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Pneumothorax in Children: Epidemiological Diagnostic and Evolutionary Aspects at the Albert Royer National Children’s Hospital in Dakar

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Open Journal of Pediatrics（儿科学期刊） 2023年第5期

作者： Guillaye Diagne Khadim Bop Papa Souleye Sow mohamed Mbodj Serigne Tawa Ndiaye idrissa Demba Ba

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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

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Progression of Minimally Invasive Urological Surgery at Hôpital Général idrissa Pouye in Dakar in 20 Years of Practice

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Open Journal of Urology 2023年第7期13卷 214-222页

作者： mohamed Jalloh David M. C. Loko Mouhamadou Moustapha Mbodji Medina Ndoye Abdourahmane Diallo Thierno Amadou Diallo Serigne Abdou Diagne Moussa Sène Babou Sakho Harmonie Adanmayi Becaye Gassama Lamine Niang Issa Labou Serigne Gueye Department of Urology H&#244pital Général Idrissa Pouye Dakar Senegal Department of Urology Faculté des Sciences de la Santé de Cotonou Université d’Abomey-Calavi Cotonou Benin

Introduction: Open surgery is gradually being supplanted by minimally invasive surgical techniques worldwide. Our study aimed to describe the place of minimally invasive surgery at the Hôpital Général idrissa Pouye (HOGIP) in Dakar. Materials and Methods: This is a descriptive cross-sectional study over a 20-years period from 1st June 2000 to 31st December 2021 in the urology department of HOGIP in Dakar. The list of all surgical procedures performed was computed. We evaluated the distribution of minimally invasive procedures (endoscopy, PCNL, laparoscopy) overall and over the years. We made calculations of proportions and statistical significance was considered for alpha = 0.05. Results: In 20 years, 14,855 surgical procedures were performed, of which 5344 (36%) were minimally invasive surgeries. The average age of men was 53.19 years (standard deviation: 21.77) vs 47.32 years (standard deviation: 18.43) for women. Minimally invasive procedures in the lower urinary tract accounted for 71.93% and involved 1033 cystoscopies (26.87%), 1020 Trans Urethral Resection of Prostate (TURP) (26.53%), 931 Direct Vision Internal Urethrotomy (DVIU) (24.21%, and 612 Trans Urethral Resection of the Bladder (TURB) (15.92%). In the upper urinary tract, 1461 (28.07%) minimally invasive procedures were performed, including PCNL in 193 cases (3.61%), laser endopyelotomy in 104 cases (1.95%), ureteroscopy in 486 cases (1.7%) and laparoscopy in 39 cases (0.46%). The proportion of minimally invasive surgery has gradually increased. Among the 5344 minimally invasive procedures, 333 (5.23%) were performed in 2000-2004 and 2332 (43.63%) in 2015-2019. Conclusion: Minimally invasive surgery represents an important part of the activity of the HOGIP urology department. Its development has improved over the years offering its advantages to the patients.

关键词： Open Surgery Endoscopy Laparoscopy PCNL

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Cardiac Rehabilitation in the Elderly

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World Journal of Cardiovascular Diseases 2023年第12期13卷 854-869页

作者： Aw Fatou Wiam Akif Mame Madjiguene Ka Aimee Mbaye Sy Waly Niang Mboup Aliou Aalassane Ngaide Ccherif Mboup Simon Antoine Sarr Josep Salvadou Mingou Marguerite Tening Diouf Khadim Rassoul Diop Momar Dioum Malick Bodian mohamed Leye Alain Désiré Affangla Mouhammadou Bamba Ndiaye Alassane Mbaye Serigne Mor Beye Adama Kane Maboury Diao Abdoul Kane Department of Cardiology University Hospital Center Aristide Le Dantec Dakar Senegal Hopital Principal Dakar Senegal Hopital Dalal Jamm Dakar Senegal Hopital général idrissa Pouye Dakar Senegal University Hospital Center Fann Dakar Senegal UFR de Thies Dakar Senegal UFR de Saint Louis Dakar Senegal Medical Department Cheikh Anta Diop University Dakar Senegal

Introduction: The purpose of cardiac rehabilitation is to improve the effects of aging and maintain a good quality of life for older individuals. This study aims to assess how cardiac rehabilitation affects the autonomy and quality of life of older adults. Patients and Method: This was a longitudinal, descriptive and comparative before-and-after cardiovascular rehabilitation study conducted over a two-year period from January 2019 to December 2021. This study was conducted at four cardiac rehabilitation units in Dakar: the Aristide Le Dantec Hospital (HALD), National Dalal Jamm Hospital, and the General idrissa Pouye Hospital (HOGIP). We compared the degree of autonomy, dependence and quality of life of subjects aged over 65 before and after the cardiac rehabilitation program using the Katz index, the Lowton index and the SF12 quality-of-life questionnaire. Results: Over a two-year period, a total of 345 patients had benefited from a complete cardiovascular rehabilitation program in the four cardiovascular rehabilitation units in Dakar, and 86 patients, or 24.92% of the population, were at least 65 years old. The patients were predominantly male (sex ratio M/F = 4.73). The mean age was 70.35 ± 4.55 years for men and 69.27 ± 4.59 years for women. The main pathology motivating cardiac rehabilitation was ischemic heart disease, which was found in 73 patients (84.88%). Initial assessment revealed exertional dyspnea in 35 patients (40.69%), followed by residual exertional angina in 21 patients (4.41%). Mean functional capacity increased from 5.81 ± 2.38 Mets in pre-cardiac rehabilitation to 8.68 ± 2.28 Mets in post-cardiac rehabilitation (p < 0.001). The mean distance covered in the 6-minute walk test increased from 330.42 ± 170.50 m in pre-cardiac rehabilitation to 524 ± 98.54 m in post-cardiac rehabilitation (p = 0.119). The Lowton dependency index in pre-cardiac rehabilitation was 44.18% versus 36.04% in post-cardiac rehabilitation (p = 0.0156). The mental quality of

关键词： Cardiac Rehabilitation Elderly Dakar

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Progression of Minimally Invasive Urological Surgery at Hôpital Général idrissa Pouye in Dakar in 20 Years of Practice

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Open Journal of Urology（泌尿学期刊） 2023年第7期

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