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The First Cases of Laparoscopic Colectomy for Cancer in Ziguinchor Peace Hospital

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Surgical Science 2023年第8期14卷 550-556页

作者： Omar Sow Aissé Thioubou Reymond Saidy Aboubacar Traoré Modou D. Ndiaye Mouhamadou L. Gueye ibrahima ka Madieng Dieng Department of Surgery Peace Hospital Assane Seck University Ziguinchor Senegal Department of General Surgery Cheikh Anta Diop University Dakar Senegal

Laparoscopic colectomy is a standardized technique for the curative treatment of colon cancer, based on the principles of carcinological surgery. It is rarely performed in our region but common practice in developed countries. We conducted a retrospective study of the first 4 cases of laparoscopic colectomy for cancer. The patients were 3 men and 1 woman, with a mean age of 54.2 years. Of the 4 cancers, 3 were localized to the sigmoid and one to the cecum. The main symptom was rectal bleeding. Total colonoscopy with biopsy was performed in 3 patients and the histological type was a lieberkühnian, infiltrative, moderately differentiated adenocarcinoma. Thoraco-abdomino-pelvic computed tomography (TAP CT) was performed in all the cases. Three patients were presented to the multidisciplinary team (MDT) prior to surgery. The operations were one right hemicolectomy and three left hemicolectomies. The mean operative time was 182.25 min [152 - 210]. Average blood loss was estimated at 200 cc. The average hospital stay was 4.71 days. Cancer staging was classified as stage I in 1 case (p T1N0M0) and stage III in 3 cases (pT3N1Mx, pT3N2Mx). Resection margins were healthy. The number of lymph nodes removed was 12, 14, 17 and 13 respectively. Conclusion: This is a safe and reproducible technique, but requires a much higher cost than laparotomy.

关键词： Colectomy Cancer Laparoscopy Ziguinchor

A Shoulder Mass Revealing a Metastatic Prostate Cancer

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Case Reports in Clinical Medicine 2021年第4期10卷 133-139页

作者： kanta ka Mohamed Jalloh Babacar Sine Oumar Gaye Awa Sadikh Badiane ibrahima Thiam Mamadou Moustapha Dieng Papa Macoumba Gaye Radiotherapy Department Centre Hospitalier National Universitaire Dalal Jamm Guédiawaye Senegal Urology Department H&ocirc pital Général Idrissa Pouye Grand Yoff Senegal Cheikh Anta Diop University Dakar Senegal Urology Department Centre Hospitalier Universitaire Aristide Le Dantec Dakar Senegal

Introduction: A shoulder mass revealing metastatic prostate cancer is very rare. We report a case of metastatic prostate cancer diagnosed on a shoulder mass and treated with analgesic radiotherapy and chemotherapy and androgen deprivation therapy (ADT). Observations: A 66 years old patient was referred for a painful right shoulder mass whose biopsy and pathological examination found a Gleason 8 (4 + 4) moderately differentiated adenocarcinoma. The PSA level was 508.52 ng/ml. The patient was treated with analgesic radiotherapy on the right shoulder and chemo-hormonal therapy. At 2 years follow-up, the disease was well controlled. Conclusion: A shoulder mass revealing metastatic prostate cancer is not common. Local treatment of the symptomatic metastasis while continuing chemotherapy and ADT improves the quality of life.

关键词： Shoulder Prostate Cancer Metastasis

Epidemiological and Clinical Aspects of Domestic Violence in Senegal

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Health 2017年第10期9卷 1404-1415页

作者： Mamadou Makhatr MBacké Leye ibrahima Seck Adama Faye Mayassine Diongue Ousseynou ka Marème Sougou Ndeye Anta Tal Dia Department of Preventive Medicine and Public Health University Cheikh Anta DIOP of Dakar (UCAD) Dakar Senegal Department of Preventive Medicine and Public Health UCAD Dakar Senegal University of Bambey Diourbel Senegal

Introduction: Despite being under-reported, domestic violence remains a significant challenge in Senegal. The aim of this study is to provide a descriptive analysis of the epidemiological and clinical factors characterizing domestic violence in Senegal. Methodology: A descriptive and retrospectively observational study was conducted. The data was collected from the court records of female victims of physical and/or sexual violence registered from 2006 to 2015. Female victims of physical and/or sexual violence at the hands of their husbands who had a court record at one of Senegal’s high courts during this period were also included. All records that met the inclusion criteria were selected for the study, and the data was analyzed using Epi Info 3.3.2. Results: According to the court records of 148 female victims of domestic violence, the average age of the victims was 30.6 ± 10.1 years. More than 3/4 (76.4%) of the victims were housekeepers, 82.4% of whom were uneducated. The average age of the perpetrators was 40.4 ± 11.4 years, and they were self-employed in the informal sector in 47.3% of the cases. Additionally, more than 3/4 (78.4%) of the perpetrators were uneducated. Eleven women (8% of the victims), were abused while pregnant. Physical violence was predominant (95.3%), while those associated with sexual assault accounted for 4.7% of cases. Of the 7 recorded cases of sexual violence, 3 were cases of unwanted sexual touching, and all cases of physical violence were cases of assault and battery. The violence took place at the home of the perpetrators in 81.8% of cases. In 84.7% of the cases, victims received treatment and care within 24 hours or less. Among the victims, 73% showed clinical lesions. Contusions, hematomas and penetrating wounds were most frequent, representing 23.1%;19.4% and 13.9% of cases respectively. Conclusion: Despite the low number of cases registered in the judicial system in the past ten years, much more violence is occurring without bein

关键词： Violence Domestic Women Couple Prevention Senegal

Engineers in the Making

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ChinAfrica 2017年第3期9卷 36-37页

作者： Ge Lijun ibrahima Mbodj

FOR Martine DiengAwa and Seydou kaThierno. two 18-year-old classmates from Kolda Town in south Senegal, the prospect of studying abroad after high school seemed an unimaginable and almost impossible dream. Little did ... 详细信息

关键词： Engineers in the Making

The Knowledge, Attitudes and Practices of Diabetics on Physical Activity at the Marc Sankale Center of Dakar

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Open Journal of Internal Medicine 2018年第1期8卷 33-41页

作者： Sow Djiby Diédhiou Demba Ndour Michel Assane Diallo ibrahima Mané Diouf Mahecor ka-Cissé Marie Sarr Anna Ndour Mbaye Maimouna Clinique Médicale II Centre Hospitalier Abass Ndao UCAD Dakar

Introduction: The objective of that study was to evaluate diabetics knowledge, attitudes and practices on physical activity. Patients and Methods: That study has concerned 200 diabetics at Marc Sankale antidiabetic Center of Abass Ndao Hospital in Dakar. Women represent 76% with a sex ratio M: F0.13. The average age is 54 years with extremes of 4 to 84 years. The housewives are 29% and among them 15% haven’t any professional activity. 45.07% of the population is illiterate. In our study, 63.13% of patients have low socio economic level. In our series, the majority of patients is type 2 diabetes (89.5%). The diabetes evolution time is about 8 years inferior to 7% in 84 patients. In our study obesity is noted in 17.20% of cases. The HTA is present in 56% of cases. 54% of the studied population presents a dyslipidemia. Physical activity is practiced in 81% of patients. In our study the doctor’ advice motivates the half of our patients to practice physical activity (62.26%). The lack of time (43.2%) and volution (8.1%), the useless character of physical activity (2.7%) and the patients’ health state 45.9% are the obstacles to the practice of physical activity. The average frequency of physical activity practiced by patients is about 4 times a week with extremes ranging from 1 to 7 stages a week. The average time of activity practiced by patients is 39.72% with extremes ranging from 10 to 150 mn. 87% of patients practice physical activity at least 3 times a week. The main risks noted from intense physical activity in diabetics are hypertension 39.0%, ortestic hypertension 3.0%. In the contrary 58.8% of patients ignore the answer. Conclusion: Our study demonstrates the ignorance of diabetics on physical activity. Therefore it would be necessary to reinforce the training mainly therapeutic education in the patients taken into account.

关键词： Diabetes Mellitus Risk Factor Knowledge Physical Activity Senegal

Prevalence of Microalbuminury and Associated Risk Factors in a Population of Diabetics Followed at the Marc Sankale Center of Dakar

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Open Journal of Internal Medicine 2018年第1期8卷 24-32页

Introduction: To describe the epidemiologic profile, clinical and paraclinical of diabetics presenting microalbuminuria at Marc Sankale center. Patients and methods: We have done cross-sectional and retrospective study in a descriptive and analytic view or way. It happened within 6 months. Diabetic patients who performed the nycthemeral urinary albumin dose and mentioned in the file were included. The last study is considered as a positive one from 30 to 299mg/24h: Microalbuminuria. The creatinine has been noted and the clearing of the creatinine is calculated through the formula of Cockcroft and Gault. The statistical analysis of data has been done thanks to software such as excel 2013 and SPSS VER 18.0. Results: 221 patients have been noted with 70% women and 30% men. The age varied between 30 years and 85 years with an average of 56, 62 against 9.97 years. Sixty three (63) patients have microalbuminuria (29%);creatinine has been regularized to 25 patients with 14.8% of cases. Among the microalbuminuria patients having completed the creatinine, 32 patients (42.7%) and 16 (21.3%) are respectively in a state of chronical renal failure, light and moderated. Conclusion: The microalbuminuria is frequent to diabetics. But in our series a starting renal insufficiency could precede that microalbuminuria.

关键词： Diabetics Microalbuminuria Renal Insufficiency Senegal

Morbi Infectious Mortality of Diabetics Hospitalized at the Medical Clinic of Abass Ndao Health Center

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Open Journal of Endocrine and Metabolic Diseases 2018年第1期8卷 1-8页

作者： Djiby Sow Demba Diédhiou ibrahima Mané Diallo Michel Assane Ndour Mahecor Diouf Marie ka-Cissé Anna Sarr Maimouna Ndour-Mbaye Clinique Médicale II Centre Hospitalier Abass Ndao (UCAD) Dakar Senegal Medical Clinic of Abass Ndao Health Center Cheikh Anta Diop University Dakar Senegal

Introduction: Diabetes is a public health problem and is exposed to some complications, particularly infectious. The work on this entity remains segmentary in Africa. The objective was to describe the morbi infectious mortality of the diabetics at the Medical Clinic II of Abass Ndao Health Center of Dakar. Patients and Methods: This was a cross-sectional, descriptive and analytical study conducted from 01 January 2016 to 31 December 2016. It covered patients with diabetes hospitalized during the study period. Epidemiological data and infectious diseases were evaluated. Results: During the study period, 346 diabetics have respected the inclusion criteria. These were 165 men (47.68%), a sex ratio of 0.91. The mean age was 56.17 years. The age group of [60 - 69 years] accounted for 31.5% and 95.6% of the patients came from the Dakar region. The average age of diabetes was 10.31. Diabetes had been evolving for less than 5 years in 25.15% of patients and inaugural in 11.46%. About 82.36% of our patients had type 2 diabetes. The acute complications of diabetes were ketoacidosis (51.89%), hyperosmolar hyperglycemia (0.58%), and hypoglycemia (1.45%). The mean infections were the skin and soft tissues (54.91%), urogenital infections (16.18%), respiratory infections (14.45%), malaria (3.46), infections of the skin and soft tissues were dominated by the diabetic foot (41.90%). The 125 non-diabetic patients developed 38 infectious pathologies, the main ones being respiratory infections (24.32%), infections of the skin and soft parts (24.32%). HIV infection was observed in 0.28% of diabetics and 8.10% of non-diabetic patients. 93 patients died (15.70%). Fifty-one of them died of infectious diseases (54.8%), 42 non-infectious diseases (45.16%), and subjects aged over 60 years, representing 72.54%. The means of consultation was 30 days. The highest rates of lethality were diabetes (37.41%), acute gastroenteritis (17.64%), and acute pyelonephritis (12.5%). The lethality rates of in

关键词： Morbimortality Diabetes Infection Senegal

Radiotherapy of Oligoprogressive Lesions in Castration-Resistant Prostate Cancer: Impact on Second-Generation Hormone Therapy

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Journal of Cancer Therapy 2021年第5期12卷 302-310页

作者： kanta ka Papa Macoumba Gaye Awa Sadikh Badiane ibrahima Thiam Mouhamadou Bachir Ba Papa Massamba Diene Maimouna Mané Lamine Niang Fatou Samba Ndiaye Radiotherapy Department of Centre Hospitalier National Universitaire Dalal Jamm Guédiawaye Senegal Cheikh Anta Diop University of Dakar Dakar Senegal Hematology Department of Centre Hospitalier Universitaire Dalal Jamm Guédiawaye Senegal

Background: The therapeutic standard for oligoprogressive prostate cancer resistant to castration is second-generation hormone therapy. This systemic treatment is expensive. There are oligoprogressive lesions accessible to radiotherapy. Objectives: To study the impact of radiotherapy of oligoprogressive lesions on the implementation of second generation hormone therapy. Patients and Methods: A retrospective study from 2012 to 2020 was carried out. All patients with oligoprogressive prostate cancer who had received radiotherapy on one or more lesions in progression were collated. Survival was calculated using the Kaplan-Meier method. Results: 8 patients were treated with stereotactic and conformational radiotherapy between August 2012 and August 2020 in the context of oligoprogressive prostate cancer resistant to castration. The median age at diagnosis of oligoprogression was 73 years with a median PSA level of 3.11 ng/ml. Nine lesions were diagnosed with PET scan PSMA. All the lesions were treated by radiotherapy with different regimens. After a median follow-up of 12.5 months, 7 patients showed a biochemical response to treatment with a median decrease in PSA of 67%. The median survival without clinical or biochemical progression was 7 months. The median survival without the need for further systemic treatment was 9 months. During the follow-up period, six patients received second-generation hormone therapy to treat their relapse, and

关键词： Ablative Radiotherapy Hormone Therapy Oligometastasis Prostate Castration-Resistant Cancer

Evolution of Graves’s Disease: Impact of Socio-Demographic and Clinical Factors in Senegalese Subject

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Open Journal of Internal Medicine 2020年第2期10卷 160-170页

作者： Djiba Boundia Diedhiou Demba Sow Djiby Ndour Michel Assane Diallo ibrahima Mané Barrage Ahmed Limane ka-Cissé Mariama Sarr Anna Ndour-Mbaye Maimouna Department of Internal Medicine II University Hospital Center of Dakar Cheikh Anta Diop University Dakar Senegal Department of Internal Medicine I University Hospital Center of Dakar Cheikh Anta Diop University Dakar Senegal

Background: In Graves’s disease, there is a lack of description specific to the gender and age among sub-Saharan African subject. The objective was to evaluate the impact of gender and age on the profile of Graves’ disease in Senegalese subject in order to understand the evolution and improve the therapeutic choices. Methods: This is a retrospective study conducted from January 1, 2010 to December 31, 2017 (07 years) at Abass Ndao University Hospital (Senegal), focused on patients with Graves’ disease followed up under antithyroid drugs treatment for at least 18 months. Results: There were 244 men, 404 subjects between [0 - 25 years], and 101 subjects more than 50 years old. Factors associated with goitre size were male gender (p Conclusion: In our Senegalese study, men and young patients are particularized by a trend of voluminous goitre and low rate of remission. These data remain a basis for predicting the outcome of medical treatment and make timely use of radical treatments such as surgery or irratherapy in the presence of risk factors for recurrence.

关键词： Graves’s Disease Profile Gender Age Senegal