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Background: Rotavirus infection is the most important cause of infectious, severe and dehydrating diarrhea and death in children aged 5 and under and continues to have a significant impact on child morbidity and mortality in our countries. The aim of this study was to retrospectively determine prevalence of rotavirus and adenovirus in patients presenting with gastroenteritis symptoms and the distribution of pathogens according to gender, age and season. Materials and Methods: Stool samples received at the medical microbiology laboratory between January 2018 and December 2022 were evaluated for rotavirus/adenovirus antigen with BIOSYNEX Rotavirus/Adenovirus BSS kit (BIOSYNEX, Switzerland). Results: Rotavirus was detected in 36 (6.96%) of the 517 stool samples evaluated and 16 (3.09%) samples were positive for adenovirus. Co-infection was detected in 10 samples (1.93%). Prevalence of rotavirus and adenovirus was 12.22% (28/229) and 4.80% (11/229) respectively in children aged 0-12 months. Our results showed a significant difference between the patients among the three study groups (rotavirus, adenovirus and mixed) with regard to their age categories. Regarding the monthly distribution, the highest detection rate of rotavirus gastroenteritis was found between the months of September (12.28%) and February (14.89%). Adenoviruses were detected continuously over a period from June to December with a significant difference (p

Introduction : Les complications cardiovasculaires sont très létales chez les patients hémodialysés chroniques. Elles constituent la première cause de mortalité dans cette population qui est 3 à 20 fois plus élevée par rapport á la population générale de même âge. L’objectif de ce travail était de déterminer la fréquence des complications cardiovasculaires chez les patients hémodialysés chroniques. Patients et méthodes : Il s’agissait d’une étude prospective descriptive et analytique de 2 mois au centre d’hémodialyse de l’hôpital régional de Ziguinchor. Le recueil des données était effectué grâce á un questionnaire renseignant sur les paramètres épidémiologiques, cliniques, paracliniques. Tous les patients avaient bénéficié d’un électrocardiogramme et d’une échographie cardiaque trans-thoracique faites en post dialyse. Résultats : L’âge moyen des patients était de 41,14 ans et 57,14% des patients étaient hypertendus. La dyspnée d’effort était la principale manifestation clinique soit 47,61% et 28,57% des patients avaient une hypertrophie ventriculaire gauche électrique. A l’échocoeur, l’hypertrophie ventriculaire gauche concentrique était le plus notée dans 47,61%. Conclusion : les patients hémodialysés chroniques sont exposés á des complications cardiovasculaires fréquentes et létales. La prise en charge correcte nécessite une surveillance avec des examens paracliniques périodique pour prévenir les complications., Journal Marocain des Sciences Médicales, Vol 23, No 1

Introduction: Determination of dry weight is one of the daily goals to achieve in hemodialysis. The aim of this study was to validate the use of bioelectrical impedance analysis (BIA) in estimation of dry weight in a population of Senegalese chronic hemodialysis patients. Patients and methods: A 9-week cross-sectional study was carried out at the hemodialysis unit of Aristide Le Dantec University Hospital. Adult patients with no previous hospital history were included. The total body water (TBW) was measured with a single frequency bioelectric impedance foot-to-foot analyzer, before and after six successive hemodialysis sessions. These results were compared with those from clinical measurements with the Watson equation using a Student’s t-test and Bland-Altman analysis. Results: 264 measurements were made in 22 patients (46.6 years, 54.5% men, 92.3 months on dialysis, 62.7 kg mean dry weight). A significant reduction in weight (ΔWeight = 2.0 ± 1.1 kg; p < 0.0001) and in TBW measured by the BIA (ΔTBWBIA = 3.3 ± 1.0 liters; p < 0.0001)) or calculated by Watson’s equation (ΔTBWWatson = 0.5 ± 0.2 liter; p = 0.0001) was observed. There was a strong linear correlation and agreement between the 2 TBW measurements in pre-dialysis. In post-dialysis the concordance diagram indicated a bias = –2.2 and wide agreement limits. Conclusion: The BIA allows reproducible and reliable measurements and a fair estimate of the TBW in pre-dialysis.

International audience; The burden of encephalitis and its associated viral etiology is poorly described in Africa. Moreover, neurological manifestations of COVID-19 are increasingly reported in many countries, but less so in Africa. Our prospective study aimed to characterize the main viral etiologies of patients hospitalized for encephalitis in two hospitals in Dakar. From January to December 2021, all adult patients that met the inclusion criteria for clinical infectious encephalitis were enrolled. Cerebrospinal fluids, blood, and nasopharyngeal swabs were taken and tested for 27 viruses. During the study period, 122 patients were enrolled. Viral etiology was confirmed or probable in 27 patients (22.1%), with SARS-CoV-2 (n = 8), HSV-1 (n = 7), HHV-7 (n = 5), and EBV (n = 4) being the most detected viruses. Age groups 40–49 was more likely to be positive for at least one virus with an odds ratio of 7.7. The mortality was high among infected patients, with 11 (41%) deaths notified during hospitalization. Interestingly, SARS-CoV-2 was the most prevalent virus in hospitalized patients presenting with encephalitis. Our results reveal the crucial need to establish a country-wide surveillance of encephalitis in Senegal to estimate the burden of this disease in our population and implement strategies to improve care and reduce mortality.

This paper seeks to analyze whether the anchoring of the Eco would not slow down the economic dynamics of the WAEMU countries. Theories in favor of this foreign exchange policy set out many of its advantages, including price stability, which favors high growth rates. Other theories to his detriment, show that it deprives all their autonomy in terms of monetary policy and slows down their economic dynamics. Our results show that the fixed exchange rate regime does not give better results for inflation control, and therefore has a negative influence on the search for high growth. Also, UEMOA countries investments are ineffective in boosting growth. To this end, we recommend a floating exchange rate regime for the Eco administered inflation targets., Revue Economie, Gestion et Soci��t��, �������� 1, ������ 35 (2022)

The object of this paper is to measure the financial performance of microfinance institutions in Senegal by approaching it from the angle of geographic and demographic penetration of services. To this end, the measurement of performance through the dimension of financial inclusion has been favored. Our results showed that in Senegal, microfinance institutions are not financially successful in terms of geographic and demographic penetration because of high interest rates. For this, it therefore requires a good repayment capacity at the level of the borrower, an aptitude which of course is diminished if the person is very poor, without reliable income to allow him to repay a loan., Revue Economie, Gestion et Soci��t��, �������� 1, ������ 35 (2022)