La révélation de l’inceste semble souvent difficile et s’accompagne généralement d’étonnement sin... more La révélation de l’inceste semble souvent difficile et s’accompagne généralement d’étonnement sinon de déni. La question de la gravité des risques liés à cet incident entraîne des réponses variables selon les époques et les cultures. Mais les conséquences observées chez certains enfants ou adolescents, voire chez des adultes semblent justifier l’acceptation générale de l’idée d’interdire l’inceste. Ici, les auteurs s’appuient sur le cas d’un jeune étudiant sénégalais vivant à Dakar qui après un cheminement thérapeutique escamoté en arrive à mettre en avant des souvenirs d’adolescent marqués par l’inceste grand-mère-petit-fils pour justifier « l’échec de sa vie ». Il apparaît que la reconnaissance de la réalité incestueuse et la prise en charge psychologique à long terme des conséquences de cette catastrophe survenue à l’adolescence sont indispensables pour restaurer sa continuité psychique et sa cohérence sociale. The disclosure of incest is often difficult to accept. Denial or incredulity is common. Furthermore, attitudes to the consequences vary according to the period and the culture. The adverse effects of incest in children and young people could justify the prohibition of incest the world over. In this article, the authors report a case of a young student who consulted several health practitioners. Finally, he made a connection between his memories of incest with his grandmother and his failures in life. Recognition and long-term treatment of this sexual abuse within the family seem to be essential for the re-establishment of psychological development and social integration of this young man.
The aim of this study was to identify socio-demographic and obstetric risk factors of low birth w... more The aim of this study was to identify socio-demographic and obstetric risk factors of low birth weight in the maternity of Thiès regional hospital centre. It is a case-control study that took place between May 1st, 2003 and January 31th, 2004. Eighty-eight newborns with low weight (2500 g) [group I] were compared to those of 97 other infants weighing 2500 to
In vitamin A-deficient populations, children hospitalized with infections and/or malnutrition are... more In vitamin A-deficient populations, children hospitalized with infections and/or malnutrition are at particular risk of developing severe vitamin A (VA) deficiency. High-dose VA supplements are recommended as part of the treatment but results on its effect on recovery from morbidity and on prevention from nosocomial morbidity are conflicting. We aimed to assess the effect of a single high dose and daily low dose of VA on hospitalized malnourished children's morbidity. We carried out a double-blind, randomized trial in 604 and 610 Senegalese hospitalized children. The first mentioned batch received a high-dose VA supplement (200,000 IU) on admission, the second a daily low-dose VA supplement (5000 IU per day) during hospitalization. Children were followed up until discharged. Data on all-cause morbidity were collected daily. Survival analysis showed that the incidence of respiratory disease was significantly lower in the low-dose group than in the high-dose group, hazard ratios (HR): 0.26, 95% CI: 0.07-0.92. The duration of respiratory infection was also significantly lower in the low-dose group than in the high-dose group (HR of cure: 1.41, 95% CI: 1.05-1.89). Duration and incidence of diarrhoea were not significantly different between treatment groups. In children with oedema on admission, mortality was significantly lower in the low-dose group (Adjusted odds ratio: 0.21; 95% CI: 0.05-0.99). Daily low dose of VA compared with single high dose significantly reduced duration and incidence of respiratory infection but not of diarrhoea in hospitalized children.
Macroglossia is the commonest symptom in several affections. We describe 3 cases with macroglossi... more Macroglossia is the commonest symptom in several affections. We describe 3 cases with macroglossia related to congenital hypothyroidism and Beckwith-Wiedemann syndrome in Dakar university hospital in order to discuss management and outcome.
Based on a Senegalese clinical case, the authors address the problems created by the behavior of ... more Based on a Senegalese clinical case, the authors address the problems created by the behavior of a psychopath in the African sociocultural framework. They show the difficulties of belonging to and the anguish of being excluded from the social group. Families, in order to ‘fix’ deviances, often discreetly turn to traditional remedies before visiting a hospital. However, with the help
The aim of this study was to analyze influence of maternal overweight on term newborns birthweigh... more The aim of this study was to analyze influence of maternal overweight on term newborns birthweight after normal pregnancy. It is a case control study between January 1st and may 30th 2003 in Abass-Ndao hospital center maternity of Dakar about 197parturients and their newborns files. Body mass index (BMI =P/T2) were used to classify mothers according to corpulence. Were classified as overweight, parturients with BMI higher or equal to 25 kg/m2 (N=59). Those with BMI regarded as normal (18,5–24,9 kg/m2) (N=138) had been taken as control. We had analyzed and compared newborns birthweight of these two groups. Sociodemographic characteristics were not different between the two populations (P>0.05). On the other hand, average parity and mean maternal age were lower for controls (P<0.05) but mean weight gain during pregnancy was more important P=0.001). Birthweight to 5th, 10th, 50th, 90th, 95th percentiles as well as mean birthweight, were higher for newborn babies of overweight mothers but the noted differences were not statically significant (p>0.05). These results show a weak influence of maternal overweight before pregnancy on newborn birthweight.
La révélation de l’inceste semble souvent difficile et s’accompagne généralement d’étonnement sin... more La révélation de l’inceste semble souvent difficile et s’accompagne généralement d’étonnement sinon de déni. La question de la gravité des risques liés à cet incident entraîne des réponses variables selon les époques et les cultures. Mais les conséquences observées chez certains enfants ou adolescents, voire chez des adultes semblent justifier l’acceptation générale de l’idée d’interdire l’inceste. Ici, les auteurs s’appuient sur le cas d’un jeune étudiant sénégalais vivant à Dakar qui après un cheminement thérapeutique escamoté en arrive à mettre en avant des souvenirs d’adolescent marqués par l’inceste grand-mère-petit-fils pour justifier « l’échec de sa vie ». Il apparaît que la reconnaissance de la réalité incestueuse et la prise en charge psychologique à long terme des conséquences de cette catastrophe survenue à l’adolescence sont indispensables pour restaurer sa continuité psychique et sa cohérence sociale. The disclosure of incest is often difficult to accept. Denial or incredulity is common. Furthermore, attitudes to the consequences vary according to the period and the culture. The adverse effects of incest in children and young people could justify the prohibition of incest the world over. In this article, the authors report a case of a young student who consulted several health practitioners. Finally, he made a connection between his memories of incest with his grandmother and his failures in life. Recognition and long-term treatment of this sexual abuse within the family seem to be essential for the re-establishment of psychological development and social integration of this young man.
The aim of this study was to identify socio-demographic and obstetric risk factors of low birth w... more The aim of this study was to identify socio-demographic and obstetric risk factors of low birth weight in the maternity of Thiès regional hospital centre. It is a case-control study that took place between May 1st, 2003 and January 31th, 2004. Eighty-eight newborns with low weight (2500 g) [group I] were compared to those of 97 other infants weighing 2500 to
In vitamin A-deficient populations, children hospitalized with infections and/or malnutrition are... more In vitamin A-deficient populations, children hospitalized with infections and/or malnutrition are at particular risk of developing severe vitamin A (VA) deficiency. High-dose VA supplements are recommended as part of the treatment but results on its effect on recovery from morbidity and on prevention from nosocomial morbidity are conflicting. We aimed to assess the effect of a single high dose and daily low dose of VA on hospitalized malnourished children&#39;s morbidity. We carried out a double-blind, randomized trial in 604 and 610 Senegalese hospitalized children. The first mentioned batch received a high-dose VA supplement (200,000 IU) on admission, the second a daily low-dose VA supplement (5000 IU per day) during hospitalization. Children were followed up until discharged. Data on all-cause morbidity were collected daily. Survival analysis showed that the incidence of respiratory disease was significantly lower in the low-dose group than in the high-dose group, hazard ratios (HR): 0.26, 95% CI: 0.07-0.92. The duration of respiratory infection was also significantly lower in the low-dose group than in the high-dose group (HR of cure: 1.41, 95% CI: 1.05-1.89). Duration and incidence of diarrhoea were not significantly different between treatment groups. In children with oedema on admission, mortality was significantly lower in the low-dose group (Adjusted odds ratio: 0.21; 95% CI: 0.05-0.99). Daily low dose of VA compared with single high dose significantly reduced duration and incidence of respiratory infection but not of diarrhoea in hospitalized children.
Macroglossia is the commonest symptom in several affections. We describe 3 cases with macroglossi... more Macroglossia is the commonest symptom in several affections. We describe 3 cases with macroglossia related to congenital hypothyroidism and Beckwith-Wiedemann syndrome in Dakar university hospital in order to discuss management and outcome.
Based on a Senegalese clinical case, the authors address the problems created by the behavior of ... more Based on a Senegalese clinical case, the authors address the problems created by the behavior of a psychopath in the African sociocultural framework. They show the difficulties of belonging to and the anguish of being excluded from the social group. Families, in order to ‘fix’ deviances, often discreetly turn to traditional remedies before visiting a hospital. However, with the help
The aim of this study was to analyze influence of maternal overweight on term newborns birthweigh... more The aim of this study was to analyze influence of maternal overweight on term newborns birthweight after normal pregnancy. It is a case control study between January 1st and may 30th 2003 in Abass-Ndao hospital center maternity of Dakar about 197parturients and their newborns files. Body mass index (BMI =P/T2) were used to classify mothers according to corpulence. Were classified as overweight, parturients with BMI higher or equal to 25 kg/m2 (N=59). Those with BMI regarded as normal (18,5–24,9 kg/m2) (N=138) had been taken as control. We had analyzed and compared newborns birthweight of these two groups. Sociodemographic characteristics were not different between the two populations (P>0.05). On the other hand, average parity and mean maternal age were lower for controls (P<0.05) but mean weight gain during pregnancy was more important P=0.001). Birthweight to 5th, 10th, 50th, 90th, 95th percentiles as well as mean birthweight, were higher for newborn babies of overweight mothers but the noted differences were not statically significant (p>0.05). These results show a weak influence of maternal overweight before pregnancy on newborn birthweight.
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