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Search Results: 1 - 10 of 1574 matches for " Moussa Camara "
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Fertility after Neosalpingostomy through Laparoscopic Way in Point “G” Teaching Hospital  [PDF]
Kéita Soumaila, Traoré Youssouf, Soumaré Lamine, Koumaré Sekou, Sacko Oumar, Camara Aboubacar, Camara Moussa, Sissoko Moussa, Abdoulaye Sissoko, Koita Adama, Sanogo Z. Zimogo
Surgical Science (SS) , 2019, DOI: 10.4236/ss.2019.102007
Abstract: The endoscopic surgery is actually the golden standard for the management of infertility. Its results look better than classical surgery. The aim of the study was to assess the fertility rate among infertile women who have undergone a laparoscopic distal tubal plasty and to estimate factors influencing this fertility. From January 2007 to December 2016 a descriptive and analytical cross sectional retrospective study was conducted in the departments of general and laparoscopic surgery of the Point “G” Teaching Hospital in Bamako, Mali. Clinical records of 120 laparoscopic patients with distal tubal occlusion who have undergone a neosalpingostomy were collected. Average period of infertility was 6.7 years (from 1 to 25 years), and the average duration before laparoscopic surgery was 5 years. Main abnormalities were: 50 cases of bilateral tubal distal occlusion (41.7%), 14 patients with unilateral tubal distal occlusion (11.7%), 44 cases of bilateral hydrosalpinx (36.6%) and 12 cases with unilateral occlusion (10.0%). Seventeen patients had adhesions (14.1%) including 4.0% of tubo-peritoneal adhesions, 35.5% of tubo-ovary adhesions and Fitz Hugh and Curtis syndrom adhesions in 17.7% of cases. More than half of the patients (58.0%) had a grade II tubal score. Neosalpingostomy had led to bilateral tubal repermeabilization among 60.0% of the patients. Thirty two point five percent (39/120) pregnancies have been observed after the management. Conception probability was null after the 4th post operative year. The majority of pregnancies have been observed in the 11th month after laparoscopic management. During the follow-up, thirty one patients had intrauterine pregnancy (79.5%), four ectopic pregnancies and three miscarriages. The occurrence of pregnancy was influenced by the desire of the woman, the absence of co-morbidity, the tubal score, the result and the quality of the laparoscopic gesture and the duration of the fertility. Conclusion: In our working setting, neosalpingostomy by laparoscopic surgery is an accessible and feasible method in the management of distal tubal infertility. It has permit to treat infertile patients with more chance of success. The occurrence of pregnancy is associated to tubal disease thoroughness, endoscopic gestures quality and the duration of the fertility.
Factors Prognosis of Ebola Virus Disease at the Wonkifong Ebola Treatment Center, Coyah, Guinea  [PDF]
Mamadou Saliou Sow, Alioune Camara, Boushab Mohamed Boushab, Mamadou Oury Safiatou Diallo, Kadio Jean-Jacques Olivier Kadio, Ismael Camara, Alseny Modet Camara, Mandy Kader Kondé, Moussa Seydi
Advances in Infectious Diseases (AID) , 2018, DOI: 10.4236/aid.2018.83013
Abstract: Background: The Ebola Virus Epidemic epidemic in Guinea was marked by its rapid spread in the capital, forcing the authorities to build several Ebola treatment centers including Wonkifong (Coyah), Conakry. Objective: To evaluate the case fatality rate of Ebola Virus Disease in this center and to identify associated factors. Patients and Method: There is a prospective study at wonkifong Ebola treatment center from January 1st, 2014 to April 30th, 2015. All patients diagnosed with an Ebola Virus Disease from January 1st, 2014 to April 30th, 2015 were enrolled in this study. Kaplan-Meier curves and multivariate regression model were used to analyze factors associated with death. Results: 216 patients were included, the mean age was 30.52 ± 17 years and 53.2% were female. The average time between admission to the Ebola treatment center and the onset of signs was 5.13 ± 3.8 days. The average period of stay in the Ebola Treatment Center was 12.64 ± 11.31 days and duration median of death after admission in Wonkifong ETC was 11 days. According to the source, more than half of the patients were from Forécariah, i.e. 60.2% (n = 134). The case fatality rate was 64.4%. This rate was 72.0% in Dubréka, 65.1% in Coyah and 64.6% in Forécariah. The factors independently associated with Ebola Virus Disease death were signs of diarrhea [OR = 2.22 (1.17 - 4.20)], anorexia [OR= 0.40 (0.19 - 0.81)] and period of patients stay in ETC [OR = 0.96 (0.93 - 0.99)]. Conclusion: These results show that the fatality rate linked to the Ebola virus disease remains high. The factors independently associated with death were Diarrhea, anorexia and period between beginning of illness and date of latest news. Biological monitoring and resuscitation seem interesting for the reduction of this mortality.
Right Internal Jugular Vein Ectasia in African Woman: A Report of 2 Cases  [PDF]
Seydou Togo, Moussa Abdoulaye Ouattara, Sékou Koumaré, Mody Abdoulaye Camara, Sadio Yena
Surgical Science (SS) , 2015, DOI: 10.4236/ss.2015.610062
Abstract: Internal jugular vein (IJV) ectasia is a rare benign disease. It commonly presents as a unilateral, soft, compressible neck swelling that mostly involves the right side. It is usually a childhood disease and believed to be of congenital origin. Accurate diagnosis from careful history, physical examination and radiological study can be made. We report here two cases of IJV ectasia in African adults with right lateral neck mass dilating when increase intrathoracic pressure. Because of its rarity, this entity is frequently ignored or misdiagnosed. This case report intends to stress the importance of keeping IJV ectasia as differential diagnosis in mind in case of lateral neck swellings to avoid invasive investigations and inappropriate treatment. The asymptomatic case management of IJV ectasia is conservative with long-term surveillance.
Severe Drug Eruption in Guinea Conakry  [PDF]
Mohamed Cissé, Thierno Mamadou Tounkara, Boh Fanta Diané, Mohamed Maciré Soumah, Moussa Keita, Fodé Bangaly Sako, Houleymatou Baldé, Aissata Dabo Camara, Alhousseine Doumbouya, Amara Camara, Fodé Amara Traoré
Journal of Cosmetics, Dermatological Sciences and Applications (JCDSA) , 2014, DOI: 10.4236/jcdsa.2014.45045
Abstract: Severe drug reactions are defined as mucocutaneous complications secondary to systemic administration of drugs likely to be life threatening. Our work was designed to determine the evolutionary epidemiological and etiological characteristics of severe drug reactions to the Department of Dermatology Venereology, at Donka Teaching Hospital. A prospective descriptive study of all cases of severe drug reactions received at the Department of Dermatology Venereology of the Donka Teaching Hospital was conducted over a period of two years, from June 2009 to May 31, 2011. We identified 22 Stevens-Johnson syndrome, 13 Toxic Epidermal Necrolysis, 1 Stevens-Johnson syndrome Border Toxic Epidermal Necrolysis, 1 Drug Rash with Eosinophilia and Systemic Symptoms and 2 Acute generalized exanthematous pustulosis among 481 hospitalized patients, of whom 50 had consulted for drug reactions, that is to say, a frequence of 10.40%. The Stevens-Johnson syndrome accounted for 44%, the Stevens-Johnson syndrome Border Toxic Epidermal Necrolysis 2%, Toxic Epidermal Necrolysis 26%, Drug Rash with Eosinophilia and Systemic Symptoms 2% and Acute generalized exanthematous pustulosis 4% of drug reaction. The female sex was predominant (28 women vs. 11 men), that is to say 71.59% vs. 26.21 with a sex ratio of 2.55. The average age of our patients was 29.72 years; the range of ages 21 - 40 years was the most affected (51.28%) followed by 0 - 20 years (33.33%). The lethality rate was 9.09% (2/22) in the Stevens-Johnson syndrome and 53.85% (7/13) in the Toxic Epidermal Necrolysis. HIV infection was found in 17.95% (7/26) of our patients and 71.42% (5/7) of the deceased. The drug accountability was established in 79.48%; the most commonly implicated drugs in the Toxic Epidermal Necrolysis were sulfonamides followed by ARVs (nevirapine) and anti TB (isoniazid); in the SJS sulfonamides followed by salts of quinine and anti TB, the only case of DRESS was due to quinine. No drug was found in 20.52% (8 cases). HIV infection remains a poor prognostic factor. Our study shows the scarcity of Drug Rash with Eosinophilia and Systemic Symptoms and Acute generalized exanthematous pustulosis in our service.
Ectopic Pregnancy Combined with Intra-Uterine Pregnancy with a Full-Term Live Baby: A Case Report and Review of Literature  [PDF]
Mamadou Almamy Keita, Daouda Camara, Abdoulaye Kanté, Assitan Koné, Abdoulaye Diarra, Bréhima Coulibaly, Zoseph Koné, Seydou Fané, Cheick Fantamady Camara, Assitan Traoré, Bakary Danfaga, Moussa Sogoba, Ismaila Simaga, Bakary Keita, Moussa Konaré, Jules Sangala, Drissa Traoré, Nouhoum Ongoiba
Case Reports in Clinical Medicine (CRCM) , 2019, DOI: 10.4236/crcm.2019.81004
Abstract: Heterotopic pregnancy is no more a medical breakthrough. It combines intrauterine pregnancy and extra-uterine pregnancy regardless of location. We report a case of intra-uterine pregnancy associated with a ruptured abdominal ectopic pregnancy located on the pelvic colon in a 29-year-old patient, third gestation, primigravida, having a live baby and a prior history of two abortions. She has blood group O negative of Rhesus. It has been diagnosed at the stage of the rupture of ectopic pregnancy. An emergency laparotomy performed under blood transfusion has revealed heavy hemoperitoneum (1100 ml), a ruptured abdominal extra-uterine localized on the pelvic under blood transfusion and a bulging uterus. We have proceeded with the aspiration of hemoperitoneum, the ablation of the extra-uterine pregnancy and the hemostasis of the section part. The post-operative follow-up has been easy. The intra-uterine pregnancy has developed normally and has given birth to a full-term live, and healthy baby.
Compressif Giant Segmental Congenital Emphysema: Diagnosis and Traitment  [PDF]
Moussa Abdoulaye Ouattara, Seydou Togo, Abdoul Aziz Diakité, Ibrahima Sankaré, Bourama Kané, Sekou Koumaré, Mody Abdoulaye Camara, Zimogo Ziè Sanogo, Sadio Yena
Surgical Science (SS) , 2016, DOI: 10.4236/ss.2016.74027
Abstract: The giant congenital lobar emphysema is a rare malformation infant pathology. The authors report a similar case which is distinguished by its segmental location even rare with its compressive character in which segmentectomy was successful performed to lift emergency distress in a developing country.
Problem of Invasive Cervical Cancer’s Management in the Obstetric Gynecologic Department of the National Hospital Donka, Conakry  [PDF]
Moussa Kantara Camara, Daniel Williams Atanase Leno, Kèlètigui Traore, Aboubacar Fodé Momo Soumah, Ousmane Balde, Yolande Hyjazi, Namory Keita
Open Journal of Obstetrics and Gynecology (OJOG) , 2017, DOI: 10.4236/ojog.2017.712121
Abstract: Introduction: The objectives of this study were to describe the diagnostic and therapeutic aspects, identify problems and evaluate the survival rate of invasive cervical cancer patients. Patients and method: It was a retrospective descriptive study of 7 years from 1 January 2006 to 31 December 2012. Records of invasive cervical cancer were histologically confirmed. The clinical and therapeutic data collected were transferred to Epi info 7 and SSPS version 18 software with a significance level p < 0.05. The telephone network was used to provide information on the vital condition after confidential agreement. Kaplan Meier was used to assess the overall survival rate. Results: Invasive cancer of the cervix was frequent (58.79%) with an annual median rate of 16.7%, with extremes of 5.8% and 20.6%. 88.70% of the patients was referred from regions of the country (54.02%); the median age was 50 years with extremes of 16 and 84 years and a peak of 29.6% between 35 and 44 years; 76.20% were housewives; uneducated women were about 60.12%; Stage III was about 45.3%. Most of the patients were confirmed histologically after 30 days (68%). The means of treatment were surgery about 91 (29.26%), palliation 75 (24.12%), radiotherapy 59 (18.97%) and chemotherapy 41 (13.18%) with surgery (9, 65%) or radiotherapy (4.82%). The main complication was metrorrhagia, 164 cases (56.55%), with overall survival rate of 51.8% at 2 years and 5.1% at 5 years. Conclusion: Invasive cervical cancer in later stages is treated for low survival in the context of our work. Early detection and treatment of precancerous lesions would reduce the incidence and mortality of this cancer.
A Generalization of Ince’s Equation  [PDF]
Ridha Moussa
Journal of Applied Mathematics and Physics (JAMP) , 2014, DOI: 10.4236/jamp.2014.213137
Abstract: We investigate the Hill differential equation \"\" where A(t), B(t), and D(t) are trigonometric polynomials. We are interested in solutions that are even or odd, and have period π or semi-period π. The above equation with one of the above conditions constitutes a regular Sturm-Liouville eigenvalue problem. We investigate the representation of the four Sturm-Liouville operators by infinite banded matrices.
Cervical Thoracic Necrotizing Fasciitis with the Mammary Gland Spread of Odontogenic Origin  [PDF]
Seydou Togo, Moussa Abdoulaye Ouattara, Jaques Saye, Ibrahim Boubacar Maiga, Cheick Ahmed Sékou Touré, Ibrahim Sankaré, M.A.C. Cissé, Nouhoum Diani, Sékou Koumaré, Moussa Camara, Adama Konoba Koita, Sadio Yéna, Zimogo Zié Sanogo, Djibril Sangaré
Surgical Science (SS) , 2016, DOI: 10.4236/ss.2016.74024
Abstract: Necrotizing fasciitis is an uncommon infection, but potentially lethal, especially when associated with systemic disorders such as diabetes. We report the case of a 35-year-old female with uncontrolled diabetes mellitus, presenting with edema of the neck, facial and left mammary gland, secondary to untreated dental infection, progressing to a full-blown necrotizing fasciitis in a short period of time with sepsis. The patient was managed with aggressive multidisciplinary medical and surgical treatment. Despite the technologic advances in diagnosis and treatment, complications still result with astounding high mortality. Clearly, the morbidity associated to this infection, even in diabetic patients, can be minimized if an early diagnosis and effective debridement are done.
Secondary Spontaneous Rupture of the Diaphragm in a Child after Blunt Chest Trauma  [PDF]
Seydou Togo, Bourama Kané, Moussa Abdoulaye Ouattara, Issa Boubacar Maiga, Yunping Lu, Donghui Jin, Allaye Ombotimbé, Ibrahim Sangaré, Maiga Abdoul Aziz, Cheik Amed Sekou Touré, Ibrahim Coulibaly, Adama Issa Koné, Sitan Illiassou, Jaques Saye, Cheik Sadibou Traoré, Sékou Koumaré, Moussa Camara, Koita Adama Kononba, Mody Traoré, Zimogo Zié Sanogo, Sadio Yéna, Djibril Sangaré
Open Journal of Respiratory Diseases (OJRD) , 2016, DOI: 10.4236/ojrd.2016.62006
Abstract: Traumatic diaphragmatic rupture (TDR) is very rare in the pediatric age group. Because of its rarity and its coexistence with more injuries, the diagnosis is often delayed. Very little has been written about this condition in the pediatric age group. TDR, while uncommon, should be considered in cases of blunt thoracic trauma. All patients should undergo meticulous examination preoperatively. The clinical presentation and importance of making an accurate diagnosis and surgery is highlighted. We report a case of secondary spontaneous traumatic left-sided diaphragmatic rupture in a child that was managed by delayed surgical repair.
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