Publications by authors named "Toure A"

Objectives: Assess the effectiveness of ring vaccination in controlling an Ebola virus outbreak in the Democratic Republic of Congo.

Methods: This analysis focuses on two areas of the Democratic Republic of Congo, Beni and Butembo/Katwa, which were affected during the 2018-2020 Ebola outbreak. To simulate Ebola virus transmission, we used a spatially explicit agent-based model with households, health care facilities, and Ebola treatment units.

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Objective: This study aimed to assess the prevalence and risk factors for neonatal sepsis among neonates admitted to selected health facilities in the Bamako district and Koulikoro region in Mali.

Design: This is a prospective cross-sectional study. Data were analyses using bivariate and multivariate logistic regression.

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Background: In mammals, sperm fertilization potential relies on efficient progression within the female genital tract to reach and fertilize the oocyte. This fundamental property is supported by the flagellum, an evolutionarily conserved organelle, which contains dynein motor proteins that provide the mechanical force for sperm propulsion and motility. Primary motility of the sperm cells is acquired during their transit through the epididymis and hyperactivated motility is acquired throughout the journey in the female genital tract by a process called capacitation.

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Background: Several variants of SARS-CoV-2 have a demonstrated impact on public health, including high and increased transmissibility, severity of infection, and immune escape. Therefore, this study aimed to determine the SARS-CoV-2 lineages and better characterize the dynamics of the pandemic during the different waves in Guinea.

Methods: Whole genome sequencing of 363 samples with PCR cycle threshold (Ct) values under thirty was undertaken between May 2020 and May 2023.

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  • Tuberculosis (TB) is a major health issue in Guinea, with many cases going undetected; an intensified case finding strategy involved pharmacies and drug outlets targeting customers buying cough suppressants.
  • A study conducted in Conakry involved screening 916 individuals for TB, resulting in a 14% bacteriologically confirmed TB diagnosis, with gender and age influencing diagnosis likelihood.
  • The intervention cost approximately $32.66 per person referred and $237.45 for those diagnosed, showing that using pharmacies as a TB detection point is both feasible and effective in boosting detection rates.
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Background: At the beginning of the 2018-2020 outbreak of Ebola virus disease (EVD) in eastern Democratic Republic of Congo (DRC), no vaccine had been licensed. However, cluster-randomized evidence from Guinea in 2015 had indicated that ring vaccination around new cases (targeting contacts and contacts-of-contacts) with the use of single-dose live-replicating rVSV-ZEBOV-GP vaccine reduced EVD rates starting 10 days after vaccination. Thus, ring vaccination was added to the standard control measures for that outbreak.

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Background And Objectives: Developmental and epileptic encephalopathies (DEEs) are a group of neurological disorders characterized by early-onset seizures that are often resistant to treatment, by electroencephalographic abnormalities, and by developmental delay or regression. Their genetic basis remains largely unelucidated, especially in sub-Saharan Africa (SSA). We investigated the genetic bases of DEE in three Malian families.

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  • Fibroma ossificans are generally well-defined but not often encapsulated tumors, presenting challenges for treatment choices in maxillofacial surgery.
  • A case involving a 17-year-old woman with a 6-year-old mandibular swelling revealed a benign tumor, confirmed by imaging and histological examination, leading to successful surgical resection and reconstruction.
  • The report highlights the importance of considering clinical and radiological features in managing ossifying fibroids, as treatment can be invasive.
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  • Constipation in children is characterized by symptoms like infrequent, painful, or hard stools, highlighting its significance as a common health issue.
  • A study conducted from April 2019 to January 2020 at CHU Gabriel Touré assessed 75 pediatric patients aged 0 to 15 meeting specific criteria, finding a high prevalence of constipation, particularly in younger children.
  • Most cases were functional, with laxatives being commonly prescribed, while Hirschsprung disease was the leading cause of organic constipation.
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  • Asthma is the most common chronic disease among children, leading to many emergency visits and hospitalizations, and its prevalence is rising worldwide.
  • A study conducted over one year identified 105 asthmatic patients, primarily aged 2-5, with a significant number of attacks occurring in December, largely triggered by smoke and humidity.
  • Improving education for children with asthma and their families, along with standard management protocols, can help reduce asthma-related health issues.
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  • The study investigated the effectiveness and safety of the rVSV-ZEBOV vaccine against Zaire Ebolavirus disease among contacts of EVD survivors, focusing on the influence of pre-existing immunity on vaccination outcomes.
  • Ten percent of participants had pre-existing antibodies, but both those with and without antibodies showed significant increases in IgG levels post-vaccination, indicating strong immune responses.
  • The findings support the vaccine's safety and suggest that pre-vaccination antibody screening is unnecessary, as it does not negatively impact the immune response to the vaccine.
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Sickle cell disease (SCD) is a prevalent inherited blood disorder arising from a single point mutation that results in substitution of valine with glutamic acid in the Beta hemoglobin chain, making red blood cells assume a banana shape under low oxygen state. It is most prevalent in sub-Saharan Africa, affecting approximately 2% of the population in Mali. This study aimed to evaluate the iron status and associated hematological parameters in SCD patients at steady state in an environment with a high prevalence of iron deficiency.

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  • - The study examines the prevalence of arboviruses in sub-Saharan Africa, highlighting their ongoing public health threat and the importance of seroprevalence surveys for informing interventions in the absence of vaccines and treatments.
  • - A comprehensive analysis reviewed 165 studies involving over 186,000 participants across 27 countries from 2000 to 2022, revealing varied seroprevalence rates for several arboviruses, with Chikungunya and dengue showing the highest rates at 23.7% and 22.7%, respectively.
  • - The findings indicate considerable differences in seroprevalence based on factors like country, population demographics, age groups, and laboratory techniques, emphasizing the need for tailored public
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Introduction: Abdominal surgical emergencies have a high mortality rate. Effective management primarily relies on the early identification of patients at high risk of postoperative complications. The objective of our study was to determine the prognostic factors associated with poor outcomes from abdominal surgical emergencies in Senegal and to establish a predictive score for mortality for preoperative risk evaluation (NDAR (New Death Assessment Risk) score).

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Background And Objectives: Progressive myoclonic epilepsy (PME) is a group of neurological disorders characterized by recurrent myoclonic seizures with progressive neurological deterioration. We investigated the genetics of three unrelated patients with PME from Mali, a country in sub-Saharan Africa highly underrepresented in genetic and genomic research.

Methods: Participants were carefully examined and phenotyped.

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  • The study evaluated the effectiveness and tolerability of the antimalarial drug ganaplacide in combination with lumefantrine solid dispersion (LUM-SDF) for treating uncomplicated falciparum malaria across various age groups in a Phase II clinical trial.
  • The trial consisted of three parts: a run-in phase assessing pharmacokinetic interactions, a regimen comparison in adults and adolescents, and a dosage assessment in children aged 2 to under 12 years.
  • Results indicated that co-administration of ganaplacide and LUM-SDF did not significantly alter drug exposure levels, with both drugs showing adequate exposure for efficacy across different age and weight groups, despite some variability.
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  • Canine rabies poses a significant public health risk in Guinea, with limited research available on its epidemiology and preventive measures.
  • A study from 2018 to 2020 found that dogs were responsible for 98% of recorded animal bites, with 72% of tested biting dogs showing rabies, yet only 58% of victims received complete post-exposure prophylaxis (PEP).
  • Recommendations include enhancing disease surveillance, increasing community awareness for dog vaccination and PEP use, and developing a national action plan involving various stakeholders for effective rabies control.
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Ebola virus disease kills more than half of people infected. Since the disease is transmitted via close human contact, identifying individuals at the highest risk of developing the disease is possible on the basis of the type of contact (correlated with viral exposure). Different candidates for post-exposure prophylaxis (PEP; ie, vaccines, antivirals, and monoclonal antibodies) each have their specific benefits and limitations, which we discuss in this Viewpoint.

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The title compound, (CHN)[(CHNO)(MoO)]·4HO, which crystallizes in the monoclinic 2/ space group, was obtained by mixing molybdenum oxide, ethyl-enedi-amine and ethyl-enedi-amine-tetra-acetic acid (Hedta) in a 2:4:1 ratio. The complex anion contains two MoO units bridged by an edta anion. The midpoint of the central C-C bond of the edta anion is located on a crystallographic inversion centre.

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Background: This study aimed to demonstrate that the genomic material of SARS-CoV-2 can be isolated from strips of COVID-19 rapid diagnostic test cassettes.

Method: It was a prospective cross-sectional study involving patients admitted to treatment centers and sampling sites in the city of Conakry, Guinea. A total of 121 patients were double sampled, and 9 more patients were tested only for RDT.

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Objectives: This study aimed to investigate the prevalence of orthoebolavirus antibodies in Madina Oula, a non-epidemic rural area in Guinea, in 2022.

Methods: A cross-sectional study was conducted from March 14 to April 3, 2022 involving recording household and socio-demographic characteristics, lifestyle data, and collecting dried blood spots from 878 individuals in 235 households. Dried blood spots were tested using multiplex serology to detect antibodies to different orthoebolaviruses: Ebola virus, Bundibugyo virus, Sudan virus, Reston virus, and Bombali virus.

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Introduction: Reducing blood pressure after stroke is important to prevent recurrent stroke, but we have no data about the control of blood pressure in our context. The purpose of this study was to assess management of hypertension among post-stroke patients in a neurology department.

Method: It was a retrospective study involving hypertensive stroke patients.

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Through a collaborative effort across six Sub-Saharan African countries, using recognized international assessment techniques, 23 stocks of three tick species (Rhipicephalus microplus, Rhipicephalus appendiculatus and Amblyomma variegatum) of economic importance for rural small holder farming communities from East and West Africa were collected from cattle, and evaluated in in vitro larval packet tests (LPT). The results demonstrated medium to high resistance to chlorfenvinphos and amitraz across species. Rhipicephalus microplus demonstrated high level alpha-cypermethrin and cypermethrin resistance.

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Burns are frequent lesions, often leading to serious functional or even life-threatening sequelae. Their care poses a problem in the countries of the South due to the lack of specialized centres. Through this study, we would like to share our experience.

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This study aimed to estimate the prevalence of poultry aspergillosis and evaluate the accuracy of histopathology (test under evaluation) and mycological culture (an imperfect reference test). Farms raising layer and breeder or broiler birds, with suspected aspergillosis cases, clinical or subclinical, were eligible and visited for sampling. After necropsy, histopathology and mycological culture examinations were conducted by two evaluators.

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