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Search Results: 1 - 10 of 2154 matches for " Coulibaly Karim "
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Sexual Assault in the Department of Obstetrics and Gynaecology of the Bamako’s 5th Municipality Medical Center  [PDF]
Bambara Moussa, Coulibaly Karim, Diallo Abdoul Aziz, Ouattara Adama, Zampaligré Idrissa
Open Journal of Obstetrics and Gynecology (OJOG) , 2016, DOI: 10.4236/ojog.2016.611082
Abstract: Background: The authors report cases of sexual assault reported to the obstetrics and gynecology department of the Bamako’s 5th municipality medical center during a prospective study of eight months from 1st January to 31st August 31st, 2012. Results: Twenty-one cases of assault were reported out of a total of 13,482 consultations, representing a frequency of 0%, 15%. Most victims were represented by students and accounted 43% of the study population. In 76% of cases the victims knew their assailant. The type of sexual contact was genito-genital vaginal penetration in 67% of cases and the condom was used in only one case. The average time before consultation was 3 days. The preventive ARV treatment was administered in 24% of cases and emergency contraception in 43% of cases. Conclusion: Sexual assault is common in Bamako. The reality is probably underestimated because many cases are not reported. The victims are mostly children and adolescents. The risk of transmission of STIs and HIV is very high during the sexual assault. Education and awareness of the population are essential for early consultation. Training of health workers to care for victims of sexual assault is needed.
Tonsillitis and Their Complications: Epidemiological, Clinical and Therapeutic Profiles  [PDF]
Abdoul Wahab Haidara, Youssouf Sidibé, Djibril Samaké, Amady Coulibaly, Mamadou Karim Touré, Bréhima Bolonpé Coulibaly, Siaka Soumaoro, Boubacary Guindo, Kassim Diarra, Kalifa Coulibaly, Boubacar Sanogo, Mohamed Ké?ta, Alhousseini Ag Mohamed
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2019, DOI: 10.4236/ijohns.2019.83011
Abstract: Tonsillitis or angina, is considered as an inflammation of the palatine tonsils most often of infectious origin. It can be acute or chronic. The germs in question are mostly viruses and bacteria. Objectives: The objective of this work was to study the epidemiological and therapeutic profile of tonsillitis and their complications in the ENT Department and Head and Neck Surgery of the Mother-Child University Hospital in Luxembourg. Patients and Methods: This is a prospective study over a 12-month period from January 2018 to December 2018, including all patients who presented with tonsillitis and/or their complications. Results: Three hundred and fifteen (315) patients were collected during this period. The average age in our study was 14.25 years with extremes ranging from 2 years to 61 years. The sex ratio was 0.65 in favor of the female sex. During this period we recorded 80.95% of cases of uncomplicated tonsillitis including 60.50% for acute tonsillitis, 24.5% for chronic tonsillitis 5% for adenoid tonsillitis and 19.05% for complications. Complications included peritonsillar phlegmon 42.22%, heart disease 33.33%, cervical cellulitis 8.89%, adeno-phlegmon 6.67%, para-pharyngeal abscess 4.44%, and sepsis 4.44%. The exclusive medical treatment was performed in 44.31%. Surgical treatment (drainage incision and tonsillectomy) was performed in 55.69%. Conclusion: Tonsillitis and its complications represent an important pathology in ENT. Feynophagy febrile is the pair-origin symptom that can lead to the diagnosis. The prevention of complications is the guarantor of the reduction of its morbidity. We recommend that in the absence of RDT (Rapid Diagnostic Test), it is necessary to systematize antibiotic therapy to prevent serious complications.
Prognostic Factors for Acute Heart Failure (AHF) in the Cardiology Intensive Care Unit (ICU) of the University Hospital Point G (UH Pt G)  [PDF]
Camara Youssouf, Ba Hamidou Oumar, Sangare Ibrahima, Toure Karamba, Coulibaly Souleymane, Sacko Abdoul Karim, Coulibaly Alfousseyni, Diallo Nouhoum, Sidibe Samba, Daou Adama, Menta Ichaka, Diall Ilo Bella, Diallo Boubakar Abdoulaye
World Journal of Cardiovascular Diseases (WJCD) , 2019, DOI: 10.4236/wjcd.2019.91005
Abstract: Background and Aim: The absence of data in our context motivates this study aiming to determine the frequency of AHF at the ICU, assess the in-hospital evolution of the disease and to find out poor prognosis.Material and Methods: It was an observational and descriptive study covering the time from January 1, 2014 to March 30, 2017 involving all inpatient records in ICU. From January 2014 to December 2017, collected data included those on socio-demographic, history of diseases and physical examination, and some labor dataincluding Pro BNP, serum creatinine, blood ionogram,?cardiac enzymes and blood count. Also data electrocardiography, echocardiography and in-hospital evolution were collected. Statistical Analysis:Statistical analysis was performed using SPSS (IBM Inc) version 18. Results: AHF occured in 47.36% with a mean age of 58.74 ± 18.407 and extremes of 17 and 90 years, women representing 53.1% (sex ratio Male:Female = 0.88). Hypertension and diabetes were the predominant cardiovascular risk factors with respectively 67.4% and 18.4%. At admission?44%, 37.7% and 17.9% of patients were respectively hypertensive,?normotensive and hypotensive. The clinical expression was mainly global heart failure with 42.6% followed by left heart failure and right heart failure with respectively 37% and 20.4%. The coronary syndromes (all forms) was the first cause of ICA with 34% of cases followed by pulmonary embolism and hypertension
Treatment of HBeAg-Negative Chronic Hepatitis B Patients with Nucleos(t)ide Analogues in Burkina Faso  [PDF]
Kounpiélimé Sosthène Somda, Abdel Karim Sermé, Aboubacar Coulibaly, Steve Léonce Zoungrana, Inès Compaoré, Serges Kouamou, Damien Ouattara, Roger Sombié, Alain Bougouma
Open Journal of Gastroenterology (OJGas) , 2016, DOI: 10.4236/ojgas.2016.612041
Abstract: The treatment of chronic hepatitis B (CHB) has increased significantly in recent years. In patients affected by HBeAg-negative CHB, it is necessary to distinguish the inactive carriers (low viral DNA < 2000 IU/mL, normal ALT, histological lesions absent or minimal) who does not need treatment, and patients suffering from active CHB (DNA > 2000 IU/ml, high transaminases or fluctuating, significant fibrosis and/or necro-inflammatory activity > 1) who must be treated. The main purpose of treatment is to obtain a long-lasting viral suppression to improve the histological lesions and reduce the risk of evolution towards cirrhosis, liver failure and hepatocellular carcinoma (HCC). It about an indefinite treatment (unless HBsAg seroclearance) expensive and often inaccessible for the majority of our patients. Our study aimed to report the results of four years follow-up of HBeAg-negative patients treated by Nucleos(t)ide analogues (NAs) in Ouagadougou (Burkina Faso). It was a clinical observational study with 133 patients including 95 men; the average age was 41.2 years, completing the criteria of treatment. One hundred and twelve patients were treated by tenofovir (TDF), fourteen by lamivudine and seven co-infected HIV/HBV patients by Atripla® (combination TDF, Emtricitabine and Efavirenz). Virological and biochemical responses were respectively 100% and 94% after 4 years. The rate of HBsAg seroclearance was 1.5%. Twelve of fourteen patients (85.7%) had lamivudine resistance and no cases of resistance in the TDF and Atripla® groups. One co-infected patient developed HCC during treatment. Among patients treated by TDF, two cases of hypophosphatemia were noticed and no case of kidney failure. The treatment of CHB is certainly progressing; updated guidelines (EASL, AASLD) exist but should be adapted to the African context.
Uterine Perforation after Pose of IUD, the Place of Abdomen Radiography without Preparation  [PDF]
Abdel Karim Sermé, Aboubacar Coulibaly, Koumpielimé Sosthène Somda, Dimitri Darankoum, Delphine Napon/Zongo, Soré Moussa Zanga, Hector Godonou, Kadidiatou Cissé, Issiaka Ouedraogo, Ali Ouedraogo
Open Journal of Gastroenterology (OJGas) , 2017, DOI: 10.4236/ojgas.2017.71001
Abstract: Uterine perforation is a serious complication after insertion of an intrauterine device (IUD). We report the case of a 34-year-old woman receiving in consultation for abdominal pain. In the interrogation there was a notion of IUD insertion for about a week. The gynecological examination did not find the thread of IUD and the ultrasound performed did not visualize an IUD. Radiography of the abdomen without preparation highlighted a compatible intrapelvic foreign thing like an IUD. The diagnosis of pelvic inflammatory disease by uterine perforation by an IUD was thus retained. We suggest in case of suspicion of uterine radio paque IUD perforation achieving radiography when the abdominal pelvic ultrasound is normal.
Critique of John Locke Objection to the Innate Ideas  [PDF]
Coulibaly Yacouba
Open Journal of Philosophy (OJPP) , 2016, DOI: 10.4236/ojpp.2016.64030
Abstract: The debate about innetivism is not a new subject in philosophy. From the earlier philosophers up to the recent ones, the main question that remains is: men are born with some ideas or we only know through experience? In this study, the emphasis will not be the process of human knowledge but the controversy in the objection of Locke to the innate Idea. From the beginning of his objection, John Locke shows that we are born with empty mind. Then through experience we build the knowledge little by little. But later on, Locke recognizes that it’s also possible that children may have some ideas from the womb. They may experience wants, diseases, hunger, and heat. To him many of those ideas which were produced in the minds of children, in the beginning of their sensation, if they are not repeated in future, then they are quite lost. If we choose the fact that people are born with ideas from pre-experience, that view is more scientific and more logical than the religious view of Plato. The paper concludes that even though there is no complete agreement on how innate ideas are made, we did not come in the world with blank mind and what is important is not how innate ideas have been made but their existence and application in life.
Acute Pneumonia Characteristics in Children under Five Years of Age in Bamako, Mali  [PDF]
Fatoumata Dicko-Traoré, Abdoul Karim Doumbia, Mariam Sylla, Mariatou Traoré, Djènèba Konaté, Fatoumata Léonie Diakité, Karamoko Sacko, Belco Maiga, Hawa Diall, Oumar Coulibaly, Pierre Togo, Fousseyni Traoré, Abdoul Aziz Diakité, Yacouba Toloba
Open Journal of Pediatrics (OJPed) , 2019, DOI: 10.4236/ojped.2019.91002
Abstract: Pneumonia is the most common cause of mortality in child under five years of age. The objective of the study was to assess socio-demographic and clinical characteristics of children under 5 hospitalized for pneumonia. Material and method: We conducted a 6 months prospective study from June 1st, 2016 to December 31st, 2016 in the general pediatric service in the Pediatric Department of Gabriel Touré Teaching Hospital in Bamako, the capital city of Mali. Result: We have selected 63 cases of pneumonia according to our definition criteria, i.e. 2.2% of hospitalizations for children aged 1 to 59 months. The average age was 14 months. Infants under 2 years accounted for 82.53%. The sex ratio was 1.2. Seventy eight percent came from an unfavorable socio-economic background. The majority of mothers were uneducated (71.42%). Breastfeeding was exclusive up to 6 months in 50.79% of patients. Vaccination according to the national program was not up to date in 27% of patients. The average consultation time was 18 days. On admission, 81% of
Giant Cervical Kystic Lymphangioma in Children: Surgical Management of a Case  [PDF]
Youssouf Sidibé, Abdoulaye Kanté, Amady Coulibaly, Rokia Koné, Mamadou Koné, Fatoumata Léonie Fran?ois Diakité, Drissa Ouattara, Abdoul Wahab Haidara, Boubacar Sanogo, Sidiki Dao, N’faly Konate, Kadiatou Singaré Doumbia, Samba Karim Timbo, Mohamed Keita, Alhousseini Ag Mohamed
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2019, DOI: 10.4236/ijohns.2019.81001
Abstract: Introduction: Cervical cystic lymphangiomas are rare benign dysembryoplastic tumors of lymphatic origin. Its severity in the child is due on one hand to their fast evolution and the compression of the way aerodigestive and on the other hand, by the classical difficulty of their excision. The purpose of this work was to report a case of giant cervical cystic lymphangioma in a child to discuss the difficulties associated with its management in our context. Observation: This was a 3-year-old female child who was admitted to the ENT department of CHU “Luxembourg” for right lateral cervical swelling. The clinical examination had noted a large anterior-latero cervical swelling of soft, renitent, painless palpation, movable in relation to the superficial and deep plane, measuring about 20 cm × 17 cm, the skin was healthy. It wasn’t particularity to the rest of the physical examination. The diagnosis of giant cervical cystic lymphangioma was discussed. Thorough excision of the swelling by right lateral cervicotomy was performed. Anatomopathological examination of the operative specimen confirmed the diagnosis. The postoperative course was simple and the evolution was favorable. Conclusion: Cervical cystic lymphangiomas are rare. Their management involves surgery, with short and long-term post-operative outcomes are often excellent.
Post-Infectious Acute Glomerulonephritis in Child: Epidemiological, Clinical and Evolutionary Aspects in Gabriel Touré Teaching Hospital in Mali  [PDF]
Mariam Sylla, Fatoumata Dicko-Traoré, Abdoul Karim Doumbia, Aminata Coulibaly, Abdoul Aziz Diakité, Modibo Sangaré, Pierre Togo, Fousseyni Traoré, Amadou Touré, Djènèba Konaté, Karamoko Sacko, Belco Maiga, Fatoumata Léonie Diakité, Lala N’Drainy Sidibé, Mohamed Elmouloud Cissé, Adama Dembélé, Hawa Diall, Oumar Coulibaly, Ibrahim Hamadou, Leyla Maiga, Issiaka Koné, Boubacar Togo, Toumani Sidibé
Open Journal of Pediatrics (OJPed) , 2018, DOI: 10.4236/ojped.2018.84036
Abstract: Introduction: Acute post-infectious glomerulonephritis (APIGN) can be serious due to its complications that still occur in our countries. In this work, we aimed to study the epidemiological, clinical, biological and evolutionary aspects of APIGN. Patients and methods: We conducted a retrospective, descriptive study from January 1st, 2015 to December 31st, 2017 in the pediatric ward of the Gabriel Touré Teaching Hospital in Bamako. All children hospitalized for APIGN were included. Results: In two years, we included 10 children aged 7 years old on average; all from low socioeconomic backgrounds. The sex ratio was 1.5. On average, the children spent 15.8 days before our consultation. Edema was the main reason for consultation. We found a history of infection and high blood pressure in 30% each, and renal failure in 10% of the children. Hematuria and proteinuria were detected in 100% and 90%, respectively. Hypocomplementemia was observed in 66.6%. One third of the children had a positive antistreptolysin O. The average duration of hospital stay was 11.2 days. The evolution was favorable in 90%. Kidney failure was the leading cause of death. Conclusion: Acute post-infectious glomerulonephritis is still a reality in our context. Emphasis should be put on its prevention by improving the hygienic conditions, detection and the management of
From the Failure of African Socialism, How to Set a New Trend for a New Generation?  [PDF]
Coulibaly Yacouba, Belko Wologueme
Open Journal of Social Sciences (JSS) , 2018, DOI: 10.4236/jss.2018.62003
From 1960, most of the African nations got their political independence. Many countries started to establish national and regional vision about the future. Then some political scientist, state men and scholars came out with a new philosophy called socialism. The concept of socialism was at the same time philosophical and ideological conviction made to promote national and regional unity in Africa. Unfortunately, the concept was misunderstood by most of the leaders to some extent, but also, the lack of good will led some others to mislead their own people by fighting against the idea of socialism. The fact that many Africans were not educated, contributed to the growth and expansion of socialism with effectiveness. For all these reasons, the application of socialism was difficult, even impossible. In this article, we are trying to explain the main reason of the failure of this political and philosophical thought and set a new trend for the new generation.
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