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Persistent Congenital Paraurethral Cyst, a Rare Cause of Dysuria in a Girl

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Open Journal of Urology 2023年第3期13卷 83-87页

作者： Doudou Gueye ndeye fatou seck Florent Tshibwid A. Zeng Papa Alassane Mbaye Ibrahima Bocar Wellé Lissoune Cissé ndeye Aby Ndoye Aloïse Sagna Department of Pediatric Surgery Albert Royer National Children’s Hospital Centre Université Cheikh Anta Diop Dakar Senegal

Congenital paraurethral cyst rarely occurs. Its natural history is spontaneous regression, leading to conservative management adoption. We report an exceptional case of a 13-year-old female with a persistent congenital paraurethral cyst, leading to dysuria. We surgically excised the cyst, and the outcomes were unremarkable 20 months postoperatively.

关键词： Congenital Paraurethral Cyst Persistent Dysuria Girl Surgical Excision

Domestic Accidents in Under-Fives: Epidemiology, Diagnosis, Management, and Outcomes

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Open Journal of Pediatrics 2022年第5期12卷 726-736页

作者： Florent Tshibwid A. Zeng Papa Alassane Mbaye Doudou Gueye Papa Mamadou Ndoye Ibrahima Bocar Wellé ndeye fatou seck Mbaye Fall ndeye Aby Ndoye Aloïse Sagna Oumar Ndour Gabriel Ngom Department of Pediatric Surgery Albert Royer National Children’s Hospital Centre Université Cheikh Anta Diop Dakar Senegal Department of Pediatric Surgery Aristide Le Dantec University Teaching Hospital Université Cheikh Anta Diop Dakar Senegal

Introduction: Domestic accidents are a public health problem, and under-fives are particularly affected. We report these accidents’ epidemiology, diagnosis, management, and outcomes through this study. Patients and Methods: We conducted a prospective descriptive study for four months in the Albert Royer National Children’s Hospital Center pediatric surgery department in Dakar, Senegal. Of the 149 cases of domestic accidents, 109 were included in this study. Results: Infants (59.6%) were the most affected, with a slight male predominance (50.5%). Accidents occurred on Tuesday in 22.9% of cases and the afternoon in 38.5% of cases. Playing (59.6%) was the main activity, and falling (44%) was the most found mechanism. 78.9% of accidents occurred in the house, with the bedroom (27.5%) being the most represented place. In most cases (67.9%), the consultation was done within the first 24 hours. The upper limbs (48.6%) were the most affected, and fractures (31.2%) were the most frequent injuries. The outcomes were unremarkable in 94.5% of cases, as complications occurred in five patients with three who had an infection, one a persistent limping, and the last, a dental avulsion. No mortality was recorded. Conclusion: Domestic accidents among under-fives are frequent in our environment. Compared to those in older children, they occur similarly in both sexes, more often in the bedroom, and have a better prognosis.

关键词： Domestic Accidents Under-Fives Infants Preschool Children Senegal

Management and Outcome of Ureteropelvic Junction Obstruction in Senegalese Children

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Open Journal of Urology 2022年第11期12卷 549-555页

作者： Ibrahima Bocar Wellé ndeye Aby Ndoye Papa Alassane Mbaye Doudou Gueye ndeye fatou seck Faty Balla Lo Lissoune Cissé Anderson Safari Kibanja Florent Tshibwid A. Zeng Youssouph Diedhiou Aloï se Sagna Oumar Ndour Gabriel Ngom Department of Pediatric Surgery Albert Royer National Children’s Hospital Centre Université Cheikh Anta Diop Dakar Senegal Department of Pediatric Surgery Aristide Le Dantec University Teaching Hospital Université Cheikh Anta Diop Dakar Senegal

Introduction: The ureteropelvic junction obstruction is a rare congenital malformation of the upper urinary tract. We report its management and outcome at Senegal’s main pediatric surgical department. Patients and Methods: We conducted a descriptive review of all patients managed in our pediatric surgical department at Albert Royer National Children’s Hospital Centre from January 1st, 2013 to December 31st, 2017. Results: Thirty patients were included in our study. The mean age was three years. Males were more affected (sex ratio of 2.75). The prenatal diagnosis was made in 23% of cases using prenatal ultrasonography. An abdominal mass was the circumstance of discovery in 36% of cases, and lumbar contact and renal sloshing were found in 66% of cases. There was no renal function impairment in 93% of cases. Urinary tract infection occurred in 50% of cases. Ultrasonography (100%) and urinary computed tomography (56%) were used to diagnose. A temporary nephrostomy was performed in 23% of cases, and as definitive treatment, an open Anderson-Hynes procedure was performed in 96% as a nephrectomy was made in a patient. Early postoperative complications were encountered in 56% of cases: urinary tract infection (36%), surgical site infection and anastomotic stenosis (6% both), and urinoma and textiloma (both in 3%). A patient died from sepsis. After a mean follow-up of 12 months, no additional complication was reported. Conclusion: Ureteropelvic junction obstruction was frequently diagnosed late, and its management carried unneglectable morbidity in our environment. A laparoscopic approach would be a solution to improve its outcome.

关键词： Ureteropelvic Junction Obstruction Management Outcome Children Senegal

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

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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SONA...

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

Study on the Perceptions and Social Representations of Husbands on Family Planning in the Health District of Pout/Senegal

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Advances in Reproductive Sciences 2022年第2期10卷 59-72页

作者： Mamadou Saliou Mbengue Abdoul Aziz Ndiaye Alioune Badara Tall Rakhmatoulaye seck Awa Ba ndeye fatou Ngom fatou Ndiaye Omar Sy Aladji Madior Diop Anta Tal Dia Université Alioune Diop Bambey Bambey Senegal Université Cheikh Anta Diop Dakar Dakar Senegal

Contraception is a set of procedures that aim to achieve temporary infertility in a woman without her ability to conceive being engaged in the future. It plays an essential role in the health of women and children, the psychological well-being of husbands and allows, among other things, savings for the family. The objective was to study the perceptions and social representations of husbands on family planning. A mixed method was used with a qualitative dominance, carried out in the health district of Pout. The result showed that the perceptions and representations of husbands influence this practice family planning. Even if they have positive attitudes and a good level of knowledge about contraceptive methods, their involvement in FP practices remains low with gaps to be filled. Direct or intermediate variables such as the social, cultural, economic and religious aspects are pitfalls. Indeed, the commitment of men and the consideration of their social attributes are variables to be integrated into the process of information and awareness on family planning;this is crucial in achieving Sustainable Development Goal (SDG) 3 (Good Health and Well-being), including its target 7 focused on sexual and proactive health: a second best move towards the demographic dividend.

关键词： Family Planning Perceptions Social Representations Demographic Dividend

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

A Cross-Sectional Survey on Non-Communicable Diseases and Risk Factors in the Senegalese Army

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Health 2016年第14期8卷 1529-1541页

作者： Abdoul Aziz Ndiaye Alioune Badara Tall Boubacar Gueye Ibrahima Soce Fall Sidy Mouhamed seck Amady Barro Mbodj ndeye fatou Ngom-Gueye Awa Gaye Anta Tal-Dia Community Health Department University Alioune Diop of Bambey Bambey City Senegal Army Health Service Camp Dial Diop Dakar Senegal WHO Bamako Mali Faculty of Health Sciences Gaston Berger University Saint-Louis Senegal Public Health Department Cheikh Anta Diop University Dakar Senegal

Background: The non-communicable diseases (NCDs) have become a public health priority. The objectives of this study were to measure the prevalence and to assess the risk factors of NCDs among the Senegalese military population to initiate an intervention program. Methods: A cross-sectional survey was conducted in 2014. Two-level stratification was used to sample participants. Data were collected following the protocol recommended by the World Health Organization. Data were managed using Epi-Info 6 software and analyzed using R software. Results: A total of 1224 participants were recruited, of whom 96.9% were men. Their ages ranged from 25 to 60 years with a mean of 39.7 ± 9.2 years. Of participants, 17.2% were active smokers. Average duration of active smoking was 19.9 ± 9 years. The prevalence of current alcohol consumption was 11.5%, with an average of 4 ± 2.7 glasses a day. 97.17% of participants consumed fewer than 5 servings of fruits and vegetables a day. 18.63% had insufficient physical activity. The overall prevalence of high blood pressure was 26.9%. The proportion of those who were overweight was 27.2%;3.3% were obese. 3.0% of participants had diabetes and 44.1% had hypercholesterolemia. After adjusting for waist circumference, the risk of high cholesterol was 2.42 in the 35 - 44 age group and 2.86 in the 45 - 60 age group in comparison with the 25 - 34 age group. 32% were classified as having stage 2 chronic kidney. Conclusions: The findings of this study indicate the importance of risk factors for NCDs in the Senegalese military population. Intervention based on prevention and health promotion is needed.

关键词： Risk Factors NCDs Military

Low Socio-Economic Level: A Major Obstacle to Therapeutic Observation (Survey of 125 Diabetic Patients)

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Open Journal of Preventive Medicine 2022年第1期12卷 1-9页

作者： Ousseynou Ka Djiby Sow Elhadji Mouhamadou seck ndeye fatou Ngom Guéye Martial Coly Bop Mountaga Elimane Dia Abdoul Aziz Ndiaye Papa Gallo Sow Maimouna Mbaye Ndour Community Health Department Faculty of Health and Sustainable Development Université Alioune Diop Bambey Senegal Medical Clinic II Centre Hospitalier Abass Ndao Université Cheikh Anta Diop Dakar Senegal Department of Medicine Faculty of Health and Sustainable Development Université Alioune Diop Bambey Senegal

Introduction: Diabetic patients adhering to their treatment are less likely to face complication from their disease. For this reason, we studied the compliance of diabetics with their treatment. Materials and Method: This was a comprehensive cross-sectional study of adherence in diabetic patients. All patients meeting the inclusion criteria were enrolled in the study. This study took place at a private pharmacy called “pharmacy Elhadj Seydou Nourou Tall” located in the city of Pikine during the period from April 1 to September 30, 2019. Results: In total, the study population was composed of 125 diabetics;frequency of 8.47%. The average age was 62.5 years and there were more women (58.4%). Of the patients, 87% had a low socioeconomic level and 72% a low educational level. Only 65.6% of the patients knew their diabetes type. Even though 97.6% of the patients were confident in the treatment but due to financial reasons 20.8% did not adhere to the prescribed treatment and 16.8% to their diets. Moreover, 15.2% of the patients had changed the dosage of the prescribed medication, 44.4% had forgotten to take their medication regularly. 78.4% of them thought they were taking too much medication. No factors were found to be statistically associated with poor adherence, but the proportion of poor adherence patients was higher in patients over 60 years of age, with low socio-economic status and low education. Conclusion: Low socio-economic status is the main barrier to good adherence. Recommendations have been formulated to improve this adherence.

关键词： Adherence Diabetes Socio-Economic Level Barrier Senegal

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

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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