Bøger af Fanéké Dembélé

The aim of the study was to determine the frequency of esophageal cancer in the endoscopy unit of the internal medicine department of the Point "G" National Hospital and to describe its endoscopic and anatomopathological aspects. We carried out a retrospective study of the files of patients seen in endoscopy in this unit from January 1990 to December 2000, i.e. a period of 11 years. The inclusion criterion was the presence of an esophageal tumor at the upper gastrointestinal fibroscopy whose malignant character was confirmed by an anatomopathological examination. During the study period 47,440 fibroscopies were performed; 30 cases of histologically confirmed esophageal cancer were diagnosed. The estimated incidence was 3 cases per year. The mean age of the patients was 58 +/-13 years with extremes of 14 and 80 years. The sex ratio was 2 in favor of males. Dysphagia was the reason for endoscopy in 70% of cases. Tumor localization in the lower 1/3 was more frequent (60%). The budding form predominated (47%). Endobrachyoesophagus was found in 13.33% of cases. Squamous cell carcinoma predominated (76.70%). Adenocarcinoma represented 23.30%.

Disaster risks (floods and droughts) have a direct impact on people's access to basic social services and livelihoods. It is important to build resilience in two pilot communes, namely Touna in the Segou region and I in the Bamako district, through a tool that enables communities to prevent, mitigate, prepare for and respond to disaster risks. Thus, mapping facilitates the understanding and assessment of the impact of floods and droughts on people's livelihoods and the analysis of coping strategies to address them. -Populations affected by floods from 2002 to 2012 in Touna commune: 30% of the population of 18 villages = 7042 people -Populations affected by droughts from 1970 to 2011 in Touna commune: 70% of the population of 24 villages = 23,875 people -Populations affected by floods from 1985 to 2013 in commune I: 2% of the populations of 5 neighbourhoods = 4087 people -Populations affected by droughts from 1970 to 2011 in commune I: 0.5% of the populations of 9 neighbourhoods = 1760 people