Investigation of Anthropogenic Activities along the Mamouwol River in the Urban Commune of Mamou (Republic of Guinea)

The monitoring of our watercourses for their preservation must be an imperative concern of the whole population.The aim of this study is to describe the main causes of degradation and destruction of the natural resources of the Mamouwol River in the Mamou commune.Data were collected using a survey method(questionnaire,interviews and observations).The study revealed that extensive agro-pastoral activities are the main socio-economic activity of the population,accounting for 78.5%-90%and 20.30%respectively.Fishing follows(1.2%).Related activities include handicrafts and petty trade;Other human activities:hunting(11%),charcoal burning(58%),brick making and firing(45.6%).Riverbanks and water resources in the vicinity of dwellings are damaged and polluted by socio-economic activities and the use of agricultural inputs.The absence of industrial units on the path for the data collection.

External Otitis: Epidemiological, Clinical, Etiological, and Therapeutic Aspects at the Oto-Rhino-Laryngology Department of Mamou Regional Hospital

Introduction: External otitis (OE) is an acute or chronic inflammation or infection of the external ear resulting from an imbalance in the external auditory canal secondary to microtrauma, maceration, eczema, or a foreign body in the external auditory canal. Objective: To study cases of external otitis at the Mamou Regional Hospital. Materials and Methods: This was a prospective descriptive study conducted over a period of six (6) months from July 1st to December 31st, 2016. It included all patients admitted to the ENT department of the Mamou Regional Hospital. Results: During the study period, 712 patients were admitted to the department for various pathologies, of which 103 met our selection criteria, representing a frequency of 14.46%. The mean age of the patients was 33.74 years with a range of 1 to 90 years. Males predominated in the sample, accounting for 59.22%. The vast majority of patients resided in urban areas, constituting 61.17% of the sample. In our study, all patients consulted for otalgia (100%), and over half (53.39%) for hypoacusis. We formally identified rhinitis in 66.66% of cases, while diabetes was found in only 4 patients (11.11%). Otomycosis was the most commonly identified condition (53.39%), followed by furuncles (33.98%). Ear drops containing antibiotics were administered to all patients, although 66.60% received antibiotic therapy. Conclusion: External otitis is a relatively common condition, particularly among children and the elderly. Diagnosis can be made based on pain upon traction of the pinna and pressure on the tragus.

Infectious ENT Emergencies: A One-Year Experience at the ENT Department of Mamou Regional Hospital

Introduction: ENT infectious emergencies encompass all infectious pathologies affecting the ear, nose, sinuses, throat, and neck. A good understanding of these emergencies is essential for organizing appropriate care. In Guinea, few studies have described ENT infectious pathologies in rural areas. Objective: To study ENT infectious emergencies in the Otorhinolaryngology department of the Mamou Regional Hospital. Materials and Methods: This is a retrospective and prospective descriptive study, conducted from August 1, 2021, to July 31, 2022. All patients admitted to the ENT department of the Mamou Regional Hospital for an infectious emergency were included. Results: Among the 1854 recorded consultations, 261 cases involved ENT infectious emergencies, representing a prevalence of 14.07%. The most represented age group was 0 to 10 years (31.03%), with a majority of female patients (59%) and a predominantly urban origin (81.61%). Students accounted for 32.18% of the cases. The main reasons for consultation were odynophagia/dysphagia (32.42%) and otalgia (22.94%). The primary etiologies were tonsillitis (28.73%) and otitis (27.20%). Treatments administered included probabilistic antibiotic therapy (38.80%), analgesics (32.03%), and corticosteroid therapy (10.47%). The outcome was favorable in 98.85% of cases, with only 0.38% lost to follow-up. Conclusion: The results of our study confirm the frequency of ENT infectious pathologies. Their management requires joint actions for population awareness, staff training, and services equipment, particularly in rural areas.

Otorhinolaryngological (ORL) and Cervicofacial Injuries Resulting from Road Accidents within the Otorhinolaryngology (ORL) Department of the Regional Hospital of Mamou

Introduction: Otorhinolaryngological (ORL) and cervicofacial traumas encompass injuries affecting the neck, face, and ORL region, resulting from external influence. The objective of this study was to conduct an epidemiological and clinical analysis of ORL and cervicofacial injuries observed in victims of road accidents treated at the Otorhinolaryngology (ORL) department of the Regional Hospital of Mamou. Materials and Methods: This prospective and descriptive study was conducted over a period of 12 months, from January 1st to December 31st, 2021, within the Otorhinolaryngology (ORL) department of the Regional Hospital of Mamou. It included patients hospitalized for ORL and/or cervicofacial traumas resulting from road accidents during the study period. Results: A total of 348 cases were included, representing 36.22% of all traumas related to road accidents (AVP) within the Regional Hospital of Mamou. The average age of the patients was 26.44 years, with a sex ratio of 3.83, favoring males. The dominant socio-professional category was students, encompassing 32.47% of cases. Road accidents were mainly associated with motorcycle use (31.32% motorcycle-to-motorcycle, 24.43% motorcycle skidding, 13.51% motorcycle-pedestrian). Facial region injuries were the most common, accounting for 69.03% of cases, followed by rhinological injuries (17.28%) and otological injuries (13.69%). Associated injuries were predominantly closed head traumas (52.55%) and lower limb fractures (20.41%). Imaging was underutilized. Regarding surgical interventions, reconstructive surgery was the most predominant, accounting for 52.51% of cases, with a management timeframe of 30 minutes to 12 hours for 99.72% of patients. Conclusion: Road traffic accidents remain a serious public health issue, primarily affecting young males. Emphasis should be placed on road safety measures to reduce the frequency of these accidents.

Contribution to the Management of Fecal Sludge in the Urban Commune of Mamou(Republic of Guinea)

In the town of Mamou,all homes with sanitation systems are equipped with autonomous installations not connected to a sewer network.The emptying service is provided by manual emptiers and by the living environment and sanitation service of the urban municipality which has a single 6 m^(3)truck.The objective of this work is to determine the quantity of fecal sludge produced within the city for sustainable management.The methodology adopted is based on a field survey and the use of three methods for evaluating the quantities of sludge(specific production,quantity of sludge collected by the sludge truck and the total production of sludge produced in the various sludge works).The results obtained show that,out of the 2,940 sanitation works identified,2,936 works have been emptied at least once since their construction.Then 2,307 structures are emptied manually or 78.57%,against;619 structures emptied mechanically or 21.08%.The structures are emptied on average every 3 years for septic tanks and every 5 years for dry latrines.The specific production of sludge is 685,241,532 m^(3)/year;the production of sludge by the mechanical emptying technique varies from 588,641.57 m^(3)/year to 724,800.46 m^(3)/year and the production of sludge by manual emptying is 1,573,709.33 m^(3)/year,for a total quantity of sludge produced including between 2,162,350 m^(3)/year to 685,241,531.9 m^(3)/year.

Fishbone-Type Pharyngeal Foreign Body with Cutaneous Migration in the ENT Department of the Mamou Regional Hospital: A Case Report

We report a case of pharyngeal foreign body with cutaneous migration in the form of a fishbone in a 24-year-old rural resident, presented with odynophagia, dysphagia, pain and left antero-latero-cervical swelling fistulated to the skin following ingestion of a fishbone during a meal that had been evolving for 2 weeks. Vital parameters were normal, with an unremarkable psychological examination. Clinical examination revealed a left antero-latero-cervical swelling that was painful to palpation, fistulous to the skin and draining frank pus, revealing a sharp fishbone. A standard X-ray showed that the foreign body had exited the pharynx and was located in the soft tissues of the lower neck. An exploratory cervicotomy was performed, allowing extraction of a serrated fishbone. The post-operative course was favorable.

Production of New Adsorbent from Mango residues Collected in the Urban Community of Mamou

Activated coal obtained from mango residues is an alternative for the valorisation of these wastes for applications. This work focuses on the production of a new adsorbent from mango residues collected in the urban common of Mamou (Republic of Guinea) by chemical activation with potassium hydroxide. To do this, the different rates: humidity, cinders, volatile matter, fixed carbon et iodine indices before activation and after activation at 400°C and 700°C were determined which are: (6.28%;0.97%;73.80%;25.23%) respectively. The best indices were found in powdered activated coal compared to grain activated coal for the concentrations used. This study can be an alternative bio-adsorbent for the urban community of Mamou in water treatment.