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Pulmonary Hypertension in Chronic Hemodialysis Patients at Aristide Le Dantec University Hospital

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Open Journal of Nephrology 2022年第1期12卷 93-100页

作者： Maria Faye Ahmed Tall Lemrabott Niakhaleen Keita Moustapha Faye Romina Ghassani Mansour Mbengue Bacary Ba Seynabou Diagne Abdou Niang el hadj Fary Ka Nephrology Department Aristide Le Dantec University Hospital Dakar Senegal Cheikh Anta Diop University Dakar Senegal Nephrology Department Dalal Jamm Hospital Dakar Senegal

Introduction: Pulmonary hypertension (PH) is defined as high blood pressure in the lungs. It is recently described as a vascular disease entity in chronic kidney disease, particularly for chronic hemodialysis patients. The aims of this study were to determine the prevalence of PH, to describe clinico-biological and morphological characteristics and to identify risk factors associated with PH in hemodialysis patients. Patients and methods: This is a cross-sectional, descriptive, and analytical study during a period of 8 months from January 1, 2019, to August 31, 2019, in the hemodialysis center of nephrology department of Aristide Le Dantec Hospital. All chronic hemodialysis patients for more than 3 months and with PH confirmed by cardiac doppler ultrasound were included. Results: During the study period, 25/94 patients on chronic hemodialysis, presented with pulmonary hypertension (26.6%). The mean age was 49.3 ± 12.9 years. The sex ratio (M/F) was 0.92. Exertional dyspnea was found in 18 patients (72%). Cardiac auscultation revealed an arrhythmia in 3 patients (12%), augmented second heart sound in 12 patients (48%). On transthoracic doppler ultrasound, pulmonary systolic arterial pressure was on average 51.4 ± 13.2 mmHg. PH was moderate in 13 patients (52%), mild in 9 patients (36%) and severe in 3 patients (12%). The left ventricular ejection fraction was altered in 9 patients (36%). Three patients (12%) had valve calcifications. They were mainly located at aortic valve (8%) and mitral valve (4%). The major risk factors associated to PH in our patients are pathological fractures (p = 0.023), aortic calcifications (p = 0.023), ischemic heart disease (p = 0.023). The duration of hemodialysis represents another favoring factor (p = 0.042). Also implicated are arrhythmias (p = 0.004), high cardiac index (p = 0.043), ventricular dilatation (p = 0.034) and left atrial dilation (p = 0.015), as well as dilation of the inferior vena cava (p = 0.048).

关键词： Pulmonary Hypertension Chronic Hemodialysis Patients Transthoracic Doppler Ultrasound Dakar

Curative 3D Conformal Radiotherapy of Non-Operated Prostate Adenocarcinoma at Pointe-a-Pitre University Hospital (Guadeloupe): About 29 Cases

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Journal of Cancer Therapy 2021年第5期12卷 279-288页

作者： Ibrahima Thiam Kanta Ka Awa Sadikh Badiane Mouhamadou Bachir Bâ el hadj Amadou Sall Boucar Ndong Papa Ahmet Fall Mamadou Moustapha Dieng Papa Macoumba Gaye Joliot Curie Institute of Aristide Le Dantec Hospital Dakar Senegal Radiotherapy Department of the University Hospital Center of Dalal Jamm Guédiawaye Senegal Cheikh Anta Diop University Dakar Senegal Urology Department of the University Hospital Center of Dalal Jamm Guédiawaye Senegal

Context: Technological advances have improved the toxicities of radiotherapy. We are evaluating the 3D technique in prostate cancer. Materials and Methods: Retrospective study from January 2015 to December 2015 with 29 files. Survival was calculated by Kaplan-Meier method. Results: We collected 29 patient records over the study period. The median age was 75 years with the following extremes: 54 years and 83 years. The median PSA level was 12 ng/ml with a range of 3.05 to 79 ng/ml. Gleason score analysis showed 6 patients (20.69%) with a score of 6 (3 + 3), 23 patients (79.31%) with a score of 7 including 12 patients (41.38%) with grade 3 and 11 patients (37.93%) with grade 4. The median dose delivered was 74 Gy, with a mean dose of 73.79 Gy and extremes of 70 Gy for the minimum and 76 Gy for the maximum. Hormone therapy was combined with radiotherapy in 17 patients (58.62%). Seven patients (24.14%) had grade 1 acute bladder toxicity and one patient (3.45%) had grade 2 acute toxicity. Late bladder toxicity was grade 1 in 5 patients (17.24%), grade 2 in 3 patients (10.34%) and grade 3 in 1 patient (3.45%). Late rectal toxicity, grade 2 in 3 patients (10.34%), grade 3 in 1 patient, was noted. Overall survival at 2 years was 100% and 89.65% at 5 years. Relapse-free survival at 2 years was 82.76% and 62.07% at 5 years. There were 3 deaths (10.34%) of which only one was related to prostate cancer.

Statistical Studies of the Physicochemical Analytic Results of a Series of Synthetic Calcium Hydroxyapatite Containing Carbonate and Sodium

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American Journal of Analytical Chemistry 2014年第5期5卷 343-357页

作者： Faouzia Rockh B. hadj Yahia Ismail Khattech Faculty of Science Chemistry Department Applied Thermodynamics Laboratory Tunis El Manar Tunisia

The objective of this study is to present a simple method of statistical calculation that allowed us to determine the relationship between the different data obtained from the characterization of the synthetic carbonated apatites containing sodium, in order to find the fundamental substitution mechanism(s) for incorporation of Na+ and?CO32- and to establish the general formula. For that, a series of hydroxyapatites containing carbonate and sodium (Na-CO3HAps) has been obtained by the precipitation method. All the compounds were characterized by infrared spectra (IR), powder X-ray diffraction (PXRD) and elemental analysis. The statistical treatment of the experiment result allows us to determine the relationship between one variable and the change in the other and to found the fundamental substitution mechanism(s) for incorporation of Na+ and?CO32- . Analysis of variance (ANOVA) allows us to test the models proposed.

关键词： Carbonated Calcium Hydroxyapatite Containing Sodium Na-CO3HAps Statistical Studies Multiple Linear Regression Analysis of Variance (ANOVA)

Study of the Thermal, Rheological, Morphological and Mechanical Properties of Biocomposites Based on Rod-Of Typha/HDPE Made up of Typha Stem and HDPE

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Advances in Materials Physics and Chemistry 2018年第9期8卷 340-357页

作者： Babacar Niang el hadj Babacar Ly Abdou Karim Diallo Nicola Schiavone Haroutioun Askanian Vincent Verney Ansou Malang Badji Mahmoud Kalid Diakite Diéne Ndiaye Section Physique Appliquée Unité de Formation et de Recherche de Sciences Appliquées et de Technologies Université Gaston Berger Saint Louis Sénégal Institut de Chimie de Clermont-Ferrand Université Blaise Pascal Clermont-Ferrand France CNRS UMR 6296 ICCF Université Blaise Pascal Aubière France

The thermal, rheological and morphological properties of composite biomaterials made with mixture of high density polyethylene and typha rod powder (RD) were evaluated. The dynamic mechanical behavior of the samples was studied with 25%, 35% and 45% typha stem powder concentrations. The viscoelastic properties are mainly related to the nature of the polymer and the typha stem powder. Storage (G') and loss (G') moduli increased significantly, depending on the amount of powder in the molten mixture. After a viscosity increase was noticed in low frequency, it decreased in high frequencies, which demonstrates the pseudo-plasticity effect. Morphological and thermal characterization results have shown the dispersion state of the powder and its ability to modify the kinetics crystallization of biocomposites.

关键词： Biocomposite Thermal Rheological Morphological Mechanical Properties

Synthesis and Characterization of N,N＇-bis（Salicylidene） Ethylenediamine： Study of Extractives Properties Versus the Copper （11） in Sulphate Medium

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Journal of Environmental Science and Engineering(B) 2013年第7期2卷 442-447页

作者： Houria Sadou Tayeb Benabdallah Hasnia Reffas Mohamed hadj Youcef Department of Chemistry USTO (University of Sciences and Technology of Oran) Bir El Djir Oran Algeria

The synthesis and characterization of N,N＇-bis（salicylidene） ethylenediamine, Salen said that were carried out. The behavior of this ligand has been studied in solution in solvent homogeneous and heterogeneous systems in sulphate medium. The use of pH-metric titration, GRAN and JOB＇s methods have permitted the determination of different parameters governing the behavior of Salen in solution such as the acidity constant, the stability constant, the nature of the interaction solvent-solute, the solvation number, the stoichiometry of extracted complex etc.. Then the extraction of the Salen was finally undertaken to words the copper （II） sulfate medium. The pH of complexation, extraction time, the number of protons exchanged and the number of ligands have been finally determined.

关键词： Salen copper (II) metal complex acid-base behaviour liquide-liquide extraction.

Back Surface Recombination Velocity Dependent of Absorption Coefficient as Applied to Determine Base Optimum Thickness of an n+/p/p+ Silicon Solar Cell

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Energy and Power Engineering 2020年第7期12卷 445-458页

作者： Meimouna Mint Sidi Dede Mamadou Lamine Ba Mamour Amadou Ba Mor Ndiaye Sega Gueye el hadj Sow Ibrahima Diatta Masse Samba Diop Mamadou Wade Gregoire Sissoko Laboratory of Semiconductors and Solar Energy Physics Department Faculty of Science and Technology University Cheikh Anta Diop Dakar Senegal Ecole Polytechnique de Thiès (EPT) Thiès Senegal

The monochromatic absorption coefficient of silicon, inducing the light penetration depth into the base of the solar cell, is used to determine the optimum thickness necessary for the production of a large photocurrent. The absorption-generation-diffusion and recombination (bulk and surface) phenomena are taken into account in the excess minority carrier continuity equation. The solution of this equation gives the photocurrent according to absorption and electronic parameters. Then from the obtained short circuit photocurrent expression, excess minority carrier back surface recombination velocity is determined, function of the monochromatic absorption coefficient at a given wavelength. This latter plotted versus base thickness yields the optimum thickness of an n+-p-p+ solar cell, for each wavelength, which is in the range close to the energy band gap of the silicon material. This study provides a tool for improvement solar cell manufacture processes, through the mathematical relationship obtained from the thickness limit according to the absorption coefficient that allows base width optimization.

关键词： Silicon Solar Cell Absorption Coefficient Back Surface Recombination Optimum Thickness

Extranodal Locatio of Lymphoma: Presentation and Evolutionary in Senegalese Patients

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Open Journal of Blood Diseases 2023年第1期13卷 1-10页

作者： Seynabou Fall Mariéme Lolita Camara-Tall el hadj Daouda Niang Khadim Sarr Awa Ndiaye Modou Moustapha Ciss Aminata Dakono Amy Thiam Fatou Samba Diago Ndiaye Clinical Hematology Department of Dalal Jamm Hospital Guediawaye Guediawaye Senegal

Introduction: The frequency of extranodal involvement in lymphoma is not rare, but variously described by authors in Africa. The objective of our work is to describe the profile of patients followed for lymphoma with extranodal locations. Methods: We conducted a descriptive, retrospective and analytic study at the clinical hematology department of Dalal Jamm Hospital, from September 2016 to June 2022. We included patients with a diagnosis of lymphoma immunohistochemistry, with extranodal involvement. The epidemiological, diagnostic, prognostic and survival aspects were studied. Results: Fifty-two (52) patients with extranodal localizations of their lymphoma were included. The mean age was 44.2 ± 17.6 years and the sex ratio was 1.2. The average time to diagnostic was 9.4 ± 3.6 months. We found a performance status ≥ 2 in 65.4% and at least one B symptom in 71.2% of cases. The extranodal manifestations were digestive (19%), cutaneous (17.5%), pleuropulmonary (17.5%), bone marrow (4.8%), thyroid (1.6%), parotid gland (1.6%) and breast (1.6%). Patients presented with Hodgkin’s lymphoma (HL) in 19.2% of cases and non-Hodgkin’s lymphoma (NHL) in 80.8% of cases. At the end of the extension checkup reviews, 61.5% were at an advanced stage and prognostic indices were unfavorable in 32% of patients. Conventional chemotherapy was conducted in 63.5% of patients of which 24 had NHL and 9 had HL. Immuno-chemoterapy was used in 26.9% of patients (13 cases of NHL, 1 case of HL). During the follow-up, we noted only 29.7% of complete remission. The median overall survival was 25.1 months [23.5 - 34.1 months] in HL group and 20.5 months [18.7 - 72.2 months] in NHL patients (p = 0.14). Conclusion: Our study shows that extranodal involvements of lymphomas are various, encountered more during NHL. In our practice, diagnosis is generally made at an advanced stage, with poor response to treatment.

关键词： Lymphoma Extranodal Involvement Advanced Stage Senegal

High-Field MRI Contribution in Tolosa-Hunt Syndrome (THS). Report of Two Cases and Review of Literature

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Open Journal of Radiology 2018年第3期8卷 141-149页

作者： Chérif Mohamadou Aidara Philomène Kouna Jennifer Nyangui Mapaga Nfally Badji Hamidou Deme Abdoulaye Dione Diop Abdoulaye Ndoye Diop Sokhna Ba el hadj Niang Radiology Department Fann University Hospital Dakar Sénégal Neurology Department El Rapha Polyclinic Trois Quartiers BP 256 Libreville Gabon

Background: Tolosa Hunt Syndrome is an inflammatory condition of unknown etiology of the cavernous sinus and superior orbital fissure. Because of the difficulty in establishing histological evidence, his diagnosis is based on a set of arguments established by the International Headache Society. MRI allows indirect visualization of the granuloma and plays a key role in diagnosis and follow-up. Aim: To illustrate High-field MRI contribution in Tolosa-Hunt Syndrome (THS). Cases Presentation: Two patients, a 25-year-old female and a 40-year-old male were recruited in this retrospective case report study at the Radiology service of Fann University Hospital (Dakar Senegal). The first patient has been suffering from a right retro-orbital pain and diplopia for 2 months and the second from a painful oculomotor nerve palsy for 3 months. Blood tests, lumbar puncture, thyroid hormone levels and an infectious screen were done. Screening for converting enzymes, and serum antibodies were also done. They underwent a high field MRI (Siemens 1.5T) with T1, T2, FLAIR, T2*, diffusion B1000, TOF polygon, CISS 3D and T1 gadolinium sequences in the 3 planes space. No significant abnormality was detected in blood tests or CSF analysis. Screening for converting enzymes and serum antibodies screen were also negative. For each patient, MRI examinations showed a non tumoral thickening of the right cavernous sinus, suggesting a granulomatous involvement. Tolosa Hunt Syndrome was evoked firstly. They were put on corticotherapy at high doses with a spectacular regression of symptoms. The Criteria of the International Headache Society of THS were met in both patients. Conclusion: High-field MRI is a significant diagnostic tool in the assessment of painful ophthalmoplegia. It allows a direct visualization of the granuloma of the cavernous sinus and assesses its course throughout the disease.

关键词： Painful Ophthalmoplegia Tolosa-Hunt Syndrome Criterias of International Headache Society High-Field MRI

Peripheral Arterial Disease among Patient Undergoing Maintenance Hemodialysis in Dakar (Senegal)

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Open Journal of Nephrology 2021年第2期11卷 242-251页

作者： Habin Yabama Aida Lengani Mouhamadou Moustapha Cissé Hamadoun Yattara Alassane Mbaye Gérard Coulibaly Joseph Salvador Mingou el hadj Fary Ka Abdou Niang Abdoul Kane Boucar Diouf Departement of Nephrology University Hospital Yalgado Ouédraogo Ouagadougou Burkina Faso Departement of Nephrology University Hospital Aristide le Dantec Dakar Sénégal Departement of Nephrology University Hospital of Point G Bamako Mali Departement of Cardiology National Hospital Grand Yoff Dakar Sénégal Cheikh Anta Diop University Dakar Sénégal

Background: Peripheral arterial disease (PAD) is common in patients with chronic kidney disease (CKD). It is a surrogate marker of generalized atherosclerosis. In sub-Saharan Africa, PAD remains understudied in CKD. Ankle-brachial index (ABI) is a non-invasive and cost-effective tool to diagnose PAD. Objectives: Our aim was to determine the prevalence and associated risk factors for PAD in hemodialysis patients. Patients and Methods: We conducted a cross-sectional study from July 1 to December 31, 2012 in the department of Nephrology of the University Hospital Aristide le Dantec of Dakar. All consenting patients, aged above 18 years, on hemodialysis for at least 6 months were included. ABI measurements were performed using a handled pulse doppler. PAD was defined as an ABI of Results: A total of 53 patients with a mean age of 49.15 ± 15.18 were included. The sex ratio was 0.70. Hypertension (83.01%), low HDL-cholesterol (26.41%) and cigarette smoking (20.75%) were the main cardiovascular risk factors. Prevalence of PAD was 47.16%. Among patients with PAD, 52% had no suggestive symptoms. Lower pre-dialysis (p = 0.0384) and post-dialysis (p = 0.0447) diastolic blood pressure (BP) were significantly associated with PAD. The conventional risk factors (tobacco consumption, diabetes, alcohol consumption, dyslipidemia, hypertension, age), iPTH and CRP levels were not correlated with PAD. Conclusion: PAD is common among patients undergoing maintenance hemodialysis in Senegal. Early diagnosis and management of PAD should be routinely performed in CKD patients.

关键词： Ankle Brachial Index Peripheral Arterial Disease Hemodialysis