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Wen QP, Qian H, Ba S, Lu MJ, Silang LDJ, Shi L. [Exploring the effects of entecavir treatment on the degree of liver fibrosis in patients with non-alcoholic fatty liver combined with chronic hepatitis B in Tibet region]. Zhonghua Gan Zang Bing Za Zhi 2022; 30:304-308. [PMID: 35462487 DOI: 10.3760/cma.j.cn501113-20200628-00347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To explore the efficacy of entecavir antiviral therapy on the degree of liver fibrosis in patients with non-alcoholic fatty liver disease (NAFLD) combined with chronic hepatitis B (CHB) in Tibet region. Methods: HBeAg-positive CHB patients who were treated with entecavir in the outpatient and inpatient Department of Infectious Diseases of the Tibet Autonomous Region people's Hospital between January 2018 to December 2019 were retrospectively analyzed. Among the 140 subjects with CHB, 95 cases were CHB alone, and the other 45 cases were diagnosed as CHB combined with NAFLD by ultrasound. All patients were given entecavir 0.5 mg orally once daily on an empty stomach for 48 weeks. HBeAg negative conversion rate, blood glucose, blood lipid, liver function and the degree of liver fibrosis were compared between the two groups at the 12th, 24th and 48th weeks of treatment to evaluate the virological response. SPSS 19.0 statistical software was used to process the data. Measurement data were expressed as mean ± standard deviation (x¯±s). Descriptive statistical analysis was used for t-test, and the categorical variables were expressed as percentage (%) and χ2 test. A p-value < 0.05 was considered as statistically significant. Results: After 48 weeks of treatment, the HBeAg and HBV DNA negative conversion rate were significantly better in patients with CHB alone (group B) than CHB combined with NAFLD (group A), that is to say, HBeAg negative conversion rate in group A and B patients were 28.90% and 40%, respectively, and group B was better than group A. HBV DNA negative conversion rate was significantly elevated in group B (83.2%) than group A (64.4%), with statistical significance (P<0.05), and the difference between the both groups was statistically significant. Alanine aminotransferase level was significantly decreased in patients with CHB alone than patients with CHB combined with NAFLD. Aspartate aminotransferase/platelet ratio index was significantly decreased after treatment than before treatment in both group of patients, and the depletion was more pronounced in CHB alone group. Liver stiffness values were significantly decreased in patients with CHB combined with NAFLD than CHB alone group. Moreover, liver stiffness values was higher in group A than group B before treatment under the influence of fat attenuation factors, and the differences before treatment and after treatment were 3.50±4.66 and 2.05±2.53, respectively; however, group B was not affected by fat attenuation factors, so LSM value reduction in group A was more obvious, and the differences were statistically significant. There was no statistically significant difference in blood glucose and blood lipids levels before and after treatment between the two groups. Conclusion: NAFLD has a certain effect on antiviral therapy and liver fibrosis in patients with CHB, i.e., the effect of antiviral therapy in patients with CHB alone is better than patients with CHB combined with NAFLD. Patients with CHB combined with NAFLD when treated with antiviral therapy had a significantly greater degree of liver stiffness reduction than patients with CHB alone. Therefore, it is necessary to actively intervene the risk factors associated with NAFLD according to the actual situation of different individuals to improve clinical efficacy of antiviral therapy.
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Affiliation(s)
- Q P Wen
- Department of Infection, People's Hospital of Tibet Autonomous Region, Lhasa 850000, China
| | - H Qian
- Department of Infection, People's Hospital of Tibet Autonomous Region, Lhasa 850000, China
| | - S Ba
- Department of Infection, People's Hospital of Tibet Autonomous Region, Lhasa 850000, China
| | - M J Lu
- Department of Infection, People's Hospital of Tibet Autonomous Region, Lhasa 850000, China
| | - L D J Silang
- Department of Infection, People's Hospital of Tibet Autonomous Region, Lhasa 850000, China
| | - L Shi
- Department of Infection, People's Hospital of Tibet Autonomous Region, Lhasa 850000, China
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Allouche E, Lachter G, Aissa MS, Ben Jemaa H, Boudiche F, Ben Ahmed H, Ouechtati W, Bezdah L, Bousnina S, Antit S, Ben Kaab B, Boussabah E, Zakhama L, Brahmi H, Ammar F, Belkhiria H, Dali A, Daassa C, Jamel A, Ben Halima N, Hamdani A, Ajra Z, Bayar MF, Gheni R, Rashikou L, Ben Hmida R, Ounissi T, Ibn Elhadj Z, Chelbi H, Fekih R, Boufares A, Thameur M, Abdelhedi M, Neji S, Boudiche F, Chetoui A, Ouechtati W, Cherif N, Mekki N, Slim M, Ouannes S, Ghardallou H, Neffati E, Kadardar F, Hachani M, Iddir S, Marzouki Y, Dardour S, Mejber W, Ben Slima H, Lassoued T, Chamtouri I, Jomaa W, Ben Hamda K, Maatouk F, Hakim K, Ben Othmen R, Msaad H, Ouarda F, Ben Gandoura A, Ben Halima A, Taktak I, Draoui Y, Yaakoubi W, Tamallah K, Chourabi C, Oussema M, Haggui A, Hajlaoui N, Fehri W, Ben Romdhane R, Tlili R, Azaiez F, Bachraoui K, Drissa M, Ben Youssef A, Fatou AW, Khadra H, Diouf MT, Ba S, Diouf D, Sarr MN, Mingou JS, Sarr SA, Dioum M, Ngaide AA, Beye SM, Manga S, Affangla DA, Diouf Y, Diop KH, Bodian M, Leye MMCB, Ndiaye MB, Mbaye A, Kane AD, Diao M, Kane A, Ben Ghorbel C, Soudani S, Gribaa R, Leye M, Ismael Ibouroi MH, Ba EHM, Affangla DA, Ba DM, Diagne Diallo A, Fall AL, Saidane S, Mzoughi K, Bouzidi H, Khannouch A, Ben Mrad I, Kamoun S, Zairi I, Kraiem S, Guesmi A, Mestiri B. ABSTRACTS CONGRÈS STCCCV 2022. Tunis Med 2022; 100:809-818. [PMID: 37551524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 08/09/2023]
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Conner RO, Dieye Y, Hainsworth M, Tall A, Cissé B, Faye F, Sy MD, Ba A, Sene D, Ba S, Doucouré E, Thiam T, Diop M, Schneider K, Cissé M, Ba M, Earle D, Guinot P, Steketee RW, Guinovart C. Mass testing and treatment for malaria followed by weekly fever screening, testing and treatment in Northern Senegal: feasibility, cost and impact. Malar J 2020; 19:252. [PMID: 32664939 PMCID: PMC7362450 DOI: 10.1186/s12936-020-03313-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2019] [Accepted: 07/04/2020] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Population-wide interventions using malaria testing and treatment might decrease the reservoir of Plasmodium falciparum infection and accelerate towards elimination. Questions remain about their effectiveness and evidence from different transmission settings is needed.
Methods
A pilot quasi-experimental study to evaluate a package of population-wide test and treat interventions was conducted in six health facility catchment areas (HFCA) in the districts of Kanel, Linguère, and Ranérou (Senegal). Seven adjacent HFCAs were selected as comparison. Villages within the intervention HFCAs were stratified according to the 2013 incidences of passively detected malaria cases, and those with an incidence ≥ 15 cases/1000/year were targeted for a mass test and treat (MTAT) in September 2014. All households were visited, all consenting individuals were tested with a rapid diagnostic test (RDT), and, if positive, treated with dihydroartemisinin-piperaquine. This was followed by weekly screening, testing and treatment of fever cases (PECADOM++) until the end of the transmission season in January 2015. Villages with lower incidence received only PECADOM++ or case investigation. To evaluate the impact of the interventions over that transmission season, the incidence of passively detected, RDT-confirmed malaria cases was compared between the intervention and comparison groups with a difference-in-difference analysis using negative binomial regression with random effects on HFCA.
Results
During MTAT, 89% (2225/2503) of households were visited and 86% (18,992/22,170) of individuals were tested, for a combined 77% effective coverage. Among those tested, 291 (1.5%) were RDT positive (range 0–10.8 by village), of whom 82% were < 20 years old and 70% were afebrile. During the PECADOM++ 40,002 visits were conducted to find 2784 individuals reporting fever, with an RDT positivity of 6.5% (170/2612). The combination of interventions resulted in an estimated 38% larger decrease in malaria case incidence in the intervention compared to the comparison group (adjusted incidence risk ratio = 0.62, 95% CI 0.45–0.84, p = 0.002). The cost of the MTAT was $14.3 per person.
Conclusions
It was operationally feasible to conduct MTAT and PECADOM++ with high coverage, although PECADOM++ was not an efficient strategy to complement MTAT. The modest impact of the intervention package suggests a need for alternative or complementary strategies.
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Conner RO, Dieye Y, Hainsworth M, Tall A, Cissé B, Faye F, Sy MD, Ba A, Sene D, Ba S, Doucouré E, Thiam T, Diop M, Schneider K, Cissé M, Ba M, Scott CA, Kumar R, Asfaw E, Earle D, Guinot P, Steketee RW, Guinovart C. Correction to: Mass testing and treatment for malaria followed by weekly fever screening, testing and treatment in Northern Senegal: feasibility, cost and impact. Malar J 2020; 19:443. [PMID: 33256751 PMCID: PMC7706200 DOI: 10.1186/s12936-020-03484-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Affiliation(s)
- Ruben O Conner
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Yakou Dieye
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Michael Hainsworth
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Adama Tall
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Badara Cissé
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Farba Faye
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Mame Demba Sy
- Programme National de Lutte contre le Paludisme (PNLP), Ministère de la Santé et l'Action Sociale, Dakar, Senegal
| | - Amadou Ba
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Doudou Sene
- Programme National de Lutte contre le Paludisme (PNLP), Ministère de la Santé et l'Action Sociale, Dakar, Senegal
| | - Souleymane Ba
- Programme National de Lutte contre le Paludisme (PNLP), Ministère de la Santé et l'Action Sociale, Dakar, Senegal
| | - Elhadji Doucouré
- Programme National de Lutte contre le Paludisme (PNLP), Ministère de la Santé et l'Action Sociale, Dakar, Senegal
| | - Tidiane Thiam
- Programme National de Lutte contre le Paludisme (PNLP), Ministère de la Santé et l'Action Sociale, Dakar, Senegal
| | - Moussa Diop
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Kammerle Schneider
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Moustapha Cissé
- Programme National de Lutte contre le Paludisme (PNLP), Ministère de la Santé et l'Action Sociale, Dakar, Senegal
| | - Mady Ba
- Programme National de Lutte contre le Paludisme (PNLP), Ministère de la Santé et l'Action Sociale, Dakar, Senegal
| | - Callie A Scott
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Ritu Kumar
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Elias Asfaw
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Duncan Earle
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Philippe Guinot
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Richard W Steketee
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA
| | - Caterina Guinovart
- PATH Malaria Control and Elimination Partnership in Africa (MACEPA), 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA. .,Barcelona Institute for Global Health (ISGlobal), Hospital Clínic-Universitat de Barcelona, Rosselló 132, 08036, Barcelona, Spain.
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Ba S, Ba N, Sembene L, Dia H, Ndiaye J, Dia N, Ndour C. Prévalence et facteurs associés à la non-rétention aux soins des personnes vivant avec le VIH (PVVIH) suivies dans un site de prise en charge décentralisé. Med Mal Infect 2020. [DOI: 10.1016/j.medmal.2020.06.401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Fouda H, Ba S, Maimouna M, Yone P, Gloria A. SAT-140 PREVALENCE AND ASSOCIATED FACTORS OF KIDNEY FAILURE IN HIV INFECTED PATIENTS ADMITTED FOR NON-RENAL CONDITIONS IN GENERAL MEDICAL WARDS OF SECONDARY HOSPITALS IN CAMEROON. Kidney Int Rep 2020. [DOI: 10.1016/j.ekir.2020.02.149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Sidibé S, Deme H, Akpo G, Niane MM, Daffe M, Diop AD, Soko TO, Kinkpe C, Sane AD, Ba S, Niang EH, Sidibé S. [Performance of magnetic resonance imaging ang genourob laximetry in anterior cruciate ligament rupture in 30 cases]. Mali Med 2020; 35:20-25. [PMID: 37978774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
INTRODUCTION The aim of this work was to evaluate the diagnostic contribution of magnetic resonance imaging and genourob compared to intraoperative arthroscopy. The objective was to implement a protocol based on magnetic resonance imaging and / or genourob. MATERIALS AND METHODS We did a cross-sectional study from July 18, 2016 to July 19, 2017 at the Maltese hospital comparing the results of MRI and GNRB from 30 patients compared to intraoperative arthroscopy data. RESULTS Complete break. - In MRI, we obtained a sensitivity (Se) of 95.7%, a specificity (Sp) of 85.7%. - At the GNRB, we found a Se of 87%, a Sp of 42.9%. Partially broken. - In MRI we obtained a Se of 85.7%, a Sp of 95.7%. - At the GNRB, we found a Se of 42.9%, a Sp of 87%. CONCLUSION MRI is better than GNRB. The GNRB does not improve the results of the MRI. It has no diagnostic contribution in the rupture of the ACL knee. It is a device used by the orthopedists to evaluate knee laxity that does not depend on the ACL alone.
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Affiliation(s)
- Seydou Sidibé
- Service d'imagerie médicale Centre Hospitalier Universitaire de Kati (Mali)
| | - H Deme
- Service d'imagerie médicale Centre Hospitalier Universitaire Le Dantec, Dakar (Sénégal)
| | - G Akpo
- Service d'imagerie médicale Centre Hospitalier Universitaire Le Dantec, Dakar (Sénégal)
| | - M M Niane
- Service de chirurgie orthopédique et traumatologique Université de Thiès (Sénégal)
| | - M Daffe
- Service d'imagerie médicale et de chirurgie orthopédique et traumatologique Centre Hospitalier National DalalJamm, Dakar (Sénégal)
| | - A D Diop
- Service d'imagerie médicale et de chirurgie orthopédique et traumatologique Centre Hospitalier National DalalJamm, Dakar (Sénégal)
| | - T O Soko
- Service d'imagerie médicale Hôpital Principal, Dakar (Sénégal)
| | - C Kinkpe
- Service de chirurgie orthopédique et traumatologique Centre Hospitalier de l'Ordre de Malte
| | - A D Sane
- Service d'imagerie médicale et de chirurgie orthopédique et traumatologique Centre Hospitalier National DalalJamm, Dakar (Sénégal)
| | - S Ba
- Service d'imagerie médicale Centre Hospitalier Universitaire National de FAN (Sénégal)
| | - E H Niang
- Service d'imagerie médicale Centre Hospitalier Universitaire Le Dantec, Dakar (Sénégal)
| | - Siaka Sidibé
- Service d'imagerie médicale Centre Hospitalier Universitaire du Point G (Mali)
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Deme H, Akpo LG, Badji N, Benmansour W, Niang FG, Diop AD, Diallo A, Kasse Y, Diouf M, Mbaye A, Faye I, Diop PA, Fall MC, Ba S, Niang EH. [Diagnostic performance of imaging examinations in acute non-traumatic abdominal pain in the radiology department of the Kaolack Regional Hospital]. Mali Med 2020; 35:15-22. [PMID: 37978730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
AIM The aim of this work was to evaluate the diagnostic performance of imaging examinations in the presence of acute non-traumatic abdominal pain. MATERIALS AND METHODS This was a prospective, cross-sectional and descriptive study over 6 months in the radiology and medical imaging department of the Kaolack Regional Hospital, including any patient received for acute non-traumatic abdominal pain with informed consent in whom the etiological diagnosis is supported by an imaging examination. We investigated the etiologies of acute abdominal pain and compared the imaging findings with surgical exploration. Our data were analyzed using SPSS 24.0 and Excel 2013 with a coefficient of significance of less than 5%. RESULTS 106 patients were enrolled. The mean age was 32 years and the gender-ratio was 1.52 in favour of women. Acute abdominal pain was diffuse in 25.5% of patients and localized in 74.5%, of which 18.9% were at right iliac fossa.Abdominal X-ray was performed alone in 4 patients (3.8%), ultrasound alone in 46 patients (43.3%) and abdominal CT scan in 34 patients (32%). CT was combined with ultrasound in 6 patients (5.7%) and with abdominal X-ray in 16 patients (15%). The initial clinical diagnosis was corrected in 49.1% of patients. The sensitivity of the imaging compared to the final diagnosis retained was 96.2%. CONCLUSION Imaging represents a turning point in the management of patients with acute non-traumatic abdominal pain by providing better diagnostic guidance and avoiding serious complications and unnecessary interventions.
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Affiliation(s)
- H Deme
- Service d'imagerie médicale de l'Hôpital Aristide Le DANTEC (HALD)
| | - L G Akpo
- Service d'imagerie médicale de l'Hôpital Aristide Le DANTEC (HALD)
| | - N Badji
- Service d'imagerie médicale de l'Hôpital Aristide Le DANTEC (HALD)
| | - W Benmansour
- Service d'imagerie médicale de l'Hôpital Aristide Le DANTEC (HALD)
- Service d'imagerie médicale du Centre hospitalier El Hadj Ibrahima Niass de Kaolack
| | - F G Niang
- Service d'imagerie médicale du Centre Hospitalier Universitaire National de FANN
| | - A D Diop
- Service d'imagerie médicale du Centre Hospitalier Universitaire National de FANN
| | - A Diallo
- Service d'imagerie médicale de l'Hôpital Aristide Le DANTEC (HALD)
- Service d'imagerie médicale du Centre hospitalier El Hadj Ibrahima Niass de Kaolack
| | - Y Kasse
- Service d'imagerie médicale de l'Hôpital Aristide Le DANTEC (HALD)
| | - M Diouf
- Service d'imagerie médicale de l'Hôpital Aristide Le DANTEC (HALD)
| | - A Mbaye
- Service d'imagerie médicale de l'Hôpital Aristide Le DANTEC (HALD)
| | - I Faye
- Service d'imagerie médicale de l'Hôpital Aristide Le DANTEC (HALD)
| | - P A Diop
- Service d'imagerie médicale de l'Hôpital Aristide Le DANTEC (HALD)
| | - M C Fall
- Service d'imagerie médicale de l'Hôpital Aristide Le DANTEC (HALD)
| | - S Ba
- Service d'imagerie médicale du Centre Hospitalier Universitaire National de FANN
| | - E H Niang
- Service d'imagerie médicale de l'Hôpital Aristide Le DANTEC (HALD)
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Ba S, Ba N, Sembene L, Dia H, Ndiaye J, Ndour C. Déterminants liés aux issues thérapeutiques défavorables des personnes vivant avec le VIH (PVVIH) suivies dans un site décentralisé. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Ciaffi L, Koulla-Shiro S, Sawadogo AB, Ndour CT, Eymard-Duvernay S, Mbouyap PR, Ayangma L, Zoungrana J, Gueye NFN, Diallo M, Izard S, Bado G, Kane CT, Aghokeng AF, Peeters M, Girard PM, Le Moing V, Reynes J, Delaporte E, Reynes J, Delaporte E, Koulla-Shiro S, Ndour CT, Sawadogo AB, Seidy M, Le Moing V, Calmy A, Ciaffi L, Gueye NFN, Girard PM, Eholie S, Guiard-Schmid JB, Chaix ML, Kouanfack C, Tita I, Bazin B, Garcia P, Le Moing V, Izard S, Eymard-Duvernay S, Ciaffi L, Peeters M, Serrano L, Cournil A, Delaporte E, Mbouyap PR, Toby R, Manga N, Ayangma L, Mpoudi M, Zoungrana NJ, Diallo M, Gueye NFN, Aghokeng AF, Guichet E, Bell O, Abessolo HA, Djoubgang MR, Manirakiza G, Lamarre G, Mbarga T, Epanda S, Bikie A, Nke T, Massaha N, Nke E, Bikobo D, Olinga J, Elat O, Diop A, Diouf B, Bara N, Fall MBK, Kane CT, Seck FB, Ba S, Njantou P, Ndyaye A, Fao P, Traore R, Sanou Y, Bado G, Coulibaly M, Some E, Some J, Kambou A, Tapsoba A, Sombie D, Sanou S, Traore B, Flandre P, Michon C, Drabo J, Simon F. Boosted protease inhibitor monotherapy versus boosted protease inhibitor plus lamivudine dual therapy as second-line maintenance treatment for HIV-1-infected patients in sub-Saharan Africa (ANRS12 286/MOBIDIP): a multicentre, randomised, parallel, open-label, superiority trial. The Lancet HIV 2017; 4:e384-e392. [DOI: 10.1016/s2352-3018(17)30069-3] [Citation(s) in RCA: 51] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/03/2017] [Revised: 02/22/2017] [Accepted: 03/21/2017] [Indexed: 10/19/2022]
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Ba S, Koita M, Diaw F, Diop E, Diallo O, Gueye A, Thiam S. Infection à VIH en milieu carcéral : prévalence et facteurs associés. Med Mal Infect 2017. [DOI: 10.1016/j.medmal.2017.03.344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Dodo-Siddo MN, Diao M, Ndiaye MB, Ndongo S, Kane A, Mbaye A, Bodian M, Sarr SA, Sarr M, Ba S, Diop TM. [Study of echocardiographic parameters of rheumatoid arthritis black African without clinically evident cardiovascular manifestations: A cross-sectional study of 73 cases in Senegal]. Ann Cardiol Angeiol (Paris) 2016; 65:71-76. [PMID: 25702242 DOI: 10.1016/j.ancard.2015.01.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2014] [Accepted: 01/20/2015] [Indexed: 06/04/2023]
Abstract
INTRODUCTION Research of cardiac involvement in patients with rheumatoid arthritis can prevent complications and place in a logical secondary prevention. The objective of this study was to investigate the echocardiographic parameters in a population of Senegalese patients with rheumatoid arthritis without clinically evident cardiovascular manifestations. PATIENTS AND METHOD We conducted a descriptive cross-sectional study, which included prospectively from outpatients in the internal medicine department of university hospital center Aristide Le Dantec in Dakar, Senegal, with a diagnosis of rheumatoid arthritis without clinically evident cardiovascular disease. It focused on a sample of 73 patients of both sexes aged at least 18 years. Following clinical examination, we conducted laboratory tests (CRP, fibrinogen, ESR, rheumatoid factors: Latex and Waaler-Rose, anti-CCP, antinuclear factors and anti-ENA antibodies), ECG, echocardiography standard. Data were analyzed using a descriptive study of the different variables with the calculation of proportions for categorical variables, and the positional parameters and dispersion for quantitative variables. RESULTS A total of 73 patients with rheumatoid arthritis without obvious cardiac events and meeting the criteria of definition of the ACR 1987 were included in the study. The mean age was 44.17±14.43 years with extremes of 18 and 75 years. The mean duration of RA was 5.93±4.78 years. The concept of family inflammatory arthritis was reported in 35.60% of cases and almost one in six patients had at least a factor of cardiovascular risk (16.96%). The abnormalities found in Doppler echocardiography were dominated by diastolic LV dysfunction (42.46%), increased left ventricular mass in 35.61%. Valvular leaks of variable grades were highlighted regarding all orifices but were rarely significant. CONCLUSION The realization of echocardiography in patients with rheumatoid arthritis without clinically evident cardiovascular manifestations helps to highlight cardiovascular abnormalities related to the natural course of the disease.
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Affiliation(s)
- M N Dodo-Siddo
- Service de cardiologie, hôpital Aristide Le Dantec, Dakar, Sénégal.
| | - M Diao
- Service de cardiologie, hôpital Aristide Le Dantec, Dakar, Sénégal
| | - M B Ndiaye
- Service de cardiologie, hôpital Aristide Le Dantec, Dakar, Sénégal
| | - S Ndongo
- Service de médecine interne, hôpital Aristide Le Dantec, Dakar, Sénégal
| | - A Kane
- Service de cardiologie, hôpital Aristide Le Dantec, Dakar, Sénégal
| | - A Mbaye
- Service de cardiologie, hôpital général de Grand-Yoff, Dakar, Sénégal
| | - M Bodian
- Service de cardiologie, hôpital Aristide Le Dantec, Dakar, Sénégal
| | - S A Sarr
- Service de cardiologie, hôpital Aristide Le Dantec, Dakar, Sénégal
| | - M Sarr
- Service de cardiologie, hôpital Aristide Le Dantec, Dakar, Sénégal
| | - S Ba
- Service de cardiologie, hôpital Aristide Le Dantec, Dakar, Sénégal
| | - T M Diop
- Service de médecine interne, hôpital Aristide Le Dantec, Dakar, Sénégal
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Zhao X, Li S, Ba S, He F, Li N, Ke L, Li X, Lam C, Yan LL, Zhou Y, Wu Y. Prevalence, awareness, treatment, and control of hypertension among herdsmen living at 4,300 m in Tibet. Am J Hypertens 2012; 25:583-9. [PMID: 22357415 DOI: 10.1038/ajh.2012.9] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND Studies on blood pressure (BP) in high-altitude areas are scarce and the results are controversial. Tibetans live in regions at high altitudes, and data on the prevalence of hypertension in this population is not currently well known. METHODS All Tibetans aged 40 years and older living in the township of Yangbajing (4,300 m) in Tibet, China were invited to participate in the 2009 survey. BP was measured with electronic sphygmomanometers (calibrated by the results of a previous study). Histories of hypertension and medication use were collected through face-to-face interviews. Hypertension was defined as systolic BP (SBP) ≥140 mm Hg and/or diastolic BP (DBP) ≥90 mm Hg, or antihypertensive medication use in the past 2 weeks. RESULTS A total of 701 adults (aged 40-89, 42.9% male, 94.9% herdsmen) were recruited. The mean (s.d.) SBP/DBP was 146.6 (31.3)/92.0 (15.7) mm Hg and the prevalence of hypertension was 55.9%. Of note, 61.2% of those with hypertension had stage 2 hypertension (SBP ≥160 or DBP ≥100 mm Hg). At age 70 years and older, the mean (s.d.) SBP/DBP were 182.8 (30.9)/102.6 (13.4) mm Hg. Among those with hypertension (n = 392), only 19.9% were aware of their condition, 2.6% were taking medication, and only one participant had controlled BP. CONCLUSION According to our survey in Yangbajing, Tibetan adults aged 40 years and older living at high altitudes had high BP and prevalence of hypertension with low awareness, treatment, and control. Future studies are needed to clarify the association between BP, altitude, and other possible causes.
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Chabrolle J, Paouri L, Ba S, Amusini P. SFP-P015 – Néonatalogie – Une anomalie peu fréquente : l’insertion basse du cordon ombilical. Arch Pediatr 2008. [DOI: 10.1016/s0929-693x(08)72151-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Hommes DW, Mikhajlova TL, Stoinov S, Stimac D, Vucelic B, Lonovics J, Zákuciová M, D'Haens G, Van Assche G, Ba S, Lee S, Pearce T. Fontolizumab, a humanised anti-interferon gamma antibody, demonstrates safety and clinical activity in patients with moderate to severe Crohn's disease. Gut 2006; 55:1131-7. [PMID: 16507585 PMCID: PMC1856291 DOI: 10.1136/gut.2005.079392] [Citation(s) in RCA: 156] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
INTRODUCTION Interferon gamma is a potent proinflammatory cytokine implicated in the inflammation of Crohn's disease (CD). We evaluated the safety and efficacy of fontolizumab, a humanised anti-interferon gamma antibody, in patients with moderate to severe CD. METHODS A total of 133 patients with Crohn's disease activity index (CDAI) scores between 250 and 450, inclusive, were randomised to receive placebo or fontolizumab 4 or 10 mg/kg. Forty two patients received one dose and 91 patients received two doses on days 0 and 28. Investigators and patients were unaware of assignment. Study end points were safety, clinical response (decrease in CDAI of 100 points or more), and remission (CDAI < or =150). RESULTS There was no statistically significant difference in the primary end point of the study (clinical response) between the fontolizumab and placebo groups after a single dose at day 28. However, patients receiving two doses of fontolizumab demonstrated doubling in response rate at day 56 compared with placebo: 32% (9/28) versus 69% (22/32, p = 0.02) and 67% (21/31, p = 0.03) for the placebo, and 4 and 10 mg/kg fontolizumab groups, respectively. Stratification according to elevated baseline C reactive protein levels resulted in a decreased placebo response and pronounced differences in clinical benefit. Two grade 3 adverse events were reported and were considered to be related to CD. One death (during sleep) and one serious adverse event (an elective hospitalisation) occurred, both considered unrelated. CONCLUSION Treating active CD with fontolizumab was well tolerated and resulted in increased rates of clinical response and remission compared with placebo.
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Affiliation(s)
- D W Hommes
- Department Gastroenterology and Hepatology, Academic Medical Centre, Amsterdam, the Netherlands.
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Ferro M, Lorquin J, Ba S, Sanon K, Promé JC, Boivin C. Bradyrhizobium sp. Strains that nodulate the leguminous tree Acacia albida produce fucosylated and partially sulfated nod factors. Appl Environ Microbiol 2000; 66:5078-82. [PMID: 11055966 PMCID: PMC92422 DOI: 10.1128/aem.66.11.5078-5082.2000] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
We determined the structures of Nod factors produced by six different Bradyrhizobium sp. strains nodulating the legume tree Acacia albida (syn. Faidherbia albida). Compounds from all strains were found to be similar, i.e., O-carbamoylated and substituted by an often sulfated methyl fucose and different from compounds produced by Rhizobium-Mesorhizobium-Sinorhizobium strains nodulating other species of the Acaciae tribe.
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Affiliation(s)
- M Ferro
- Laboratoire des Interactions Moléculaires et Réactivité Chimique et Photochimique, Université Paul Sabatier, 31062 Toulouse Cedex, France
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Gao J, Yu P, Su H, Ba S, Sun Y. [Study of sensitivity enhancement by microemulsion in flame atomic absorption spectrophotometry]. Guang Pu Xue Yu Guang Pu Fen Xi 2000; 20:388-389. [PMID: 12958966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
In this paper, the enhancement effect of lead was studied in air-acetylene flame. It was found that microemulsion could produce remarkable sensibilization effect. The method has been applied to the determination of lead in copper and waste water.
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Affiliation(s)
- J Gao
- College for Professional Training, Shenyang Institute of Technology, 110045 Shenyang
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Diop IB, Ba S, Underwood P, Diack B, Damourou JM, Kane A, Sarr M, Thiam O, Diao M, Ba A, Diouf SM. [Permanent cardiac stimulation in Senegal: preliminary experience at the Cardiology Clinic of Dakar]. Dakar Med 2000; 45:101-4. [PMID: 14666802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
We report a prospective and descriptive study in 12 patients who had pacemaker implantation from may. 1996 and dec. 1997. Our patients benefited from complete clinical examination, ECG (12 derivations), standard laboratory tests, chest X ray. Pulsed-Doppler, two dimensional and TM echocardiography have been performed. Stimulation was achieved using endocardial lead introduced percutaneously. During the study, 12 patients over 22, representing 55% of the subjects with symptomatic conduction defects, had definitive pacemaker implantation. Mean age was 53.8 years +/- 18. Most of the patients lived in Dakar. Sex-ratio was 0.58 (7 males/5 females). Most of the patients (83%) had low socio-economical status. Before implantation mean heart rate was 47 bpm +/- 20.8. Mean blood pressure was 155 mmHg +/- 26.7 (systolic) and 71.6 +/- 20.8 mmHg (diastolic). Heart failure was present in 5 patients/12. Others symptoms were mainly syncope (83%). Mean cardiothoracic ratio was 0.56 +/- 0.09. Over a 14 months period we have implanted 7 double chamber stimulators (DDD) and 5 monochamber (VVI). Over a 210 days follow-up, main problems are infection of the pocket in 2 patients. In one of them culture was positive. In Senegal, it is necessary to develop cardiac stimulation. Pacemakers should be available for all patients with symptomatic conduction defects. A national center for electrophysiologic studies and pacemaker implantation is a priority.
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Affiliation(s)
- I B Diop
- Clinique Cardiologique de Dakar CHU A. Le Dantec
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Sakho Y, Badiane SB, Kabre A, Ba S, Ba MC, Gueye EM, Diene S, Gueye M. [Lumbosacral intraspinal lipomas associated or not with a tethered cord syndrome (series of 8 cases)]. Dakar Med 1998; 43:13-20. [PMID: 9827148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/11/2023]
Abstract
The authors report a surgical experience on eight case of intra spinal lipomas. These lumbo-sacral malformations belong to post-neurulation defect, in such conditions spinal cord undergoes tethering while child growing that lead to a slow neurological disturbance. Through this study, authors show that female is more involved than male (5/3. On 6 cases the diagnosis have been made before the age of 2 years old. Three groups of signs characterize dramatically intra spinal lipomas: skin-median lumbo-sacral stigmata (8 cases) such as hypertrichosis, nevi etc. neuro-orthopedic disturbance(3 cases): club foot, paraparesis. sphincter disturbance: vesical or anal incontinence. In the lack of C.T. scan and M.R.I. contrast medium myelography confirm the diagnosis. Surgical excision lead to characterization of 4 extra dural lipomas, one sub dural, and 3 mixed lipomas. 75% of the patient improved well. One dealing with this kind of pathology must avoid the misdiagnosis of enuresis.
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Affiliation(s)
- Y Sakho
- Clinique Neurochirurgicale chu de Fann
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Bartholomew PW, Khibe T, Little DA, Ba S. Effect of change in body weight and condition during the dry season on capacity for work of draft oxen. Trop Anim Health Prod 1993; 25:50-8. [PMID: 8465443 DOI: 10.1007/bf02236886] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Work oxen supplemented at different levels during a feeding period of 3 months, were divided into 3 groups of average weight change -25, +35 and +70 kg and worked under loadings of either 7.5 or 12.5 kgf/100 kg of liveweight for 2 weeks, in order to assess the impact of dry season supplementation on capacity for work. At approximately equal levels of stress in work, manifest in maximum heart rate one minute after ceasing work (MHR), oxen with higher dry-season weight gain produced higher levels of work output, in proportion to their increased body weight. Rate of work and mean daily work output increased from the first to the second week of work, in spite of average daily weight losses of 2.63 kg throughout the period. Decline in rate of working through each day was continuous and essentially linear with relation to distance worked. The time taken to cover 1 km increased at an average of 0.16 and 0.68 min/km for light and heavy loadings respectively. Although MHR appeared to provide a retrospective measure of the level of stress attained in work, it was of limited use as a predictor of reasonable work demand. Maximum heart rate was related to work output (MJ) and animal liveweight (kg), as follows: MHR = 17.7 (+/- 3.94) WO - 0.15 (+/- 0.080) LWT + 118.5 (r2 = 0.70 P < 0.01).
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Affiliation(s)
- P W Bartholomew
- International Livestock Centre for Africa (ILCA), Bamako, Mali
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Duval C, Lemoine JP, Ba S, Demory JE. [Prolapse of the umbilical cord. 79 cases]. Rev Fr Gynecol Obstet 1987; 82:163-7. [PMID: 3589354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
The authors are considering the prolapse of the umbilical cord, based on 79 personal observations collected in 15 years and data from the literature. They demonstrate that a simple approach (forcing back the presentation and caesarean section) decreases the perinatal mortality rate. The total rate of fetal deaths is 10 p. cent, the corrected rate of children dead on admission is 1.5 p. cent. 77 p. cent of caesarean sections were performed.
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Kamino K, Sugano S, Miki A, Matsuzawa H, Ba S. [Comparative statistical research of the gastric cancer in the patients less than thirty years of age and thirty to thirty nine years of age (author's transl)]. Nihon Gan Chiryo Gakkai Shi 1975; 10:488-501. [PMID: 1240911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Ueda T, Nagahara N, Ba S. [Proctotoreusis and postoperative complaints in children]. Geka Chiryo 1971; 24:538-41. [PMID: 5108981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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