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Spinal Cord Injuries without Visible Bone Lesions: Analysis of Four Consecutive Cases

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Open Journal of Orthopedics 2018年第3期8卷 95-101页

作者： Magatte Gaye Sarah Ntshindj Mutomb Amadou Ndiasse kasse N’famara Sylla Sagar Diop Alvin Nah Doe Aboubacar Sidiki Sangharé Mouhamadou Habib Sy youssoupha Sakho Department of Neurosurgery Grand-Yoff General Hospital Dakar Senegal Department of Orthopedics and Trauma Surgery Grand-Yoff General Hospital Dakar Senegal

Objectives: Interest of this study is to report four cases of spinal cord injuries without bone lesion. Evolution of the injured patients according to the initial clinic assessment at admission and the treatment performed are discussed. Materials and Methods: From January to December 2016, we performed a retrospective study at the Neurosurgery Department of Hospital General Grand Yoff of Dakar. Four patients were followed for spinal cord injury without visible bone lesions. We analyzed the clinical, radiological, therapeutic and evolutionary data. Trauma caused by stabbing was excluded. Results: In a year, 83 cases of spinal trauma with neurological deficit were hospitalized in the department. Among them, 4 had spinal cord injuries without visible bone lesions. The average age was 31.7 years with extremes ranging from 14 to 47 years. The sex ratio of male/female was 3. We have recorded 2 cases of road traffic accidents, 1 case of fall from height and 1 case of sports accident. On the neurological level, we found 3 cases of tetraplegia, and 1 brachial monoplegia. Computed tomography in all patients was normal. All of them benefited from magnetic resonance imaging that showed spinal cord injury. All patients were under conservative treatment. One patient fully recovered, two partially and one passed away. Conclusion: In presence of any post traumatic myelopathy case, the absence of disco-vertebral lesions should bring to mind the SCIWORA as well as indicate the realization of magnetic resonance imaging.

关键词： Spinal Cord Injuries Trauma MRI

Facilitating Condition for E-learning Adoption--Case of Ugandan Universities

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通讯和计算机（中英文版） 2015年第5期12卷 244-249页

作者： kasse John Paul Moya Musa Annette K. Nansubuga Department of Business Computing Faculty of Computing and Management Science Makerere University Business School

可视化供应链结构和处理过程增进对mySAP ERP中信息技术类操作的理解(英文)

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中山大学学报（自然科学版） 2007年第S2期46卷 97-100页

作者： TEICH Tobias MILIZER Jrg UNGER Katja ZIMMERMANN Matthias kasse Stephan Department of Information Management University of Applied Sciences in ZwickauGermany

The following conceptual paper mainly addresses the understanding problem that comes up with teaching business economics and applying this to complex IT-infrastructures and integrated processes within an Enterprise Resource Planning *** laboratory conditions,we assume to resolve this lack of understanding during transactional exercises and to confirm pupil's or student's business know-how,while well-evaluated case studies are demonstrated and executed by *** visualize supply chain structures and processes,the authors are presenting a framework for physical LEGO constructions and digital modelling logistic scenarios.

关键词： Visualizing supply chain mySPA ERP IT-related operation

Emergency Neonatal Obstetric Cares at Cocody University Hospital: Overview of Instrumental Extraction

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Open Journal of Obstetrics and Gynecology 2017年第11期7卷 1086-1091页

作者： Kakou Charles kasse Raoul Kouame Arthur Koime Hervé Effoh Denis Gondo Diomandé Boni Serge Cocody University Hospital Abidjan Cote d’Ivoire

Objectives: The aim of this study was to show an overview of situation of instrumental extraction at the maternity of Cocody University Hospital by determining availability and assessing the maternal and fetal prognosis. Patients and method: it was a retrospective study with a descriptive purpose on 6 months from January 1 to June 31, 2015. It concerned all patients admitted in the expulsive phase of labor delivery room and with an indication of fetal instrumental extraction and the state of their newborns at birth. Results: We saved 2288 vaginal deliveries;including 28 instrumental deliveries on 104 indications of instrumental extraction is an implementation rate of 26.9% (16 by vacuum extractor and 12 forceps). Among patients with indication but without instrumental extraction (n = 76), there is 42.3% vaginal delivery (n = 44) and 30.8% of cesarean section (n = 32). 44 have given birth vaginally (42.3%) and 32 by caesarean section (30.8%). It’s young patient (28 years), nulliparous (42.3%). Average time between instrumental extraction indication and the delivery of the baby was 58 min in the case of instrumental extraction and 1 hour 41 minutes in the case of spontaneous delivery in anticipation of the c-section. Motherhood had 3 instrumental extractors (2 vacuum extractors and 1 forceps) recycled after each use. The Apgar score was good in 85.7% in children born by instrumental extraction and bad in 54.5% in children born vaginally without instrumental extraction. We found 20 stillborn in intra partum occurred only in children born vaginally without instrumental extraction. Twelve (12) cases of bleeding of the issue by uterine atony (27.3%) were recorded in patients pregnant without instrumental extraction. No maternal deaths were observed. Conclusion: The realization of instrumental extraction rate remains low at the maternity of the UH-C. In the event, the fetal prognosis was better.

关键词： Instrumental Extraction Forceps Vacuum Extractor Availability Stillbirth

Traumatic Floating Bone. About 11 Cases and a Literature Review

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Open Journal of Orthopedics 2017年第12期7卷 383-395页

作者： Amadou Ndiassé kasse Malick Diallo Souleymane Diao Jean Claude Sane Abdoulaye Bousso Abdou Razack Ndiaye Mouhamadou Habib SY University of Dakar Dakar Senegal University of Bobo-Dioulasso Bobo-Dioulasso Burkina Faso Hô pital Général de Grand-Yoff Dakar Senegal

Introduction: Floating bone injury or bipolar dislocation is a concurrent dislocation at both ends of a long bone or a flat bone. It is an exceptional injury. We report 11 consecutives cases of floating bones. Objectives: The aim of the study is to analyze the frequency, the mechanism of injury and clinical forms of floating bones, and to present the results of their management. Material and Methods: A ten years ongoing retrospective study was held in four trauma departments. Eleven cases of floating bones were identified. The floating bones characteristics such as the injured bone, the patient age and sex, the mechanism of injury, the dislocations directions, the associated complications, the treatment and the outcome were studied. Results: Nine male and two female patients, with a mean age of 37 years [19 - 65 years range] presented a concurrent bipolar dislocation of one bone or a group of bones. They sustained a road traffic accident (n = 5), a workplace accident (n = 3), a fall from height (n = 2), and a sport accident (n = 1). The clavicle (n = 3) and the first metatarsal (n = 3) were the most frequently involved. The others floating bones were the radius-ulna complex (n = 1), the radius-lunatum complex (n = 1), the first metacarpal (n = 1), the first phalanx (n = 1) and the femur (n = 1). The floating bones ends displacement occurred in the sagittal plane (the forearm, the femur, the first phalanx and the first metatarsal) and in the horizontal plane (the clavicle, the first metatarsal and the first metacarpal). We defined direction displacements as bidirectional asymmetric (n = 10) or unidirectional symmetric (n = 1). Associated complications were fractures (wrist, hip, tarso-metatarsal joints) and wounds (fingers, metatarso-phalangeal joint). Dislocations were treated conservatively (n = 5) and surgically (n = 17) with excellent results (n = 13/16 joints). Three patients were lost of view. Conclusion: Our study described the characteristics of this exceptio

关键词： Traumatic Dislocation Floating Bone Bipolar Dislocation Clavicle First Metatarsal Forearm First Metacarpal First Phalanx Femur

Ilizarov Femoral Limb Lenghtening in Lower Limb Discrepancy. Radio-Clinic Results. About 32 Cases

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Open Journal of Orthopedics 2022年第11期12卷 432-441页

作者： Amadou Ndiassé kasse Papa Amadou Ba Souleymane Diao Jean Claude Sane Joseph Davy Diouf Babacar Thiam Moussa Baba Diallo Mouhamadou Habib Sy Service d’Orthopédie-Traumatologie H&ocirc pital Général de Grand-Yoff Dakar Senegal

Introduction: The progressive osseous lengthening on a single site corticotomy such as described by Ilizarov is a reliable but difficult method in the treatment of limb length discrepancies. The objective of this study was to appreciate the results of the recent application of this method in a low-income country such as Senegal. Material and Method: It was a retrospective study on 32 patients among whom 19 were men (people) and 13 were women over one continuous period of 7 years. The mean age was of 19 years with extremes of 10 and 36 years. Etiologies were dominated by osteoarthritis of the hip in 77.8%, traumatic sequela in 16.7% and the aseptic osteonecrosis of femoral head in 5.6%. The average duration of treatment was of 232 days with extremes of 110 and 363 days. Results: On the anatomical plan, the average lengthening was 55.89 mm that is 12.03% of the initial length with extremes of 35 and 110 mm. The equalization, in terms of length of the members, was obtained in 33.3% of the cases. The average index of cure was of 56.29 days, six patients, which are 18.75% of the cases, complained about pain at the end of treatment and walking without crutches was possible in 83.33%. The complications, in the phase of lengthening, were either mechanics, with 5 subluxations (3 at the level of the hip and 2 at the level of the knee), or biological with 7 infections (superficial 5 and 2 deep), 2 premature consolidations and 1 bleeding. The complications in the consolidation phase were also mechanical with 32 articular stiffness, 8 plastic deformations, 7 subluxations, a fracture and a collapse of the regenerate, or biological with 8 infections among which an osteitis and bleeding. Conclusion: Despite a strong rate of complications and sometimes not reached objectives, the results of this first series of lengthening are encouraging and rich in education and do not seem to be a limiting factor for the implementation of the method in developing countries.

关键词： Limb Length Discrepancy Lengthening Ilizarov Senegal

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高炉喷煤时采用辊式磨煤机磨煤

国外钢铁 1996年第5期21卷 8-12页

作者： kasse.,K 赵晓凤

Pure Talocrural Dislocation without Associated Malleolar Fracture

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Open Journal of Orthopedics 2020年第1期10卷 13-20页

作者： Souleymane Diao Amadou Ndiassé kasse Jean Claude Sane Joseph Davy Diouf Abdoulaye Keita Pape Matar Fall Pape Alkaly Diouf Ndiaga Dieye Mouhamadou Habib Sy Hô pital Général Idrissa Pouye University Cheikh Anta Diop Dakar Senegal

Pure talocrural dislocation is an uncommon injury of the ankle. Malleolar fracture is usually associated. We report two cases of pure talocrural dislocation, to describe its therapeutic and prognostic clinical aspects... 详细信息

关键词： Talocrural Pure Dislocation Closed Reduction