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DEXA Contribution in Bone Densitometry Evaluation on Osteoporosis in Senegal: Results of a Study Realized in African Black Populations

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Open Journal of Rheumatology and Autoimmune Diseases 2016年第4期6卷 85-95页

作者： Ndèye Marième Diagne-Gueye Thierno Oumar Soko Bineta Ndiaye Ismaïla Diedhiou Abdou-Rajack Ndiaye Service de Médecine Polyvalente Services Médicaux Hopital Principal de Dakar Dakar Sénégal

Osteoporosis, a public health problem is able to occur severe fractures and its prevalence increases in developing countries. Several factors involved in its pathogenesis. These factors are: Heredity, elderly, race, ethnicity, hormones, physical inactivity, sunlight exposure, vitamin D deficiency and certain drugs. In Africa, few data are available and the disease prevalence is maybe underestimated. In Senegal, measure of bone mineral density is recent. In this study, our objective was to determine DEXA patients profile and epidemiological, clinical characteristics of patients for densitometry examination. Thus, 43 cases were collected;lumbar and femoral sites were evaluated. Median lumbar T-score was 0.91 and the femoral T-score was 0.16. Osteopenia was found in 35% of patients and osteoporosis in 26%. Bone Mineral Density was abnormal in 60% of cases. This study is another proof of documented reality of osteoporosis in Senegal. It determines frequency in a population at risk. For the future, it opens way for further larger studies to get better profile of the patients and prevalence osteoporosis in Senegal.

关键词： Osteoporosis Bone DEXA Africa Black Populations

Coronary Angioplasty in a Low Income Sub-Saharan Country: Situational Analysis

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World Journal of Cardiovascular Diseases 2018年第12期8卷 539-544页

作者： Mouhamed Cherif Mboup Djibril Marie Ba Modou Jobe Massamba Thiam Khadidiatou Dia Pape Diadie Fall hopital principal de Dakar Dakar Senegal Military Hospital of Ouakam Dakar Senegal Clinique Du Golf Dakar Senegal

Introduction: Coronary angioplasty is not widely conducted in sub-Saharan Africa in general and Senegal in particular. The objective of this work was to describe the indications, techniques, results and difficulties of coronary angioplasty in Senegal. Patients and Methods: We prospectively included all patients who underwent coronary angioplasty between July 2012 and November 2014. We evaluated the clinical characteristics, techniques used, and the peri-procedural complications. Results: 110 coronary angioplasties were performed at the cardiac catheterisation unit of the Clinique du Golf in Dakar. The average age of patients was 60.41 ± 10.93 years. A male predominance was noted with a sex ratio of 6.3. Hypertension was found in 57% of patients. The principal indications for coronary angioplasty were for the management of acute coronary syndromes with or without ST elevation, in 29 and 39 patients respectively. The femoral artery was the puncture site in 104 patients. The lesions treated were type A/B1 or B2/C in 53 and 57 cases respectively. The success rates of coronary angioplasties and 30-day mortality were 91% and 0.9% respectively. Conclusion: In sub-Saharan Africa, Senegal in particular, the practice of coronary angioplasty is low. Indeed, many factors linked to socioeconomic status limit the development of coronary angioplasty in Senegal.

关键词： Coronary Angioplasty Acute Coronary Syndrome Interventional Cardiology

Management and Maternal-Fetal Prognosis of Placental Abruption: A Retrospective Study of 130 Cases

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Open Journal of Obstetrics and Gynecology 2022年第7期12卷 590-598页

作者： Papa Malick Ngom Faye Marie Edouard Gaye Yaye Fatou Sylla Mafing Aya Tine Marguerite Ndew Inzale Mohamed Amine Bentaleb Hajar Fall Khadidja Koné Madjiguène Fall Mouhamadou Mansour Department of Obstetrics Gynecology Dakar Principal Hospital Dakar Sénégal Gynecological and Obstetrical Clinic Hopital Aristide Le Dantec Dakar Sénégal Department of Neonatology Dakar Principal Hospital Dakar Sénégal Department of Anesthesia Dakar Principal Hospital Dakar Sénégal Resuscitation Service Dakar Principal Hospital Dakar Sénégal

Objective: To describe the epidemiological, clinical and prognostic factors and assess treatment of placental abruption in the obstetrics gynecology department of the Dakar principal Hospital. Patients and Method: We carried out a retrospective observational study of 130 successive cases of placental abruption, which occurred from January 2015 to December 2017 at the Level 3 Maternity Unit of the Dakar principal Hospital. Data were collected from non-computerized obstetric records and analyzed using Excel and Epi info software. Results: There were 130 cases of placental abruption, that is a prevalence of 1.5%. The average age of onset of placental abruption was 30 years. The history of hypertension concerned 32.3% of patients, the average gestational age of 32.5 weeks at the time of diagnosis, grade 3 of Sher was found in 48.5% of cases. The outcome of the pregnancy was a caesarean section in 79.2% of cases, the average weight of newborns was 2058 g. The management of the complications required a blood transfusion and intensive care. A haemostasis hysterectomy was performed in 6.2% of cases. Stillbirth rate was 53.7% and maternal mortality was zero. Discussion and Conclusion: Placental abruption, a severe complication of pregnancy, is associated with high perinatal morbidity and mortality linked to the severity of the clinical picture, despite an improved maternal prognosis.

关键词： Placental Abruption Perinatal Mortality Maternal Morbidity

Cardiac Rehabilitation in the Elderly

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World Journal of Cardiovascular Diseases 2023年第12期13卷 854-869页

作者： Aw Fatou Wiam Akif Mame Madjiguene Ka Aimee Mbaye Sy Waly Niang Mboup Aliou Aalassane Ngaide Ccherif Mboup Simon Antoine Sarr Josep Salvadou Mingou Marguerite Tening Diouf Khadim Rassoul Diop Momar Dioum Malick Bodian Mohamed Leye Alain Désiré Affangla Mouhammadou Bamba Ndiaye Alassane Mbaye Serigne Mor Beye Adama Kane Maboury Diao Abdoul Kane Department of Cardiology University Hospital Center Aristide Le Dantec Dakar Senegal hopital principal Dakar Senegal hopital Dalal Jamm Dakar Senegal hopital général Idrissa Pouye Dakar Senegal University Hospital Center Fann Dakar Senegal UFR de Thies Dakar Senegal UFR de Saint Louis Dakar Senegal Medical Department Cheikh Anta Diop University Dakar Senegal

Introduction: The purpose of cardiac rehabilitation is to improve the effects of aging and maintain a good quality of life for older individuals. This study aims to assess how cardiac rehabilitation affects the autonomy and quality of life of older adults. Patients and Method: This was a longitudinal, descriptive and comparative before-and-after cardiovascular rehabilitation study conducted over a two-year period from January 2019 to December 2021. This study was conducted at four cardiac rehabilitation units in Dakar: the Aristide Le Dantec Hospital (HALD), National Dalal Jamm Hospital, and the General Idrissa Pouye Hospital (HOGIP). We compared the degree of autonomy, dependence and quality of life of subjects aged over 65 before and after the cardiac rehabilitation program using the Katz index, the Lowton index and the SF12 quality-of-life questionnaire. Results: Over a two-year period, a total of 345 patients had benefited from a complete cardiovascular rehabilitation program in the four cardiovascular rehabilitation units in Dakar, and 86 patients, or 24.92% of the population, were at least 65 years old. The patients were predominantly male (sex ratio M/F = 4.73). The mean age was 70.35 ± 4.55 years for men and 69.27 ± 4.59 years for women. The main pathology motivating cardiac rehabilitation was ischemic heart disease, which was found in 73 patients (84.88%). Initial assessment revealed exertional dyspnea in 35 patients (40.69%), followed by residual exertional angina in 21 patients (4.41%). Mean functional capacity increased from 5.81 ± 2.38 Mets in pre-cardiac rehabilitation to 8.68 ± 2.28 Mets in post-cardiac rehabilitation (p < 0.001). The mean distance covered in the 6-minute walk test increased from 330.42 ± 170.50 m in pre-cardiac rehabilitation to 524 ± 98.54 m in post-cardiac rehabilitation (p = 0.119). The Lowton dependency index in pre-cardiac rehabilitation was 44.18% versus 36.04% in post-cardiac rehabilitation (p = 0.0156). The mental quality of

关键词： Cardiac Rehabilitation Elderly Dakar