrain, nous repondons a la problematique de la securite alimentaire dans un contexte d’instabilite majeure. Notre etude a permis de souligner la capacite du pays, face a l’insecurite alimentaire malgre les aleas dans une zone tres difficile.
Access to primary health services, especially for maternal and infant care is a key factor to imp... more Access to primary health services, especially for maternal and infant care is a key factor to improving population health status. For many years, because of the lack of facilities, the access was not possible for a large part of population in Mali, like in most of the other Sub-Saharan African countries. Responding to the national priority to improve access to primary health care facilities, the Bank and other developing partners have supported the important investment efforts to build and equip primary health care centers. But although the number of facilities has dramatically increased, the utilization rate has not significantly change and the population health status remains very poor. This study investigates why improving the supply of health care has not triggered a significant increase in utilization rates. Its purpose it to highlight factors which could stimulate a better use of health care services, and measures to be taken to support a positive evolution of utilization rate...
Introduction: Idiopathic central serous chorioretinopathy (ICSC) is characterized by the buildup ... more Introduction: Idiopathic central serous chorioretinopathy (ICSC) is characterized by the buildup of fluid leading to circumscribed elevation of the retina within the posterior pole. This condition affects young people between the ages of 20 -50 years. The disease is seen predominantly in men as compared to women. We report the cases of two (02) patients received in consultation at IOTA-Teaching Hospital between July 2019 and February 2020. Case Presentation: We report two cases of Idiopathic stress central serous chorioretinopathy. The first case is a 37-year-old man that we received in consultation for visual acuity decrease from a sudden installation for 1 hour. The clinical and paraclinical arguments permitted us to retain the diagnosis of Idiopathic stress central serous chorioretinopathy. The patient benefited from laser treatment and the clinical evolution was good. The second case is a 42-year-old man, who consulted for a sudden reduction of visual acuity that had been evolving for 3 weeks. The clinical and paraclinical contexts were in favour of the diagnosis of Idiopathic stress central serous chorioretinopathy. The patient was treated with spironolactone. The clinical evolution was favourable. Conclusion: Our study confirms the existence of central serous chorioretinopathy (CSC) in Black African patients. Studies show the connection between CSC and stress.
Background: First described by Handmann in 1929, the "Morning Glory Syndrome" is a rare congenita... more Background: First described by Handmann in 1929, the "Morning Glory Syndrome" is a rare congenital anomaly of the optic papilla whose notable ophthalmoscopic sign is papillary excavation associated with other ocular and/or non-ocular anomalies. Purpose: The main purpose of this study is to report 2 cases of this rare congenital papilla anomaly in 2 young Malian adults diagnosed in the IOTA-University Hospital respectively in January and May 2020. Materials and methods: In our study, we have included two cases of male gender. Results: In the 1 st case the defect concerned both papillae. It is also associated with other ocular malformations (bilateral macular reshaping and unilateral cataract), without associated cerebral defects. In the 2 nd case, only one papilla was affected by the malformation and there was an absence of associated malformations of other ocular and cerebral structures. Discussion: The Morning Glory Syndrome is part of the group of congenital defects of the optic nerve. It is often referred to as ectasia coloboma of the optical papilla or bindweed flower-like optical papilla because of its similarity to the tropical flower known as "bindweed". Its exact pathogenesis remains unknown, but it is linked to the poor development of the posterior sclera and lamina cribrosa during gestation. Conclusion: Morning Glory Syndrome through papillary excavation and other associated ocular and/or cerebral malformations may be a threat to vision.
La présence d'un colobome choriorétinien soulève souvent des problèmes cliniques entraînant parfo... more La présence d'un colobome choriorétinien soulève souvent des problèmes cliniques entraînant parfois une certaine confusion. Néanmoins, le diagnostic se doit d'être aussi précis que possible pour plusieurs raisons. L'association de certaines anomalies congénitales de la papille avec d'autres pathologies neurologiques endocriniennes ou systémiques et le problème de diagnostic différentiel avec d'autres pathologies ophtalmologiques. Nous rapportons un cas clinique d'un enfant âgé de 6 ans, le premier garçon d'une famille de 2 enfants présentant un colobome papillaire bilatéral sans d'autres anomalies malformatives associées. Dans ses antécédents: sont accouchement s'est déroulé normalement et sont statut vaccinal été à jour. L'examen ophtalmologique de son père et de sa petite soeur âgée de 4 ans été sans particularité, cependant sa mère présente un strabisme divergent à l'oeil droit.
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Papers by Mohamed SIDIBE