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Search Results: 1 - 10 of 274 matches for " Khodia Fall "
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Renal Cortical Necrosis: An Unusual Complication of Plasmodium malariae Malaria  [PDF]
Ahmed Tall Lemrabott, Mouhamadou Moustapha Cissé, Sidy Mohamed Seck, Elhadji Fary Ka, Maria Faye, Aliou Ndongo, Cherif Dial, Younoussa Keita, Khodia Fall, Abdou Niang, Boucar Diouf
Open Journal of Nephrology (OJNeph) , 2015, DOI: 10.4236/ojneph.2015.54015
Abstract: Renal cortical necrosis (RCN) is anecdotal in malaria. To our knowledge, RCN secondary to Plasmodium malariae has not yet been published. We report a case of severe malaria complicated by RCN. A 29 year old Senegalese patient was transferred to our department for anuria in a context of severe malaria. The diagnosis was RCN secondary to a severe Plasmodium malariae malaria. Physical examination showed anuria, anaemic syndrome, haemorrhagic syndrome and a generally impaired condition. There was a normocytic normochromic anaemia aplastic, thrombocytopenia leukocytosis of 11.580/mm3, serum creatinine of 12.45 mg/dl and blood urea of 252 mg/dl. The Plasmodium malariae had been shown to thick blood film with high parasite density. The molecular study was able to confirm the infestation of this parasite. Treatment consisted of four haemodialysis sessions and antimalarial molecules. Initial evolution was favourable with a recovery through diuresis and a partial improvement in renal function. Given the persistence of impaired renal function, a renal biopsy was performed. This confirmed the RCN. At last consultation, he had no symptoms and his last glomerular filtration rate (GFR) was 30 mL/min/1.73 m2.
Renal Disease among HIV Positive Patients in Senegal  [PDF]
Khodia Fall, Mouhamadou Moustapha Cissé, Ahmed Tall Lemrabott, Maria Faye, Mouhamed Cherif Dial, Atoumane Faye, Seynabou Fall, Moustapha Faye, Alex Keita, Mansour Mbengue, Seynabou Diagne, Niakhaleen Keita, Bacary Ba, Abdou Niang, Boucar Diouf, El Hadji Fary Ka
Open Journal of Nephrology (OJNeph) , 2017, DOI: 10.4236/ojneph.2017.74012
Abstract: Introduction: Renal disease (RD) in human immunodeficiency virus (HIV) infection is a decisive turning point in the development and prognosis of this disease. In Africa, the prevalence varies between 2.5% and 48.6%. In Senegal, little data are available in the literature. The objective of our study was to describe the epidemiological, clinical, paraclinical, therapeutic and progressional aspects in patients living with HIV (PLWHIV). Patients and methods: This was a retrospective, descriptive and analytical study carried out over a 10-year period in the Department of Internal Medicine and Nephrology at the Aristide Le Dantec Hospital in Dakar, Senegal. We included all 15-year old and above PLHIV with available CD4 count and viral load. Results: Out of 248 PLHIV, 32 had kidney disease (KD), which means a hospital prevalence of 12.9%. The mean age was 51.22 ± 10 years (extremes of 36 and 77 years) with a sex ratio (male/female) of 1.28. Renal signs were dominated by glomerular nephropathy syndrome. It was present at 80%. Tubulo-interstitial nephropathy syndrome and chronic uremic syndrome accounted for 6.25% and 3.1% of cases, respectively. Renal function Impairment was present in 21 patients with 18 cases of acute kidney injury (85.7%) and 3 cases of chronic renal failure (14.3%), including 2 in stage 5 of chronic kidney disease. Renal biopsy (RB) was indicated and performed in 20 (62.5%) patients with glomerular signs in 12 patients (60%). Glomerular lesions were dominated by focal and segmental glomerulosclerosis (FSGS) in 6 cases, membraneous nephropathy (MN) in 4 cases and minimal change disease (MCD) in 2 cases. Tubulo-interstitial and vascular lesions were present in 45% and 12.5% of cases, respectively. In highly active antiretroviral therapy (HAART), 12 (37.5%) patients had total remission, 9 (28.12%) had partial remission. One (3.12%) death from severe metabolic acidosis on chronic renal failure was deplored. Conclusion: This study illustrates the high prevalence of RD in PLHIV in our exercise context.
Quality of Life of Chronic Haemodialytic Patients at Cotonou Teaching Hospital (BENIN)  [PDF]
Elhadji Fary Ka, Jacques Vigan, Ahmed Tall Lemrabott, Noriace Excelle Zohoun, Mohamedou Moustapha Cissé, Séraphin Ahoui, Maria Faye, Younoussa Keita, Khodia Fall, Bruno Léopold Agboton, Abdou Niang, Boucar Diouf
Open Journal of Nephrology (OJNeph) , 2014, DOI: 10.4236/ojneph.2014.44019
Introduction: The objectives of this work were to assess haemodialytic patients’ quality of life (QoL) and to identify factors affecting this QoL. Patients and Methods: It was a three (03) month monocentric and transversal study (from October 24, 2011 to January 27, 2012) conducted in the haemodialysis unit at Hubert Koutoukou Maga Teaching Hospital (CNHU-HKM) in Cotonou. Patients included were residents of Benin, aged 18 years and above, chronic haemodialysis in this unit for over 3 months, and willfully gave their consent. Quality of life was evaluated using questionnaire on Kidney Disease Quality of Life Short-Form French version 1.2 (KDQoL-SF 36). Epidemiological data, nephropathy etiologies and purification parametres were recorded in patients files. Data statistical analysis was performed using SPSS software 11.5. Results: In total 131 patients were involved in the study. The average age was 50.27 ± 12.17 years with a sex ratio of 1.69. Nephroangiosclerosis was the 1st cause. Most patients 128 (97.71 %) received two haemodialysis sessions on weekly basis. The Average Overall Score (AOS) based respectively on SF 36 and KDQoL was 48.55 and 58.55. The average of both SF 36 and KDQoL AOS was 53.55. Factors affecting hemodialytic patients quality of life were vitality, limitations related to mental health and physical condition, burden of kidney disease, effect of the disease on daily life and occupational status. The study revealed that: Patients education level was correlated with vitality (p < 0.017); The number of haemodialyses sessions was correlated with the consequences of kidney disease on daily life (p < 0.025). Conclusion: It is necessary to streng-then the staff by providing a psychologist and a dietician and also build new haemodialysis centres.
Idiopathic Adult Nephrotic Syndrome: A Clinicopathological Study and Response to Steroid in a Sub-Saharan African Country  [PDF]
Maria Faye, Ahmed Tall Lemrabott, Mouhamadou Moustapha Cisse, Jean De Dieu Nzambaza, Cherif Mouhamed Dia, Sidy Mohamed Seck, Khodia Fall, Moustapha Faye, Elhadji Fary Ka, Abdou Niang, Boucar Diouf
Open Journal of Nephrology (OJNeph) , 2016, DOI: 10.4236/ojneph.2016.62008
Abstract: Introduction: Idiopathic nephrotic syndrome represents 25% to 30% of glomerulonephritis in adults. These glomerulonephritides are responsible of about the half of chronic kidney failure examined as well in United States as in Europe or Africa. The aim of this study was to determine the anatomoclinic, therapeutic and progression patterns of idiopathic nephritic syndrome in Dakar. Patients and Methods: It is a retrospective ten-year study in the nephrology department of Aristide Le Dantec Hospital. Patients with idiopathic nephrotic syndrome were included. We analyzed anatomoclinic, therapeutic and progression data of idiopathic nephrotic syndrome. Results: On 202 patients with nephrotic syndrome, 156 (77%) were primitive. The mean age was 29.7 ± 12 years with a sex ratio of 2.4. Edema was found in 98 patients (62.8%) and hypertension in 63 patients (40%). The mean proteinuria was 6.8 ± 4.8 g/24h. Histologic lesions found at renal biopsy were focal segmental glomerulosclerosis in 71 patients (45.5%), minimal change disease in 68 patients (43.5%) and membranous nephropathy in 8 patients (5%). 134 patients (85.8%) received steroids alone, 12 patients (7.6%) received cyclophosphamide and 4 patients (2.5%) azathioprine in association with steroids. 44 patients (28.2%) reached remission. The factors of poor prognosis were: age, above 40 years, proteinuria above 10 g/24h, existence of renal failure at admission, absence of use of steroids therapy. Conclusion: This study shows that idiopathic nephrotic syndrome is frequent in our country with a prevalence of 77%. The most common lesion found at the renal biopsy is the focal segmental glomerulosclerosis. Remission is found only in 28% which is very low. 33% of patients progress towards chronic kidney disease due to the lack of early diagnosis and the use of traditional medicine.
Intradialytic Hypertension: Prevalence and Associated Factors in Chronic Hemodialysis Patients in Senegal  [PDF]
Faye Moustapha, Lemrabott Ahmed Tall, Kane Yaya, Cisse Mouhamadou Moustapha, Seck Sidy Mohamed, Faye Maria, Daher Abdoul Karim Omar, Fall Khodia, Sakho Binta, Keita Rick Alex Ismael, Mbengue Mansour, Niang Abdou, Diouf Boucar, Ka Elhadji Fary
Open Journal of Nephrology (OJNeph) , 2018, DOI: 10.4236/ojneph.2018.82004
Abstract: Introduction: Intradialytic hypertension is defined as elevation of blood pressure to more than 10 mmHg in the post-dialysis period as compared to the pre-dialysis one. It is an important factor of morbidity and mortality in hemodialysis patients. The aim of our study is to assess the prevalence and associated factors of intradialytic hypertension. Patients and methods: This is a descriptive and analytical cross-sectional study that was conducted over a period of 3 weeks in the hemodialysis units of Aristide Le Dantec Hospital in Dakar and Regional Hospital Center in Ziguinchor. Chronic he-modialysis patients who are at least 18 years old and agreed to participate in study have been included. Patients who did not have 4 measures or those who decided to withdraw from the study were excluded. Intradialytic hypertension was restrained by an increase in systolic blood pressure immediately after the hemodialysis session > 10 mmHg compared to that recorded before session, with a repetition of this phenomenon for at least 4 hemodialysis sessions. Results: Our study included 539 hemodialysis sessions for 93 hemodialysis patients with a mean age of 48.72 ± 14.06 years and a sex ratio (M/F) of 1.21. The mean duration of dialysis was 64.22 ± 45.63 months. Hypertensive nephropathy was significantly common, noted in 38.7% (36 patients). Mean inter dialytic weight gain was 2.04 ± 1.06 kg, and the average dry weight was 62.71 ± 13.69 kg. The average hemoglobin level was 9.27 ± 1.91 g/dl. The mean albumin level was 35.4 ± 7.48 g/l. Nineteen (19) patients were administered erythropoietin stimulating agents (20.4%), and 59 patients were given antihypertensive drugs (63.4%). An elevation of more than 10 mmHg of post-dialysis BP compared to pre-dialysis was noted in 179 sessions, which is 33.2 per 100 hemodialysis sessions. IDH was noted in 21 patients, which represents 22.6%. The factors associated with IDH were as follows: high post-dialysis pulse pressure (PP) (p = 0.0008), pre-dialysis systolic-diastolic hypertension (p = 0.004), pre-dialysis pure systolic hypertension (p = 0.01), post-dialysis hypertension (p = 0.02), and hypoalbuminemia (p = 0.049). Conclusion: Although recognized for many years, the intradialytic hypertension is often neglected. However, it is common in our cohort of chronic hemodialysis with several associated factors. Its management is essential and will necessarily pass through adequate management of the blood volume.
Accidental Migration of a Guide Wire during Femoral Venous Catheterization for Hemodialysis: A Case Report  [PDF]
Faye Moustapha, Cisse Mouhamadou Moustapha, Faye Maria, Daher Abdoul Karim Omar, Lemrabott Ahmed Tall, Fall Khodia, Sakho Binta, Keita Alex, Mbengue Mansour, Niang Abdou, Diouf Boucar, Ka Elhadji Fary
Open Journal of Nephrology (OJNeph) , 2018, DOI: 10.4236/ojneph.2018.82005
Abstract: Femoral venous catheterization is the most used technic in emergency he-modialysis. Some uncommon mechanical complications can occur during a catheterization. We report the case of an accidental migration of a guide wire during the placement of a hemodialysis femoral catheter. The case of a patient admitted in the nephrology department at Aristide Le Dantec University Hospital for malignant hypertension was investigated. Emergency hemodialysis was indicated. Surgical extraction of the metal guide has been performed and the outcome was favorable.
Prognostic Aspects of Lupus Nephritis at Aristide Le Dantec University Hospital in Dakar  [PDF]
Mbengue Mansour, Faye Maria, Cissé Mouhamadou Moustapha, Lemrabott Tall Ahmed, Fall Khodia, Keita Alex, Faye Moustapha, Ba Bakary, Diagne Seynabou, Keita Niakhaleen, Ba Mamadou Aw, Dieng Ameth, Motula Latou Lot, Niang Abdou, Diouf Boucar, Ka El Hadji Fary
Open Journal of Nephrology (OJNeph) , 2018, DOI: 10.4236/ojneph.2018.84014
Abstract: Introduction: Kidney injury is common in the course of lupus and affects the functional and vital prognosis. The risk of progression to end-stage renal failure can reach 40% to 60%. Thus we carried out this work for the purpose of an evaluation of the renal and vital prognosis and to deduce the factors of poor prognosis. Patients and method: This was a retrospective, descriptive and analytical study conducted over a period of 10 years from January 1, 2007 to December 31, 2016, performed in the Nephrology Department of Aristide Le Dantec Hospital in Dakar. Patients with lupus nephritis were included. The studied parameters were epidemiological, clinical, paraclinical and progression. We had done a crossover of the patients to look for the factors of poor renal and vital prognosis. Results: Out of 93 cases of lupus patients, 64 were included, a prevalence of 69%. The mean age of the patients was 31.97 ± 10.44 years old. There were 81% women and 19% men, a sex ratio of 0.23. Class III was found in 24 cases (37.5%), Class IV in 20 cases (31.25%), Class V in 15 cases (23.4%), Class II in 4 cases (6.25%) and Class I in 1 case (1.6%). The combination of corticosteroids and immunosuppressants was used in 56.25% of cases. After a follow-up of six months, 19 patients were in complete remission, 21 had resistance and 9 had partial remission. Of the 21 patients who had resistance, 8 were in chronic renal failure. Death was observed in 5 patients and the causes were in 3 patients: pulmonary embolism, bacterial meningitis and pulmonary tuberculosis. The cause of death was unknown in 2 patients. The factors of poor renal prognosis were lymphopenia, the presence of anti-native DNA antibodies, nephrotic syndrome, microscopic hematuria, tubular atrophy and interstitial fibrosis. Risk factors affecting renal survival were the presence of native anti-DNA antibodies, microscopic hematuria, leukocyturia and the presence of a proliferative class. The factors of poor prognosis were renal failure, lymphopenia, nephrotic syndrome, glomerular sclerosis, arteriosclerosis, interstitial infiltration and tubular atrophy. Conclusion: The risk conferred by nephropathy is greater for proliferative glomerulonephritis; it is also correlated with the presence of persistent nephrotic syndrome or severe renal failure.
Multiple Myeloma Secondary to HIV Infection, Revealed by Renal Failure: About a Case  [PDF]
Mbengue Mansour, Cissé Mouhamadou Moustapha, Faye Maria, Lemrabott Tall Ahmed, Fall Khodia, Keita Alex, Faye Moustapha, Ba Bakary, Diagne Seynabou, Keita Niakhaleen, Ba Mamadou Aw, Dieng Ameth, Niang Abdou, Ka El Hadji Fary, Diouf Boucar
Open Journal of Nephrology (OJNeph) , 2019, DOI: 10.4236/ojneph.2019.91002
Abstract: Multiple myeloma is on the list of neoplasia that may be associated with human immunodeficiency virus infection. It is an affection that aggravates the prognosis in these particular patients. We present the case of a patient with multiple myeloma and HIV infection, revealed by renal failure. This was a 59-year-old patient who was received to the Department of nephrology for renal failure associated with severe aregenerative pancytopenia. In etiological investigations, multiple myeloma associated with HIV1 infection was found. The evolution was unfavorable, marked by the death of the patient caused by digestive haemorrhage before the start of antiretroviral treatment and chemotherapy.
Satisfaction of Health Care Users with the Quality of Health Care Services in Senegal: A Multi-Level Approach  [PDF]
Ndiack Fall
Modern Economy (ME) , 2017, DOI: 10.4236/me.2017.89079
Abstract: This paper analyzes the satisfaction of health care users with the quality of health care in the different types of health facilities in Senegal. The data used come from a survey of the Senegalese health system. In this framework, the multi-level approach with three levels of aggregation was used: patients (level 1), health facilities (level 2) and 14 administrative regions (level 3). The estimation results indicate a diversity, on the one hand, between regions, and on the other hand between health facilities. In addition, the individual characteristics of the patients have diverse effects across the levels of aggregation: the significance of most of them differs with respect to the context (e.g., gender, education level, age, smoking status and ownership of health insurance). While the waiting time and the applied rate effects differ slightly in terms of significance, the former influences negatively the satisfaction when waiting time is less than the duration of an appointment of the following day, whereas the level of satisfaction increases with the rate applied on health care.
Michel Foucault and Francophone geography.
Juliet Fall
EspacesTemps.net , 2005,
Abstract: L’enthousiasme pour la pensée et les écrits de Michel Foucault parmi les géographes anglophones s’oppose au manque certain d’enthousiasme, voir de déni total, parmi leurs collègues francophones. Alors que Foucault est cité très largement dans la littérature contemporaine anglophone au sein des sciences sociales, il demeure marginal pour la grande majorité des géographes travaillant et publiant en fran ais. Malgré l’entrevue de Foucault publiée dans la revue Hérodote en 1976 qui paraissait jeter un pont entre les disciplines, les géographes francophones ont peu lu et peu utilisé ses propositions pour les sciences sociales et politiques. De plus, comme les approches politiques en géographie ont eu relativement peu d’écho pour de multiples raisons, les rares travaux existants comme le livre Espace et pouvoir (1978) de Paul Claval ou La géographie a sert, d’abord, à faire la guerre (1976) de Yves Lacoste ne sont pas influencés par les apports de Foucault. Cet article se propose de faire état de la situation par une revue et un examen de la littérature existante, complétée par des entretiens de géographes contemporains. Les uvres choisies reflètent les rares utilisations explicites de Foucault par des géographes francophones. L’accent est mis plus particulièrement sur Pour une géographie du pouvoir , écrit en 1980 par Claude Raffestin, ainsi que sur ses articles plus tardifs sur le territoire et la territorialité. L’analyse propose que cet essai d’adapter un certain nombre des propositions de Foucault au contexte de la géographie a été écarté et ignoré, malgré son grand intérêt, pour un certain nombre de raisons institutionnelles, conceptuelles et personnelles. Suivant la piste de Foucault dans une approche tant épistémologique que sociologique, l’article examine d’autres apports de géographes fréquentant des lieux éloignés des luttes de pouvoir du monde académique fran ais, explorant brièvement le travail de géographes québécois et suisses, fruits d’une nouvelle génération de penseurs francophones. L’auteure propose que de telles approches du politique méritent un public et un débat plus larges, spécifiquement en ce qu’ils sont différents des approches foucaldiennes anglophones qui sombrent souvent dans un moule homogène et totalisant. The enthusiasm for Michel Foucault among Anglo geographers is in stark contrast to the surprising lack of interest among their Francophone counterparts. Despite the seminal interview of 1976 published in Hérodote that appeared to build a bridge between disciplines, Francophone geographers have rarely read and used his work.
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