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Search Results: 1 - 10 of 1375 matches for " Diatou Gueye Dia "
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Indications and Results of Thyroidectomies in Northern Senegal  [PDF]
Diatou Gueye Dia, Hady Tall, Jacques Noel Tendeng, Amadou Diop Dia, Ibrahima Louis Martin Dieng, Ibrahima Konaté
Open Journal of Internal Medicine (OJIM) , 2018, DOI: 10.4236/ojim.2018.81003
Abstract: Goiters account for a very high prevalence disease. In Senegal, surgery is a very important part of the management. Our aim is to determine indications and results of thyroidectomies at the regional hospital of St. Louis. Patient and Method: We conducted a descriptive retrospective study over a period of 6 years on 81 records. All patients who underwent thyroidectomy during the study period were included. Computer software EPI INFO and Excel were used for collection and processing of data. Results: The average age of our patients was 40 years with a sex ratio at 0.05. The determination of TSH found 88.9% in euthyroid, 1.2% in hypothyroidism and 9.9% in hyperthyroidism. Thyroid ultrasound was performed in 97.5% of patients. Surgically, gestures performed were divided between the lobo-isthmectomies (43.1%), subtotal thyroidectomy (9.8%), total thyroidectomy (46.91%). The postoperative course was uneventful in all patients. The histology was benign in 88.9% of surgical specimens and found adenocarcinoma in 11.1%. Conclusion: Our study confirms the predominance of female thyroid pathology. The thyroidectomy which is getting better codified occupies an important place in the management. It offers the advantage around the problem of therapeutic non-compliance and also stockouts in our region.
Epidemiology of Sleep Disorders among Chronic Hemodialysis Patients in Senegal: A Multicentric Study  [PDF]
Zeinabou Maiga Moussa Tondi, Sidy Mohamed Seck, Elhadj Fary Ka, Mouhamadou Moustapha Cisse, Amadou Diop Dia, Diatou Gueye Dia, Boucar Diouf, Lamine Gueye
Health (Health) , 2016, DOI: 10.4236/health.2016.81006
Abstract: Introduction: Sleep disorders (SD) are common dialysis patients and can impact their quality of life. In previous studies, black ethnicity was associated with higher incidence of SD but a few data are available in African patients. This study aimed to describe prevalence and risk factors of SD among Senegalese dialysis patients. Methods: We performed a cross-sectional study between February 15th and April 30th 2012 including 127 patients (75 males and 52 females) aged 46.8 ± 16.9 (16 - 85 years) and dialysed since >6 months in three dialysis centres. For each patient, we assessed insomnia according to international definition, obstructive sleep apnea syndrome (OSAS) with the Berlin questionnaire, restless leg syndrome (RLS) using abridged version of Cambridge-Hopkins RLS questionnaire, and excessive daytime sleepiness (EDS) with Epworth sleepiness scale. Logistic multivariate regression was used to identify factors associated with different SD. Results: Overall prevalence of SD was 88% comprising: insomnia (64.3%), OSAS (49.1%), RLS (24.1%) and EDS (20.5%). Forty-two patients presented at least two disorders. No difference was noticed in prevalence of SD between genders (p = 0.14). Level of blood pressure were not different across patients with and without SD. Insomnia correlated with anemia, inflammation and EDS. OSAS was associated with age ≥50 years, EDS and neck circumference ≥25 cm. RLS correlated with anemia and EDS. Other parameters such as gender, dialysis vintage, KT/V, obesity, diabetes status and hypoalbuminemia were not associated with the different SD. The majority of patients had not been diagnosed before the survey and none of them was under treatment. Conclusions: Our findings are compatible with high prevalence of sleep disorders reported in other populations. Insomnia and OSAS are the most frequent SD but some patients combined many disorders. Nephrologists should be more aware of these SD in order to detect them early and provide efficient treatment.
Prevalence and Association of Criteria of Metabolic Syndrome in a Cohort of Diabetes Type 2 in Saint-Louis  [PDF]
Dia Diatou Gueye, Dia Amadou Diop, Diagne Nafissatou, M. Ngouamba Blaise, Ndao Awa Cheikh, Pouye Abdoulaye
Open Journal of Internal Medicine (OJIM) , 2019, DOI: 10.4236/ojim.2019.93007
Abstract: Introduction: The metabolic syndrome is characterized by an aggregate of metabolic disorders whose coexistence in the same individual can correspond on the one hand to a common pathophysiological mechanism and on the other hand to expose the subject to an increased risk of cardiovascular diseases. The prevalence of the metabolic syndrome is increasing rapidly in both developed and developing countries, but has been poorly described in sub-Saharan Africa. Most of them reported the components of the metabolic syndrome only in isolation. Methods: This cross-sectional study carried out on a cohort of 76 patients followed at the Sait-louis regional hospital used the definition criteria of the International Diabetes Federation. Results: The average age of our patients is 56.92 with extremes ranging from 32 to 80 years old. The sex ratio is 0.49. The average duration of diabetes progression is 68 months. The prevalence of the metabolic syndrome in this population is 67.1%. Abdominal obesity and high blood pressure are the most commonly found criteria. Abdominal obesity was the most associated component of MS in both sexes followed by high blood pressure. We found relatively weak data for dyslipidemia, especially hypertriglyceridemia. HypoHD is dyslipidemia more found in our cohort: in 45% of women and 21% of men. Conclusion: The management of the metabolic syndrome therefore requires fighting against all the factors that compose it, the first of which is the accumulation of visceral fat. Lifestyle modification is the first priority for these patients facing a society where the reduction of physical activity and the enrichment of the fat diet are becoming more and more important.
Secondary Hypertension in Sub-Saharan African Populations: A Retrospective Study between 2011 and 2016 at Regional Hospital of Saint-Louis, Senegal  [PDF]
Yaya Kane, Joel Simon Manga, Diatou Gueye Dia, Maiga Moussa Zeinabou Tondi, Ahmed Tall Lemrabott, Maria Faye, Sidy Mouhamed Seck, Mouhamadou Moustapha Cisse, Alex Ismael Keita, Kalilou Diallo, El Hadj Fary Ka, Abdou Niang, Boucar Diouf
Open Journal of Nephrology (OJNeph) , 2016, DOI: 10.4236/ojneph.2016.63012
Abstract: Introduction: High blood pressure (HBP) is a worldwide health issue responsible of high cardiovascular morbidity and mortality. Even though essential HBP is far the most frequently reported in patients, secondary causes must be known because of their severity and the possibility of aetiological treatment. No recent epidemiological data are available about secondary causes of HBP in black African populations. The aim of this study was to describe aetiological patterns of secondary HBP in patients followed at Saint-Louis Hospital. Patients and Method: We conducted a retrospective and descriptive study in regional hospital of Saint-Louis. All patients aged ≥15 years old admitted from January 1st 2011 to January 31st 2015 in internal medicine, nephrology, emergency and cardiology departments were included. Clinical, paraclinical data and patients outcomes were collected from medical records. Hypertension was defined according to JNC8 criteria. Secondary HBP was considered if explorations identified a clear aetiology to hypertension. Statistical analysis was done with Excel 2010 and STATA 12.0. Results: We included 9253 patients with mean age of 35 ± 12 years (15 - 83 years) and sex-ratio of 1.6. Overall 67.5% of patients had hypertension and secondary causes were found in 10.5% of them. The majority of patients presented clinical symptoms suggesting a secondary cause of HBP and first-line laboratory explorations were normal in half of cases. Renal diseases were responsible for 79.1% of secondary HBP cases mainly dominated by glomerulonephritis (22.6%), vascular nephropathies (18.7%) and autosomal dominant polycystic kidney disease (5.8%). They were followed by preeclampsia (13.6%) and endocrinal aetiologies such as hyperthyroidism (5.8%), hypercorticism (0.5%), pheochromcytoma (0.5%), primary hyperparathyroidism (0.4%) and Conn’s adenoma (0.1%). Combination of ≥3 antihypertensive drugs was necessary in 71.5% of cases and surgical treatment was performed in three patients. Blood pressure was normalized in only 27.7% of patients. Conclusion: Secondary causes are frequent in our young patients with HBP. In the majority of patients complete clinical examination and minimal laboratory investigations recommended by World Health Organisation can give an aetiological orientation that needs further radiological and hormonal explorations.
Structural Evolution of a Precambrian Segment: Example of the Paleoproterozoic Formations of the Mako Belt (Eastern Senegal, West Africa)  [PDF]
Mahamadane Diene, Mamadou Gueye, Dinna Pathé Diallo, Abdoulaye Dia
International Journal of Geosciences (IJG) , 2012, DOI: 10.4236/ijg.2012.31017
Abstract: The western part of the Kedougou Kenieba Inlier is located in the West African Craton. It consists of paleoproterozoic NE-trending elongate belts (subprovinces) of metavolcanic and granitic rocks that alternate with metasedimentary belts. Major linear fault such as the MTZ which also approximate a north-easterly trend form the eastern boundaries. The field observations and geophysics analyses were completed by a microscopic study. Based on these data we define across this region four lithostructural domains from east to west. The western domain is structurally complex. The rocks of this domain have been subjected to a complex history of polyphase deformation and metamorphism. The structural analyse allow us to distinguished three deformation events. The deformation results in the formation of D1 thrust tectonic and D2 and D3 transcurrent tectonic. The structural evolution of the Mako Belt is characterized by deformation dominated by the intrusion of large TTG batholiths (D1) followed by basins formation and transpression accommodating oblique convergence and collision (D2 and D3). The change from thrusting (D1 deformation to transcurrent motion (D2 and D3) is recorded in the marginal basin of the central domain and in Tinkoto pull apart basin. The timing of these basins indicates a diachronous evolution. Deformation styles within the basin are compatible with a dextral transpression which terminated at ca 2090 Ma. Small extensional basins formed over the rocks of the Mako Belt are filled with continental detrital sedimentary rocks that show weak foliation and active felsic volcanism. We suggest that the sinistral transpressive tectonic associated with oblique subduction may have generated the pull-apart basin and subaqueous volcanism. In part these features are now related to terrain accretion, thrusting and strike slip movement during oblique convergence. The inversion of the large scale structural evolution from thrusting to strike slip is common to modern orogenies.
Effects of Preparation’s Parameters on Stabilization of Sabodala Gold Mine Tailings: Comparison of Fresh and Weathered Materials  [PDF]
Ibrahima Dia, CheikhIbrahima Faye, Dame Keinde, Mababa Diagne, Mamadou Gueye
Journal of Geoscience and Environment Protection (GEP) , 2017, DOI: 10.4236/gep.2017.59003
Abstract: The Sabodala gold mine tailings were stabilised using geopolymerization technics in order to improve their mechanical properties in general for a reuse as building materials for local communities. The effect of several preparation parameters on the compressive and tensile strength of the stabilised tailings has been studied to define their optimums. For each formulation, all parameters are kept constant and only one is variable. The prepared samples are then tested for compressive and tensile strength to see how the variable parameter impact on these properties. The same work was carried out for the fresh tailings and for the weathered one to see whether they behave differently and if they need different treatment. The results show that for most of parameters, there is an optimal value on either side of which compressive and tensile strength decrease. Except for few parameters, the fresh and the weathered tailings have a similar behaviour with regards to trends of their mechanical properties with changing preparation conditions. In addition to the similarity of weathered and fresh tailings mechanical characteristics following their stabilization by geopolymerization, this work has proved the considerable effects of the preparation’s parameters.
Efficacy and Risk Factors Associated to Resistance to Single-Agent Chemotherapy in Low-Risk Gestational Trophoblastic Neoplasia  [PDF]
Mamour Gueye, Mame Diarra Ndiaye-Gueye, Serigne Modou Kane-Gueye, Fatou Niass Dia, Aissatou Thiam, Sr. Elisabeth Diouf, Jean Charles Moreau
Open Journal of Obstetrics and Gynecology (OJOG) , 2016, DOI: 10.4236/ojog.2016.61006
Abstract: Objectives: This study aimed to assess efficacy of intramuscular methotrexate 8-day protocol in the treatment of low-risk gestational trophoblastic neoplasia and also identify prognostic factors associated with treatment failure, necessitating second line chemotherapy. Methods: This study was performed at Gynaecologic and Obstetric Clinic of Dakar Teaching Hospital, the reference Centre of Gestational Trophoblastic Disease in Senegal. At the beginning of 2011, patients were followed according to FIGO’s recommendations. From 2011 to 2014, we diagnosed 88 low-risk gestational trophoblastic neoplasia (GTN) patients (WHO score < 7). Low-risk patients started their treatment with methotrexate (MTX) based on the 8-day protocol consisting of 1 mg/kg MTX in combination with 0.1 mg/kg folinic acid (FA) every other day. Resistance to treatment was the main outcome. We studied the association of different prognostic factors included in the World Health Organisation (WHO) scoring system and resistance to the initial single agent chemotherapy. Results: Eighty-eight patients were diagnosed for GTN during the study period. Average age was 31 years. The antecedent pregnancy was molar in 98.1% of cases. Seventy-four patients underwent remission after single agent-chemotherapy. Resistance rate to single-agent chemotherapy was 15.9% (14 patients). Nine of them achieved remission after second line chemotherapy. WHO score was significantly associated with the risk of resistance to single-agent chemotherapy. Other variables included in the WHO as age, antecedent pregnancy, pre-treatment hCG, tumour size and FIGO stage were not significantly associated with resistance. We report five fatal cases. Conclusion: The 8-day protocol consisting of 1 mg/kg MTX in combination with 0.1 mg/kg folinic acid (FA) every other day is effective for women with LRGTN. The only significant prognostic factor for failure is pretreatment WHO score. We highly recommend the use of this protocol particularly in developing countries where methotrexate is available, affordable and relatively safe.
A Cross-Sectional Survey on Non-Communicable Diseases and Risk Factors in the Senegalese Army  [PDF]
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
Health (Health) , 2016, DOI: 10.4236/health.2016.814151
Abstract: 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.
Family Planning Knowledge and Practices among Reproductive Age Women in Widou Thiengoly, Louga Region, Senegal  [PDF]
Abdoul Aziz Ndiaye, Niang Aminata, Tall Alioune Badara, Diop-BA Awa, Ngom-Gueye Ndeye Fatou, Dia Mountaga, Bop Martial Coly, Gaye Awa, Gueye Lamine, Tal-Dia Anta
Advances in Reproductive Sciences (ARSci) , 2018, DOI: 10.4236/arsci.2018.61001
Abstract: Family planning is an effective intervention to improve the health of the mother, newborn and child. It was introduced in Senegal in the 1960s. Significant disparities were noted between urban and rural areas. This research aimed at measuring family planning methods knowledge and practices among reproductive age women (RAW) in the village of Widou Thiengoly, Louga region, Senegal. A descriptive and analytical cross-sectional study was carried out from 12 to 20 August 2016 and involved 150 RAW with an average age of 29.34 years. They were mostly married (98%), with a fertility rate of 3.22 children/woman. 67.3% of RAW knew at least one FP method and the contraceptive prevalence was 40.7%. Birth spacing is the main reason or utilization for more than half of users, while for non-users, more than half were ignorant of FP. Knowledge and practices of contraception were not related to the age of WCA, or the number of children. Fears or experiences of side effects were barriers to initiation and continuous use of FP methods, hence the importance of focusing awareness campaigns on alleviating fears about side effects.
Isolated Superior Mesenteric Vein Thrombosis in Acute Pancreatitis: A Case Report  [PDF]
Alpha Oumar Toure, Ousmane Ka, Ibrahima Ka, Mamadou Seck, Ousmane Thiam, Mohamadou Lamine Gueye, Ibrahima Konate, Mamadou Cisse, Madieng Dieng, Abdarahmane Dia, Cheikh Tidiane Toure
Case Reports in Clinical Medicine (CRCM) , 2015, DOI: 10.4236/crcm.2015.47049
Abstract:
The most common vascular complication of acute pancreatitis is thrombosis of the splenic vein. Isolated thrombosis of the superior mesenteric vein is rare and may lead to mesenteric ischemia and bowel infarction. We report the case of a 39 years old patient received for acute pancreatitis with a Ranson score less than 3 and image scanner for a grade C of Balthazar and a superior mesenteric vein thrombosis. The outcome was favorable with improvement of symptoms under medical treatment including anti-coagulant therapy. The contrast enhancing abdominal CT showed an absence of superior mesenteric thrombosis.
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