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Epidemiological, Diagnostic and Evolutionary Profile of Seizures in Young Infants at Albert Royer (Dakar/Senegal)

Open Journal of Pediatrics 2024年第6期14卷 1079-1089页

作者： Cissé Djénéba Fafa Dieng Yaay Joor Diagne Guillaye sow ndeye fatou Kane Awa Mbaye Aminata Faye Papa Moctar Ly fatou Gueye Modou Diagne-Gueye ndeye Rama Sylla Assane Ndiaye Ousmane Pediatrics Department Pikine National Hospital Dakar Senegal Neonatal Department Albert Royer National Childrens Hospital Dakar Senegal Pediatrics Department Dalal Jamm National Hospital Dakar Senegal Neonatal Department Diamniadio Childrens Hospital Dakar Senegal Pediatrics Department Abass Ndao National Hospital Dakar Senegal

Introduction: Seizures are one of the most common neurological complications in the infant period. The aim of our study was to describe the epidemiological, clinical, therapeutic and prognostic features of seizures in infants at the Albert Royer Children’s Hospital (Senegal). Materials and Methods: This was a retrospective, descriptive study from 1 January 2012 to 30 September 2018 of infants aged 0 days to 2 months who presented with seizures. Results: The hospital rate was 8.5%. Almost all the mothers (99.1%) had undergone at least 3 antenatal visits. Urogenital infection, gestational arterial hypertension and funicular anomalies were the main pregnancy-related pathologies. Delivery was vaginal in the majority of cases (80.9%). Most infants (43.6%) had not cried at birth. The majority of infants (63%) were born at term. Trophicity was normal in 68% of cases. The average age of the infants was 6.7 days. The main causes of seizures were hypoxic-ischemic encephalopathy (48.7%), metabolic disturbances (48.1%) and central ոеrvοսѕ system infections (15.6%). Phenobarbital was the 1st-line anticonvulsant. The case fatality rate was 39.5%. The main sequela observed were delayed psychomotor development (20.6%). Conclusion: Optimal management of infant seizures requires early diagnosis and etiological treatment by improving the quality of perinatal care to ensure better management of risk factors, as well as increasing the availability of neuroimaging equipment.

关键词： Seizures Infant Albert Royer Hospital

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Congenital Abnormalities of Kidneys and Urinary Tract in Children at the Dakar University Hospital

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Open Journal of Pediatrics 2022年第3期12卷 529-537页

作者： Kéita Younoussa Thiongane Aliou sow ndeye fatou Ndongo Aliou Abdoulaye Abdoul Aziz Faye Akpo L. Geraud Sylla Assane Pediatric department Aristide Le Dantec Hospital Dakar Sénégal Albert Royer National Children Hospital Dakar Sénégal Radiology Department Aristide Le Dantec Hospital Dakar Sénégal

Congenital abnormalities of the kidneys and urinary tract (CAKUT) represent all the morphological abnormalities associated with a disorder of the embryonic development of the kidneys and their excretory tract. Its prevalence is underestimated in developing countries compared to developed countries. This was a cross-sectional and descriptive study between January 1st, 2015 and February 28th, 2020, carried out in the pediatric department of Aristide Le Dantec Hospital. The prevalence of CAKUT was 8.77% for all pediatric nephrologic pathologies (n = 58), the median age at diagnosis was 77.28 months and the sex ratio was 1.6. The circumstances of the discovery of CAKUT were dominated by urinary tract infection (n = 21), the antenatal diagnosis was poor (n = 13) and confusion between cysts and calyx dilation in antenatal was noted. Ultrasound was the main postnatal imaging test requested. The most common renal abnormality was kidney cysts (n = 18) (cystic kidneys and multicystic dysplastic kidney) and the most common urological abnormality was the posterior urethral valves (n = 8). Kidney failure was a pejorative factor in the evolution of these CAKUT.

关键词： Urinary Tract Antenatal Diagnosis Congenital Abnormalities Children

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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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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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Experimental Characterization of Shape of an Aggregate by a Numerical Value—Application to Senegalese Basaltic Aggregates for Rail Transport

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Open Journal of Civil Engineering 2020年第2期10卷 131-142页

作者： Abdoulaye Diedhiou Libasse sow ndeye Mareme Diop Civil Engineering Department Higher Polytechnic School Cheikh Anta Diop University of Dakar Dakar Senegal

This article first talks about railways in general and ballast in particular. An inventory is then made on the modernization of the Senegalese ballast railways. In the second phase, an experimental work of characterization of basaltic aggregates of Diack (Locality of Ngoundiane, Thiès region, Senegal) is presented. The grain size studied is 25/50 mm as for any material studied for use as railway ballast. Experimental work presented consists of the characterization of the shape of an aggregate using the NF P 18-301 standard. The test consists of comparing the volume of the aggregate to that of an equivalent sphere with the largest diameter of the aggregate, by calculating the average volume coefficient. With a Representative Elementary Volume (REV) of 6 aggregates, the volume coefficient “Cv” fluctuates between 0.27 and 0.49 with an average volume coefficient of 0.39 which is well above 0.15. The grains studied are polyhedral and therefore have a high mechanical resistance.

关键词： Ballast Rail Transport Basalt Shape Volume Coefficient

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Atrioventricular Septal Defect with Intact Interatrial Septum. Case Report

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World Journal of Cardiovascular Surgery 2020年第8期10卷 143-149页

作者： Papa Salmane Ba Yacouba Tamboura Momar Sokhna Diop Papa Amath Diagne ndeye fatou sow Papa Adama Dieng Amadou Gabriel Ciss Thoracic and Cardiovascular Surgery Departement CHU Fann Dakar Senegal

In atrioventricular septal defect (AVSD), anatomical lesions usually are an ostium primum atrio-septal defect;a common atrioventricular valve, an inlet ventricular septal defect (VSD). It is most often associated with major chromosomal abnormalities. It is the most common congenital disease in Down syndrome. Our case was an infant with a Down syndrome who was admitted for a dyspnea (stage 3 in New York Heart Association classification) and tachycardia. The diagnosis was made by a transthoracic echocardiography. It showed a rare variety of atrioventricular septal defect without an atrial septal defect. The child was treated successfully with one patch technic and no recurrence was noted.

关键词： AVSD VSD Dyspnea Transthoracic Echocardiography Patch

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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

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Surgical Treatment of Tetralogy of Fallot with Pulmonary Valve Agenesis in a 22 Years Old Patient

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World Journal of Cardiovascular Surgery 2021年第4期11卷 29-36页

作者： Papa Salmane Ba Kabulo Yannick Momar Sokhna Diop Papa Amath Diagne ndeye fatou sow Papa Adama Dieng Amadou Gabriel Ciss Thoracic and Cardiovascular Surgery Department CHU Fann Dakar Senegal

Agenesis of pulmonary valve is a rare variant and severe form of Tetralogy of Fallot (ToF). The evolution is usually marked by respiratory and cardiac failure at early age, which needs early surgical correction. Uncorrected treatment of Tetralogy of Fallot diagnosed at adult age is infrequent and only few studies have been described. We present here a rare case of a 22 years old patient who presented with dyspnea since childhood. Subsequent investigations allowed diagnosis of treatment of Tetralogy of Fallot with agenesis of the pulmonary valve. Following the assessment, the patient underwent a surgical repair and the recovery was uneventful. The management of treatment of Tetralogy of Fallot with pulmonary valve agenesis in adult period remains complex, requiring different surgical techniques.

关键词： Tetralogy of Fallot Pulmonary Valve Agenesis Adult Surgical Repair

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Eagle’s Syndrome in Children: A Case Report

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Open Journal of Pediatrics 2022年第2期12卷 320-324页

作者： Serigne Tawa Ndiaye Cheikh Diéne Niang Ciré Ndiaye Mohameth Mbodj ndeye fatou sow Amadou sow Faty Fall Papa Moctar Faye Ibrahima Diagne Ousmane Ndiaye Albert Royer National Children’s Hospital Dakar Senegal Cheikh Anta Diop University Dakar Senegal Abass Ndao Municipal Hospital Center Dakar Senegal Gaston Berger University Saint Louis Senegal

Eagle’s syndrome is a collection of symptoms caused by styloid process elongation or calcification of the stylohyoid ligament, measuring more than 2.5 centimeters. It is a radio-clinical entity characterized by a heterogeneous polymorphic symptomatology most often involving headaches, facial pain, dysphagia and a foreign body sensation in the throat. Its management is mainly surgical. It is a rarely diagnosed condition in children. Here we report a typical case of Eagle’s syndrome which was diagnosed in a 14-year-old child with a history of chronic right unilateral pharyngeal discomfort, odynophagia and oropharyngeal foreign body sensation. CT scan showed a long left styloid process. The patient underwent surgical removal of the elongated styloid process externally. The outcome was favorable after surgery.

关键词： Eagle’s Syndrome Styloid Process Child

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Case-Control Study on the Vulnerability of Women to HIV, Kaolack, 2019

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Open Journal of Epidemiology 2022年第3期12卷 355-366页

作者： Abdoul Aziz Ndiaye Alioune Badara Tall Awa Ba Diya Diop ndeye fatou Ngom Papa Gallo sow Martial Coly Bop Anta Tal Dia Université Alioune Diop de Bambey Bambey The Republic of Senegal Université Cheikh Anta Diop Dakar Dakar The Republic of Senegal

Introduction: Despite a low prevalence that hides disparities between regions and genders, HIV infection in Senegal is progressing. Women are more vulnerable. The objective was to study the determinants of women’s vulnerability to HIV/AIDS infection. Methodology: This was a case-control study carried out at the Kasnack Health Center, Kaolack in 2019. And 80 HIV-positive cases and 240 HIV-negative controls participated in the study. A questionnaire was administered to the selected women after their consent. Data were entered and analyzed using Epi Info and Stata software. Results: the mean age of the cases was 32 ± 9.7 years and that of the controls was 29.5 ± 8.5 years. Women were often housewives or traders;half of them had no schooling. Care was accessible for 74.4% of women. The level of knowledge of means of HIV prevention was medium in 71.3% of cases and 0.8% of controls. That of the modes of transmission was medium in 47.5% of cases and 0.8% of controls. The majority of controls (99.2%) had a low level of knowledge of means of prevention and modes of HIV transmission. Risky practices were 40% and 7.9% among cases and controls, respectively, and vulnerability was 40% and 7.9%, respectively. Conclusion: The level of HIV knowledge is low among most women. It is better in HIV-positive women who are more exposed to risky practices that increase their vulnerability. Reducing this vulnerability requires improving their knowledge and their empowerment.

关键词： HIV Case-Control Knowledge Vulnerability

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