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Introduction: High blood pressure is a major cardiovascular risk factor. Patients with cardiovascular risk factors are at risk of developing COVID-19. The objective of this study was to determine epidemiology of Covid-19 infected in patients with high blood pressure., Patients and Method: Descriptive cross-sectional study from April 2020 to June 2020 about patients hospitalized for Covid 19 by PCR diagnosis at the Hopital du Mali Bamako and having high blood pressure. Admission registry and patient charts were used to collect data., Results: We collected 78 out of 484 in patients which mean hospital frequency of 16.11%. The mean age was 55.21 +/- 14.61 years. Sex ratio M / F was 1.36. Patients were followed for high blood pressure in 59% of cases. Medical history was ischemic heart disease in 2.6% and dilated cardiomyopathy in 2.6%. Main functional signs were cough in 41.02% and lost of taste in 11.53%. High blood pressure on admission was grade 2 in 37.2% and grade 3 in 3.8%. Treatments received were calcium channel blockers 41.02%, inhibitors of the reninangiotensinaldosterone system 16.66% and combinations 15.38%. Hospital mortality was 10.3%. There was no statistically significant difference in mortality between known hypertensive patients and de novo hypertensive patients. There was also no statistically significant difference in mortality by grade of hypertension., Conclusion: High blood pressure can be associated to Covid 19. Treatment is based on calcium channel blockers and reninangiotensinaldosterone system inhibitors. It has an impact on the prognosis of the disease with significant mortality., (Le comité de rédaction se réserve le droit de renvoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de conserver un exemplaire du manuscrit, des figures et des tableaux.)

The sarcomatoid carcinoma is a rare histological form, high grade malignancy, aggressive and dark prognosis. We report a (01) case in a young adult of 32 years. The aim of this work is to present, through a review of the literature, the epidemiological and morphological characteristics of this affection; and also to describe the difficulties that the pathologist may encounter in diagnosis of this condition., (Le comité de rédaction se réserve le droit de renvoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de conserver un exemplaire du manuscrit, des figures et des tableaux.)

Introduction: The diabetic foot wound is a real public health problem, 10% of the reasons for hospitalization. The risk of amputation is 10 to 30 times higher in diabetics than the general population., Objective: To study the problem of amputations of the diabetic foot., Method: This was a descriptive and cross-sectional study that took place in the Department of Medicine and Endocrinology of the Mali Hospital from July 1st, 2016 to June 30th, 2017., Results: Twenty-five (25) diabetic patients were enrolled in our study. The sex ratio was 0.66. At admission, 100% of our patients had arterial disease, 96% neuropathy, and mixed foot in 80%. Poor glycemic control in 64% of patients; osteitis in 52% of cases; 92% of the patients had a 100% amputation risk according to the University of Texas classification. Nearly half or 46% of patients had amputations in the leg. We recorded 1 death case that is 4%., Conclusion: The problem of amputation of diabetic feet is a function of the poor equilibrium and progressive neurological and vascular complications of diabetes., (Le comitée de rédaction se réserve le droit de revoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de sonserver un examplaire du manuscrit, des figures et des tableaux.)

Introduction: Intubation in urgency is characterized by a greater difficulty compared with intubation in situation regulated with the operating theatre suite. In urgency, the determination of the predictive anatomical factors of difficult intubation is secondary. The incidence of the complications of endotracheal intubations in urgency in the French system was 11,6% with a rate of failure to 0,5., Objective: To study the incidents and accidents during endotracheal intubations in the service of reception of the urgencies with the Gabriel TOURE teaching hospital of Bamako., Patients and Method: A prospective cross-sectional study was conducted from October 2010 at September 2011 with the service of reception of the urgencies of the Gabriel Touré teaching hospital. All the intubated patients were included. All the patients received a clinical evaluation and paraclinic examinations. Clinical monitoring was carried out in the 24 hours following the accident. The statistical test which was used for the comparison of our results was Khi 2 with a threshold of significance fixed at P<0,05., Results: For the period of study 120 cases of accidents and incidents were collected for 320 intubated patients - a frequency of 37,5%. The age bracket 15 - 29 was prevalent representing 30,8 % of patients. The sex ratio was 2,3 in favour of men. In 44.3% of cases patients died in the 24 hours following intervention. Only patients admitted for cranial traumatism presented undesirable side effects in 50% of the cases versus 50% for the other joined reasons for admission., Conclusion: The accidents during endotracheal intubation in urgent interventions are considerable, hence the acquisition of more suitable material and good training would decrease incidence., (Le comitée de rédaction se réserve le droit de revoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de sonserver un examplaire du manuscrit, des figures et des tableaux.)

The authors in a prospective, analytical study of 8 months from January 1st to August 31st performed at the Ignace Deen Clinic of Gynecology and Obstetrics, Conakry University Hospital; assessed the impact of the mode of delivery in breech presentation on maternal and fetal outcome in the African context of Guinea. Breech presentation in mono fetal pregnancy of at least 28 weeks of amenorrhea was the inclusion criterion in this study. Among 1490 deliveries, 144 breech presentations were reviewed, representing a frequency of 9.66%. Half of breech deliveries (49.99%) were premature against only 11.85% in cephalic presentations. The breech was incomplete in 57.64% cases and complete in 42.35%. Caesarean section was performed in 40.97% of cases against 39.54% in cephalic presentation. The indications were often primiparity (30.50%), acute fetal distress (28.81%) and macrosomia (23.72%). Deliveries through the lower route frequently used the maneuver of Bracht (52.50%). 54.16% of the new-born babies had a fetal weight lower than 2500 g at born. Morbid Apgar score at the 1st minute after delivery through the lower route was found in 69.40% of the breech presentation born babies; however, this rate was 32.70% in cephalic presentation (p=0.000). The maternal morbidity concerned essentially perineal lesions (26.53%). The outcome is largely better in case of delivery through the upper route. The caesarean section is an alternative for the improvement of fetal outcome in countries with low resources.

Summary This is a retrospective study on epidemiologic aspects of hematological malignancies from 1996 to 2003 in the Hospital of Point G, Bamako, Mali, in which we looked at files of all patients who visited the center during that period. During the study, 264 cases were diagnosed for hematological malignancies corresponding to an annual mean of 33 cases. Hematological malignancies were mostly lymphoid types (76.51%), among which NHL were predominant. For non lymphoid malignancies, CML was the most frequent (70.96 %). The prevalence of hematological malignancies was multiplied by 2.18 for lymphomas, 2.16 for leukemia, and 1.87 for multiple myeloma; whereas it was stable for other cases. The sex ratio was in favor of men with regard to all hematological malignancies except for CML that is more frequent un female (p=0,002). The case frequency repartition according to age showed a bimodal distribution with one peak for the 10-19 years old and another peak for the 40-49 years old. Among 44 patients tested for HIV, 11.4 % were positive. We couldn't establish a relationship with other classic risk factors. There were some particularities in the distribution of cases with regard to patient's provenances and the time spent before the hospital visits. The hospital-based mortality rate was 10.4 per 1000 and, lethality was high, probably because of case management difficulties and particular popular representation of the disease. More prospective studies with emphasis on risk factors in relation with hematological malignancies in Mali will help to better understand these observed epidemiologic particularities and to elaborate prevention and treatment strategies.