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Background: Type 2 diabetes mellitus, beyond its well-known cardiovascular and neurological complications, is now increasingly recognized as having deleterious effects on bone tissue. It’s thus presented as an independent risk factor for bone fragility with a considerable fracture risk relating to many more or less intricate parameters. The general objective of our study is to assess bone mass during type 2 diabetes in Senegalese women. Methodology: We had carried out a cross-sectional and descriptive study. Socio-demographic characteristics were collected on the basis of a questionnaire. Then each of the subjects had undergone a complete clinical examination followed by a blood sample for a biological assessment of certain cardiovascular risk factors. Bone mass was measured using a bio-impedancemeter. Results: We recruited 88 women with type 2 diabetes and 83 healthy control women. The mean age of diabetic subjects was 52.7 years ± 6.8 (with extremes of 39 and 74 years). In control, the mean age was 51.0 ± 8.5 years (with extremes of 35 and 72 years). Among the diabetic subjects, 22 subjects or 25% practiced a regular walk against 27 (32.5%) in the control. Forty-three among the diabetic subjects (48.8%) were known hypertensive and followed. According to the body mass index, 71 patients (80.7%) were overweight compared to 59 (71.1%) controls. According to the waist size, 80 (90.9%) diabetic subjects had an elevated waist size compared to 69 control women (83.1%). Among diabetic subjects, 41 patients (46.5%) were hyperglycemic imbalance according to fasting blood glucose and 59 patients (67%) according to glycated hemoglobin level. Thirty-seven diabetics (42%), had both high fasting blood glucose and elevated glycated hemoglobin. The mean duration of diabetes was 8.68 ± 7.18 years. We found significantly higher bone mass in type 2 diabetic subjects (p = 0.03). Among diabetics, 27.3% had low bone mass compared to 36.1% of control. It’s noted that the subjects of the “low bone mass” group among the control subjects also have a significant drop in other anthropometric parameters (weight, body mass index, waist size, muscle mass). It should also be noted that the fat mass is significantly higher in diabetic subjects with normal or even high bone mass. In control subjects, bone mass was positively correlated with weight (r = 0.36; p = 0.001), muscle mass (r = 0.93; p < 0.0001) and fasting blood glucose (r = 0.26; p = 0.02); and negatively correlate with age (r = 0.22; p = 0.04). On the other hand, in type 2 diabetic subjects, bone mass is positively correlated with age (r = 0.22; p = 0.04), muscle mass (r = 0.89; p < 0.0001) and the diabetes duration (r = 0.44; p = 0.001). Conclusion: Bone mass is higher in type 2 diabetics compared to healthy controls. Chronic hyperglycemia and the diabetes duration are believed to be responsible for the increase in bone mass. In addition, an increase in muscle mass would lead to an increase in bone mass.

Objective: We aimed to study Endothelial dysfunction and Arterial Stiffness in Diabetes mellitus. Methods: 29 women with type 2 diabetes and 8 non-diabetic controls were included. Vascular function was studied with pOpmetre® (Axelife SAS-France) to assess the foot to toe Pulse Wave Velocity; and EndoPAT2000® (ITAMAR-Israel) to measure endothelial vasodilatation dependent by measurement of reactive hyperhemic index (RHI). Results: Diabetics were 56 ± 6 years vs 47 ± 9 years. Mean diabetes duration was 9.07 ± 6.15 years. RHI was normal in all controls (1.94 ± 0.68) and abnormal in 51.72% of diabetics (1.83 ± 0.12). An abnormal ftPWV was found in 38% of diabetic subjects (11.6 ± 7.7 m/s) vs 12% of controls (7.7 ± 2.3 m/s, normal

Objective: Making the interest of using immunohistochemistry clear in addition to histological test in the diagnosis of lymphomas. Methods: This is a retrospective study from January 2011 to June 2013 involving 18 cases of lymphomas collected in the teaching hospitals of Treichville and Yopougon. Results: 1) 38.88% diagnosis of LMNH B large-cell in histology against 38.88% LDGCB with IHC. 2) 11.11% diagnosis of LMNH small cell in histology against 11.11% with IHC. 3) 5.55% diagnosis of T lymphoma in histology against 27.77% diagnosis of T lymphoma with IHC. 4) 5.55% diagnosis of follicular lymphoma in histology against 11.11% diagnosis of LF with IHC. 5) 11.11% diagnosis of Burkitt lymphoma in histology against 5.55% diagnosis of LB with IHC. 6) 5.55% diagnosis of medullary hypoplasia in histology against 5.55% diagnosis of Hodgkin’s disease. Our results confirm the contribution of immunohistochemistry in the diagnosis of lymphomas in addition to histological test. This is striking, especially as there is 27.77% of T lymphoma with immunohistochemistry against only 5.55% with histology.

Background: The catholic lenten fasting is the period of 40 days of fasting that precedes Easter. It is one of religious fasting less documented in the scientific literature. Thus the aim of our study was to evaluate the evolution of anthropometric and body composition and biochemical profile during Catholic lenten fasting. Methods: We conducted a prospective study, which took place during the period between one week before at the end of lenten fasting. Eleven fasters (4 women and 7 men), aged between 18 and 59 years were included in present study. Anthropometric, body composition parameters and biochemical profile were evaluated one week before, at 15 th day and at the end of Lenten fasting. Results: Weight, body mass index (BMI) and visceral fat decreased significantly at the end of Lenten fasting. Lipid profile changed significantly during this fasting period. Total cholesterol (TC), low density lipoprotein – cholesterol (LDL-C) and triglycerides decreased significantly with fasting. High density lipoprotein – cholesterol (HDL-C) was remained unchanged during this fasting period while TC/HDL ratio was significantly decreased at the end of Lent. Conclusions: Present study showed that the fasting of Lent seems to have beneficial effects on reducing cardiovascular risk factors. Further studies are required to better understand the physiological mechanisms involved for a therapeutic use.

Background: Our work is part of the enhancement of plants of Senegalese pharmacopeia with cardiovascular aim, among which Terminalia avicennioides. Aim and Objective: The aim of this study was to determine whether a hydroethanolic bark extract of T. avicennioides (TAE) is able to induce a relaxant effect in porcine coronary, rat mesenteric artery, carotid, femoral arteries, and thoracic aorta and to determine the mechanism underlying this effect. Materials and Methods: Porcine coronary, rat mesenteric, carotid, femoral arteries, and thoracic aorta rings were suspended in organ chambers for the recording of changes in isometric forces. Rings with endothelium were incubated or not with L-Nitro Arginine to block nitric oxide (NO) synthase, MnTMPyP, polyethylene glycol catalase (CAT), an inhibitors of intracellular production reactive oxygen species; CAT, an inhibitor of extracellular reactive oxygen species; Wortmannin, an inhibitor of redox-sensitive pathway PI3 kinase/Akt; PP2 (4-amino-5-(4-chlorophenyl)-7-(t-butyl)pyrazolo [3,4-d]pyrimidine), an inhibitor of Src kinase; apamin (APA) an inhibitor of small conductance potassium channels calcium-dependent (SKCa) and Tram-34 an inhibitor of intermediary conductance potassium channels calcium-dependent (IKCa); and indomethacin (INDO), an inhibitor of cyclooxygenase before contraction with U46619 or phenylephrine (PE) and a concentration relaxation curve to TAE. In some experiments, the endothelium was removed before contraction with U46619 or PE and concentration relaxation to TAE. The phosphorylation level of Akt and eNOS was assessed by Western blot analysis. Results: The hydroethanolic bark TAE induces a vasodilatory effect in porcine coronary artery precontracted with U46619. This effect is endothelium-dependent and is mediated by NO, prostaglandin, and endothelium-derived hyperpolarizing. TAE also induces vasorelaxant effects in superior mesenteric arteries, carotid arteries, thoracic aorta, and femoral arteries from rat. Conclusion: TAE-induced sustaining phosphorylation of Akt and eNOS in endothelial cells. T. avicennioides induces vascular relaxation which can explain the benefic effect of this plant in the treatment of high blood pressure in Senegal.

Les objectifs de cette enquete sont de comparer les prevalences d’obesite et d’hypertension arterielle dans les populations âgees de 50 ans et plus en milieu rural (Ferlo) et urbain (Dakar) senegalais et de comparer les taux de connaissance, de traitement et de controle de l’hypertension arterielle dans ces memes populations. L’enquete a ete menee chez des personnes âgees de 50 ans et plus vivant en milieu rural (N=478) et en milieu urbain (N=220). L’âge, le genre, le statut marital, le niveau d’etude, la connaissance, le traitement de l’hypertension arterielle, la taille, le poids et la pression arterielle ont ete recueillis. Toutes choses egales par ailleurs, les Dakarois presentent plus de risques d’etre obeses ou en surpoids que les habitants du Ferlo. Le taux d’hypertension mesuree est, en moyenne, plus faible dans le Ferlo (55,86 %) qu’a Dakar (66,36 %), et augmente avec l’âge. Cependant, la regression logistique effectuee a permis de montrer que cette difference est due a la proportion plus importante de personnes en surcharge ponderale a Dakar. Enfin, les taux de connaissance, de traitement et de controle de l’hypertension arterielle apparaissent particulierement faibles en milieu rural senegalais. En conclusion, les pathologies chroniques doivent etre mieux prises en charge au Senegal, en particulier en milieu rural.

Background: Body composition plays a fundamental role in the occurrence of complications in rheumatoid arthritis. Authors conducted this study, which aimed to determine body composition and its effects on physiological status in African sub-Saharan polyarthritis women.Methods: The anthropometric parameters were measured after an interview and a complete physical examination. The body composition was evaluated using a Tanita® brand bioimpedance meter. Finally, all the patients had a dosage of certain biochemical parameters.Results: An excess of percent fat mass was noted in more than half of women (59.52%) without loss of muscle mass. At the same time, 30% of women had a significant decrease in the percentage of body water. The BMI did not appear to be an adequate proxy for these changes. Visceral fat level was elevated just in 16% of women, however it would be a determinant of physiological aging of subjects. Dual therapy methotrexate and corticosteroid would have varying effects depending on the duration and the dose of treatment. The basic metabolism in polyarthritic subjects would be dependent on two parameters namely muscle mass and inflammatory state.Conclusions: Evaluating changes in body composition quickly, non-invasively and inexpensively is possible. It could be useful in the follow-up of rheumatoid arthritis. Managing these changes can reduce cardiovascular morbidity and mortality in rheumatoid arthritis.

Background: Ceiba pentandra (L.) Gaertner (Malvaceae) a plant widely spread in the world, particularly in sub-Saharan Africa where it is used to handle several pathologies like high blood pressure without scientific evidence by experimental scientific works. Aim and Objective: The purpose of this study is to show how a hydroethanolic leaves extract of Ceiba pentandra (FCP) produces relaxant effects in porcine coronary, rat mesenteric artery, carotid, femoral arteries, and thoracic aorta and to determine the mechanisms which lie beneath this effect. Materials and Methods: Porcine coronary, rat mesenteric, carotid, and femoral arteries and thoracic aorta rings were suspended in organ chambers for recording of changes in isometric forces. Rings with endothelium were incubated or not with L-nitroarginine to block nitric oxide (NO) synthase, manganese (III) tetrakis(1-methyl-4-pyridyl)porphyrin, polyethylene glycol catalase (CAT), an inhibitors of intracellular production reactive oxygen species (ROS); CAT, an inhibitor of extracellular ROS; wortmannin, an inhibitor of redoxsensitive pathway phosphoinositide 3-kinase (PI3 kinase)/Akt; (4-amino-5-(4-chlorophenyl)-7-(t-butyl)pyrazolo [3,4-d] pyrimidine), an inhibitor of Src kinase; apamin, an inhibitor of small conductance potassium channels calcium dependent (SKCa) and tram-34, an inhibitor of intermediary conductance potassium channels calcium dependent (IKCa); and indomethacin, an inhibitor of cyclooxygenase before contraction with U46619 or phenylephrine and a concentration-relaxation curve to FCP. Results: Some experiments show that endothelium was taken away before contraction with U46619 and concentration relaxation to FCP. The hydroethanolic leaves extract of C. pentandra produces a vasodilatory result in porcine coronary artery pre-contracted with U46619. This effect is endothelium dependent and is mediated by NO. FCP generates, as well, vasorelaxant results in superior mesenteric arteries, carotid arteries, thoracic aorta, and femoral arteries from rat. C. pentandra generates vascular relaxation which can be the explanation of the benefic effect of this plant in the treatment of high blood pressure (HBP) in Africa. Conclusion: C. pentandra holds vasorelaxants properties on pig coronary artery, thoracic aorta, the main superior mesenteric artery, and femoral and carotid artery from rat justifying its utilization in the treatment of the arterial HBP. This effect necessitates the presence of a functional endothelium and passes by the redox-sensitive pathway Src kinase and PI3-kinase/Akt.

No abstract available.

Background: Wood dust is produced at virtually all stages of the wood industry. The most important wood-related risks are chemical hazards with the use of toxic, allergenic, and carcinogenic products which may alter respiratory function. Prevalence rates of ventilatory disorders are heterogeneous and no data are available in Senegal. Aims and Objectives: The purpose of our study was to evaluate respiratory function in carpenters. Materials and Methods: A cross-sectional study was conducted from February to July 2017 in 70 male carpenters exclusively, from the city of Thies. Each carpenter received a questionnaire and a spirometry test as a way of establishing a baseline state of all the subjects. The spirometry was subjected to the standardized validation procedure according to the American Thoracic Society/ European Respiratory Society criteria. Results: The average age is 39 years old. Among these carpenters, 14% are active smokers and 17% are former smokers. Seniority ranged from 1 to 48 years. Spirometry revealed a pure obstructive respiratory disorder in 32.85% of cases. The obstruction is classified as mild in 17.14% and moderate in 7.14% of cases. A pure restrictive syndrome is present in 18.57% and a mixed syndrome in 7.14% of cases. Tobacco potentiates the effects of occupational airborne contaminants because smokers have more obstructive syndrome than ex-smokers 50% versus 33.33% (P = 0.02) and more restrictive syndrome than non-smokers 30% versus 14.58% (P = 0.01). Negative correlations between the duration of exposure and forced expiratory volume in 1 s (FEV1), FEV1/forced vital capacity, and MEF 25–75% had been found. Conclusion: Exposure to wood dust is implicated in the alteration of various respiratory function parameters.

Background: Chronic obstructive pulmonary disease (COPD) is characterized by high mortality. The latter is strongly attributed to cardiovascular events whose onset is endothelial dysfunction and vascular remodeling. Aims and Objectives: The aims were to evaluate the endothelial function during COPD and the factors involved with possible endothelial dysfunction in Senegalese Black men aged at least 18 years. Materials and Methods: This was a prospective and cross-sectional study. After a complete clinical examination and evaluation of the body composition by a bioimpedancemeter, the endothelial function was evaluated by EndoPAT2000®. Results: the mean age was 61.50 years ± 6.62. Of the subjects, 70% were smokers and 50% had limited chest enlargement. According to the body mass index and the percentage of body fat, underweight was 30% and 40%, respectively. The 75.5% of the meager could not be evaluated by bio-impedancemeter due to extreme thinness. Endothelial dysfunction involved 70% of subjects. In addition, 86% of subjects with endothelial dysfunction were smokers. The reactive hyperemia index was positively correlated with body mass index (P = 0.017 and r = 0.73), body fat percentage (P = 0.016 and r = 0.73) and visceral fat level (P = 0.008 and r = 0.78). Conclusion: The evolution of COPD would be laced with serious cardiovascular complications often fatal. The assessment of nutritional status and endothelial function is fundamental for better management of the disease.

Background: In rural Senegal, biomass fuels are the main and often the only source of domestic energy for cooking. Their combustion is a source of particles and many other chemical contaminants that could alter cardiovascular function. Aims and Objectives: The aim of our study was to assess the effects of exposure to biomass fumes on vascular function in non-smoking women in rural Senegal. Materials and Methods: We conducted a cross-sectional 8-month study of 64 women (32 exposed to biomass smoke and 32 unexposed controls) who were active or housewives and involved in cooking. The subjects were aged 33.56 ± 9.34 years and 30.22 ± 6 years, respectively. All the women received a questionnaire with questions on sociodemographic characteristics, habitat characteristics, cooking habits, and biomass exposure conditions. Flow-mediated brachial arterial vasodilation flow-mediated dilatation (FMD) expressed as a percentage of the diameter was measured basally at rest and post-compression at 5, 30, 60, 90, and 120 s and 10 min after deflation. Results: All participants were non-smokers. 12.5% of subjects used gas in addition to biomass. Seniority was 18. 90 ± 10 years, with a mean daily biomass exposure of 4 ± 1 h. The analysis of cardiovascular parameters and blood sugar found no significant difference between the two groups. Kinetic FMD comparisons between the two groups showed significant differences at points 60 and 90 s 10 min post-occlusion. A negative correlation was found between FMD at 90 s after deflation and the duration of exposure in exposed women (r = 0.44 P < 0.05). Conclusion: Our results showed that exposure to biomass is implicated in the appearance of vascular dysfunction in non-smoking women.

Background: Prolonged application of skin depigmenting substances could expose human organism to serious general complications such as hypertension or diabetes. Artificial depigmentation (AD) is a widespread practice within Sub-Saharan Africa subjects. AD is based on the use of dermocorticoides which could lead to vascular complications. Aims and Objectives: Our aim was to evaluate the vascular function in depigmented Senegalese women. Materials and Methods: Thirty six depigmented (depigmented group) and 36 undepigmented black women (control group) participated in the study. They were aged 33.10 ± 7 years and 30.22 ± 6 years, respectively. Brachial artery flow mediated dilation (FMD) was measured in two groups. Biochemical and cardiovascular profiles of our study population were evaluated. The duration of depigmenting products exposure was evaluated in depigmented subjects. Results: Our study showed an abnormal kinetic of FMD in depigmented group compared to control group. Mean arterial pressure was 95.9 ± 8.8 mmHg in depigmented subjects and 89.6 ± 6.2 mmHg for control subjects and a significant difference was observed (P = 0.002) while triglycerides was significantly different (P = 0.01) between the two groups (0.8 ± 0.3 and 0.6 ± 0.2 g/L, respectively). FMD was significantly and positively correlated with exposure time (r = 0.25; P = 0.029). Conclusion: Prolonged percutaneous application of depigmentation products could alter metabolic and vascular functions, and consequently install cardiovascular risks. Thus, we recommended ways to prevent of AD in the African population.

Background: Rheumatoid arthritis is a systemic disease with often fatal vascular events. In addition to traditional cardiovascular risk factors, disease-specific elements contribute to this cardiovascular mortality. The aim of this study was to assess arterial stiffness in rheumatoid arthritis and to determine the factors involved.Methods: We have recruited the black African patients followed in rheumatology and had rheumatoid arthritis diagnosis. Only patients between 18 and 60 years and meeting the American College of Rheumatology criteria were included. All controls were healthy. We evaluated the propagation velocity of the pulse wave finger-toe (PWVft) measured by the pOpmètre®.Results: Present study shows that the PWVft was significantly elevated in over half of patients (55.10%). Besides, the mean patients PWVft was significantly higher than that of the control (respectively 9.40±0.51 and 7.22±0.33 p=0.001). In the patients, no factor was significantly involved in the arterial stiffness, but cons in the control group, the PWVft was significantly correlated with age (p=0.023 and r=0.55).Conclusions: Rheumatoid arthritis patients had higher PWVft compared to controls. Due to the importance of its cardiovascular morbidity and mortality, arthritis requires a regular monitoring element as arterial stiffness, which is currently a major vascular parameter monitoring.

Our study’s aim is to assess the impact of the combination of tobacco and chemical products (chlorine, sulphuric acid (sulphur)) on pulmonary function using the spirometry. Subjects selected were divided on 4 groups according to their smoking status and/or the exposition on chemical products. Parameters studied were: Slow Vital Capacity (SVC), Forced Vital Capacity (FVC), Forced Expiratory Volume in one second (FEV1), FEV1/VC (Tiffeneau), Peak Expiratory Flow Rate (PEFR). Ventilatory disorders were assessed in each group and comparison between groups was done. The comparative study of spirometry’s subjects who aren’t exposed on chemical products (G1vsG2), revealed that smokers (G2) had a VEMS more significantly low than the predicted standard value (P=0,003). When we compare nonsmokers (G1vsG3), exposed subjects showed a significant predominance of ventilatory disorders with CVL, VEMS and DEP weaker p=0,034(CVL), p=0,045(VEMS), p

The fasting of Ramadan is causing circadian rhythm and body composition changes. It has been described a decrease of certain parameters during this period. Thus, the objective of our study was to evaluate the recovery of these parameters after the fasting of Ramadan. An experimental study was carried out among 18 students of the National Institute of Sciences of Physical Education and Sport (INSEPS) in Dakar. They were all male, black, aged 21 to 30 years and regularly practiced fasting. Data were collected on the 15th day of Ramadan and 6 weeks after Ramadan. Anthropometric and cardiovascular parameters were measured. Body mass index (BMI) was calculated from the anthropometric parameters such as weight and size by Quetelet’s formula. The parameters of body composition such as percentages of body fat, muscle mass and visceral fat were measured by an impedance meter (OMRON BF 511). Then, they allowed us to calculate percentage of fat free mass, fat free mass index (FFMI) and skeletal muscle mass index (SMMI). No significant difference was found for cardiovascular parameters between the two periods. However, certain parameters such as weight, BMI, fat mass, fat free mass and FFMI increased significantly six weeks after Ramadan. A strong trend of increasing was found in the percentage of fat mass (p = 0.05), while the percentage of muscle mass slightly tended to decrease after Ramadan. The principal component analysis showed that the percentages of body fat, fat free mass and muscle mass as well as fat mass were the most contributory parameters of the body composition in both times. The fasting of Ramadan causes transient changes in body composition. Long-term changes in certain parameters such as fat mass were necessary for a real effect on health. The association of Ramadan fasting with that of Sunnah would be necessary to obtain this benefit.

Introduction La santé est définie selon l’Organisation mondiale de la santé (OMS) comme étant « un état de complet bien-être physique, mental et social, et ne consiste pas seulement en une absence de maladie ou d’infirmité : elle est le résultat d’un équilibre harmonieux mettant en jeu un ensemble de facteurs politiques, socioculturels, économiques et environnementaux » (Préambule à la constitution de l’Organisation mondiale de la santé, 1946). Cette définition rend compte d’emblée du caractè...

Diabetic neuropathy occurs in more than 60% of diabetic’s populations. The aim of our study wasto describe clinical and electromyography characteristics of diabetic neuropathy in a Senegalese black diabetic population (Senegal). This was a cross-sectional study of 68 neuropathic type 2 diabetic patients with 56.8years mean age. Clinical examination, Visual Analog Scale, Neuropathy Symptom Score, Disability Neuropathy Score and electro neuromyography were used to characterize neuropathy. Mean duration of diabetes was 8.7 years and mean glycosylated hemoglobin9%. Motor neuron deficit was found in one patient. The main sensory disorders were paresthesia (97%), neuropathic pain (94%), and hyperesthesia (44%). Cramps were found in 45.5% and tendon reflex abnormalities in 63.2% of cases. Tachycardia (52.9%), intestinal transit disorders (42.6%) were the most common symptom of autonomic nervous system neuropathy. High blood pressure (p=0.05) and sex (p 0.05). Diabetic neuropathy in our series is a multi variate symptom with usually mixed type. Its risks’ factors were still poorly known. Studies on larger series would better characterize it.