Bilharzia Appendicitis: Incidence in a Commune in Mali, about 3CAS

Appendicitis bilharzia is a very rare condition and we report 3 cases of this pathology that sense clinical and biological similarities with bacterial appendicitis. The etiological diagnosis was exclusively histopathological, this allowed to highlight eggs of Schistosome in the appendicular wall in the three patients. The surgical treatment was supplemented by a specific medical treatment based on praziquantel. The surgical suites were simple for 2 patients, complicated by superficial parietal suppuration in a patient.

Resistant Pulmonary TB-HIV Co-Infection in an Infant: About a Case

Diagnosis of childhood tuberculosis (TB) is difficult, especially in resource-limited countries where the number of reported cases of TB-HIV co-infection continues to rise. This co-infection poses a diagnostic and therapeutic problem for caregivers. We report a case of rifampicin-resistant HIV-TB pulmonary coinfection in a 19-month-old infant.

Epidemiological-Clinical Aspects of Uterine Leiomyoma at the Reference Health Center of Commune VI of the Bamako District

Introduction: Uterine fibroid is a mixed mesenchymal tumor, developing from smooth muscle cells of the myometrium, separated by connective tissue. The majority of fibroids are asymptomatic and do not require any intervention or other exploratory measures. However, in some cases fibroids are symptomatic, their treatment should aim to improve symptoms and quality of life. Objectives: Describe the epidemiological-clinical aspects of uterine fibroids in the gynecology and obstetrics department of the reference health center of commune VI of the Bamako district. Methodology: This was a retrospective descriptive study carried out over a period of one year. It concerns all patients seen in consultation in the gynecology and obstetrics department of the reference health center of commune VI. Results: during the study period, the uterine fibroid frequency was 1.80%. During this same period, fibroids represented 5.59% of gyneco-obstetric pathologies operated on in the department. The 30 - 45 year old age group was the most represented with a frequency of 75.63%. The average age was 36.87 years ± 6.2 years with extremes of 25 and 63 years. Married women were the most represented 97.48%. The vast majority of our patients 95.8% were not postmenopausal. The multigravidas were the most represented, i.e. 37.50% with a large part of the pauciparous 41.29%. In our patients, 96.64% had a clinical symptom on their fibroid with the main reason for consultation being the sensation of a pelvic mass in 97.48%. We recorded three cases of infertility as associated factors. Ultrasound was performed in all patients. The location of the myxomatous nuclei was subserosal in the majority in 42.86% and with multiple nodules in 84.85% of cases. The main indication for myomectomy was the failure of medical treatment in 86.49% of cases. Surgical treatment was mainly a myomectomy 93.30%, a hysterectomy was indicated in 6.70%. No cases of death were recorded. Conclusion: Uterine fibroid is a gynecological pathology that exists in our department;its frequency is estimated at 5.59%. For better management of fibroids, it is necessary to have a good knowledge of the factors favoring the occurrence of uterine fibroids, their growth and the symptoms to prevent the appearance of it or even at best to operate. This prevention must be a concern for public health because fibromatous pathology is frequent, costly and hampers quality of life.

Exoscopy of Detrital Zircons from Niamey Neoproterozoic Sandstones (Eastern Edge of the West African Craton, Southwestern Niger): Interpretation of Detrital Sediments Provenance

This study focuses on exoscopic analyses of detrital zircon grains of Archean and Paleoproterozoic age, contained in the sediments from the Niamey Neoproterozoic sandstones (Niamey region), with a view to confirming the sediments sources already proposed (Kénéma-Man domain for Archean-age zircons and Baoulé Mossi domain for Paleoproterozoic-age zircons). Exoscopic analysis reveals that Archean zircon grains are more corroded, with rounded to sub-rounded shapes, while Paleoproterozoic zircon grains are less corroded and mostly angular in shape. The strong corrosion of Archean zircon grains, implying long-distance transport, is consistent with the remoteness of the Kenema-Man domain which are the source these sediments. The fact that the Paleoproterozoic zircon grains show little or no wear implies a proximal source of sediments, corresponding to the Baoulé Mossi domain.

Tectonic Style Associated with the Doleritic Dykes of the Téra-Ayorou Pluton (Liptako, Western Niger)

The doleritic dykes present in the Téra-Ayorou pluton crosscut the basement of the Nigerien Liptako and are part of the system of intrusive mafic dykes in the Paleoproterozoic domain of the Léo-Man ridge. In the previous work, emphasis was placed on the petrology, geochemistry and geochronology of the Liptako doleritic dykes. This study aims to analyze the tectonic style of intrusive doleritic dykes in the Téra-Ayorou pluton. The characterization of the deformation which affected the doleritic dykes of the Téra-Ayorou pluton is important for the evaluation of their economic potential. To this end, measurements of tectonic structure planes were taken in the field, and samples were taken from the chilled margin and cores of dolerite dykes, before being processed in the laboratory. Analysis of the tectonic structures collected revealed a brittle tectonic pattern, characterizing a phase of deformation subdivided into two episodes D1 and D2. Episode D1, with its subvertically dipping normal faults and simple N70˚ - N110˚ fractures, is compatible with N-S extension. On the other hand, episode D2, which created shear corridors by reactivation of pre-existing fractures and oriented N150˚ - N170˚, is associated with a WSW-ENE extension. These results open up prospects for the exploration of gold, uranium mineralization and diamonds in the north-west of Niger.

Characteristics of Gold and Its Mineralization Style in the Boulon Djounga Eastern Perimeter of Liptako Mining Company (Central Southwestern Niger)

The Boulon Djounga eastern perimeter is part of the Tiawa operating permit of the Société des Mines du Liptako (SML), located in the central southwestern part of Liptako (Niger). In this study, we used field data, Reverse Circulation (RC) surveys and chemical analyzes of gold to determine the characteristics of gold and its mineralization style. The eastern perimeter of Boulon Djounga is represented by a succession of metabasalts and metasediments both intersected by intrusions of quartz and dolerite dykes, and covered by sandstone and clayey rocks. Gold is present in low contents (0.00 - 0.30 ppm) in the sedimentary cover and in medium (0.30 - 1.00 ppm) or high contents (1.00 - 4.534 ppm) in the metasediments, and in the gray quartz veins and locally in the volcanics. It exists in a disseminated state or in a concentrated state in the surrounding areas in the form of discrete grains associated with sulphurous minerals (pyrite: FeS2, chalcopyrite: CuFeS2 or arsenopyrite: FeAsS). The presence of gold in the quartz veins, and the NE-SW and NW-SE orientations of the ore bodies suggest that the eastern Boulon Djounga gold mineralization would be established during a late magmatic extensive phase.

Open-Air Quarries in the Urban Commune of Zinder (South-East Niger): An Opportunity with Strong Externalities

The framing of this theme would contribute to a better analysis of the benefits of open-air quarrying in Zinder, and should make it possible to understand and measure the socio-environmental externalities of this type of activity in an urban environment. The approach method consisted of carrying out surveys combined with field observations and interviews with the various stakeholders as well as the local population. The results obtained made it possible to identify both positive and negative impacts. The positive impacts are above all the advantages derived from these aggregate quarries, in particular, the creation of direct and permanent jobs and the increase in community income. The price of piling up a truck costs around 28,000 CFA ($56 CAN) and that of loading is around 10,000 F CFA ($20 CAN). This has the effect of removing young people (20 - 39 years old) from the circuit of migration outside the region and even the country. The possibility of using the extraction sites by the local population was identified, in terms of profits relating to fish farming, off-season crops, animal drinking and reclaimed plots. The study also noted negative externalities, such as the temptation of young boys to become involved in extractive activities for immediate gains at the expense of school attendance. Added to this is the upheaval in the topography of the urban landscape, pollution and nuisances (noise, visual and olfactory), while the disappearance or clogging of quarry ponds is the cause of frequent flooding in the neighborhoods. In short, corrective measures (e.g. the revegetation of sites) certainly make it possible to minimize the harmful impacts on the urban environment. But, to improve the performance and organizational capacity of the quarrying industry in Niger, even stronger regulation, training and awareness of stakeholders prove to be the necessary measures.

Contribution of Computed Tomography in the Diagnosis of Pulmonary Lesions Due to Coronavirus Disease (SRAS-CoV-2), COVID-19

Our study was carried out at Robert BALLANGER Hospital, its aim was to determine the contribution of the scanner in the diagnosis of COVID-19. It was a prospective descriptive study during the first wave of the COVID-19 epidemic in France. Patients were referred to the medical imaging department for a thoracic CT scan without contrast injection or an angioscanner in the context of a suspected COVID-19 pneumopathy or pulmonary embolism. The study involved both sexes, the male sex was with 55.20% and sex ratio of 1.24. In our study 50% of our patients had a comorbid factor, of which diabetes and hypertension were the most represented with 33% and 17%. The RT PRC test is considered the gold standard in the diagnosis of COVID-19 disease. This test was positive in 63.62% of our patients. CT imaging played a key role in the management of COVID-19 pneumonia because chest CT scans found lesions consistent with COVID-19 pneumonia in 71% of patients. The depoliated lung lesion was present in 87% of our patients, with sub pleural topography and minimal parenchymal involvement predominating. In our study, the chest CT scan had a higher sensitivity and a lower specificity than the PCR test.

Men’s Knowledge, Attitudes and Perceptions on Family Planning in Tourourou Village, Gogui Rural Commune, Nioro Circle, Kayes Region of Mali

Introduction: The involvement of men in reproductive health programmes and more specifically in family planning has always been of concern to the various development actors at both national and international levels. Objective: To study the births, ideas and opinions of men on Family Planning in the village of Tourourou. Material and Methods: This was a prospective cross-sectional, descriptive and analytic study from February 1 to July 31, 2020 in the village of TOUROUROU on the Knowledge, Attitudes and Perceptions of Men on Family Planning. We included in our study, all men residing in TOUROUROU whose age is between 14 and 99 years, who agreed to participate in the study. Results: Our study involved 200 men. The 25 - 29 age group was the most represented with 25.5%. The Soninke had represented 41%. In our study, 97.5% of men had heard of family planning, 62% had spontaneously cited at least one modern contraceptive method, and the pill ranked first with 64.5%. Radio and friends were the most frequent sources of information with 57.5% and 54.5% respectively. Birth spacing was the most cited family planning goal by men in 43.5% of cases. Men supported the practice of family planning in 50.5% of cases. Conclusion: In the village of Tourourou men play a crucial role in decision-making concerning the health of the couple and the family, their effective involvement in Reproductive Health especially in Family Planning will contribute enormously to the improvement of the health of the family.

Dynamics and Vulnerability of Hydrogeomorphological Units to the Degradation of Climatic Conditions in the Watershed of the Birnin Lokoyo Pond (Iullemmeden Basin, Southwestern Niger)

The present study concerns the lowlands of the Birnin Lokoyo watershed located in the Matankari Rural Commune (Southwestern borders of the large Iullemmeden basin in the Niger). Dominated by the Birnin Lokoyo pond, this watershed faced with the continuous silting up of the minor bed, dissipates further upstream in the east, so that it moves downstream to the west for the benefit of the populations of Matankari city. The main objective of this work is to analyze the representative elements of the new climatic and environmental situation as well as the various factors determining the surface conditions in the watershed. The methodological approach is based on documentary research, field observations, individual surveys and interviews with targeted groups. The results show that the silting up of the lowlands is the result of the concomitant degradation of the plant cover and the soils, which, as a result, triggered the development of crusting surfaces and area erosion on the slopes. The study underlined the importance of endogenous knowledge in the choice of remedies against the silting up of lowlands. In addition, rational land management practices on plateaus and structures (within the watershed) do not seem to be in phase with topographical factors and the tectonic framework. This work is part of the vision of better management of glacis on the banks, but also of sills subject to regressive erosion upstream and in order to guide the policies of resilience of the populations.

Giant Hernia with Incarceration

Introduction: Giant hernias induce changes which reduce the quality of life of patients and make their surgical management complex. Adequate preoperative preparation of the patient guarantees good postoperative progress. It is necessary to avoid resorting to a technique of separation of the compartments during the cure. Here we report the case of a patient who benefited a successful cure using the Ramirez technique. Observation: We report the case of a 60-year-old patient admitted to an outpatient clinic for abdominal swelling evolving for 30 years without the notion of trauma gradually increasing in volume. The interrogation and physical examination led to the diagnosis of a giant white line hernia with incarceration. A preoperative assessment and a preanesthetic consultation were carried out. Intraoperatively, the cecum, transverse colon, sigmoid, jejunum and greater omentum were incarcerated in the bag. After adhesiolysis we proceeded to resect the bag and cure it using the Ramirez technique. The consequences were simple and the patient was discharged on day 4 after her dressing and was seen on day 15, 1 month, 3 months and 1 year. The patient benefited from the placement of an abdominal compression sheath for 3 months. Conclusion: Success in the management of prosthetic material in the absence of prosthetic material depends on good preoperative preparation and the mastery of certain surgical techniques.

Reliability of Medical Imaging in the Pre-Therapeutic Assessment of Acute Intestinal Obstruction at the Centre Hospitalier Universitaire Du Point “G”.

Introduction: Acute intestinal obstruction is a serious pathology, a surgical emergency for which medical imaging plays an important role in the management. We initiated this work in order to study the contribution of imaging in the diagnosis of acute intestinal obstruction at the Point-G University Hospital. Patients and Methods: This was a prospective, descriptive and analytical study of 96 patients collected at the radiology and medical imaging department of CHU Point-G from January 2018 to January 2019. Results: The age of our patients varied from 11 to 86 years, with an average of 36 years old. There was a male predominance of 64.6% against 35.4% for women, i.e., a sex ratio of 1.82. Previous surgery was found in 61.5% of our patients. The pain was present in all patients. An unprepared abdominal X-ray was performed in 89.6% of patients. Hydroaerobic levels were found in 96.5% of patients. Abdominopelvic CT scans were performed on 12 patients, all of whom were diagnosed with occlusion. These positive diagnostic findings were consistent with intraoperative findings in 92% of cases. The causes were dominated by bridges in 46 patients and tumors in 9 patients. Signs of severity on CT were dominated by signs of distress of the upstream bile ducts in 8.3%. Exactly 8% of our patients spontaneously resumed transit, 91% received surgical treatment and 1% died before surgery. The outcome was favorable in 80 patients (83.3%) and poor with death in 16 patients (16.7%). Conclusion: Acute intestinal obstruction remains a serious pathology for which the X-ray of the PSA is often the only radiological examination performed in an emergency. However, abdominopelvic CT seems to us to be widely indicated thanks to its contribution both to the positive diagnosis and to the diagnosis of severity and etiology. However, this imaging technique is widely underused in our practice because of its high cost and lack of availability.

Feasibility of Scanopelvimetry in the Medical Imaging Department of the University Hospital of Point “G”.

Purpose: The purpose of our study was to describe the technique of scanopelvimetry used in the radiology department of the Point G University Hospital, to specify the indications of scanopelvimetry in the department and to evaluate the cost of radiopelvimetry. Patients and Method: This was a prospective, cross-sectional study that took place over a 12-month period from January 1 to December 31, 2018. It focused on pregnant women in whom scanopelvimetry was performed in the medical imaging department of Point G University Hospital during the study period. Results: Out of 8615 CT examinations performed in the radiology department, we collected 65 cases of scanopelvimetry, i.e., 0.7% of the CT examinations. Primigravida and paucigravida dominated the study (40% each). In 60% of the pregnant women the height was less than 150 cm. The most frequent indication for CT scanning was clinical pelvic narrowing (50%). In 80% of the cases, the scanopelvimetry was performed after 37 weeks of amenorrhea. A predominance of narrowing of the superior strait was noted (40%). 4.6% of the pregnant women had a Magnin index of less than 20. CT scanopelvimetry is a feasible examination in our context but the level of demand is low because of the high cost of the examination (49500 fca). Conclusion: In light of the results obtained, we can say that CT pelvimetry allows us to predict the probable route of delivery and thus we can reduce the risk of fetomaternal morbidity and mortality to improve maternal and child health.

Geology, Mineralogy and Geochemistry of the Oligocene Oolitic Iron Ore of the Continental Terminal Formation, Kandi Basin, North-East Benin

The Oligocene Continental Terminal Formation of the Kandi Basin contains high grades of iron mineralization (~56.72% Total Fe). The microscopic study under the polarized and reflected light showed that the iron ore consists of silicate minerals (quartz 50% and zircon 1%) and non-silicate minerals (goethite 30%, hematite 7%, magnetite 3%, pyrite 1%, chalcopyrite 1%, blende 3%, galena 3%, scheelite 1% and gold 2%). The X-rays fluorescence shows that the iron ore is characterized by various elements, such as Fe2O3 (57.91% to 91.33%), SiO2 (3.07% to 33.19%), aluminum (2.94% to 7.74%), vanadium (0.04% to 0.11%), phosphorus (0.79% to 2.29%) and sulfur (<0.3%). The deleterious elements grade is above the permissible limit in metallurgy (0.05% - 0.07% for phosphorus and 0.1% for sulfur). Their high grades indicate that the Kandi Basin iron ore characteristics are not favorable for steel manufacturing despite its good vanadium contents (0.04% to 0.11%). However, it could be used for the cast iron manufacture. Spectrometric analysis by atomic absorption confirms the presence of low-grade gold associated to the iron ore (from 0.006 to 0.015 ppm). The comparative study of discontinuous stratiform iron ore of the Kandi Basin with other oolitic iron ores in exploitation from other countries such as Brazil, Australia, China, Russia, Uganda and the United States shows that iron ore of the Kandi Basin can be mined despite its high silica content.

Metallogeny and Emplacement Conditions of Continental Terminal 3 (Ct3) Iron Formations of the Niamey Region (Western Niger)

This study aims to characterize the different lithofacies of the Ct3 formation in the Niamey region, and to determine the distribution of major and trace elements, in order to highlight the conditions for the establishment of iron mineralization. A lithological column, synthesizing sections of selected outcrops in the vicinity of Niamey, was produced. The chemical compositions of the selected samples were determined by X-ray fluorescence (XRF) spectrometry. Microscopic analysis of the thin sections determined the gœthitic nature of the oolitic iron ore. The oolites show a quartz, limonitic or gœthitic nucleus. Sometimes the nucleus is absent. From a morphoscopic point of view, two types of oolites have been distinguished: spherical-shaped and ellipsoidal-shaped oolites. The oolites are either contiguous or disseminated, as the case may be, in a limonitic to goethitic cement or in a fine sandstone matrix. The larger oolites (pisolites) are relatively friable. They reflect the influence of a relatively turbulent to submerged environment. The hardground of the iron mineralized horizons are covered by quartz grains. They are indicative of a submerged or emergent environment. X-ray fluorescence analysis shows high Fe2O3 contents (50% to 80%) and variable contents of major elements SiO2, Al2O3, TiO2, MnO, MgO, CaO, K2O and P2O5 associated with certain trace elements such as Th, U, V, Y, Zn, Zr and As. The results of the study are an important tool for decision-makers to adopt effective prevention/remediation measures for groundwater contamination in the Continental terminal aquifer systems.

Wasteland and Empty Plots Trivialization in the Maradi City (Niger): Between Environmental Degradation and Consequent Nuisance, Quality of life and Sustainability of Biodiversity

The trivialization of empty spaces has long been practiced in the city of Maradi (Niger), particularly in the Zaria 2 (Commune II) and Ali Dan Sofo (Commune III) districts. With stalls in the streets and illegal dumping grounds, empty plots and the surrounding areas are fairly privileged sources of various wastes. This study aims at analyzing the impact of these empty plots on the local population, through several aspects, especially in terms of the modes of occupation, internal and surrounding practices, physical environment and biodiversity, sanitation and elimination of waste. To do so, two methodological approaches were used: a survey on local population and in situ observation of these spaces. The results not only reveal a difficult proximity situation to the unbuilt but also showed that empty plots constitute not only a form of vegetation conservation for the future as well as clean surfaces which would be called upon to characterize the potential recharge of groundwater. The most potentially useful organic waste would be that of Kadro, especially feathers from poultry that could be used as compost in the fields. In addition to the degradation of urban environments (63% of respondents), the unbuilt area also contributes to poverty reduction and increases food security (69% of respondents). To reduce the negative impacts, the rewarding strategies would be awareness-raising and monitoring measures coupled with a policy of protection and environmental remedies.

Geotechnical Risk Assessment and Geological Origin of Building Fracturation in Agadez City(North Niger)

The Agadez city is built on the faulted and fractured sandstones formation of the“Agadez Sandstones”,which deposit in unconformity on the Precambrian basement of the Aïr Mountain.The present study focuses on the geotechnical risk assessment and geological origin of building fracturation in Agadez city.A methodological approach integrating measurement of fractures planes affecting the buildings and their statistical analysis has been implemented.Statistical analysis of obtained data showed that in 100 fractured buildings,about 3%buildings are at risk of collapse(very high risk),64%buildings are fractured(medium risk of collapse),and 34%buildings are cracked(lower risk of collapse).These results showed as well that the nature of the material(rheology)influences the buildings fracturation.Indeed,the buildings made from cement are more easily fractured than buildings made from clay materials.Statistical analysis of fracture planes reveals that the geotechnical risk associated with buildings fracturation propagates in NW-SE,corresponding to the major directions of risk propagation,mainly dipping in northwest sectors(zones)of the Agadez city.The interpretation of geological and geophysical data combined to those obtained in the case of this study,reveals that the risk associated with buildings fracturation in Agadez city is caused by geological seismic events and or anthropogenic activities(explosive firing on the uranium mining sites like Somaïr and Cominak).

Environmental Factors, Constraints and Risks of Rainwater Runoff in Commune II of Maradi (Republic of Niger)

The Urban Commune of Maradi in Niger experienced increasingly frequent flooding following rainy episodes generating volumes and water flows that are difficult to control in recent years. This study aims to determine the impacts of runoff water in Commune II of Maradi City and to assess the role of urban planning in runoff management, as well as the strengths and weaknesses of urban sanitation in Maradi. The methodological approach used consisted of: 1) an interpretation of documentary data, 2) gathering information on runoff at several sites in the study area, and 3) interviews and questionnaires with local communities. This approach made it possible to understand the degree of vulnerability of the populations to flooding and then to propose sustainable solutions to reduce the vulnerability of the affected populations, through the implementation of effective urban rainwater management practices (USWMP). The results show that the impacts of runoff are mainly related to the lack of adequate storm water drainage networks in the area, but also to the nature of the habitats. Geomorphological factors such as the nature of the soil, the slope of the terrain and the altitude increase the degree of risk. In addition, the inadequacy and dilapidation of the drainage systems of the canals and above all the anarchic occupation of the land linked to accelerated urbanization are the cause of flooding by stagnation of rainwater. A phenomenon now linked to numerous deteriorations of urban equipment, the runoff of rainwater in the city of Maradi carries so many pollutants that municipalities, businesses and individuals should put in place pollution prevention measures.