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Cervena T, Echalar B, Milcova A, Vankova J, Sima M, Simova Z, Novakova Z, Holan V, Rossner P. P12-58 The impact of antimicrobial metal nanoparticles on mouse mesenchymal stem cells. Toxicol Lett 2022. [DOI: 10.1016/j.toxlet.2022.07.537] [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: 10/14/2022]
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Sima M, Martinkova S, Kafkova A, Pala J, Trnka J. Cell-tak coating interferes with DNA-based normalization of metabolic flux data. Physiol Res 2022. [DOI: 10.33549/physiolres.934855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Metabolic flux investigations of cells and tissue samples are a rapidly advancing tool in diverse research areas. Reliable methods of data normalization are crucial for an adequate interpretation of results and to avoid a misinterpretation of experiments and incorrect conclusions. The most common methods for metabolic flux data normalization are to cell number, DNA and protein. Data normalization may be affected by a variety of factors, such as density, healthy state, adherence efficiency, or proportional seeding of cells. The mussel-derived adhesive Cell Tak is often used to immobilize poorly adherent cells. Here we demonstrate that this coating strongly affects the fluorescent detection of DNA leading to an incorrect and highly variable normalization of metabolic flux data. Protein assays are much less affected and cell counting can virtually completely remove the effect of the coating. Cell-Tak coating also affects cell shape in a cell line-specific manner and may change cellular metabolism. Based on these observations we recommend cell counting as a gold standard normalization method for Seahorse metabolic flux measurements with protein content as a reasonable alternative.
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Affiliation(s)
| | | | | | | | - J Trnka
- Department of Biochemistry, Cell and Molecular Biology, Third Faculty of Medicine, Charles University, Ruská 87, 100 00 Prague, Czech Republic. E-mail:
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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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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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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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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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Koumaré S, Keïta S, Camara M, Soumaré L, Sacko O, Camara A, Sissoko M, Bengaly B, Traoré S, Traoré D, Sima M, Traoré M, Soumaré M, Koné AS, Diallo M, Dicko H, Koïta A, Sanogo ZZ, Sangaré D. [Surgery wound infection at surgery "A" department of the University Hospital Point G]. Mali Med 2020; 35:11-14. [PMID: 37978763] [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 To determine the frequency of the surgery wound infection, its favoring factors, causative germs and its antibiotic treatment of choice in the surgery "A" department of the University Hospital Point G. METHOD In a retrospective descriptive study over a 6-month period in the surgery "A" department of the University Hospital Point G, we enrolled all patients who underwent surgery necessitating at least 48 hours of hospital admission during our study period and in conformity with the Atlanta CDC criteria. Surgery patients with less than 48 hours postoperative hospital stay and those admitted to the hospital without surgery were not included.After the surgery, the nature and location of the infection have been clarified. In this work, ethical considerations have been respected and there is no conflict of interest. RESULTS Two hundred and sixty-five (n=265) patient files were collected including 24 cases of surgery wound infection (a hospital frequency of 9%. The average age was 41.41 years (y.o) old with extremes of 7 y.o and 102 y.o. The sex ratio was 0.9 in favor of women. The commonly studied pathologies were digestive surgery in 52.8%, gynecological surgery in 24.5%, etc… Patients were seen in regular outpatient surgery visits in 75.8% and surgical emergencies in 24.2%. Of the patients urgently admitted, 26.5% presented an ISO; for those received in ordinary consultation it was 3.48%. Fifteen (15) cases were classified ASA III and two (2) ASA II. Based on the Altemeier classification, surgery was clean in 66.8% of our patients, contaminated clean in 12.4%, contaminated in 12.1%, and dirty in 8.7% (including half resulting in surgery wound infection). In total, 79% of patients whose surgeries lasted more than two (2) hours presented a surgery wound infection. Postoperative infection of patients was superficial in 58.3% and deep in 33.3%. In 8.3% of cases, it was a space infection. At the cytobacteriological examination of the pus from the operative site, Escherichia coli (E. coli) was the most common germ with 58.3%. E. coli was sensitive to amoxicillin-clavulanic acid in 57.14%. Surgically, a re-intervention was performed in 20.8% of cases, a secondary suture in 12.5%, and a single dressing in 66.7%. The average postoperative stay was 6.5 days with extremes of 2 days and 69 days. In 3 months postoperatively we recorded 4 cases of death. CONCLUSION The surgery wound infection constitutes a major complication in a surgical environment starting with surgical act itself.Particular emphasis should be placed on prevention, which will reduce the risks of ISO occurrence.
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Affiliation(s)
- S Koumaré
- Service de chirurgie « A » du CHU du Point G
| | - S Keïta
- Service de chirurgie « A » du CHU du Point G
| | - M Camara
- Service de chirurgie « A » du CHU du Point G
| | - L Soumaré
- Service de chirurgie « A » du CHU du Point G
| | - O Sacko
- Service de chirurgie « A » du CHU du Point G
| | - A Camara
- Service de chirurgie « A » du CHU du Point G
| | - M Sissoko
- Service de chirurgie « A » du CHU du Point G
| | - B Bengaly
- Service de chirurgie « B » du CHU du Point G
| | - S Traoré
- Service de chirurgie « A » du CHU du Point G
| | - D Traoré
- Service de chirurgie « B » du CHU du Point G
| | - M Sima
- Service de gynécologie obstétrique CHU du Point G
| | - M Traoré
- Service de gynécologie obstétrique CHU du Point G
| | - M Soumaré
- Service de maladie infectieuse CHU du Point G
| | - A S Koné
- Service de radiothérapie Hôpital du Mali
| | - M Diallo
- Centre de santé de référence commune VI
| | - H Dicko
- Service d'anesthésie réanimation CHU du Point G
| | - A Koïta
- Service de chirurgie « A » du CHU du Point G
| | - Z Z Sanogo
- Service de chirurgie « A » du CHU du Point G
| | - D Sangaré
- Service de chirurgie « A » du CHU du Point G
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8
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Bocoum A, Traoré Y, Fané S, Sanogo S, Kouma A, Kanté I, Sima M, Sissoko A, Traoré SO, Tegueté I, Sacko M, Wane A, Mounkoro N, Dolo A. [Infections associated with the care in the department of gynecology - obstetrics of the University Hospital Center Gabriel Touré]. Mali Med 2020; 35:43-49. [PMID: 37978759] [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
OBJECTIF the purpose of this work was to study the infections associated with the care in the department of gynecology - obstetrics of the University Hospital Center Gabriel Touré (CHU G. Touré). PATIENTS AND METHODS This was an epidemiological, descriptive, and analytical study carried out in the gynecology-obstetrics department of G. Touré University Hospital, from April 11, 2016 to August 29, 2016 (4 monthset 18 days), with a prospective collection of data that focused on the characteristics clinical and laboratory-based care-associated infections in patients during their hospitalization. Included in the study were all hospitalized patients (operated or not) in the gynecology obstetrics department, who agreed to participate in the study. The criteria used to diagnose the infection associated with care were those of the CDC Atlanta and making a thick drop in our context. Operative wound monitoring was performed until the 30th postoperative day. RESULTS We recorded 200 patients, including 138 operated and 62 nonoperated patients, of which 30 patients developed a care-associated infection at a rate of 15%. The mean age of the patients who presented an infection was 32.52 years ± 13.36 years against 29.36 years ± 10.28 years for the patients who did not present the infection. Seven point five percent of the evacuees had an infection associated with care. The most common types of infections were surgical site infection with 56.60% followed by malaria with 23.30% and urinary tract infection with 20.00%. Escherichia coli and Acinetobacter baumaniiwere the most recovered germs. Isolated organisms were 100% resistant to Amoxicillin, 88.88% were resistant to Ciprofloxacin and 77.77% were resistant to Amoxicillin + Clavulanic acid. The average duration of hospitalization for patients who developed the infection was 14.70 days with extremes of 5 and 46 days. The mortality rate was 1.50%. The average cost of management of patients who developed the infection was 119837 FCFA; the extremes were 17750 and 825750 FCFA and the standard deviation of 174998 CFA francs. CONCLUSION the infections associated with the care remain frequent in our service and dominated by the infections of the operating site. The isolated organisms were all 100% resistant to Amoxicillin in 88.88% Ciprofloxacin.
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Affiliation(s)
- A Bocoum
- Département de gynécologie -obstétrique du CHU G. Touré
| | - Y Traoré
- Département de gynécologie -obstétrique du CHU G. Touré
| | - S Fané
- Département de gynécologie -obstétrique du CHU G. Touré
| | - S Sanogo
- Département de gynécologie -obstétrique du CHU G. Touré
| | - A Kouma
- Service de gynécologie -obstétrique du CHU de Kati
| | - I Kanté
- Service de gynécologie -obstétrique du CHU du Point G
| | - M Sima
- Service de gynécologie -obstétrique du CHU du Point G
| | - A Sissoko
- Service de gynécologie -obstétrique du Csréf de Kati
| | - S O Traoré
- Service de gynécologie -obstétrique du Csréf de la commune V
| | - I Tegueté
- Département de gynécologie -obstétrique du CHU G. Touré
| | - M Sacko
- Département de gynécologie -obstétrique du CHU G. Touré
| | - A Wane
- Département de gynécologie -obstétrique du CHU G. Touré
| | - N Mounkoro
- Département de gynécologie -obstétrique du CHU G. Touré
| | - A Dolo
- Département de gynécologie -obstétrique du CHU G. Touré
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Diabaté K, Camara F, Sidibé FM, Diarra IM, Koné AS, Diakité A, Bathily M, Ly M, Sima M, Traoré A, Sidibé S, Diallo DA. [Neoadjuvant chemotherapy in locally advanced cervical cancer in patients receiving a concomitant chemoradiotherapy in a low income country]. Mali Med 2019; 34:39-43. [PMID: 35897220] [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
PURPOSE Delays to access to radiotherapy are long in our context. The purpose of this study was to analyze the effect of neoadjuvant chemotherapy to concomitant chemoradiotherapy in locally advanced cervical cancers. PATIENTS AND METHODS We conducted a retrospective study from April 2014 to April 2016 at the radiotherapy center of "Hopital du Mali" in Bamako, Mali. Patients were allocated according to age, histological type, tumor size and the 2002 classification of the FIGO. Experimental protocol was the administration of a neoadjuvante chemotherapy with association of Paclitaxel 175mg/m2 + Carboplatine AUC 5 every 3 weeks and radiothérapy cure with avec linac 6 MV at 70 Gy due to 5 sessions of 2 Gy per week associated with a concomitant chemotherapy with cisplatin at 40 mg/m2/week. The clinical response was assessed at the end of neoadjuvant chemotherapy and of concomitant chemoradiotherapy. RESULTS Thirty patients were included in the study. The mean age was 53.63 ± 8.9 years. The mean size of the tumor was 5.17 cm (2 to 7 cm). According to the 2002 classification of the FIGO stages IIB were 33% (n = 10); IIIB were 57% (n = 17) and IVA were 10% (n = 3). Clinical evaluation at the end of neoadjuvant chemotherapy found: complete response 17 % (n = 5), partial response 10% (n = 3) and stable disease 73 % (n = 22). Evaluation at the end of the concomitant chemoradiotherapy had found the complete response in 90% (n = 27) and stable disease in 10% (n = 3). CONCLUSION Neoadjuvant chemotherapy to concomitant chemoradiotherapy in locally advanced cervical cancer allows stabilization of the tumor and improves local control. Due to long delays to access to radiotherapy treatment in our context; neoadjuvant chemotherapy is an alternative to stabilize the disease and prevent distant metastasis from locally advanced cervical cancers.
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Affiliation(s)
- K Diabaté
- Service radiothérapie Hôpital du Mali
| | - F Camara
- Nutrition clinique et science des aliments Bamako-Mali
| | - F M Sidibé
- Service hémato-oncologie CHU Point G Bamako-Mali
| | | | - A S Koné
- Service radiothérapie Hôpital du Mali
| | - A Diakité
- Service radiothérapie Hôpital du Mali
| | - M Bathily
- Service hémato-oncologie CHU Point G Bamako-Mali
| | - M Ly
- Service d'oncologie médicale CHU Luxembourg Bamako-Mali
| | - M Sima
- Service gynécologie et obstétrique CHU Point G Bamako-Mali
| | - A Traoré
- Service de gynécologie et obstétrique Hôpital du Mali
| | - S Sidibé
- Service de radiologie CHU Point G Bamako-Mali
| | - D A Diallo
- Service hémato-oncologie CHU Point G Bamako-Mali
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10
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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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11
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Diallo DA, Guindo A, Touré BA, Sarro YS, Sima M, Tessougué O, Baraika MA, Guindo P, Traoré M, Diallo M, Dorie A. [Targeted newborn screening for sickle-cell anemia: Sickling test (Emmel test) boundaries in the prenatal assessment in West African area]. Rev Epidemiol Sante Publique 2018; 66:181-185. [PMID: 29625861 DOI: 10.1016/j.respe.2018.02.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [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: 06/16/2017] [Revised: 12/11/2017] [Accepted: 02/21/2018] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Newborn screening for sickle cell anemia is necessary in Africa where the disease is more frequent. Hemoglobin electrophoresis is used for screening, but is limited by a high cost and difficult access. Sickling test (Emmel test), which is more affordable and technically more accessible, is often requested for prenatal assessment of pregnant women in West African areas to reserve screening for newborns from mothers in whom the positive sickling test attests the presence of hemoglobin S. This study aims to evaluate the number of undetected sickle cell anemia newborns by a screening policy targeting only newborns from mothers in whom a sickling test would have been positive. METHODS From 2010 to 2012, in Bamako, Mali, West Africa, 2489 newborns were routinely screened for sickle cell anemia at the umbilical cord or heel by isoelectrofocusing and, if necessary, by high-performance liquid chromatography. These newborns were born from 2420 mothers whose hemoglobin was studied by isoelectrofocusing. The data was recorded and processed using Excel software version 14.0.0. We calculated the frequency of the sickle cell gene in mothers and newborns as well as the number of SCA newborns from heterozygous or C homozygous mothers. RESULTS Of the 2489 newborns, 16 had sickle cell anemia (6 SS and 10 SC); 198 had the sickle cell trait; 139 were AC and 1 was CC. Of the 10 newborns with SC profile, 3 were born from mothers not carrying the S gene but the C gene of hemoglobin and in which an Emmel test would have been negative. CONCLUSION Targeted newborn screening, based on the results of sickling test in pregnant women, would misdiagnose more than one of six sickle cell anemia newborns who would not benefit from early care. Cost-effectiveness studies of routine newborn screening for sickle cell anemia should lead to a better screening strategy in contexts where hemoglobin S and other hemoglobin defect genes coexist.
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Affiliation(s)
- D A Diallo
- Centre de recherche et de lutte contre la drépanocytose (CRLD), Point G, Commune III, 03 BP : 186 Bko 03, Bamako, Mali.
| | - A Guindo
- Centre de recherche et de lutte contre la drépanocytose (CRLD), Point G, Commune III, 03 BP : 186 Bko 03, Bamako, Mali
| | - B A Touré
- Centre de recherche et de lutte contre la drépanocytose (CRLD), Point G, Commune III, 03 BP : 186 Bko 03, Bamako, Mali
| | - Y S Sarro
- Centre de recherche et de lutte contre la drépanocytose (CRLD), Point G, Commune III, 03 BP : 186 Bko 03, Bamako, Mali
| | - M Sima
- Service de gynécologie et d'obstétrique, CHU du Point G, BP : 333 Bamako, Mali
| | - O Tessougué
- Centre de recherche et de lutte contre la drépanocytose (CRLD), Point G, Commune III, 03 BP : 186 Bko 03, Bamako, Mali
| | - M A Baraika
- Centre de recherche et de lutte contre la drépanocytose (CRLD), Point G, Commune III, 03 BP : 186 Bko 03, Bamako, Mali
| | - P Guindo
- Centre de recherche et de lutte contre la drépanocytose (CRLD), Point G, Commune III, 03 BP : 186 Bko 03, Bamako, Mali
| | - M Traoré
- Centre de santé de référence de la Commune V, Bamako, Mali
| | - M Diallo
- Centre de recherche et de lutte contre la drépanocytose (CRLD), Point G, Commune III, 03 BP : 186 Bko 03, Bamako, Mali
| | - A Dorie
- Centre de recherche et de lutte contre la drépanocytose (CRLD), Point G, Commune III, 03 BP : 186 Bko 03, Bamako, Mali
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12
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Sima M, Vasile E, Sima A, Logofatu C. Anodic deposition of nanostructured hematite film using agarose gel as template. Application in water splitting. Electrochim Acta 2017. [DOI: 10.1016/j.electacta.2017.12.013] [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: 11/26/2022]
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13
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Keïta M, Diallo BM, Samaké BM, Fomba S, Dicko H, Goïta D, Camara B, Sima M, Diallo D, Doumbia D, Coulibaly Y. [Epidemiology and maternal prognosis of eclampsia in the intensive care unit at the University Hospital of Point G, Bamako]. Mali Med 2016; 31:1-9. [PMID: 30079675] [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
OBJECTIVE This research aimed to analyze the epidemio- clinical characteristic and the prognosis of patients with eclampsia admitted to the intensive care unit at the University Hospital of Point G. MATERIALS AND METHODS The clinical records of all patients admitted to intensive care for eclampsia from September 2009 to February 2011 were retrospectively collected. We analyzed the following parameters: age, parity, gravidity, the admission deadline, the beginning of eclampsia compared to the term of pregnancy, the number of seizure, mode of delivery, score of Glasgow, blood pressure, proteinuria, complications and evolution. RESULTS Among 702 admissions, 158 patients, with a mean age of 20 ± 4 were hospitalized for eclampsia (22.5%). We recorded 106 cases of first pregnancies (67.1%) and 104 primiparous (65.8%). The admission period after the first seizure was over 6 hours for 90 patients (57%). The first seizure had occurred in ante-partum period for 69 patients, in per-partum period for 4 patients and in postpartum period for 85 patients. UNLABELLED Ninety-three patients (59%) had consciousness disorders at admission, 12 patients received oxygen treatment .Vaginal delivery was the mode of delivery for 93 patients and cesarean section for 65 patients.Eclampsia was associated with renal failure in 25 patients, HELLP syndrome for 15 patients, the stroke for 5 patients, acute pulmonary edema for 3 patients, the coagulation disorders for one patient; and the sepsis for 6 patients. Maternal and perinatal lethality was 9.5% and 10.8% respectively. CONCLUSION Eclampsia is a frequent medical and obstetric emergency in intensive care unit of the University Hospital of Point G and affects young patients during their first pregnancy and delivery. Maternal and perinatal lethality remains high, due to the delay in the cases management and the associated factors of gravity. Strong actions are needed to raise awareness for early medical visit and to prepare medical teams for better cases management.
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Affiliation(s)
- M Keïta
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
| | - B M Diallo
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
| | - B M Samaké
- Service d'Anesthésie réanimation et des Urgences: CHU Gabriel TOURE
| | - S Fomba
- Programme National de Lutte contre le Paludisme
| | - H Dicko
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
| | - D Goïta
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
| | - B Camara
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
| | - M Sima
- Service de Gynécologie - obstétrique
| | - D Diallo
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
| | - D Doumbia
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
| | - Y Coulibaly
- Service d'Anesthésie réanimation et des Urgences: CHU du Point G
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Camara A, Sacko O, Soumaré L, Koita A, Koumaré S, Keita S, Camara M, Thiam S, Sissoko M, Ombotimé A, Sima M, Togola B, Goïta D, Sanogo ZZ, Sangaré D. [Interest of laparoscopic surgery in the management of chronic abdominal pains in the surgery "A" department of the of the Point G University Hospital]. Mali Med 2015; 30:11-13. [PMID: 29927151] [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
AIM to evaluate the contribution of laparoscopic surgery in the management of chronic abdominal pains of unspecified etiology. METHODS A retrospective descriptive study was conducted over a period of 49 months (March 2008 to March 2012), in the surgery A service of the Point G university hospital. RESULTS 52 patients suffering from chronic abdominal pain for 3 months have been listed. There were 36 women and 16 men, with a sex-ratio of 2.25. The pathologies found in laparoscopy were: 16 cases of adherences, 16 cases of gynaecological diseases, 6 cases of chronic appendicitis, 5 cases of chronic cholecystitis, 6 cases of abdominal tumors and 3 cases of intrauterine contraceptives in abdomen. Conversion to laparotomy was not made and mortality was null. No lesion was found in 11.54% of cases. The mean duration of hospitalization was 2 days. The duration of follow-up of the patients was 18 months with a minimum of 6 months and a maximum of 24 months. No painful symptomatology was found in 6 months in 88.46% of the cases. Persistent stomach pains were found in 3% of the cases. 8.54% of the patients had an improvement of symptomatology. CONCLUSION Chronic abdominal pains put a diagnosis problem in surgery. Laparoscopy is a reference technique to diagnose this pain and to discuss them.
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Affiliation(s)
- A Camara
- Service de chirurgie « A », CHU du Point G, Bamako - Mali
| | - O Sacko
- Service de chirurgie « A », CHU du Point G, Bamako - Mali
| | - L Soumaré
- Service de chirurgie « A », CHU du Point G, Bamako - Mali
| | - A Koita
- Service de chirurgie « A », CHU du Point G, Bamako - Mali
| | - S Koumaré
- Service de chirurgie « A », CHU du Point G, Bamako - Mali
| | - S Keita
- Service de chirurgie « A », CHU du Point G, Bamako - Mali
| | - M Camara
- Service de chirurgie « A », CHU du Point G, Bamako - Mali
| | - S Thiam
- Service de chirurgie « A », CHU du Point G, Bamako - Mali
| | - M Sissoko
- Service de chirurgie « A », CHU du Point G, Bamako - Mali
| | - A Ombotimé
- Service de chirurgie « A », CHU du Point G, Bamako - Mali
| | - M Sima
- Service de Gynécologie et d'Obstétrique, CHU du Point G, Bamako - Mali
| | - B Togola
- Service de chirurgie « B », CHU du Point G, Bamako - Mali
| | - D Goïta
- Service d'Anesthésie et Réanimation, CHU du Point G, Bamako - Mali
| | - Z Z Sanogo
- Service de chirurgie « A », CHU du Point G, Bamako - Mali
| | - D Sangaré
- Service de chirurgie « A », CHU du Point G, Bamako - Mali
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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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Sima M, Slanar O. [Pharmacological importance of orphan nuclear receptors]. Cesk Fysiol 2014; 63:19-24. [PMID: 24968536] [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: 06/03/2023]
Abstract
The orphan nuclear receptors belong to the family of ligand-activated transcription factors localized in the nucleus or cytoplasm. Through them, many biological processes such as metabolism of glucose, lipids and bile acids, inflammation, tumour growth, or differentiation of cells, are controlled. From the pharmacological point of view, they play a significant role in regulating the elimination of xenobiotics from the organism. Also interesting is the possibility of xenobiotic targeting the orphan nuclear receptors for the treatment of metabolic disorders.
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Maiga Y, Diakité S, Pango A, Sima M, Diallo M, Guillon B, Traoré H. Épilepsie partielle occipitale secondaire à une encéphalopathie postérieure réversible (PRES) au cours d’une éclampsie du post-partum au Mali. Rev Neurol (Paris) 2013. [DOI: 10.1016/j.neurol.2013.01.163] [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: 10/27/2022]
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Iwamoto S, Uehara Y, Akamatsu H, Sima M, Kakudo K, Morita S. A case report of trigeminal neuralgia caused by cerebellopontine angle epidermoid cyst diagnosed by magnetic resonance imaging. Int J Oral Maxillofac Surg 2009. [DOI: 10.1016/j.ijom.2009.03.602] [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: 11/17/2022]
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Mincu I, Dumitrescu C, Ionescu-Tîrgovişte C, Popa E, Costea M, Bruckner I, Cheţa D, Stănescu J, Sima M, Zgarbură G. [Socio-professional and familial integration of patients with insulin-dependent diabetes mellitus type I]. Rev Med Interna Neurol Psihiatr Neurochir Dermatovenerol Med Interna 1987; 39:247-51. [PMID: 2891172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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