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Search Results: 1 - 10 of 166 matches for " Senegal "
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The Scalp Involvements in the Connective Tissue Diseases  [PDF]
Niang Suzanne Oumou, Coumé Mamadou, Ndiaye Maodo, Diop Assane, Diatta Boubacar Ahy, Diallo Moussa, Dieng Mame Thierno, Kane Assane
Journal of Cosmetics, Dermatological Sciences and Applications (JCDSA) , 2011, DOI: 10.4236/jcdsa.2011.13014
Abstract: Background: The involvements of the scalp over the connective tissue diseases (lupus, sclerodermia and dermatomyositis) are often the present complaint due to the disfigurement they cause. The aim of our study was to identify the various involvements of the scalp over the connective tissue diseases. Method: We conducted a descriptive study over a period of seven months of every instance of involvement of the scalp and hair during connective tissue diseases received in the department. A tensile test, a Trichogram and mycological sampling were performed. Results: 25/35 involvements of the scalp were noted (71.42%); all of them were female and the mean age was 32 years. It was a lupus in 17 cases, sclerodermia in 6 cases, dermatomyositis and a sclerodermatomyositis. They were the present complaint in 48% of cases within 3 years and preceding the other lesions in 32% of cases. We noted fragile and dry hair in 10 cases, straightened hair in 8 cases and hypochromic spots fleck in 5 cases. Conclusion: Connective tissue diseases cause severe injuries and often reveal a risk of permanent cicaticial alopecia and fungal superinfection. The cicatricial alopecia and straightened hair are secondary to immune disorders.
Hypertension and periodontal status in Senegalese patients: A case-control study  [PDF]
Mohamed Leye, Massamba Diouf, William Stéve Térence Madozein, Modou Jobe, El Hadj Mbacke Sarr, Simon Joel Manga, Arame Diagne Diallo, Ibrahima Bara Diop
Open Journal of Epidemiology (OJEpi) , 2014, DOI: 10.4236/ojepi.2014.41005
Abstract: Introduction: Hypertension is a public health concern worldwide due to its known consequences. The literature has shown a close relationship between periodontal disease and systemic diseases, especially hypertension. The objective of this study was to determine the periodontal risk factors involved in the occurrence or severity of hypertension in a population of patients attending the cardiology department of Fann University Hospital located in an urban Dakar region. Methodology: This was a case-control study involving 246 patients of whom 123 were hypertensive patients (cases) and 123 non-hypertensive patients (controls). The data collected include sociodemographic characteristics, lifestyle, risk factors, and data on hypertension and on periodontal disease: plaque index, papillary bleeding index, clinical attachment loss, pocket depth and community periodontal index and treatment needs (CPITN). Data in univariate analysis were expressed as proportions and averages and odd ratios with their confidence intervals. Results: The average age in the cases group was 58 ± 11.4 years and 34.5 ± 14.2 years in the control group. The body mass index (BMI) averaged 27.1 ± 6 kg/m2 and 23.2 ± 4.6 kg/m2 respectively in cases and controls. Hypertensive patients had on average more severe periodontal characteristics than non-hypertensives (PAC of 2.8 ± 1859 versus 0.8 ± 1.325) (CPITN 2.5 ± 0.998 versus 1.2 ± 1.074) and the risk of developing hypertension adjusted for age, physical inactivity, heredity and other parameters was twice more when the patient had periodontitis. Conclusion: It is necessary to have a more integrated approach in the management of hypertension, which should take into account oro-dental factors.
Rheumatoid Arthritis of Man: A Study of 35 Cases in a Senegalese Hospital  [PDF]
Souhaibou Ndongo, Abdoulaye Pouye, Lionel Ouedraogo, Emeric Azankpan, Ngoné Diack, Thérèse Moreira Diop
Open Journal of Internal Medicine (OJIM) , 2014, DOI: 10.4236/ojim.2014.44021
Abstract: Background: Rheumatoid arthritis is predominant in women. In men certain clinical signs can delay diagnosis. Methods: A cross-section study of the epidemio-clinical and immunobiological features of rheumatoid arthritis in a male, black African population was carried out at the Aristide Le Dantec, University hospital of Dakar. Results: we studied 35 male subjects with rheumatoid arthritis. Their mean age was 42 years and the average time between the onset of symptoms to diagnosis was 44 months. In 70% of these patients, at least one joint deformation was present, most frequently an ulnar deviation of the fingers (34.3%). Extra-articular symptoms were dominated by dry eye syndrome (34%) and anemia (17%). Anemia was significantly less frequent in men than in women. The erythrocyte sedimentation rate was accelerated in 51.4% and C reactive proteins were increased in 92% of patients. The rheumatoid factor was positive in all patients and the anticyclic Citrullinated Peptide (CCP) antibody was positive in 80% of cases. Conclusion: Male rheumatoid arthritis, relatively less studied, was associated with strongly positive immunological markers and a high rate of joint disorders.
Current Symptoms of Depression at the National Psychiatric Hospital of Thiaroye  [PDF]
Ndiaye-Ndongo Ndèye Dialé, Sylla Aida, Bague Boubacar, Fall Lamine, Thiam Mamadou Habib
Psychology (PSYCH) , 2015, DOI: 10.4236/psych.2015.66074
Abstract: Depression is a complex disorder which requires a degree of subtle knowledge of its various clinical expressions in order to be able to provide treatment at an early stage. In light of changes in families and patients, the authors engaged in a psychiatric study of current symptoms of depression. A retrospective study was carried out at the National Psychiatric Hospital of Thiaroye in Senegal from January 1st to December 31st of 2011. It related to the clinical observation of outpatients who had been diagnosed with depression. We found that insomnia occurred most frequently (73.9%), followed by somatic complaints (34.3%). Hallucinations and cenesthopathies occurred in 14.0% and 12.6% of cases, which was much less frequent than what had been observed previously. Symptoms such as delirious ideas are no longer the most common aspect of depression. Suicidal thoughts were found to be more frequent than in prior studies, although the tendency to act on these thoughts was still less than before. Thus, societal changes have had an impact on the expression of depressive disorders, and mental health experts should take heed of this.
Immunological Status to Hepatitis B Virus of Pregnant Women in Dakar, Senegal  [PDF]
Maguette Sylla Niang, Khadidiatou Sarr Fall, Babacar Mbengue, Moustapha Mbow, Ndiokhor Nd. Diouf, Ousseynou Boye, Gora Lo, Papa Madieye Guèye, Rena Derwiche, Amina Sow Sall, Tandakha Ndiaye Dieye, Alioune Dieye
Open Journal of Immunology (OJI) , 2017, DOI: 10.4236/oji.2017.72003
Abstract: Objective: Evaluate the immunological status to hepatitis B virus of Senegalese pregnant women by screening HBs antigen. Material and methods: The selection criteria of women were presence at the laboratory for biological exams of pregnancy follow-up. All volunteers for the study were screened for HBs antigen (HBs Ag). Investigation of chronic hepatitis B markers (HBe Ag, anti-HBe, viral quantification) was performed in HBs Ag positive participants. The concentration of anti-HBs antibodies was assessed in HBs Ag negative women. Results: One hundred and fifteen (115) pregnant women were included in the study from July to October 2014. The mean age was 29 ± 6 years, ranging from 16 to 47. The seroprevalence of HBs Ag was 12% and the majority of women (90%) were not vaccinated. Any of the 14 HBs Ag-positive subjects did not express serum HBe Ag, (marker of active viral replication) and all were positive for anti-HBe antibodies. Their viral load (HBV DNA) was undetectable and serum transaminases were normal. The anti-HBs antibodies titrated in HBs-Ag negative women serum revealed that only 46 had protective levels against HBV whilst 55 of them were unprotected.
Morbi Infectious Mortality of Diabetics Hospitalized at the Medical Clinic of Abass Ndao Health Center  [PDF]
Djiby Sow, Demba Diédhiou, Ibrahima Mané Diallo, Michel Assane Ndour, Mahecor Diouf, Marie Ka-Cissé, Anna Sarr, Maimouna Ndour-Mbaye
Open Journal of Endocrine and Metabolic Diseases (OJEMD) , 2018, DOI: 10.4236/ojemd.2018.81001
Abstract: Introduction: Diabetes is a public health problem and is exposed to some complications, particularly infectious. The work on this entity remains segmentary in Africa. The objective was to describe the morbi infectious mortality of the diabetics at the Medical Clinic II of Abass Ndao Health Center of Dakar. Patients and Methods: This was a cross-sectional, descriptive and analytical study conducted from 01 January 2016 to 31 December 2016. It covered patients with diabetes hospitalized during the study period. Epidemiological data and infectious diseases were evaluated. Results: During the study period, 346 diabetics have respected the inclusion criteria. These were 165 men (47.68%), a sex ratio of 0.91. The mean age was 56.17 years. The age group of [60 - 69 years] accounted for 31.5% and 95.6% of the patients came from the Dakar region. The average age of diabetes was 10.31. Diabetes had been evolving for less than 5 years in 25.15% of patients and inaugural in 11.46%. About 82.36% of our patients had type 2 diabetes. The acute complications of diabetes were ketoacidosis (51.89%), hyperosmolar hyperglycemia (0.58%), and hypoglycemia (1.45%). The mean infections were the skin and soft tissues (54.91%), urogenital infections (16.18%), respiratory infections (14.45%), malaria (3.46), infections of the skin and soft tissues were dominated by the diabetic foot (41.90%). The 125 non-diabetic patients developed 38 infectious pathologies, the main ones being respiratory infections (24.32%), infections of the skin and soft parts (24.32%). HIV infection was observed in 0.28% of diabetics and 8.10% of non-diabetic patients. 93 patients died (15.70%). Fifty-one of them died of infectious diseases (54.8%), 42 non-infectious diseases (45.16%), and subjects aged over 60 years, representing 72.54%. The means of consultation was 30 days. The highest rates of lethality were diabetes (37.41%), acute gastroenteritis (17.64%), and acute pyelonephritis (12.5%). The lethality rates of indeterminate infections and malaria were 10% and 8.33%, respectively. Conclusion: Infection is a significant complication in diabetics not neglectable to diabetes. These discovery patterns call for more early diagnosis and appropriate management to reduce the mortality of diabetics.
Enterobacterial Infections Diagnosed at the Clinic of Infectious Diseases of Fann Hospital (2013-2014) Dakar, Senegal  [PDF]
Khardiata Diallo Mbaye, Ndèye Aissatou Lakhe, Khadime Sylla, Rahmatoulahi Ndiaye, Viviane Marie Pierre Cissé Diallo, Daye Ka, Aminata Massaly, Alassane Dièye, Louise Fortes Déguénonvo, Cheikh Tacko Diop, Cheikh Tidiane Ndour, Masserigne Soumaré, Moussa Seydi
Advances in Infectious Diseases (AID) , 2018, DOI: 10.4236/aid.2018.84018
Abstract: Introduction: Entero bacteria are mainly found in the gut of man and animals. The frequent acquisition of antibiotic resistance mechanisms explains why they are the bacteria most often implicated in human infectious pathology. It is estimated to be involved in 50% of sepsis, 60% of enteritis, 70% of urinary tract infection case. Objective: To determine the prevalence of enterobacterial infections diagnosed at Fann Infectious Diseases Clinic, and describe their epidemiological, clinical, therapeutic and evolutionary aspects. Patients and Methods: This is a retrospective and descriptive study, on patients hospitalized from January 2013 to December 2014, at Fann Infectious Diseases Clinic, with bacteriological confirmation of an enterobacteria infection. Results: A total of 129 cases were collected during the study period. The average age was 41 years, and female were predominant (60%) with a sex ratio of 0.67. Comorbidity was found in 88.4% of the cases, most of which were HIV infection. The most common clinical signs were infectious syndrome (53.49%) and general impairment (40.31%). The main gateway was urinary (55.8%). Samples were monomicrobial in 76.7% of cases. Klebsiella and Escherichia were the most common and 68.7% of the subjects had probabilistic treatment. Most enterobacterial strains were resistant to third generation cephalosporins (C3G), aminoglycosides to ciprofloxacin and cotrimoxazole. Aside from 4% of them, all were sensitive to imipenem. Conclusion: The advent of antibiotics has brought hope in the treatment of enterobacterial infections. However, an increase in their resistance to the usual antibiotics has been noted in recent years. As a result, the fight against antibiotic resistance must be a priority.
Assessment of Knowledge, Attitudes and Practices Related to Contraceptive Use among Teenagers in High Schools and Colleges in Dakar, Senegal  [PDF]
Ndèye Marème Sougou, Oumar Bassoum, Ndèye Yacine Seck, Mbathio Diop, Jean Baptiste Diouf, Mamadou Makhtar Mbacké Lèye, Anta Tal-Dia
Advances in Sexual Medicine (ASM) , 2019, DOI: 10.4236/asm.2019.93003
Abstract: Introduction: In Senegal, adolescents aged 10 to 19 years represent 22.9% of the total population. The unmet need for contraception in this part of the population remains high despite the health interventions implemented to promote their sexual health. The aim of this study is to analyze the practice of modern contraception in schools in Dakar high schools in Senegal during the year 2018. Methods: A cross-sectional study was conducted in high schools and colleges in Dakar from March 1 to April 30, 2018. This study involved 452 students. This was a self-administration of the questionnaires. After univaried and bivaried analyses, a multivariate logistic analysis identified the factors associated with students’ use of modern contraception. Results: The prevalence of modern contraceptive use among students is 8.84%. Factors associated with the use of modern contraceptive methods among students were age over 18 years (AR: 4.7, 95% CI [1.02 - 22.5]), male sex (AR: 27.8, 95% CI [6.8 - 100.0]), secondary school level (AR: 10.6, 95% CI [2.1 - 53.0]), access to a youth socio-educational home (AR: 3.9, 95% CI [1.1 - 14.9]) and having a child (AR: 25.6, 95% CI [2.2 - 100.0]). Conclusion: Our results concluded that modern contraceptive needs were better met among older male students, those who had an unfortunate experience of unwanted pregnancy and those attending school’s youth socio-educational homes. This suggests shortcomings in the promotion of sexual health among younger students, particularly those in the secondary grades.
Schooling and Assets Ownership  [PDF]
Barassou Diawara
Modern Economy (ME) , 2012, DOI: 10.4236/me.2012.31018
Abstract: We use the 1994, 2001 and 2005 Senegalese households’ surveys to examine to what extent the differences in asset ownership are associated with differences in education levels. The assets are mainly classified into savings, house, car/vehicle and household furniture while the education levels considered are the primary, secondary and university education. The results of the estimations show that education can play a significant role in the holding of household durables or house comfort related assets such as refrigerator and air conditioner. Besides, the findings show that more educated individuals are more likely to have net savings. The results of the stratified samples (rural vs. urban and male vs. female) show that secondary/tertiary education and most of the assets are positively and significantly associated, implying an intensive promotion of higher education. The results suggest an increase of the level of compulsory education. The results of the present study are modest and very indicative in the sense that the lack of various financial and productive assets does not help drawing straightforward conclusions.
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.
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