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Cardiac Echography in Pediatrics at the Regional Hospital of Diourbel: Indication and Result

World Journal of Cardiovascular Diseases 2023年第9期13卷 556-564页

作者： Aliou Mar Coundoul Abdou Aziz Faye Khadim Bop Amadou Lamine Fall Papa Moctar Faye ndeye fatou boye ndeye Tenning Faye Ousmane Ndiaye Pediatric Service Cheikh Ahmadoul Khadim National Hospital Center of Touba Diourbel Diourbel Senegal Albert Royer National Hospital Center Dakar Senegal Henrich Lû ckbe Center Diourbel Senegal

Childhood heart disease is a real public health problem. In our contexts, care remains a major challenge. Doppler echocardiography remains the essential examination for diagnosis. The objective of our study was to describe the different clinical indications for cardiac ultrasound in children and the main pediatric heart diseases at the Diourbel Heinrich Lübke Regional Hospital. This was a descriptive and analytical retrospective study spanning from 2020 to 2022;covering a series of 140 cases. The study was carried out using patient clinical observation sheets and consultation sheets. We identified 140 ultrasounds. The average age of patients was 35.96 months with extremes of 0.03 months and 192 months. The female sex was predominant, with an M/F sex ratio of 0.72. Ultrasound was systematically requested in 67.14% of the study population. The indications found were mainly: heart murmur, polymalformative syndrome, respiratory failure, bronchiolitis, cardiomegaly, suspicion of heart disease, cardiomegaly, pre-therapeutic and pre-operative assessment. A total of 71 cardiac abnormalities were found in 65 patients, i.e. a prevalence of 46.42%. Congenital heart disease was more frequent (found in 49 patients, a prevalence of 35%) and was dominated by the CIA. There was a female predominance in almost all heart diseases except in the case of endocarditis where codominance is found. Our study has made it possible, through echocardiography, to evaluate the indications for echocardiography in children, to determine the prevalence of heart disease in children and also to assess the relevance of requests for echocardiography.

关键词： Echocardiography Pediatrics Indications Diourbel

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Totally Occluded Coarctation of the Aorta in a Young Adult

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World Journal of Cardiovascular Diseases 2024年第4期14卷 282-287页

作者： Marguerite Téning Diouf Mohamed Leye Joseph Salvator Mingou Aw fatou ndeye Faye Sy Aimé Mbaye Malick Bodian Aliou Alassane Ngaidé Abdoul Kane Cardiology Dalal Jamm Hospital Dakar Senegal Training and Research in Health Sciences Unit University of Thi&#232s Thi&#232s Senegal Cardiology Department Hospital Aristide Le Dantec Dakar Senegal

We report the case of a 20-year-old female patient presenting with a totally occluded coarctation of the aorta. The patient was admitted for the evaluation of resistant grade III high blood pressure. The physical examination revealed a blood pressure gradient between the upper and lower limbs, absent femoral pulses, a diffuse continuous murmur over the chest, and hyperpulsatility of the carotid arteries and sternal notch. A transthoracic echocardiography outlined a narrowing in the caliber of the isthmic aorta without acceleration of flow or gradient. Thoracic CT angiography revealed a complete aortic coarctation with interruption of continuity between segment 3 and the descending aorta.

关键词： Coarctation of Aorta Complete Aortic Occlusion High Blood Pressure Adult

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Prognosis Factors of Urinary Quality of Life in Parkinson Disease

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Open Journal of Therapy and Rehabilitation 2024年第1期12卷 10-17页

作者： Ngor Side Diagne Sakhi Othman Ababacar Mamadou Gueye Marie Jeanne Sakho fatou Dialo Mboup Amélie ndeye Makarame Sy Papa Ndiouga Lo Ba Seydina Ousmane Anna Modji Basse Maouly Fall Adjaratou Dieynaba Sow Moustapha Ndiaye Amadou Gallo Diop Physical Médicine and Rehabilitation Department Fann Teaching Hospital Dakar Senegal Neurology Department Pikine Hospital Dakar Senegal Physical Médicine and Rehabilitation Department Ibn Rochd Teaching Hospital Casablanca Morocco Physical Médicine and Rehabilitation Department Military Hospital Dakar Senegal Neurology Department Fann Teaching Hospital Dakar Senegal

Introduction: Quality of life in Parkinson disease is not necessary linked to motor symptoms. It’s correlated of overactive bladders and prostatic symptoms. Prognosis factors of urinary quality of life are unknown. Objectives: Our study aims to find prognosis factors of quality of life associated specifically of urinary disorders in PD. Patients and methods: We conducted a transversal, analytic and descriptive study in Physical Medicine, and Neurology departments, Fann Teaching Hospital, Dakar and included patients followed for treatment of PD. Urinary disorders, quality of life and functional autonomy were assessed respectively by Urinary Symptoms Profile (USP), Qualiven Short Form, Schwab and England Scale. Results: 38 patients presented PD, with a mean age of 60.89 ± 13.6 years and sex-ratio of 2.45. Mean duration of PD was 3.1 ± 2.9 years. Urinary disorders were found in 47.36% and dominated by incontinence (88.88%) and overactive bladders (88.88%) which were minor in more than 55%. Quality of life was impaired in 88.88% of cases. Minor forms (43.75%) were predominant and constraint dimension (50%) was the most severely altered. Prognosis factors for quality of life of urinary disorders were PD stages (0.046) and functional autonomy (0.042). Discussion and conclusion: Urinary disorders in PD are common, impaired quality of life, especially the constraint dimension, depends on stage of evolution of PD and functional autonomy of patients.

关键词： Urinary Quality of Life Parkinson Disease Dakar

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作为满足客户和企业需求工具的客户关系管理研究——塞内加尔SONATEL案例研究

作为满足客户和企业需求工具的客户关系管理研究——塞内加尔SONA...

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作者： Ndoye ndeye fatou Laye 华中师范大学

学位级别：硕士

As part of the training Master2in Business Administration, Operations Research work is carried out. The research is presented as a memory validated and defended in front of a panel of professors. It is in this perspective that we reflect on the topic "Customer Relationship Management as a Tool of Satisfaction of Customer and Company:The case of SONATEL Dakar." This topic is very interest because telecom sector is spearheading Senegal. In recent years, mobile telephony, internet, fixed merge simultaneously growth dynamism and innovation due to increased competition in this market segment. Customer Relationship Management （CRM） is a branch of marketing. It is more relevant in the field of telecommunications as it is essential for any business. CRM allows the company to build a single customer relationship as the company and the customer gain from the exchange, providing both parties benefit in the long term relationship. The purpose of this research is to analyze the CRM and also evaluate customer satisfaction of SONATEL Dakar. To approach this understanding, the thesis begins with three questions on which the first studies were published. Among these previous studies were collected and through them a questionnaire was created and submitted to102persons, taken as sample, within the customers of SONATEL Dakar. Then the data were collected and were analyzed by using SPSS software. The findings show that there has a relationship between a successful CRM and customer satisfaction and company. The study shows that CRM is a pillar of customer satisfaction. Indeed, if a customer is satisfied it is faithful and profitable for the company. It was also found that the relationship between SONATEL and his client should be improved. Most customers are satisfied because of the quality and safety of the products as the relationship with the company. The recommendations, in summary, are that the company should more invest in the relationship with their clients and also

关键词： Marketing Customer Relationship Management Satisfaction 企业营销客户关系管理满意度

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Prevalence and Clinical Characteristics of Chronic Constipation in Senegalese Children

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Open Journal of Pediatrics 2023年第6期13卷 921-928页

作者： Abou Ba Aliou Thiongane ndeye fatou Sow Babacar Niang Younoussa Keïta fatou Ly Ousmane N’diaye Service de pédiatrie centre hospitalier national Dalal Jamm Dakar Senegal Centre hospitalier national d’enfants Albert Royer Dakar Senegal Service de pédiatrie centre hospitalier Abass Ndao Dakar Senegal Service de pédiatrie centre hospitalier national de Pikine Dakar Senegal

Introduction: Constipation is the infrequent emission of hard stools. It is common, most often of functional origin, with a prevalence ranging from 0.7% to 29.6%. The aim of our study was to investigate the prevalence of constipation in children undergoing paediatric gastroenterology. Methodology: This was a bi-centric retrospective study carried out at the Albert Royer Children’s Hospital and the Dalal Jamm Hospital Pediatrics Department. Children followed in the pediatric gastroenterology consultation during the period from January 1, 2013 to February 29, 2020 were included. Results: A total of 337 children (205 boys;60.83%) were included, representing a prevalence of 25%. The median age was 3 years 6 months. The 13 - 24 months age group was the most frequent (27.6%). Rare stools were the main reason for consultation (92.8%). Rare stools were noted in 92.88% of cases. Bristol types 1 and 2 accounted for 6.53% and 54.60% respectively. The main associated signs were abdominal pain (29.4%), followed by abdominal bloating (20.96%). Abdominal pain was functional in 73.58% of cases. Under treatment, 90.19% of children had a favorable outcome. Conclusion: Constipation is common in Senegalese children with a prevalence close to that reported in Western countries. In most case, it is functional with good prognostic.

关键词： Children Chronic Constipation Bristol Scale Dakar Hirschsprung Disease

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Establishment of Local Diagnostic Reference Levels in Conventional Radiography: A Pilot Study in Dakar, Senegal

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World Journal of Nuclear Science and Technology 2022年第1期12卷 28-42页

作者： Adji Yaram Diop Magatte Diagne ndeye Arame boye Faye Mamadou Moustapha Dieng Cheikh Anta Diop University of Dakar Dakar Senegal Aristide Le Dantec Hospital Joliot Curie Institute of Cancer Dakar Senegal Nuclear Radiation Protection and Safety Authority Dakar Senegal

Diagnostic Reference Levels (DRLs) are indicators that allow assessing the quality of equipment and procedures from the point of view of the doses delivered to patients and subsequently initiate corrective actions if necessary. The purpose of this study is to encourage health professionals to investigate patient radiation doses and to determine whether those doses comply with the principles of radiation protection in medical fields so as to improve practices by reducing patient exposure without reducing clinical effectiveness. To perform this work, we have investigated patient doses for different radiological examinations from six (6) medical centers in Dakar, including the following nine routine types: chest (PA), abdomen (AP), pelvis (AP), cervical spine (AP), lumbar spine (AP, Lat), hip (AP), thoracic spine (AP, Lat). Three types of data were collected, i.e., X-ray tube machine data, patient data and output measurements. The data were analyzed statistically and the median, minimum, maximum, and third quartile values were calculated and displayed throughout boxplots graphs for all exams and medical centers. The two sigma range (95% confidence interval) was also checked. Comparison of third quartiles of Entrance Surface Dose (ESD) and Dose Area Product (DAP) by type of examination with recommended international DRLs was performed. The third quartile of ESD for pelvis (AP) and thoracic spine (AP) was up to 16% and 38% higher, respectively than their corresponding DRLs in the European Commission Report RP 180 Part 2. For all exams, except thoracic spine (lat), the third quartiles of the dose area product were higher than the corresponding DRLs in the above report. The source of dose variability between medical centers was related to many parameters such as poor radiographic techniques, lack of modern X-ray machines and adequately documented radiation protection practices. The results show the need to develop protocols for dose measurement as well as to carry

关键词： Entrance Surface Dose Diagnostic Radiology Dose Area Product Optimization X-Rays

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Two Cases of Epidermoid Cyst of the Buccal Floor Simulating: A Tumour of the Submandibular Gland

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International Journal of Otolaryngology and Head & Neck Surgery 2023年第5期12卷 301-308页

作者： Aminata Mbaye ndeye fatou Thiam Ababacar Diegane Faye Mouminatou Seye Houra Ahmed Cire Ndiaye Department of Otolaryngology-Head and Neck Surgery Fann Teaching Hospital Dakar Senegal Department of Otolaryngology-Head and Neck Surgery Ouakam Military Hospital Dakar Senegal Department of Otolaryngology-Head and Neck Surgery Regional Hospital Thies Senegal Department of Otolaryngology Philippe Maguilene Senghor Health Center Dakar Senegal

Dermoid cyst of the oral floor is rare benign tumour, who having three histological aspects: dermoid, teratoid and epidermoid. This one is characterized by the presence of a squamous stratified epithelium with cutaneous remnants. It may occur in any part of the body, however their frequency in the ENT sphere is relatively scarce. Seven per cent (7%) only of epidermoid cysts occur in the cervico-facial area, 1.6% of which locate at the floor level. When they are located submandibular, they can pose diagnostic difficulties and look like a tumour of the submaxillary gland. We report two cases of epidermoid cyst of the floor. Both patients suffered from swelling of the submandibular gland. Magnetic Resonance Imaging was not requested due to lack of resources. However, surgery allowed in both cases the excision of a cyst next to a normal submandibular gland. Patients did well post operatively.

关键词： Epidermoid Cyst Mouth Floor Submandibular Gland Surgery Tumour

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A Chronic Dysphony Caused by a Bifocal and Pulmonary Laryngeal Tuberculosis

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International Journal of Otolaryngology and Head & Neck Surgery 2023年第2期12卷 55-60页

作者： Aliou Faty Abdou Sy ndeye fatou Ngom Djibril Balde Khadim Diouf Ndadi Tchiengang Kadielle Junie Heinrich Lübke Regional Hospital Centre of Diourbel Diourbel Senegal Children’s Hospital of Diamniadio Dakar Senegal Departement of Medecine Bambey Alioune Diop University Diourbel Senegal Sociale Hygiene Institute Dakar Senegal Regional Hospital Centre of Sédhiou Sédhiou Senegal

Laryngeal tuberculosis is a rare entity. We consider the case of a woman of 62 who presented a one-year evolving chronic dysphonia chart associated with cough, febricula and general health damage. The nasofibroscopy showed a budding ulcerous lesion of the larynx a priori evoking a granulomatous lesion or cancer. The BAAR spits were strongly positive and the radiographic pictures of the thorax, typically evoked a pulmonary tuberculosis. Seeing the excellent therapeutic response to TB treatment in 4 months period, the bifocal tuberculosis diagnostic was confirmed.

关键词： Tuberculosis Dysphonia Larynx Lungs

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Abdominal Cerebrospinal Fluid Pseudocyst—A Rare Complication of Ventriculoperitoneal Shunt

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Open Journal of Modern Neurosurgery 2023年第3期13卷 105-110页

作者： ndeye fatou Seck Ibrahima Bocar Wellé Cheikh Ahmadou Dit Ndongo Dieng Florent Tshibwid A. Zeng fatou Sy Doudou Gueye Papa Alassane Mbaye ndeye Aby Ndoye Aloïse Sagna Gabriel Ngom Department of Pediatric Surgery Albert Royer National Children’s Hospital Center Université Cheikh Anta Diop Dakar Senegal

An abdominal cerebrospinal fluid pseudocyst is a rare complication of ventriculoperitoneal shunt. Several theories have been suggested to explain its occurrence. The main symptoms are painful abdominal distension and vomiting, abdominal distension on examination, as abdominal ultrasound and computed tomography confirm its diagnosis. The treatment involves drainage associated with drain relocation and resection of the pseudocyst’s wall. We report two patients diagnosed with this condition who underwent surgical treatment. The first patient had an unremarkable 12-month follow-up, while the second died on the seventh postoperative day due to intravascular disseminated coagulation. In these patients, the cause has not been identified;however, an infection cannot be ruled out.

关键词： Abdominal Pseudocyst Cerebrospinal Fluid Children Complication Ventriculoperitoneal Shunt

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Effects of different inputs of organic matter on the response of plant production to a soil water stress in Sahelian region

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Natural Science 2012年第12期4卷 969-975页

作者： Abdoulaye Badiane ndeye Yacine Badiane Ndour fatou Guèye Saliou Faye Ibrahima Ndoye Dominique Masse Research Center IRD-ISRA-UCAD of Bel-Air Laboratory of Soil Microbial Ecology and Tropical Agrosystems Dakar Senegal Research Centre IRD-ISRA Bel-Air National Laboratory for Research on Crop Production Dakar Senegal University Cheikh Anta Diop Department of Plant Biology Dakar Senegal

The aim was to study the effects of organic management like the application of organic matters on crop production. This research is placed in the context of climate change impact mitigation. A field experiment was conducted during the dry season. Rainfall inputs were simulated by irrigation to study the effects of water stress during the flowering period of a grain on the agronomic and the physiological behavior of the plant. The measurements were made on the volumetric soil moisture, stomatal conductance, and leaf area index (LAI), grain yield, straw and weight of 100 grains. The water use efficiency (WUE) and yield losses were evaluated. The results of the volumetric soil moisture showed that the use of localized input under water stress (STR-T1) recorded the lowest moisture in the surface horizons. Treatment with localized input under water stress with or without fertilization (STR-T1, STR-T1 + N) showed an ability of stomatal regulation compared to the control (STR- T0) and the input application by spreading (STR- T2). (STR-T1 + N) has initiated an early stomatal closure of the plant because of the effect of nitrogen. However, despite a more pronounced water stress with stomatal closure, the LAI and the grain yield were greater with (STR-T1) and (STR-T1 + N). The results showed that the inputs of localized organic fertilization with or without nitrogen grain yields were the highest regardless of the hydric regime applied. However the losses of grain yield were higher in treatments with organic inputs in spreading and localized under water stress. The WUE by the crop was reduced compared to the control with organic inputs under STR. In this study we show that the use of organic matter increases de farmers risk and this notion of risk is high and it is necessary to consider this risk in the proposals of technical innovations.

关键词： Organic Matter Water Stress Volumetric Soil Moisture Stomatal Conductance Leaf Area Index

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