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Attitudes and Practices of Senegalese Dentists towards Hepatitis B

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Open Journal of Epidemiology 2017年第4期7卷 317-325页

作者： Massamba Diouf Jean-Claude Guinan Amadou Dieng Mbatio Diop Aida Kanouté Abou Dramane Sanghare Ndeye Amina Diop daouda cisse Cheikh Mamadou Mbacke Lo daouda Faye Public Health Service Department of Dentistry Cheikh Anta Diop University Dakar Senegal Public Health Service Faculty of Dentistry Felix H Boigny University Abidjan C&ocirc te d’Ivoire Service of Dentistry Health Office Dakar Senegal

Introduction: Hepatitis B is an infectious viral disease that causes inflammation of the liver. It is transmitted through body secretions and fluids, including genital secretions, saliva and blood. The objective of this study was to assess the attitudes and practices of dental surgeons in the face infection of Hepatitis B. Methods: This was a descriptive, cross-sectional a sample of 171 dental surgeons. Probabilistic multi-stage, stratified, and systematic sampling was used. Using a questionnaire, we gathered variables related to the attitudes and practices of dentists with respect to Hep B. Results: Nearly 22% of dentists were not vaccinated against hepatitis B virus;Compliance with the use of gloves, glasses, professional clothing, and hygiene in dental offices was not systematic. Blood exposure accidents (BEA) were common, with nearly 13% suffering from needle stick injuries, 10% from eye splashes and about 6% from sharp instruments. The majority of the actions to be taken in the event of (BEA) were disinfection in the event of sticks or injuries (52.1%) and rinsing in the event of eye splashes (66.7%). Conclusion: Dentists should be educated and informed about the need for vaccination and hygiene, sterilization, and good behaviour in case of exposure to blood.

关键词： Attitudes Practices Hepatitis B Dentist Senegal

Dental Caries and Associated Determinants among Students of the Military School of Saint Louis (Senegal)

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Open Journal of Epidemiology 2017年第4期7卷 299-306页

作者： Massamba Diouf Mababou Kebe Mamadou Lamine Guirassy Mbathio Diop Abdoulaye Diouf Aida Kanoute Jean-Claude Guinan Amadou Dieng Abou Dramane Sanghare daouda cisse daouda Faye Cheikh Mbacké Lo Public Health Service Department of Dentistry Cheikh Anta Diop University Dakar Senegal Dental Office Military Hospital Dakar Senegal Service of Periodontology Department of Dentistry Cheikh Anta Diop University Dakar Senegal Service of Pediatric Dentistry Department of Dentistry Cheikh Anta Diop University Dakar Senegal Public Health Service Faculty of Dentistry Felix H Boigny University Abidjan C&ocirc te d’Ivoire

Introduction: Due to its health, social and economic morbidity, dental caries leads to absenteeism and a drop in school performance among schoolchildren. The objective of this work is to study dental caries and its determinants in pupils known as Children of Troop (CT) of the “Military School of Saint Louis” (MSS). Method: This was a descriptive and cross-sectional study. Recruitment was exhaustive. The collection was made at the school and has covered the period of March 10 throughout June 13, 2014 in an individual interview, based upon a deliberate consent, using a questionnaire drawn up on the basis of the variables studied. The bivariate analysis was done with the Epi Info software version 3.5.3. Results: The mean age of CT was 14.9. The prevalence of caries was 61.2%. Determinants related to caries were: sugar intake between meals (OR = 6.44 [3.4 - 11.9]);insufficient tooth brushing (OR = 14.3 [8.8 - 23.29]);(OR = 3.84 [2.38 - 7.14]) and for regular dental visits (OR = 5.26 [3.44 - 8.33]), with the last dental visit dating back more than one year. Conclusion: In the face of challenges of school performance of CT, it is necessary to set up a control plan focusing mainly on the factors identified and associated with dental caries in military school.

关键词： Military School Child of Troop Dental Caries Determinants

Upper arm length along with mid-upper arm circumference to enhance wasting prevalence estimation and diagnosis:sensitivity and specificity in 6-59-months old children

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Family Medicine and Community Health 2021年第2期9卷 24-30页

作者： Mouhamed Barro Mohamed daouda Baro Djibril cisse Noel Zagre Thierno Ba Shanti Neff Baro Yacouba Diagana Nutrition and development association NouakchottMauritania Nutrition UNICEFNouakchottMauritania UNICEF West and Central Africa Regional Office DakarSenegal Ministry of Health NouakchottMauritania Independent Consultant in Biostatistics ParisFrance University of Nouakchott NouakchottMauritania

Objective To evaluate the added value of the use of upper arm length(UAL)along with mid-upper arm circumference(MUAC)to diagnose and estimate the prevalence of wasting in comparison to current WHO standard and other MUAC-based *** UAL and usual anthropometric measurements were collected during a national cross-sectional nutritional *** were classified into three upper arm length groups(UALGs):UALG1,UALG2 and UALG3 according to the following UAL limits:≤150,151-180 and≥181 mm,*** operating characteristic curves were used to determine the best MUAC cut-off for each group using weight-for height Z-score(WHZ)as a reference *** prevalence,sensitivity and specificity of all diagnostic methods were *** This study was conducted in *** National representative sample of children from 6 to 59 months *** In total,12590 children were included in the *** prevalence was 16.1%,5.0%and 12.5%when diagnosed by WHZ<−2,MUAC<125 mm and MUAC-UALG methods,*** the MUAC-UALG method increased the sensitivity for wasting diagnosis from 17.98%with MUAC<125 mm to 39.43%with *** specificity decreased from 97.49%with MUAC<125 mm to 92.71%with *** MUAC-height Z score and MUAC<138 mm,sensitivity was 26.04%and 69.76%and specificity were 97.40%and 75.64%*** This alternative method using MUAC tape to measure UAL increases the wasting diagnosis accuracy and allows for a better estimation of wasting *** method could be used as a potential alternative method for quick surveys in emergency settings such as Corona virus disease 2019 context.

关键词： diagnosis estimation Upper

Surgical Treatment of Cervical Spine Trauma in Rural Area (Low Income Country): Our Experience and Results

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Open Journal of Orthopedics 2022年第4期12卷 195-203页

作者： daouda Wague Mouhamet cisse Gaye Maguette Ansoumane Donzo Yakhiya cisse Mouhamet Faye Maguette Mbaye Mbaye Thioub Neurosurgery at CHMFT Diourbel Senegal Neurosurgery at Fann Dakar Senegal Neurosurgery at HOGIP Dakar Senegal Neurosurgery at Fann Dakar Senegal Neurosuregery at CHR Thies Senegal Neurosurgery at HOGIP Dakar Senegal Neurosurgery at UCAD Dakar Senegal

Introduction: cervical spine trauma remains one of the most common causes of morbidity in the world with a significant financial burden on our society. It is a devastating event for the patient and family. The aim of this study is to share our experience in the surgery management of cervical spine injury in rural area. Methods: We did retrospective and single center study for one year from August 2020 to August 2021. We included all the patients who had undergone surgery for cervical spine injury in our hospital. Results: The study is based on 14 patients, 9 males and 5 females (sex ratio: 1.8). The average age was 34 years old and 08 (57%) were employed at time of injury. Road traffic accident was the most common cause, it was found in 11 (78%) cases followed by falls in 2 (14%) and interpersonal assault in 1 (7%). The Time admission ranged from 03 hours to 03 weeks. The most associated lesion was head trauma 7 (50%) followed by chest injury in 05 (35%) and 92% of our patient had motor deficit. Surgery was performed in all cases. Closed reduction was performed in 09 (64%) before surgery. Different types of complications that we had encountered were: infection 01 (07%) case, bed sores 02 (14%) cases, respiratory distress 02 (14%) cases and cervical kyphosis 01 (07%) case. After 06 months 71% of patients have progressed well with partial or complete recovery of their deficit. 14% of death in our series were noted and 28% of patients returned to work. Conclusion: cervical spine trauma remains a heavy socio-professional handicap. In rural areas, despite the lack of equipment and the difficulties of care, our results are satisfactory. However, it is necessary to insist on psychotherapy for these patients.

关键词： Cervical Spine Morbidity Trauma Surgery

Dorsal Psammomatous Meningioma Revealed by Sciatica Case Report

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Open Journal of Orthopedics 2021年第5期11卷 164-169页

作者： daouda Wague Maguatte Gaye Cheikh Ndiaye Sy Mouhamet cisse Souleymane Diallo Youssouf Sakho Neurosurgeon at CHMFT Touba Senegal Professor of Neurosurgery (UCAD) and Head of Neurosurgery Unit at HOGIP Dakar Senegal Neurosurgeon and Senior Researcher at UCAD Dakar Senegal Resident in Neurosurgery at FANN Touba Senegal Resident in Neurosurgery at HOGIP Dakar Senegal Professor of Neurosurgery at UCAD Dakar Senegal

Introduction: Meningiomas are benign tumors most localized in brain. Intraspinal meningiomas are rare and may have an intra or extradural topography. We report the case of a dorsal psammomatous meningioma revealed by sciatica. Case description: We present a 58-year-old female hospitalized for bilateral painful and disabling L5 sciatica rebellious to medical treatment and physiotherapy. At physical examination, she presented a lumbar spinal syndrome without root deficit. MRI (Magnetic Resonance Imaging) showed a borderline lumbar canal with a paramedian L4-L5 herniated disc. She undergone a first surgery a L4 decompressive laminectomy and there was no postoperative complications. The follow-up was marked by partial pain regression. Three months later, after a fall she presented low back pain and progressive worsening gait troubles. A MRI was realized and shown L3-L4, L4-L5 duct narrowing. A second surgery a L3 and L5 decompressive laminectomy was performed. The postoperative follow up was characterized

关键词： Meningioma Dorsal Sciatica Psammomatous

Risk Factors for Urinary Incontinence after Obstetric Vesicovaginal Fistula Closure in Guinea

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Surgical Science 2021年第1期12卷 1-8页

作者： Fatoumata Binta Balde Abdoulaye Bobo Diallo Abdoulaye Toure daouda Kante Thierno Mamadou Oury Diallo Alhafiz Lamadine Diao cisse Olivier Kouadio Faculty of Medical and Paramedical Sciences Kofi Annan University of Guinea Conakry Guinea Department of Urology CHU Ignaace Deen of Conakry Conakry Guinea Chair of Public Health and Pharmaceutical Legislation Gamal Abdel Nasser University of Guinea Conakry Guinea

Introduction: Urinary incontinence after closure of vesicovaginal fistula is any involuntary loss of urine that a patient complains of. We aim to study the risk factors for urinary incontinence after closure of obstetric vesicovaginal fistula in Guinea in order to develop preventive measures to reduce its incidence. Materials and Methods: This was a retrospective, multiple center cohort of women operated on for obstetric vesicovaginal fistula during a 10-year period. Results: In 1770 vesicovaginal fistulas operated, 1347 were closed. 180 women (13.36%) developed urinary incontinence. After multivariate analysis, the risk factors of urinary incontinence after closure of vesicovaginal fistula were: the patient’s age, the anatomical type III, iterative surgical intervention, the brevity of the urethra and decrease in bladder capacity. Conclusion: Urinary incontinence after closure of vesicovaginal fistula is a frequent problem in Guinea, the prevention of which should be integrated into the management of fistulas.

关键词： Vesicovaginal Fistula Surgery Urinary Incontinence

Prevalence and Clinical Anatomic Characteristics of Cryptorchidism in Schools in the City of Conakry

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Open Journal of Urology 2020年第12期10卷 293-299页

作者： Thierno Mamadou Oury Diallo Mamadou Diawo Bah daouda Kante Mamadou II. Barry Demba cisse Mamadou Bissiriou Bah Lahoumbo Ricardo Gnammi Ibrahima Bah Abdoulaye Bobo Diallo Oumar Raphiou Bah Urology Andrology Department of Ignace-Deen Hospital HUC of Conakry Conakry Guinea Gamal Abdel Nasser University Conakry Guinea

Objective: To report the prevalence, anatomic and clinical characteristics of cryptorchidism in schools in the city of Conakry. Material and Methods: We carried out a 6-month cross-sectional study which took place in 32 public and private general education establishments in the city of Conakry. Each student boy was interviewed and examined;some information was collected from parents over the phone. Results: The prevalence of cryptorchidism was 3.6%. It was higher among children of mothers who were not in school, and among those who attended public institutions. The average age of students with cryptorchidism was 9.84 ± 2.33 years, with extremes of 4 and 17 years. 85% of these pupils were born in a care structure (CHU, municipal hospital, health center). Cryptorchidism sat on the right in 64 cases (37.4%), on the left in 44 cases (25.7%), it was bilateral in 63 cases (36.9%). The testicle was palpable at the inguinal level in 77 cases or 45% of the cases. Conclusion: Many school children have cryptorchidism at advanced ages, thus exposing them to the risk of complications (infertility and malignant degeneration of the testicle). Raising awareness among the various players could reverse this trend.

关键词： Cryptorchidism Prevalence Pupils School

Clinico-Biological Profile of the Azoosperm Patient at the Urology and Andrology Department, Conakry University Hospital

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Open Journal of Urology 2020年第12期10卷 300-308页

作者： Mamadou Diawo Bah Thierno Mamadou Oury Diallo daouda Kante Lahoumbo Ricardo Gnammi Mamadou Bissiriou Bah Demba cisse Mamadou II. Barry Ibrahima Bah Abdoulaye Bobo Diallo Oumar Raphiou Bah Mamadou Bobo Diallo Urology Andrology Department of Ignace-Deen Hospital HUC of Conakry Conakry Guinea Gamal Abdel Nasser University Conakry Guinea

Objective: Azoospermia is one of the most important causes of couple infertility. The objective of our study is to report the clinical-biological profile of the azoosperm patient to the Urology-Andrology Department of the Conakry University teaching Hospital. It aims to take stock of the diagnostic management of azoospermia at this time where the world scientific community seems to be turned towards the intracytoplasmic sperm injection in the treatment of men with severe spermiological dysfunction. Patients and Method: This was a descriptive retrospective study lasting 12 months from January 1 to December 31, 2015. It collected 151 patients out of a set of 544 follow-ups for desire to have children. Were included the patients whose files contained all the information of the clinical observation (general information, reason for consultation, evolution, history, data of the physical examination) and a paraclinical assessment consisting of the FSH level and two spermograms spaced three months, confirming the diagnosis of azoospermia. Results: The mean age was 36.4 years with extremes of 23 and 56 years old. Urogenital infections (36.4%) followed by a notion of inguinal surgery had been the main patients’ history. Primary infertility accounted for 76.8% of cases. The mean duration of infertility was 6.5 years with extremes of 2 and 19 years. Azoospermia affected 27.76% of patients who consulted for the desire to have a child. It was judged secretory in 59.6% of cases, excretory in 25.8% of cases, and undetermined in 14.6% of cases. Varicocele was the main associated abnormality (46.3%) followed by testicular hypotrophy (36.4%). Neisseria Gonorrhoeae was the most common germ in sperm culture (21.7%). Chlamydia serology was positive in 21.7% of patients. Conclusion: Azoospermia affects a non-negligible proportion of men admitted by consulting for desire to have a child in our context. Strengthening the di

关键词： Male Infertility Azoospermia Conakry

Management of Bladder Exstrophy: A Case Report in the Urological Ward at Saint Elizabeth General Catholic Hospital SHISONG

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Open Journal of Urology 2019年第10期9卷 162-166页

作者： cisse Demba Barry Mamadou II Kante daouda Bah Ibrahima Bah Mamadou Diawo Diallo Thierno Mamadou Oury Bah Mamadou Bissiriou Fofana Houssein Fomonyuy Edwin Cherif Mahamoud Sama Diallo Ab Bah Oumar Raphiou Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinea Shisong Hospital Kumbo Cameroon.

Bladder Extrophy is a rare urogenital malformation of the penis and bladder. This is an impressive fact at birth, due to the absence of the anterior bladder wall and the dorsal side of the penis. We report the clinical observation of a 21-month-old child who consults for urine incontinence from birth, when physical examination showed complete bladder extrophy. The reconstructive surgery allowed forming a bladder reservoir associated with a repair of the penis at the same time. Bladder extrophy is a benign condition whose operative consequences can be simple but urinary incontinence is not uncommon after reconstitution.

关键词： Extrophy Penis Bladder Malformation