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Caracterización de la hipertensión arterial en el Hospital "Sominé Dolo" de Mali
Salas López,Alfonso; Jústiz Calzado,Jorge Carlos; Martínez Castillo,Belkis Victoria; Chapman Auty,Yaquelin;
MEDISAN , 2012,
Abstract: a descriptive, longitudinal and prospective study was carried out in 216 patients attending the outpatient department of "sominé dolo" hospital in the region of mopti (mali) with high pressure values, from january to december 2009, in order to characterize them clinically and epidemiologically. among the analyzed variates were age, sex, activities, ethnicity and type of hypertension. the aforementioned disease (mainly moderate) prevailed in mature adults and females, without ethnic differences related to the condition, although the values were similar to those reported in high prevalence regions, so that it was advisable to carry out measures for prevention and rehabilitation of hipertensive individuals in the territory.
Caracterización de la hipertensión arterial en el Hospital "Sominé Dolo" de Mali Characterization of the hypertension in the “Sominé Dolo” Hospital of Mali
Alfonso Salas López,Jorge Carlos Jústiz Calzado,Belkis Victoria Martínez Castillo,Yaquelin Chapman Auty
MEDISAN , 2012,
Abstract: Se realizó un estudio descriptivo, longitudinal y prospectivo de 216 pacientes que acudieron a la consulta de medicina del Hospital "Sominé Dolo" de la región de Mopti (Mali), con cifras tensionales elevadas, desde enero hasta diciembre de 2009, a fin de caracterizarles clínica y epidemiológicamente. Entre las variables analizadas figuraron: edad, sexo, actividad que desarrollaban, etnia y tipo de hipertensión arterial. La mencionada enfermedad (sobre todo la moderada) predominó en adultos maduros y el sexo femenino, sin diferencias étnicas relacionadas con la afección, si bien se hallaron valores similares a los informados en regiones de alta prevalencia, por lo cual convenía proceder a la dispensarización de las personas hipertensas en ese territorio. A descriptive, longitudinal and prospective study was carried out in 216 patients attending the outpatient department of "Sominé Dolo" Hospital in the region of Mopti (Mali) with high pressure values, from January to December 2009, in order to characterize them clinically and epidemiologically. Among the analyzed variates were age, sex, activities, ethnicity and type of hypertension. The aforementioned disease (mainly moderate) prevailed in mature adults and females, without ethnic differences related to the condition, although the values were similar to those reported in high prevalence regions, so that it was advisable to carry out measures for prevention and rehabilitation of hipertensive individuals in the territory.
Choked Inguino-Scrotal Hernia and Fistulising in the Scrotum at the Hospital Sominé DOLO of Mopti: A Clinical Observation  [PDF]
Abdoulaye Kanté, Djibril Traoré, Siaka Diallo, Drissa Ouattara, Bréhima Bengaly, Drissa Traoré, Moustapha Issa Magané, Mariam Daou, Nouhoum Ongo?ba
Surgical Science (SS) , 2019, DOI: 10.4236/ss.2019.103009
We report a case of grave and rare surgical complications nowadays, which calls out to us on the necessity of a bigger raising sensitization on the coverage of the constrictions hernial at the adult. It is about a case of right inguino-scrotal hernia choked secondarily complicated with a scrotal coecostomie at a 64-year-old man. The delay in the care was in touch with a traditional treatment but also in the poverty of the patient which was a needy the total care of which was assured by the social services department of the hospital. The perioperative exploration found a cecostomy the mucous membrane of which was inverted in the opening of the stoma, an ulceration of the peristomial scrotum with a normal macroscopic aspect of the testicle homolateral. The care was made at single time: parage and scrotal suture more resection segmental of the coecum followed by an anastomosis ileocolic terminoterminal and a cure of the hernia according to Shouldice. The operating suites were simple with ablation of the threads to operating J12 comment and the liberation of the patient the next day. The clinical evolution was satisfactory with a backward movement of 4 years.
The Professional Medical Journal , 2010,
Abstract: Objective: To compare the results of tissue based Shouldice repair with the Lichtenstein tension free repair of inguinal hernia.Design: A prospective randomized controlled trial. Period: From Jan 2004 to Dec 2006. Setting: Surgical Unit-II, Allama Iqbal Medical College/ Jinnah Hospital Lahore, Pakistan. Patients & Methods: A total of 156 patients were included in this study were equally divided into two groups.Results: The mean age was 45 years. After a follow up of upto 2 years there was significant difference in the recurrence rate. It was 5% in theShouldice group and 1.28 %in the Lichtenstein group. Similarly chronic pain was also much higher i.e. 5% in the Shouldice group compared to1.28% in Lichtenstein Group. The rate of hematoma and seroma formation was the same (1.28%) in both groups, however infection was seenslightly more in Lichtenstein repair (3.84%) as compared to Shouldice repair (2.56%). Conclusion: Tension free Lichtenstein technique wasfound to be superior to the tissue based Shouldice repair with respect to post operative complications and recurrence.
Volvulus Acute of the Colonist Sigmoid to Mopti: Diagnostic and Therapeutic Aspects  [PDF]
Bréhima Bengaly, Abdoulaye Kanté, Drissa Ouattara, Bréhima Coulibaly, Drissa Traoré, Birama Togola, Babou Ba, Souleymane Sanogo, Siaka Diallo, Djibril Traoré, Moustapha Issa Magané, Mariam Daou, Nouhoum Ongo?ba
Surgical Science (SS) , 2018, DOI: 10.4236/ss.2018.911050
Abstract: In 7 years, we brought together 100 cases of volvulus of the colon sigmoid to the hospital Sominé Dolo of Mopti among which the handle volvule was found without necrosis in 66 cases and necrosis 34 cases. Seventy-six patients benefited from a sigmoidectomy followed by a colorectal anatomize at a time, twenty one patients of an intervention of Hartmann. A surgical distortion was realized at 3 patients. All the patients operated by these last two techniques had a restoring of the digestive continuity for an average deadline of 90 days. The post-operative complications consisted of 11 cases of parietal suppuration and a case of evisceration. The average duration of follow-up was of 210 days. The post-operative mortality was 14%. It was about a state of toxic shock with visceral multi-failure (n = 13), and of a pulmonary embolism (n = 1). The treatment of the volvulus requires a fast diagnostic and therapeutic coverage. The best treatment consists of a resection of the sigmoid as a matter of urgency followed by an immediate anastomosis if the following conditions are carried achieved: state general voucher, experimented surgeon and if the resuscitation meadow, per and post-operative can be assured.
The Shouldice technique for the treatment of inguinal hernia  [cached]
Chan Chin,Chan Gabriel
Journal of Minimal Access Surgery , 2006,
Abstract: The Shouldice repair has been refined over several decades and is the gold standard for the prosthesis-free treatment of inguinal hernias. A recurrence rate around 1% has been consistently demonstrated over the years. The objective of this paper is to outline and highlight the key principles, including the dedicated pre-operative preparation, the use of local anesthesia, a complete inguinal dissection and the eponymous four-layered reconstruction. A knowledge and understanding of inguinal hernia anatomy and the patho-physiology of recurrence are vital to achieving a long-term success and patient satisfaction for a pure tissue repair.
Shouldice Herniorrhaphy Technique: Surgeons Need to Remember It  [PDF]
Ibrahim Yetim,Oktay Karak?se,Adem Dervi?o?lu,Kenan Erzurumlu
Journal of Clinical and Analytical Medicine , 2012, DOI: 10.4328
Abstract: Aim: Hernia surgery is the second most common surgical intervention performed by general surgeons following emergent surgeries. Shouldice herniorraphy is a classical surgery which is in the high tension repair group. This technique should be known by every surgeon. Also being an alternative method, it can be a necessity in cases in which tension free methods can not be performed. In the present study we investigated the advantages, disadvantages and complications of the Shouldice herniorraphy and Lichtenstein technique with the review of the technical literature. Material and Method: We compared 75 patients who were diagnosed with inguinal hernia and treated with Lichtenstein herniorraphy with 33 patients who were treated with Shouldice herniorraphy in Samsun Bafra Public Hospital between April 2007 and May 2008. Age, sex, hernia type, anesthesia method, mean hospitalisation length, early and late post operative complications were recorded. Result: Early post operative complications were urinary retention, wound infection and hematoma. The patients under spinal anesthesia with urinary retention were treated with urinary catheterization. Superficial wound infection was treated with drainage and antibiotic threapy. Among late postoperative complications; we observed paresthesia in the thigh in one patient in the Shouldice group and relapse hernia in one patient in the Lichtenstein group. Discussion: We suggest that this surgical technique which should be known by every surgeon should be taught to new surgery attenders as an alternative technique. This technique can be an alternative method and also may be the first choice in patients in whom tension free methods can not be applicated.
Dolo y mala fe  [cached]
Carlos Arturo Gómez Pavajeau
Derecho Penal y Criminología , 2010,
Abstract: Se ha dicho por grandes penalistas que las tesis en nuestra disciplina son una eterna vuelta al pasado. Empero, debe constatarse, que ello se ha dicho en un sentido de lo clásico: una vuelta a lo que resulta digno de admirar en cualquier época, toda vez que las experiencias históricas negativas nos previenen de repetir el pasado, razón fundamental por la cual debemos conocerlo. En este escrito pretendemos mostrar cómo algunas tendencias actuales nos indican que épocas nefastas ya superadas pueden repetirse, lo cual particularmente sucede tanto con la noción de dolo como con la de mala fe, concepto que de imponerse destruiría, a la manera como se derrumba un castillo de naipes, el sólido edificio dogmático construido por el Derecho penal liberal.
Analysis and Forecasting of the Impact of Climatic Parameters on the Yield of Rain-Fed Rice Cultivation in the Office Riz Mopti in Mali  [PDF]
Angora Aman, Moussa Nafogou, Hermann Vami N’Guessan Bi, Yves K. Kouadio, Hélène Boyossoro Kouadio
Atmospheric and Climate Sciences (ACS) , 2019, DOI: 10.4236/acs.2019.93032
Abstract: During the period spanning the 1970s and1980s, countries in the West African Sahel experienced severe drought. Its impact on agriculture and ecosystems has highlighted the importance of monitoring the Sahelian rainy season. In Sahelian countries such as Mali, rainfall is the major determinant of crop production. Unfortunately, rainfall is highly variable in time and space. Therefore, this study is conducted to analyze and forecast the impact of climatic parameters on the rain-fed rice yield cultivation in the Office Riz Mopti region. The data were collected from satellite imagery, archived meteorology data, yield and rice characteristics. The study employed Hanning filter to highlight interannual fluctuation, a test of Pettitt and the standardized precipitation index (SPI) to analyze the rainfall variability. Climate change scenarios under the RCP 8.5 scenario (HadGEM-2 ES) and agroclimatic (Cropwat) model are carried out to simulate the future climate and its impact on rice yields. The results of satellite image classifications of 1986 and 2016 show an increase of rice fields with a noticeable decrease of bare soil. The analysis of the SPI reveals that over the 30 years considered, 56.67% of the rainy seasons were dry (1986-2006) and 43.33% were wet (2007-2015). The modelling approach is applied over 1986-2006 and 2007-2015 periods—considered as typical dry and rainy years—and applied over the future, with forecasts of climate change scenarios in 2034. The results show a decrease in potential yield during dry and slightly wet years. The yields of rain-fed rice will be generally low between 2016 and 2027. Deficits are observed over the entire study area, in comparison with the potential yield. Thus, this situation could expose the population to food insecurity.
Trends in malaria morbidity among health care-seeking children under age five in Mopti and Sévaré, Mali between 1998 and 2006
Alyson Rose-Wood, Seydou Doumbia, Bouyagui Traoré, Marcia C Castro
Malaria Journal , 2010, DOI: 10.1186/1475-2875-9-319
Abstract: A retrospective analysis of daily outpatient consultation records from urban community health centres (CSCOMs) located in Mopti and Sévaré for the years 1998-2006 was conducted. Risk factors for a diagnosis of presumptive malaria, using logistic regression and trends in presumptive malaria diagnostic rates, were assessed using multilevel analysis.Between 1998-2006, presumptive malaria accounted for 33.8% of all recorded consultation diagnoses (10,123 out of 29,915). The monthly presumptive malaria diagnostic rate for children under five decreased by 66% (average of 8 diagnoses per month per 1,000 children in 1998 to 2.7 diagnoses per month in 2006). The multi-level analysis related 37% of this decrease to the distribution of bed net treatment kits initiated in May of 2001. Children of the Fulani (Peuhl) ethnicity had significantly lower odds of a presumptive malaria diagnosis when compared to children of other ethnic groups.Presumptive malaria diagnostic rates have decreased between 1998-2006 among health care-seeking children under five in Mopti and Sévaré. A bed net treatment kit intervention conducted in 2001 is likely to have contributed to this decline. The results corroborate previous findings that suggest that the Fulani ethnicity is protective against malaria. The findings are useful to encourage dialogue around the urban malaria situation in Mali, particularly in the context of achieving the target of reducing malaria morbidity in children younger than five by 50% by 2011 as compared to levels in 2000.Malaria is a major cause of childhood morbidity and mortality in sub-Saharan Africa. In 2006, 86% of the estimated 247 million malaria cases occurred in that region, causing 801,000 deaths (85% among children under age five) [1]. Efforts to address this burden have been undertaken (e.g., Global Fund, President's Malaria Initiative, and the recent call for malaria elimination/eradication) and continue to expand [2-5]. Significant declines are starting to be obs
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