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Is Laparoscopy Still Necessary in the Management of Tubal Infertility?

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Open Journal of Obstetrics and Gynecology 2021年第2期11卷 63-69页

作者： Abdoul Aziz diouf Moussa Diallo Mame Diarra Ndiaye Aminata Niass Mamour Guèye Gnaza Tchindebe Anna Dia Magatte Mbaye Alassane diouf Pikine National Hospital Center Dakar Senegal Philippe Maguilen Senghor Health Center Dakar Senegal

Objectives: To compare between hysterosalpingography (HSG) and laparoscopic findings in patients tested for infertility and thereby to determine the significance of the latter examination. Methods: This was a descriptive study performed in two Gynecology departments in the Dakar (Senegal). Included were 84 patients with suspicious tubal-infertility who underwent HSG followed by laparoscopy. The Kappa (K) statistics was used to clarify the concordance between HSG vs. laparoscopy findings. Results: Kappa concordance between HSG and laparoscopy showed the followings: 0.08 for proximal tubal obstructions (poor agreement), 0.40 for distal tubal obstructions (moderate agreement), and -0.08 for peritoneal adhesions (no agreement). Laparoscopy revealed pelvic adhesions in 84% of cases, pelvic endometriosis in 12% of cases, and apparently normal tubes in 12%. According to the distal tubal operability score, 16.6% of the lesions were classified as stage 4 and 23.8% at stage 1. Conclusion: HSG and laparoscopy findings did not agree in patients with tubal infertility, and thus, laparoscopy should be employed, especially when HSG showed abnormal findings. HSG has a low diagnostic value in adhesions.

关键词： Hysterosalpingography Laparoscopy Infertility Pelvic Adhesions

Diabetes Ketoacidosis in Pregnancy: A Retrospective Study from the Teaching Hospital of Pikine

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Open Journal of Endocrine and Metabolic Diseases 2023年第6期13卷 75-83页

作者： Nafy Ndiaye Ngone Diaba Diack Abdou Tall Khadidiatou Samb Yakham Mohamed Leye Abdoulaye Leye Abdou Aziz diouf Alassane diouf Internal Medicine/Endocrinology-Diabetology Department Teaching Hospital of Pikine Cheikh Anta Diop University Dakar Senegal Department of Gynaecology-Obstetric Teaching Hospital of Pikine Cheikh Anta Diop University Dakar Senegal

Introduction: Diabetic ketoacidosis (DKA) in pregnancy is rare but associated with maternal and foetal morbidity and mortality. The objectives of this study were to evaluate the epidemiological, diagnostic, and prognostic characteristics of DKA in pregnant women in Dakar hospitals and to study the predictive factors of its occurrence. Methods: This retrospective study was conducted from January 2013 to January 2021 in the Internal Medicine/ Endocrinology-Diabetology-Nutrition and Gynaecology-Obstetrics departments of the National University Hospital Centre in Pikine, Senegal. Medical files of all pregnant women hospitalised for DKA during this period were collected. Results: A total of 10 patients were included in the study. Average age was 30.9 years. Two patients with unplanned pregnancies had pre-gestational diabetes mellitus (pre-GDM) and did not have regular diabetic follow-up. Among the 8 patients with GDM, risk factors for GDM were found in 7 women, and three had a history of GDM. Blood glucose levels were >1.02 and >11 g/L for these two groups, respectively. None of the women had been systematically screened for GDM between 24 and 28 gestational weeks. Signs of ketosis were present: 6 patients had Kussmaul dyspnea and one patient had a Glasgow Coma Score of 10/15. The precipitating factor was infection in three patients. Two patients had pre-eclampsia. The evolution of DKA was favourable in all patients. For pregnancy outcomes: 4 cases of intrauterine foetal death were recorded, 2 women carried their pregnancy to term, a woman gives birth prematurely and 3 patients were lost to follow-up. Conclusion: DKA during pregnancy is rare in Dakar hospitals but health risk increases with the lack of screening for GDM in pregnant women, follow-up in a specialised environment, and pregnancy planning in diabetic patients. The obstetrical prognosis is poor for GDM patients, with a high rate of foetal death in utero.

关键词： Diabetic Ketoacidosis Gestational Diabetes Mellitus Pregnancy Pikine Senegal

Lean Manufacturing Tools and Techniques in the Process Industry with a Focus on SAR Co.,*** Refinery in Senegal

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Lean Manufacturing Tools and Techniques in the Process Indus...

作者： EL HADJI HAMIDOU diouf 南昌大学

学位级别：硕士

本研究将精益生产理论用于生产过程中。本文以石油工业为例,研究精益生产工具和技术在生产过程中的影响。研究表明在工序过程中,应用精益生产工具和技术的流程主要强调及时生产方式,而将精益生产应用于连续生产过程工业中的却很少。 ... 详细信息

本研究将精益生产理论用于生产过程中。本文以石油工业为例,研究精益生产工具和技术在生产过程中的影响。研究表明在工序过程中,应用精益生产工具和技术的流程主要强调及时生产方式,而将精益生产应用于连续生产过程工业中的却很少。其中部分原因是因为这些工业是本质上更有效且目前需要改善相对较少的。本文推测,将精益生产工具应用于这些企业的生产过程中,具有较大的改善空间。本文系统地演示了精益生产工具和技术如果使用得当,可以如何帮助企业在生产过程中减少浪费,完善库存控制,提高产品质量,以及提高整体财务及运作程序。

关键词：精益生产过程工序

Influence of the Temperature on Coated Bituminous of Road Structures in Senegal (West Africa)

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Open Journal of Civil Engineering 2020年第4期10卷 321-336页

作者： Birame diouf Adama Dione Papa Sanou Faye Khalil Cissé Mechanics and Modeling Laboratory UFR Engineering Sciences University of Thies Thies Senegal Institute of Earth Sciences Cheikh Anta Diop University Dakar Senegal Laboratory of Materials Mechanics and Hydraulics Polytechnic School of Thies Thies Senegal

The Senegalese road network is strongly influenced in the long term by seasonal variations in climate and weather conditions. Indeed, much of the damage is due to these environmental factors. The objective of this paper is to study the behaviour of bituminous structures under the effect of high temperatures. Material samples were taken for a physico-mechanical characterization of the coated components. The results show that Marshall creep (2.87, 3.39, 5, 5.5 mm) and the bitumen penetrability increase with the increasing of temperatures respectively from 34°C to 45°C and from 20°C to 50°C. Marshall Stability drops from 15.81 kN to 11.31 kN for temperatures between 34°C and 45°C. The simulation carried out on Alize-LCPC shows an increase in distortions of traction at the basis of the rolling layer and at the top of the platform if temperatures vary between 34°C and 45°C. This work makes it possible to conform that the bituminous concrete is thermally sensitive and the hypothesis of fixing the constant modulus of the bituminous layers in Senegal for all projects remains unsuitable for a good dimensioning of sustainable road structures. The knowledge of the equivalent regional temperature will make it possible to produce quality pavements with a long lifespan.

关键词： Asphalt Mixes Coated Senegal Thermo Susceptibility Performance Dimensioning

Support Epidemiology and Prognosis of Premature Rupture of Membranes in Pikine National Hospital Center

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Open Journal of Obstetrics and Gynecology 2019年第11期9卷 1519-1526页

作者： Moussa Diallo Abdoul Aziz diouf Hadja Maimouna Barro Daff Natty Seck Aminata Niass Youssou Toure Khalifa Fall Codou Sene Seck Alassane diouf Departement of Obstetrics and Gynecology Pikine University Hospital Thiaroye Pikine Sénégal Cheikh Anta Diop University of Dakar Gynecological and Obsetric Clinic Public Institution Aristide-Le Dantec Health Center Dakar Senegal

Premature rupture of membranes (PROM) complicates 3% of preterm pregnancies and occurs in 60% to 80% of term pregnancies. However, its management remains largely controversial. The objective of this study was to establish the epidemiological profile, to study the management and the prognosis of Premature rupture of membranes (PROM) in our practice. Patients and methods: It was a prospective, descriptive and analytical study from May 1st 2016 to January 31st 2017 at the Pikine National Hospital Center. The target population consisted of all patients received at the hospital with premature rupture of membranes and who had given birth in the structure. The variables studied were: marital status, mode and reason for admission;risk factors;antecedents;prenatal care;the clinical and paraclinical examinations;support and immediate maternal and fetal neonatal complications. Results and comments: The mean maternal age was 27.34 years and the majority of women were aged between 18 and 39 years (94.4%). Fifty-one point three percent of patients were primiparous, large multiparous represented only 2.5%. The majority of patients (385 patients or 66.9%) had consulted in the first 12 hours following the onset of fluid flow. For 20.1% of them this flow was associated with uterine contractions. Hidden risk factors were dominated by the twin pregnancy. The blood count showed that 38.8% of patients had leukocytosis and CRP was positive in 18.3% of patients. An ampicillin-based antibiotics was established in 42.6% of cases, corticosteroid therapy in 5.2% and 1% in tocolysis. An expectation was adopted in 65.7% of cases, induction of labor in 7.3% and a cesarean section immediately in 27% of cases. In total, 65.7% of patients had vaginal delivery and 34.3% cesarean. The perinatal mortality rate was 3.6% or 22 newborns on 610. Two cases of endometritis were observed and one case of immediate postpartum hemorrhage. No maternal deaths were recorded. Conclusion: These results show that the

关键词： Premature Rupture of Membranes Childbirth Stillbirth Chorioamnionitis

Ovarian Pregnancy: A Case Report

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Open Journal of Obstetrics and Gynecology 2021年第11期11卷 1446-1451页

作者： Hadja Maïmouna Barro Daff Brahima Donigolo Aïssatou Mbodji Khalifa Babacar Mansour Fall Youssoupha Touré Moussa Diallo Abdoul Aziz diouf Alassane diouf Cheikh Anta Diop University of Dakar Gynecological and Obstetrical Clinic Public Institution Aristide-Le Dantec Hospital Da-kar Senegal Department of Obstetrics and Gynecology University Hospital of Pikine Thiaroye Pikine Senegal

Background: Ovarian pregnancy is a rare entity of ectopic pregnancy, with a prevalence in the literature estimated between 1/2500 to 1/5000 births. The majority of ovarian pregnancies are diagnosed in the 1st trimester due to the noisy symptomatology. However, in small proportions, they may continue into the 2nd or 3rd trimester, making their diagnosis more difficult. Aim: We report a case of ovarian pregnancy in a 26-year-old patient, discovered intraoperatively as a large unruptured ovarian mass. Case report: A 26-year-old woman referred to the maternity ward for management of fetal death in utero at 31 weeks of amenorrhea associated with overlying placenta previa. Ultrasound performed in the department, was in favor of an abdominal pregnancy stopped at 31 SA with a placenta that seemed to adhere to the posterior wall of the uterus, which was empty. A Laparotomy was performed, on exploration, a large right ovarian mass was found, the site of the pregnancy. A right adnexectomy, after adhesiolysis, was performed. The incision of the operative part revealed a macerated female fetus. The clinical evolution was favorable. Conclusion: We report on a case of unruptured ovarian pregnancy, discovered in the 3rd trimester of pregnancy. The ultrasound diagnosis of an ovarian pregnancy beyond the 2nd trimester remains a challenge, the management remains surgical.

关键词： Ectopic Pregnancy Ovarian Pregnancy Adnexal Mass

Dosage of Some Chemical Substances in Two Plant Species: Alysicarpus ovalifolius (Sch. and Th.) and Indigofera pilosa (Poir)

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Journal of Biosciences and Medicines 2016年第4期4卷 80-86页

作者： Alioune Ndiaye Moussoukhoye Diop El Hadji Gorgui diouf Seydou Traore Laboratory of Natural Products Department of Chemistry Sciences and Technologies Faculty Cheikh Anta Diop University Dakar Senegal Laboratory of Phytochemistry Department of Vegetable Biology Sciences and Technologies Faculty Cheikh Anta Diop University Dakar Senegal

The content of chemical compounds of two leguminous plants (Alysicarpus ovalifolius and Indigofera pilosa) was given through chromatographic methods (HPLC) and spectrocolorimetry. The principal isolated compounds are: β-Carotene in the sheets, the vitamin B in the roots and the vitamin C in the pods. Trace elements are not also insulated in the two plant species. The results show a content iodine (0.27 mg/100g of sample) particularly high in the stems of Indigofera pilosa, what could explain the use of the plant to fight against the thyroid dysfunctions. The ratio iron in mg/100g of sample 114.14 is rather important and would make Indigofera pilosa a palliative against anaemia. The two plants would be indicated in cases of treatment of hypocalcaemia.

关键词： Leguminous Plants Spectrocolorimetry HPLC Proteins Vitamins Trace Elements

Study of Antenatal Care Completion Determinant Factors in Kedougou Health District (Senegal)

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Open Journal of Obstetrics and Gynecology 2020年第10期10卷 1449-1470页

作者： Babacar Biaye David Ngom Moussa Ndiaye Fode Danfakha Omar Gassama Abdoul Aziz diouf Adama Faye Dembo Guirassi Alassane diouf Jean Charles Moreau Aristide Le Dantec Teaching Hospital Dakar Senegal kedougou Health District Kedougou Senegal Public Health Department Cheikh Anta Diop University Dakar Senegal Reproductive Health Department/Health Ministry Dakar Senegal

Introduction: Maternal mortality is a public health problem of more concern to developing countries. As part of improving the maternofoetal prognosis during pregnancy and childbirth, it is essential to carry out regular follow-ups of pregnant women (FE) through antenatal consultations (ANC). In fact, the World Health Organization (WHO) recommends at least four ANC at regular intervals during pregnancy. In Senegal the completion rate varies greatly depending on the region. In the District of Kédougou it was 41% in 2017 (DHIS2). The national target was not achieved despite the interventions. Thus we studied the determinants of CPN completion in the health district of Kedougou in 2017. Method: The study is of a descriptive and analytical cross-sectional type and concerned a sample of 884 women who gave birth between October 2017 and September 2018. They were chosen by a sample whose distribution in the district was made according to the quota method while respecting the demographic weight of each area of responsibility of the District. Results: The results of our study showed that the average age of women was 24 years with an average number of pregnancies equal to 3. The ANC completion rate at 37% was lower than the administrative data rate which was 41%. The determinants with a statistically most significant link with the completion of ANC are respectively satisfaction with the care and quality of service, the level of information of women regarding PNC, marital status, affordability and distance from the location of t

关键词： Prenatal Consultation Completion Kédougou

Modern Postpartum Contraception: The Experience of Nabil Choucair Health Center, Dakar (Senegal)

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Open Journal of Obstetrics and Gynecology 2020年第7期10卷 930-945页

作者： Babacar Biaye Khadidiatou Ndour Omar Gassama Youssoupha Toure Mor Cissé Abdou Ndiaye Abdoul Aziz diouf Mamour Gueye Alassane diouf Jean Charles Moreau Gynecological and Obstetric Clinic of Aristide Hospital Le Dantec of Dakar Dakar Senegal

Introduction: In Senegal, according to the 2017 Demographic Health Survey, about 22% of married women have an unmet need for family planning. Globally, 61% of women do not have access to postpartum family planning. Material and Method: This is a prospective, descriptive and analytical study from March 05, 2017 to January 31, 2018. The interrogation was done in the hospital ward with filling in the data collection form. The data collected was first coded and then entered, using the sphinx software. The data analysis was done with Epi info version 7 software and included a descriptive and analytical component. Results: The average age of the patients was 26 years with extremes of 15 and 48 years. Average gestation was 2.3 with extremes of 1 and 8 pregnancies. More than half of the women (64.7%) had delivered by caesarean in an emergency setting. More than half of the women (66.7%) had chosen the hormonal contraceptive method within 48 hours of delivery and the implant was the type of contraceptive prescribed in almost half of the cases (49.3%). Conclusion: Integrating postpartum family planning into programs will ultimately help to dramatically decrease high-risk pregnancies, decrease the unmet need for family plannin

关键词： Contraception Postpartum Mother and Child Health