PubMed Health⌕ Search

Biomedical subjects

M C Baldé

Publications and source records attributed to M C Baldé.

4 recordsLinked to original sources

[Erectile dysfunction and diabetes in Conakry (Guinea): frequency and clinical characteristics from 187 diabetic patients].

Sexual dysfunction is frequent in the diabetic population. In Africa, medical care for erectile dysfunction is underprovided, profoundly altering the quality of life of the patients. We report the prevalence of erectile dysfunction in 187 diabetic patients followed in the department of Endocrinology of the Conakry teaching hospital. Prevalence was estimated from the French version of the International Index of Erectile Function (IIEF). Erectile dysfunction concerned 90 patients (48%) of whom a severe form was observed in 54%, a moderate form in 35% and a mild form in 12%. The patients who presented erectile dysfunction were significantly older, displayed longer duration of diabetes with more complications (sensorial neuropathy and macroangiopathy) and often took drugs for associated cardiovascular diseases. In 28% of the cases, erectile dysfunction was associated with a decline in libido and in 26% with ejaculation disorders. In conclusion, erectile dysfunction is frequent and severe among diabetic patients in Guinea. The medical staff plays an essential role to initiate early diagnosis, promote psychological support and provide medication, if possible.

Aged↗

[Problems with envenomations in Guinea].

Only a few years after its creation, the Kindia Pasteur Institute (currently Institut de Recherche de Biologie Appliquée de Guinée, IRBAG), owing to its geographical situation, began regularly supplying the Paris Pasteur Institute with snake venom for manufacturing antivenom. The diversity of the biotopes in Guinea due mainly to the diversity of vegetation (savannah, forest, mangrove) and altitudes (coastal zone, mountains of Fouta-Djalon and mountain of High Guinea), induces a wide variety of the herpetological fauna. Envenomations are consequently a significant cause of morbidity and mortality in a country where agriculture is an important economic activity. Unfortunately, precise statistics for envenomations are unavailable. A retrospective study was performed based on IRBAG registers (1980-1990). A total of 584 snakebites were reported with a 2.2% case fatality rate. Between 1997 and 1999, 379 cases of snakebites were reported with 18.2% death, mainly due to the lack of antivenom, and 2.1% amputations. By combining the fang marks and victim or relative assessments, we were able to identify most of the snakes involved in the envenomations: Naja (21.3%), Bitis (15%), Dendroaspis (12.4%) and Causus (12.9%). In 38.2% of the cases, the snake was not identified. This survey confirmed that envenomations are a problem in Guinea. However, more studies are necessary to appreciate the real importance of the herpetological Guinean fauna and its consequences on morbidity and mortality in order to improve the management of envenomations.

Academies and Institutes↗

[Malaria prevalence survey in 24 Guinean villages in the Kindia area].

The authors report the results of a survey of malaria prevalence carried out from October to December 1998 in 24 villages located upstream of the Garafiri dam, in the Kindia area. The parametre used for the assessment of prevalence was the Plasmodium index. The gametocyte and spleen indexes were also recorded. The prevalence observed (34,7%) confirms the presence in this area of stable malaria mostly transmitted by Anopheles gambiae in tropical Africa. This prevalence rate is compatible with the epidemiological data of the Ministry of Health.

Adolescent↗

[Contribution to the study of mosquitoes (Diptera: Culicidae) of Guinea: Fauna and distribution].

The authors report the results of ten years of entomological research conducted in Guinea. During this period, 84,000 larvae and 66,000 adult mosquitoes belonging to 8 different genera were captured and identified according to species or species groups. Mosquito fauna in Guinea includes almost all the known vectors of malaria and filaria in West Africa (see tables I-IV) as well as many of the known vectors of arboviruses. Four methods were used for capturing the insects, the most efficient being the use of a net in vegetation which succeeded in trapping 83% of the species described.

Animals↗