ABSTRACT
Introduction: The reason for consultation is the basis of medical reasoning, its understanding is fundamental to avoid diagnostic errors. The objective of this study was to determine the frequency of emergency consultations among children aged 2 months to 15 years in the paediatric department of the health centre of the commune II of Bamako. Patients and methods: This was a retrospective, descriptive study from 1 January to 31 December 2017. We included all children aged 2 months to 15 years who were consulted in emergency at the paediatric department. Data were collected from medical records and consultation registers on survey forms. Some variables (socio-demographic and clinical) were retained for analysis. Results: In our study, 254 patients aged 2 to 15 years were included. Children under 5 years of age were the most represented 82.67% and those aged 11-15 years the least represented 3.54%. Males were the most represented with 59.44% M/F sex ratio of 1.46. Parents of children residing in commune II at the time of the consultation were in the majority (74.81%). Parents came directly with their children in 83.85% and had a reference in 16.14%. The reasons for consultation were dominated by fever (50%), followed by respiratory difficulties (16.53%) and convulsions (14.17%). Consultations for fever, breathing difficulties and convulsions were more frequent in October with respectively: 23.62%; 26.19%; 22%.

ABSTRACT
When ASHAs were introduced in NRHM in 2005, their primary aim was to visit homes of newborns as the first program in UP operated through the ASHAs was the Comprehensive Child Survival Program in 2008. Since then, tracking of all deliveries and all the newborns are an integral part of the work of ASHAs in all the primary health care programs operated by the NHM in UP. Evaluation studies on the performance of ASHAs was done since 2011 as by then ASHAs had actually worked in the field for a minimum period of 5 years. It is to be noted that National Rural Health Mission was rolled out in April 2005 but it took about one to two years for the states to hire ASHAs and put things in place right from the state to the village level. In this article, a comprehensive feedback is elicited from the mothers of Scheduled Caste (SC) community from the last visit of ASHAs to their homes to visits during pregnancy & newborn care in Gonda district of UP. The current study explores some of the crucial variables through five case studies on the performance of ASHAs through their message delivery & visits during natal, newborn care of mothers of Scheduled Caste (SC) community. The article also includes the feedback of the SC community mothers on the work & approach of ASHAs. That’s how the perception of the Recently Delivered Women of SC community in the state of UP is included in this article. The mothers of SC community responded about the performance based upon their experience in visits & messaging by ASHAs on Janani Surakhya Yojana (JSY), New Born Care (NBC) & Routine Immunization (RI) as these were the frontline programs for the states. The responses of these mothers or Recently Delivered Women (RDW) (as named for the current study) had a 3 to 6 months old child during the time of survey. They were selected as respondents as they were from SC community & were in a position to recollect the health care events of their children. The relevance of the study assumes significance as .....

ABSTRACT
Peritoneal tuberculosis is a rare form of extra pulmonary tuberculosis in children. It represents 1 to 2% of all forms of tuberculosis. It is characterized above all by the occurrence of ascites, a progressive deterioration of the general condition, a fever. Its diagnosis can sometimes be very difficult; we report a case of peritoneal tuberculosis revealed by a surgical emergency.

ABSTRACT
Meckel's diverticulum is the partial persistence of the mesenteric omphalos canal. It is the most common congenital anomaly of the gastrointestinal tract with a slight male predominance [1, 8, 9 ]. It is a fairly rare pathology in our region. Its discovery is most often fortuitous, but it can be the basis of several digestive complications: peritonitis by perforation or occlusion, digestive hemorrhage, diverticulum. We report a case of Meckel's diverticulum discovered following chronic umbilical care in a two-year-old child. The objective is to describe this rare clinical case and discuss the therapeutic and evolutionary aspects.

ABSTRACT
Intussusception is a condition characterized by the penetration of one segment of the intestine into another. It is a medical emergency characterized by bowel obstruction. It can be fatal if left untreated, and occurs most often in children. It is a fairly common pathology in our country with seasonal peaks. The objective of this study is to describe the diagnostic and therapeutic clinical epidemiological aspects of intussusception in infants and children in the pediatric surgery department of Fousseyni Daou hospital. Material and methodology: This is a retrospective study which took place from January 2019 to December 2021 at the Fousseyni Daou hospital in Kayes and included in this study all children operated on for intussusception from 0 to 15 years, through the use of patient records. Results: During the study period, we operated on 975 patients, including 63 occlusions and 27 intussusceptions, i.e. 2.76% of operations and 42.85% of occlusions. The male sex was the most represented 18 cases or 66.66%. There was the notion of abdominal pain in all patients, vomiting in 18 patients and rectal bleeding in 7 patients. At the clinical examination the sausage was found in 18 patients, a standard blood test was carried out in all the patients. Ultrasound was the main radiological examination to confirm intussusception. Treatment was surgical in all patients, with resection. Anastomosis in 6 cases due to late management of these patients. In the immediate postoperative course, we noted two surgical site infections and one eventration. Conclusion: Intussusception is a fairly common pathology in our region, but the evolution of which depends on the promptness of treatment.

ABSTRACT
Ship sanitation is one of the efforts at environmental risk factors on ships to break the chain of disease transmission in order to maintain and enhance health status .Poor ship sanitation will cause many problems in terms of physical, health, aesthetics and human survival The aim of this study is to know the description of the sanitation conditions on passenger ships that docked at the Kupang Tenau Port in 20 22. The type of this study is descriptive. Population in this study is all passenger ships that dock at the Port of Tenau Kupang from 4 to 17 March 2022 totaling 8 vessels. Accidental Sampling is a technuque for taking sample in this study (which is coincidenceany) totaling 8 ships. Instrument in this study used form of sanitation inspection from Health Office shipport. The results showing that on deck sanitation aspect there are 2 (25%) ships no fulfil condition on aspect cleanliness and good was neatly arranged and 6 (75%) ships fulfil terms. On aspect sanitationof crew member's room and passenger's room there are 5 (62.5%) not fulfil condition on aspect cleanliness and 3 (37.5%) ships fulfil terms. On aspect sanitation bathroom and tailet 8 (100%) boats no fulfil condition on aspect no smells fierce, 1 (12.5%) no fulfil condition on aspect good function and 8 (100%) ships fulfil condition on aspect cleanliness, not a place to store goods and there are no insects. On aspect sanitation kitchenof the 4 ships made inspection whole boat no fulfil condition on aspect wash equipment with hot water and 3 (75%) ships not have trash cover. On aspect sanitation room cooler thera are 4 (100%) vessels full conditions (100%). On aspect sanitation warehouse supply boat there are 1 (25%) ship no fulfil condition on aspect cleanliness and 3 (75%) ships fulfil terms. On aspect sanitation handler food there are 4 (100%) ships fulfil conditions (100%). On aspect sanitation clean water supply there are 8 (100%) vessels full conditions (100%). Conclusion from 8 (100%) ships ther

ABSTRACT
Hirschsprung's disease is a congenital anomaly of the innervation of the distal intestine, usually limited to the rectum and colon, resulting in partial or total functional occlusion. It is one of the most common causes of obstruction in children. It is a rare pathology, but the diagnosis of which is becoming increasingly easy because of dill Omo pathology. We report two cases treated urgently in the pediatric surgery department of the Fousseyni Daou hospital in Kayes. Our objectives were to describe the clinical aspects and the management of an occlusive syndrome secondary to Hirschsprung's disease.