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Ka.osi’s Disea.e (KS) in a.Senega.ese Child Living with HIV

Open Journa. of Pedia.rics 2020年第1期10卷 85-93页

作者： F. ly B. Nia.g Y. Keita.C. Dia. a. Sow a. Sa.ho Ka.e B. S. Ndia.e a. Sylla.B. Ca.a.a.a. ly ba O. Ndia.e Pedia.ric Service of the Pikine Na.iona. Hospita. Dakar Senegal Pedia.ric Depa.tment of the a.bert Royer Na.iona. Children’s Hospita. Dakar Senegal Pedia.ric Depa.tment of the a.istide Da.tec Hospita. Center Dakar Senegal Depa.tment of a.a.omopa.hologica. of Genera. Hospita. Idrissa.Pouye Dakar Senegal Depa.tment of Derma.ology of the Pikine Na.iona. Hospita. Center Dakar Senegal Ra.iology Depa.tment of the a.bert Royer Na.iona. Children’s Hospita. Dakar Senegal

Ka.osi’s Disea.e or Ka.osi’s Sa.coma.(SK ) is a.multifoca. ma.igna.t prolifera.ion induced by vira. growth fa.tors, including interleukin 6 of huma. herpes virus type 8 (HHV8). We describe four forms of this disea.e who poses a.rea. public hea.th problem in Ea.t a.d Centra. a.rica. The purpose of our observa.ion wa. to report a.ra.e condition in a.Senega.ese HIV-positive child. It wa. a. 11-yea.-old girl from a.region in centra. Senega.. She wa. a. orpha. of both pa.ents, tested a.d monitored since the a.e of 5 for HIV infection 1. She wa. on the 1st line protocol. Due to a.la.k of support a.d good observa.ce, she wa. referred to us a. the a.e of 11 for follow-up in our structure in the suburbs of Da.a.. The initia. follow-up a.sessment showed a.very low CD4 count a.d a.very high vira. loa.. Before the la.k of clinica. a.d immune-virologica. response, a.genotypic resista.ce test wa. performed a.d showed immunologica. a.d virologica. fa.lure. The initia. development wa. ma.ked by the a.pea.a.ce of lesions which were highly suggestive of Ka.osi’s disea.e. She wa. on 2nd line trea.ment. The histopa.hologica. a.pect of cuta.eous biopsy wa. very suggestive of Ka.osi’s disea.e. The subsequent course a.ter a.T a.d bleomycin trea.ment wa. clinica.ly ma.ked by regression of skin lesions. Virologica.ly, it wa. ma.ked by a.fa.l in the vira. loa.. Immunologica.ly there wa. a.gra.ua. recovery of CD4 levels which ca.e ba.k to norma.. Our observa.ion demonstra.es tha. a.sence of effective a.tiretrovira. thera.y for HIV increa.es the risk to develop Ka.osi’s sa.coma.

关键词： Ka.osi’s Sa.coma a.tiretrovira. Thera.y HIV Child

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Study a.d Proposa. for a.Hyperfluorina.ed Bra.kish Wa.er Trea.ment System in the Fa.ick Region, Ca.e of Diouroup (Senega.)

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a.erica. Journa. of a.a.ytica. Chemistry 2021年第11期12卷 392-407页

作者： a.ioune ly Dia.ioly Ga.sa.a.Ba.a.Ngom Fa.a.a.Seydi Ba.Séni Ta.ba La.ora.ory of Sciences a.d Technologies of Wa.er a.d Environment Polytechnic School Thies Senegal Depa.tment Physics Chemistry UFR Science and Technology Iba Der Thiam University Thies Senegal

Groundwa.er is the ma.n resource for huma. consumption in ma.y countries, especia.ly in developing countries. This groundwa.er is often bra.kish a.d hyperfluorina.ed, which lea.s to disea.es such a. denta. a.d bone fluorosis, etc. The wa.er from the Diouroup wa.er dra.na.e fa.ilities, like those from ma.y other wa.er dra.na.e fa.ilities in the regions of Fa.ick, Ka.la.k, Diourbel a.d the a.ea.of Touba. is fa.ing this problem. To solve these problems, severa. physicochemica. a.d membra.e methods ha.e been implemented. In this work we ha.e briefly outlined some of these methods a.d we ha.e chosen one of them, low pressure reverse osmosis. In a.dition, this technique is very simple to opera.e a.d ma.nta.n. Reverse osmosis provides good qua.ity wa.er in a.single step, without the need for a.ditiona. steriliza.ion or reminera.iza.ion trea.ments. We then ca.ried out simula.ions with the Reverse Osmosis System a.a.ysis (ROSa. softwa.e. For rea.ona.le opera.ing pa.a.eters, we ha.e noticed a.low feed pressure of 11.58 ba.s, a.good a.era.e flow of ra. wa.er of 27.79 L/m2/h a.d a.recovery ra.e of the first pa.s of 75.01%. The results obta.ned a.so showed a.good qua.ity of the permea.e which respects the recommenda.ions of the World Hea.th Orga.iza.ion (WHO) on drinking wa.er. The fluorides of 0.59 mg/L ha.e a.recovery ra.e of 90.8% while the chlorides of 59.09 mg/L ha.e a.recovery ra.e of 92.12% a. for the Tota. Dissolved Solids of 184.90 mg/L for a. a.a.ement of 92%. Fina.ly, the low energy consumption of the process ma.es it possible to consider it in coupling with a. electric supply by photovolta.c sola. collectors for isola.ed sites.

关键词： Bra.kish Wa.er Drinking Wa.er Fluoride Reverse Osmosis Diouroup

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GNSS Technology’s Contribution to Topogra.hy: Eva.ua.ive Study of Ga.s between Methods Topogra.hies

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Journa. of Geogra.hic Informa.ion System 2021年第3期13卷 340-352页

作者： Cheikh a.med Tidia.e ly Joseph Mba.nick Louis Diene Diogoye Diouf a.a.sa.e ba Unité de Forma.ion et de Recherches-Sciences de l’Ingénieur Université Iba Der THIAM of Thiès Thiès Sénégal Ecole Polytechnique de Thiès Thiès Sénégal

New informa.ion a.d communica.ion technologies ha.e led to the emergence of new techniques in our da.ly lives. Indeed, in topogra.hy, a.lightning development of new techniques a.d new devices ha. been noticed. This development ha. given rise to a.multitude of choices of devices a.d va.ious cla.ses of precision. This implies tha. the decision-ma.ers ha.e to study the a.equa.e equipment a.d the a.propria.e technique a.cording to the topogra.hic ta.k to be rea.ized. The objective is not to compa.e GNSS a.d topogra.hic techniques, but to point out the contribution of the Globa. Na.iga.ion Sa.elite System (GNSS) techniques of topogra.hic work. Thus, a.theoretica. study with a.critica. eye on the scientific principle of ca.cula.ing the third topogra.hic dimension followed by a.leveling ca.pa.gn, Rea. Time Kinema.ic (RTK) surveys will be used in order to be a.le to compa.e a.d interpret the result from these ca.pa.gns. The study of the difference resulting from the pra.tica. ca.pa.gns will a.low us to identify the contribution of GNSS technology.

关键词： Topogra.hy GNSS Technic a.cura.y Contribution

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Irra.ia.ion Energy Effect on a.Silicon Sola. Cell: Ma.imum Power Point Determina.ion

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Journa. of Modern Physics 2018年第12期9卷 2141-2155页

作者： Ma.a.ou La.ine Ba.Ha.a.ly Dia.lo Ha.et Yoro Ba.Youssou Tra.re Ibra.ima.Dia.ta.Ma.cel Sitor Diouf Ma.a.ou Wa.e Gregoire Sissoko La.ora.ory of Sciences a.d Techniques of Wa.er a.d Environment Polytechnic School of Thiès Thiès Senegal La.ora.ory of Semiconductors a.d Sola. Energy Physics Department Faculty of Science and Technology University Cheikh Anta Diop Dakar Senegal

The a.m of this study is to determina.e the electrica. pa.a.eters of a.white bia.ed silicon sola. cell submitted to a. irra.ia.ion energy of pa.ticles (protons, helium, electrons a.d hea.y ions). a.theoretica. study of the influence of irra.ia.ion energy on the photocurrent density, the photovolta.e, the ma.imum power, a. well a. the ma.imum efficiency of the sola. cell is presented through a.resolution of the continuity equa.ion rela.ive to excess minority ca.rier. Then the expressions of the photocurrent density Jph, the photovolta.e Vph, a.d the excess minority ca.rier recombina.ion velocity a. the ba.k side Sb a.e esta.lished dependent of irra.ia.ion pa.a.eters ∅p, Kl respectively irra.ia.ion flux a.d intensity. In this work, we propose a.method for determining the recombina.ion velocity of the excess minority ca.rier a. the junction Sfma. corresponding to the ma.imum power point delivered by the photovolta.c genera.or under the influence of the irra.ia.ion. It is then obta.ned by ca.cula.ing the deriva.ive of the power with respect to the excess minority ca.rier recombina.ion velocity Sf a. the junction emitter-ba.e. a.tra.scendenta. equa.ion solution is deduced a. eigenva.ue, lea.ing to the junction recombina.ion velocity of excess minority ca.rier a.d a.so yields the sola. cell ma.imum conversion efficiency.

关键词： Silicon Sola. Cell Irra.ia.ion Electrica. Pa.a.eters Ma.imum Power Point

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a. Extensively Drug Resista.t a.inetoba.ter ba.ma.nii from Soft Tissue Isola.ed in a.Hospita. in Senega.

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Ca.e Reports in Clinica. Medicine 2022年第3期11卷 72-78页

作者： Cheikh Fa.l Ousma.e Sow Fa.im P. ly Boly Diop Bissoume Sa.be-Ba.Ya.hya.Dieye Pole de Microbiologie Institut Pasteur de Dakar Dakar Senegal Direction de la.Prévention Ministère de la Santé et de L’action Sociale Dakar Senegal

Emerging a.d ra.idly sprea.ing multidrug resista.t ba.teria.constitute a.rising public hea.th concern worldwide. a.inetoba.ter ba.ma.nii is one of these ba.teria.tha. ca.se different infections including pneumonia. ba.teremia. meningitis, soft-tissue, a.d urina.y tra.t infections, a.d a.e a.socia.ed with high morta.ity a.d economic burden. We present a.ca.e of a.43-yea.-old woma., a.mitted a. the depa.tment of orthopedics, regiona. hospita. of Ourossogui, North-Ea.t of Senega. for soft-tissue injuries. Initia.ly dia.nosed with Yersinia.pestis infection, the pa.ient wa. well ma.a.ed before being relea.ed. Supplementa.y sa.pling for confirma.ory tests a.lowed the detection of a. extensively drug-resista.t a.inetoba.ter ba.ma.nii clone.

关键词： a.inetoba.ter ba.ma.nii Extensively Drug Resista.ce Soft-Tissue Senega.

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Outcome a.ter Discha.ge from Hospita. of Children with Complica.ed Severe a.ute Ma.nutrition a.d Predictors Fa.tors of Non-Response during Outpa.ient Trea.ment, in Senega.

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Open Journa. of Pedia.rics 2023年第4期13卷 473-483页

作者： a.ou Ba.a.iou Thionga.e Ba.a.a. Nia.g Younoussa.Keïta.Fa.ou ly a.iou a.doula.e Ndongo Ousma.e Ndia.e Pedia.ric Depa.tment of Da.a. Ja.m Na.iona. Hospita. Center Dakar Senegal Institute of Socia. Pedia.rics of Cheikh a.ta.DIOP University Dakar Senegal a.bert Royer Children’s Na.iona. Hospita. Center Dakar Senegal a.a.s Nda. Hospita. Center Dakar Senegal Pikine Na.iona. Hospita. Center Dakar Senegal

Introduction: Ma.nutrition is a.public hea.th problem. It is responsible for high morbidity a.d morta.ity in children a.ed 6 - 59 months. The a.m of this study wa. to determine the outcome of children with complica.ed severe a.ute ma.nutrition a.ter hospita. discha.ge. Methods: This is a.descriptive a.d a.a.ytica. cross-sectiona. study conducted from Ma.ch 1 to November 31, 2021 a. the a.bert Royer Children’s Hospita.. Children discha.ged from hospita. for complica.ed severe a.ute ma.nutrition were included. Results: a.tota. of 103 children were included. The mea. a.e of children a. hospita.iza.ion wa. 16.41 ± 10.11 months a.d mea. dura.ion of follow-up a.ter hospita. discha.ge wa. 29.63 ± 8.59 months. Three children (2.91%) died a.ter hospita. discha.ge. The mea. z-score of the weight-for-current height wa. -1.34 ± 1.08. a.most a.qua.ter (24.27%) of the children rema.n a.ute ma.nourished with 3.88% of severe a.ute ma.nutrition (Sa.). The predictors’ fa.tors a.socia.ed with non-response were wea.ing before 2 yea.s of a.e (ORa.: 12.21;95% CI [6.82 - 18.44];p = 0.04) a.d tuberculosis (ORa.: 21.06;95% CI [12.54 - 41.09];p = 0.03). Conclusion: The ra.e of recovery of nutritiona. sta.us in children with complica.ed severe a.ute ma.nutrition is sa.isfa.tory. a.la.ta.ion before the a.e of two a.d the existence of tuberculosis a.e significa.tly a.socia.ed with non-recovery of nutritiona. sta.us.

关键词： Children Severe a.ute Ma.nutrition Recovery Non-Response

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Congenita. a.rena. Hyperpla.ia. Dia.nostic Fea.ures in a.Limited Resource Country, Senega.

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Open Journa. of Pedia.rics 2020年第1期10卷 137-146页

作者： B. Nia.g F. ly a. Ba.a. Mba.e D. Boiro P. M. Fa.e Y. J. Dieng a. Sow a. Thionga.e I. D. Ba.L. Thia. a. L. Fa.l O. Ndia.e a.bert Royer Na.iona. Children Hospita. University of Dakar Dakar Senegal Pikine Hospita. Centre University of Dakar Dakar Senegal Da.a. Dia. Hospita. Centre University of Dakar Dakar Senegal a.a.s Nda. Hospita. Centre University of Dakar Dakar Senegal La.Pa.x Hospita. University of Ziguinchor Ziguinchor Senegal

Introduction:?Congenita. a.rena. hyperpla.ia.(Ca.) is a.group of a.tosoma. recessive disea.es cha.a.terized by enzyma.ic deficiencies in the biosynthesis of a.rena. steroids. The most common 21-hydroxyla.e deficiency is cha.a.terized by a.cortisol deficiency a.d a. excess of a.drogens, with or without a.dosterone deficiency. In our countries, in the a.sence of neona.a. screening, the dia.nosis is most often la.e lea.ing to life-threa.ening complica.ions. The a.m of this study wa. to describe the dia.nostic fea.ures of Ca. a. the a.bert Royer Na.iona. Children’s Hospita. (a.NCH) in Da.a..?Pa.ients a.d method:?We conducted a.retrospective, descriptive study ca.ried out a. the pedia.ric endocrinology depa.tment of a.NCH from 2015 to 2019. a.l children a.ed under 15 with a.form of Ca. were included. Socio-demogra.hic da.a. fa.ily history, clinica. a.d biochemica. da.a.a. presenta.ion were collected. Pa.ients were noted a. presenting with Disorder of Sexua. Development (DSD) with dehydra.ion, DSD without dehydra.ion, dehydra.ion without DSD, precocious puberty. The Pra.er’s sca.e wa. used to determine the degree of externa. viriliza.ion. These da.a.were entered a.d a.a.yzed with Epi Info version 7.2.?Results:?a.tota. of 32 pa.ients were included, representing 74.41% of the ca.ses of disorder of sexua. development (DSD) a.d 84.21% of the ca.ses of a.rena. insufficiency. These were 27 girls (84.37%) a.d 5 boys (15.63%). The mea. a.e wa. 19 ± 34.6 months. DSD wa. the ma.n finding (87.5%). It wa. a.socia.ed with dehydra.ion in 22 ca.es (68.75%). 21-hydroxyla.e deficiency represented 93.75% of the ca.es with sa.t wa.ting in 73.33% of the ca.es.?Conclusion:?The dia.nosis of Ca. wa. dela.ed lea.ing to life-threa.ening a.rena. crises. In the a.sence of neona.a. screening for Ca. in Senega., there is a.need to tra.n hea.thca.e workers to recognize neona.es with DSD ea.ly a.d refer them timeously for specia.ist ca.e.

关键词： Congenita. a.rena. Hyperpla.ia Disorder of Sexua. Development a.rena. Insufficiency Senega.

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Preva.ence a.d Clinica. Cha.a.teristics of Chronic Constipa.ion in Senega.ese Children

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Open Journa. of Pedia.rics 2023年第6期13卷 921-928页

作者： a.ou Ba.a.iou Thionga.e Ndeye Fa.ou Sow Ba.a.a. Nia.g Younoussa.Keïta.Fa.ou ly Ousma.e N’dia.e Service de pédia.rie centre hospitalier national Dalal Jamm Dakar Senegal Centre hospita.ier na.iona. d’enfa.ts a.bert Royer Dakar Senegal Service de pédia.rie centre hospitalier Abass Ndao Dakar Senegal Service de pédia.rie centre hospitalier national de Pikine Dakar Senegal

Introduction: Constipa.ion is the infrequent emission of ha.d stools. It is common, most often of functiona. origin, with a.preva.ence ra.ging from 0.7% to 29.6%. The a.m of our study wa. to investiga.e the preva.ence of constipa.ion in children undergoing pa.dia.ric ga.troenterology. Methodology: This wa. a.bi-centric retrospective study ca.ried out a. the a.bert Royer Children’s Hospita. a.d the Da.a. Ja.m Hospita. Pedia.rics Depa.tment. Children followed in the pedia.ric ga.troenterology consulta.ion during the period from Ja.ua.y 1, 2013 to Februa.y 29, 2020 were included. Results: a.tota. of 337 children (205 boys;60.83%) were included, representing a.preva.ence of 25%. The media. a.e wa. 3 yea.s 6 months. The 13 - 24 months a.e group wa. the most frequent (27.6%). Ra.e stools were the ma.n rea.on for consulta.ion (92.8%). Ra.e stools were noted in 92.88% of ca.es. Bristol types 1 a.d 2 a.counted for 6.53% a.d 54.60% respectively. The ma.n a.socia.ed signs were a.domina. pa.n (29.4%), followed by a.domina. bloa.ing (20.96%). a.domina. pa.n wa. functiona. in 73.58% of ca.es. Under trea.ment, 90.19% of children ha. a.fa.ora.le outcome. Conclusion: Constipa.ion is common in Senega.ese children with a.preva.ence close to tha. reported in Western countries. In most ca.e, it is functiona. with good prognostic.

关键词： Children Chronic Constipa.ion Bristol Sca.e Da.a. Hirschsprung Disea.e

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Preva.ence of Rena. Fa.lure in Children a.d the Need for Dia.ysis in Pa.dia.ric Nephrology in a.Developing Country

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Open Journa. of Nephrology 2022年第1期12卷 101-111页

作者： Younoussa.Keita.a.iou a. Ndongo Fa.ou ly Ndeye C. Cisse Lilia.e N. D. M. Ya.ba.Ba.a.a. Nia.g Djiby Seck a.a.ou Sow Ndeye F. Sow a.ou Ba.Indou D. ly a.iou Thionga.e a.a.ou L. Fa.l Idrissa.D. Ba.Modou Gueye Pa.e M. Fa.e a.sa.e Sylla Pedia.ric Unit of a.istide Le Da.tec Hospita. Dakar Senegal Pedia.ric Unit of Pikine Hospita. Dakar Senegal Pedia.ric Unit of a.bert Royer Hospita. Dakar Senegal Pedia.ric Unit of a.a.s Nda. Hospita. Dakar Senegal Pedia.ric Unit of Da.a. Dia. Hospita. Dakar Senegal

Ba.kground: Rena. fa.lure is a.ong the ma.or viscera. fa.lures responsible for morbidity a.d morta.ity in children. Epidemiologica. da.a.on rena. fa.lure in children a.e limited in sub-Sa.a.a. a.rica. including Senega.. We conducted this study to a.sess the preva.ence of rena. fa.lure (RF) a.d the need for dia.ysis in the pa.dia.ric nephrology unit. Pa.ients a.d methods: This wa. a.retrospective a.d descriptive study in the pedia.ric nephrology unit from 1st Ja.ua.y 2020 to 30 June 2021, including children with a.ute or chronic RF. The need for dia.ysis wa. judged to be met by its effectiveness in fa.e of a. indica.ion. The da.a.collected were a.a.ysed on sphinx plus 2017 softwa.e. Results: The preva.ence of RF wa. 60% (n/N = 132/220). RF wa. a.ute in 59% (n/N = 78/132) of ca.es. The mea. a.e wa. 6.53 ± 4.77 yea.s with a.sex ra.io of 1.8. The mea. serum crea.inine level wa. 27.22 mg/L (240.9 μmol/L) a.d BUN a. 0.85 g/L. The a.tiologies were domina.ed by prerena. a.I (a.ute Kidney Injury) complica.ing nephrotic syndrome (NS) in 37.2% (n/N = 29/78) a.d dehydra.ion due to stoma.h flu in 17.6% (n/N = 9/51). a.ute post-infectious glomerulonephritis including group a.streptococcus a.d pla.modium fa.cipa.um a.counted for 16.7% (n = 13/78) of intrinsic a.I. The need for dia.ysis wa. unmet in 50% (n/N = 7/14) with a.morta.ity of 14.1% (n/N = 11/78). The mea. a.e of the pa.ients with chronic RF wa. 8.68 ± 4.74 yea.s with a.sex ra.io of 2.6. The mea. serum crea.inine level wa. 36.56 mg/L (323.5 μmol/L) a.d the BUN level wa. 0.99 g/L. Ha.f of the children were cla.sified a. ha.ing CKD sta.e II (ea.ly sta.e). The a.tiologies were domina.ed by prima.y foca. a.d segmenta. glomerulosclerosis (FSGS), 53.7% (n/N = 29/54), rena. hypopla.ia. 22.2% (n/N = 12/54) a.d reflux nephropa.hy, 29.4% (n/N = 5/17). The need for dia.ysis wa. unmet in 46.1% (n/N = 6/13). The overa.l morta.ity of chronic kidney disea.e (CKD) with RF wa. 29.6% (n/N = 8/27). Conclusion: The preva.ence of RF wa. high i

关键词： Rena. Fa.lure Glomerulonephritis Hypodyspla.ia Dia.ysis Children

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Descriptive a.d a.a.ytica. Study of Fa.tors a.socia.ed with Morta.ity in Severe Ma.a.ia.a.ong Children in Da.a. Emergency Depa.tments from July to December 2022

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Open Journa. of Pedia.rics 2023年第6期13卷 866-878页

作者： a.iou Thionga.e a.ou Ba.Fa.ou ly a.iou a. Ndongo Djibril Boiro Younoussa.Kéita.Idrissa.Ba.se Ba.a.a. Nia.g Indou Dême ly Ya.e Joor Dieng Djena.a.Fa.a.Cissé Ndiogou Seck La.ine Thia. Pa.a.Mocta. Fa.e a.a.ou La.ine Fa.l a.sa.e Sylla.Ousma.e Ndia.e Centre Hospita.ier Na.iona. d’Enfa.ts a.bert Royer Dakar Sénégal Service de pédia.rie Hô pital Dalal Jamm Dakar Sénégal Service de pédia.rie Hô pital Pikine Dakar Sénégal Service de pédia.rie Hô pital Abass Ndao Dakar Sénégal Centre Hospita.ier Na.iona. d’Enfa.ts de Dia.nia.io Dakar Sénégal Service de pédia.rie Hô pital régional Saint Louis Sénégal Service de pédia.rie Hô pital de la paix de Ziguinchor Ziguinchor Sénégal

Ba.kground: Ma.a.ia.is the most widesprea. pa.a.itic disea.e a.d rema.ns a.public hea.th priority worldwide. The severe form is fa.a. if not trea.ed ea.ly a.d a.propria.ely. The a.m wa. to ca.ry out a.descriptive a.d a.a.ytica. study of the fa.tors a.socia.ed with morta.ity during severe ma.a.ia.in children a.tending emergency depa.tments in Da.a., Senega.. Methods: This is a.prospective, observa.iona. a.d a.a.ytica. study conducted over a.6-month period (July 1 to December 31, 2022), focusing on children hospita.ized for severe ma.a.ia.a.cording to WHO severity criteria. Results: a.tota. of 403 pa.ients were hospita.ized, including 78 ca.es of severe ma.a.ia.(19.35%). Ma.es predomina.ed (60.26%) (sex ra.io 1.51). The a.era.e a.e wa. 6.56 yea.s [8 months - 14 yea.s], with the [5 - 10 yea.s] a.e group the most represented (40.26%). The a.era.e consulta.ion time wa. 5.33 da.s (1 - 19 da.s). The ma.n rea.ons for consulta.ion were fever (70.51%), vomiting (24.35%) a.d convulsions (14.10%). Biologica. signs of severity were severe a.emia.(17.95%), rena. fa.lure (6.4%) a.d hypoglycemia.(3.85%). Thrombocytopenia.wa. noted in 52.56% of pa.ients, including 32.05% of severe ca.es (sis in 61.41% of ca.es. Hypona.remia.wa. noted in 39.74% of ca.es a.d hyperka.emia.in 2 pa.ients. a.tesuna.e wa. the ma.n drug used (93.59% of ca.es). Morta.ity wa. estima.ed a. 1.5%. Fa.tors lea.ing to dea.h were coma.(P a.ory distress (P Conclusion: Ma.a.ia.is still a.public hea.th problem, with a.high morta.ity ra.e in emergency depa.tments. Reducing this morta.ity ra.e requires effective ma.a.ement of the fa.tors a.socia.ed with dea.h.

关键词： Children Ma.a.ia Dea.h Fa.tors

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