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Biomedical subjects

M L Sow

Publications and source records attributed to M L Sow.

At least 37 records · Page 2Linked to original sources

[Update on lateral and medial spaces of the dorsal wall of the axillary fossa].

Lateral and medial axillary spaces (also named quadrilateral and triangular spaces) correspond to orifices of the posterior wall of axillary fossa communicating with deltoid and scapular areas. We attempt to become clear the anatomic boundaries of these spaces and the structures passing through. We studied by dissection 18 fresh and embaulmed human upper limb of both sex. Lateral axillary space was limited by lateral edge of the long head of the triceps muscle medialy, the medial edge of the surgical neck of the humerus lateraly. The tendon of teres major and latissimus dorsi muscles constituted lower limit and the superior boundary was the scapulohumeral capsule rather than the teres minor muscle. Structures passing through the quadrilateral space where the axillary nerve and the posterior humeral circumflex vascular pedicle. Boundaries of the triangular space where, lateraly the medial edge of the long head of the triceps, superiorly the inferior edge of the teres minor and the axillary border of the scapula; the upper edge of the teres major corresponded to the superior limit. Abduction of the upper limb is a movement which increase the risk of entrapment phenomenon of the axillary nerve in relation to rigid anatomic structures like the surgical neck of the humerus, the scapulohumeral capsule and the tendon of latissimus dorsi and teres major muscles. Neverless genetics cause of anatomic predisposition is evocated in the quadrilatere space syndrome.

Aged↗

[Bronchial hyperreactivity syndrome : a case report following exposure to sulfur dioxide].

A variety of occupational asthma is induced by important exposure to irritants. A case is reported, where le patient developed asthma symptoms like, following huge exposure to sulfur dioxide. All Books criteria were met, except for the metachlorine challenge which was not performed. Nevertheless the bronchial reactivity in the work place, shown by a portable pick flow eased le diagnosis. General practitioners and occupational physicians should be aware of this new medical entity for a better management.

Asthma↗

[Smoking habits among physicians in Dakar].

A prospective cross-sectional study was conducted in March 1999 on the prevalence of smokers and smoking habits among physicians practicing in the Dakar region. The study population was composed of 163 physicians; 128 male (78.5%) and 35 female (21.5%). The prevalence of smokers was 27.6%. The average age of the smokers was 40.5 (+/- 6.2) years (extremes between 30 and 61 years) and an average duration of 18 (+/- 6.6) years in smoking. Men smoked more than women (93.9% versus 6.7%) with 56.4% of heavy smokers. Specialists represented 63.3% and generalists 36.4%. Initiating factors were stress (28.9%), circle of friends/acquaintances (24.4%), fashion (24.4%), pleasure (20%) and advertisements (2.2%). A little over 82% smoked in public places, 68.9% in their work places and 49.5% before children. The average time duration smoking was stopped followed by relapse was 15.7 (+/- 9.7) months. 97.7% of smokers manifested their intention to stop. Nicotine dependence according too the Fagerström questionnaire was average (37.9%), high (39.6%) and very high (12.6%). Smoking is a reality in the medical environment in Dakar. Specific campaigns aimed at physicians will be necessary to hope for a sustainable change in behavior and for a much more pronounced implication in the fight against tobacco addiction.

Adult↗

[HIV infection at the work-place: beliefs and attitudes compliance to ethical standards].

The aims of this study undertaken from May 2000 to August 2000, were to appreciate workers feelings about ethical questions arisen in workplaces. Three industries were randomly chosen among a total of seven which benefited from HIV preventive policy. Two hundred workers randomly chosen by a multistage sampling method, were interviewed by an occupational physician on their beliefs and attitudes about HIV infection. Mean age was 41 years, 82.5% were male and 75.5% did benefit from high school education. 76% of workers had a good level of knowledge about transmission and prevention methods about HIV. 76.5% were willing to take care of people infected. 73% believed that infected persons must continue their job in the workplace. For 63.5% infected patients should receive more care than the other sick persons no matter what disease is concerned. These positive attitudes are highly correlated with level of knowledge (p < 0.001). In contrary 73.5% did state that pathient status should be revealed. These findings are globally compliant with ethical issues except for confidentiality questions. They invite to enforce preventive measures in workplaces.

Adult↗

[Characteristics of occupational accidents in the building industry and public works in Senegal].

The objectives of this study were to appreciate the magnitude of work accidents in a building construction sector, to specify their type and characteristics. A retrospective study was undergone in a big building construction industry in Senegal. Data were collected from records of accidents reported to the Social Security Administration between 1994--1996. We looked for characteristics of accidents as well as workers involved in accident. 244 accidents were collected in a three years period, i e 81.5/year, 132 work injuries involved temporaryworkers. 55.73% occurred in chantiers, and 1/3 in working room. Moving and handle objects generated most accidents (36,47%). Wounds and contusions were the most frequent lesion (51,62.%). Arms and feets were concerned in 51.63%, and ocular lesions were noticed in 13.94%. These accidents generate an overall number of 3055 days lost. Work injuries in the building construction sector in Senegal are identical to those described in othercountries. Prevention measures requires improvement of working conditions, education of workers and availability of personal protective equipment's.

Accidents, Occupational↗

[Regulations on tuberculosis risk in workplaces in Senegal].

National immunization and control programs have not brought about a significant decline in tuberculosis, which remains a real public health concern in our regions. Prevention in the working environment should be part of an overall prevention program for the general population. Nevertheless, companies should play a leading role because they have the necessary structure and assets. We analyzed the epidemiology of tuberculosis in the working environment using demographic data on employees in Senegal, current medicolegal data on tuberculosis in Senegal and data on prevention of tuberculosis. Our analysis led to a proposed strategy for controlling tuberculosis spread and its prevention in the working environment in Senegal.

Adult↗

[Emergence and course of the ilioinguinal nerve of the groin].

The aim of our study was to find a way of preserving the ilioinguinal nerve during surgical procedures for the repair of inguinal hernias. 40 inguinal regions were dissected, 37 ilio-inguinal nerves studied. The emergence of the nerve was at 4.21 cm of the anterior superior iliac spine, at 0.78 cm of the inguinal ligament on average. Its course was parallel to the inguinal ligament, always lay under the aponevrosis of the external oblique abdominal muscle, it passed through the superficial abdominal ring in 67.56% before proceeding on anterior side of spermatic cord. This result allowed us to examine the possibility of the nerve course variation's, of anastomosis with iliohypogastric nerve and particularly the best way to identify it when surgical procedures are performed in the lower portion of the abdomen.

Hernia, Inguinal↗

[Lumbar hernia through the Jean Louis Petit triangle: anatomic and clinical aspects].

Lumbar hernia through Jean Louis Petit Triangles is rare. Usually asymptomatic, it is sometime revealed by lumbar mass or a complication. Surgical treatment consists on parietal repair. This could be done by direct suture, muscular plasty or prothetic material. We hereby, report three cases of lumbar hernia. We get the opportunity to make an update in the anatomical, clinical and therapeutical point to view.

Abdominal Muscles↗

[Occupational asthma in a Senegalese car sprayer. Diagnostic and medico-legal problems].

The industrial development policy adopted by African countries since their independence has contrasted with the relative rarity of occupational asthma in workers exposed to different situations and substances known to generate occupational asthma. Asthma occurring in a Senegalese car sprayer had persisted for twenty years before the its work-related nature was recognized. This observation demonstrates the need for: 1. Education to make health care personnel, as well as workers and employers, more aware of the clinical aspects of asthma. Educational programs should include diagnostic and preventive measures for respiratory occupational diseases including occupational asthma. 2. A registration system for occupational diseases so the occupational nature of diseases can acquire legal recognition. 3. Cooperative efforts between general practitioners, occupational physicians, physiologists and lung specialists in order to create reference laboratories where tests can be performed to confirm the diagnosis of occupational asthma, a disease which has not yet been included on the list of occupational diseases.

Asthma↗

[Acute carbamate poisoning: apropos of 7 cases occurring in a Senegalese industrial unit].

The authors describe an onset of acute pesticide intoxication which occurred in an industrial site in Dakar. The substance responsible belongs to the class of carbamates which leads to variety of symptoms in relation with acetylcholin accumulation. All seven employees involved were young, males, unqualified temporary workers. Many factors appear to facilitate the intoxication: heat stress, inappropriate protective devices, and lack of information on pesticides' hazards. Routes of entry were cutaneous and respiratory. Symptoms were related to muscarinic and nicotinic syndromes. The course of this episode was favourable because of adequate treatment.

Acute Disease↗

[Anatomical study of the interosseous membrane of the forearm].

The authors have dissected 20 forearms of human cadavers to study anatomy and some functions of the IOM. The fibers bundles of the IOM were arranged in one plane descending obliquely and distally from the radius to insertion to the ulna. Central band of the IOM was easily found and was thick. It's a resistant ligament for longitudinal stability of the radius. Now, it's important to know anatomical alignment of the IOM because ultrasound imaging can be used for diagnosis of its rupture or elbow injuries and in a early future, surgical methods of repair or reconstruction of IOM will be developed.

Forearm↗

Prevalence of respiratory symptoms and increased specific IgE levels in West-African workers exposed to isocyanates.

Respiratory symptoms and immunological effects from chronic exposure to isocyanates (toluene diisocyanate) were studied in a cross survey of workers from West African factories producing paints and polyurethane foam. A questionnaire, a pulmonary function test, immunoglobulin E (IgE) levels, radioallergosorbent test (RAST) and an atmospheric sample to quantify isocyanate exposures were carried out in the workplace for each worker. Ninety-six workers, of whom 44 had occupational isocyanate-induced asthma, were included in the study. Twenty-four viral-infected subjects were excluded from the immunological study. Specific antibodies to isocyanates were detected in two of the symptomatic individuals. This low proportion appeared to be a common feature of this disease. The prevalence of isocyanate-induced asthma in a West African working population appears to be significant in the context of chronic human exposure, as current data are based on excessive acute exposure due to an accident as seen in India.

Adult↗

The recurrent laryngeal nerve (RLN): application to transhiatal oesophagectomy.

To emphasize the risks of recurrent laryngeal nerve lesions during transhiatal oesophagectomy an anatomical study of the course of the recurrent laryngeal nerve (RLN) was performed. Twenty RLN were dissected in their thoracic portion. This work showed the constancy of the low origin of the nerve in the adult under the aortic arch, and its course in the tracheal angle. It confirmed the close connections of the nerve with the posterior mediastinal viscera. Lastly, it displayed oesophageal nerve branches arising from the RLN and a few anastomoses between them and the tracheal nerve branches. This anatomical disposition resulted into the difficulty of transhiatal oesophaphagectomies and the risk of injury of the recurrent laryngeal nerve. The possibility of nerve lesions can explain the respiratory complications of this surgical approach.

Adult↗

[Survey of pathology associated with the use of video display terminals].

This study has been conducted in Sénégal, where Video Display Terminals (VDT) constitute for more than one decade an occupational tool for thousands of workers. Its objectives were to identify symptoms on VDT operators and to state the hazards related to its use. The methodology consists of a Cross sectional study using questionnaire based on the model proposed by the National Research and Security Institute of Paris (INRS). The study target was workers in 4 industries of the capital city Dakar, where VDT have been widely used. 152 persons have been questioned; 50.7% were male. 82.9% of complaints are related to musculosqueletic disorders mainly located in the low back, the neck, and the shoulders. Ergonomics problems appears to be the main cause of these symptoms; no replacement medical examination was performed and as the result, 23.6% did benefit from an ophthalmologic check-up in the 2 years following the use of VDT. Ergonomic evaluation of the working environment as well as medical surveillance are necessary to prevent occurrence of symptoms on VDT users in our country.

Adult↗

[Anatomic study via dissection of the common fibular nerve: etiopathogenic consideration].

In order to understand and prevent the particular rate of the common fibular nerve palsy during the traumatisms of the main stem of the sciatic nerve; the authors have studied through dissection the osteomuscular and aponeurotic relationships of 38 common fibular nerves. They blame it on the relations between the nerve and the proximal ends of the fibula; the nerve can be stretched on and mainly on its fixation on the crural fascia by fibrous tracts seen in 78.94 of the cases.

Adult↗

The artery of the sinuatrial node: anatomic considerations based on 45 injection-dissections of the heart.

The origin, course and mode of termination of the artery of the sinuatrial node was studied in 45 anatomic specimens by injection-dissection. It was solitary in 88.89% of the cases and double in 11.11%. It arose from the right coronary a. in 64.45% of cases, from the left coronary a. in 24.44%, and from both in 11.11%. The side of origin was not significantly influenced by the coronary dominance. When it arose from the right coronary a., the course of the sinuatrial a. varied greatly with its site of origin from the coronary vessel, either from an atrial a. or from one of its collateral branches, and also depended on its relations with the interatrial septum. When it arose from the left coronary a., its course was relatively uniform, except for arteries arising from the inferior atrial aa., which characteristically involve the posterior wall of the left atrium. Three modes of termination were found: precaval, retrocaval, and in a pericaval arterial circle. These observations made it possible to understand the possible origin of disorders of rhythm observed following disturbance of the arterial supply to the sinuatrial node during certain stages of cardiac surgery, particularly during atriotomies and the surgical correction of certain valvular disorders and congenital malformations, which expose the a. of the sinuatrial node.

Adolescent↗

The artery of the atrioventricular node: an anatomic study based on 38 injection-dissections.

The origin and course of the artery of the atrioventricular node (AAVN) was studied in 45 anatomic specimens by the method of injection-dissection in 38 human hearts removed at medicolegal autopsies from black Senegalese subjects. Though sometimes double, the AAVN is classically solitary. Its coronary origin, which is always distal, occurred on the right side in the great majority of cases, at the level of the "U-turn of James", and on the left side at the level of the terminal portion of the circumflex a. At the level of Koch's triangle, its course is marked by a close relationship with the zone of attachment of the septal cusp of the right atrioventricular valve on the one hand, and with the orifice of the coronary sinus on the other. In cardiac surgery, respect for the area of Koch's triangle, the base of the interatrial septum and the region of the intersection of the cardiac sulci will reduce the risks of injury to the AAVN.

Adolescent↗

[The sensitive branch of the radial nerve at the inferior third of the forearm and at the wrist. Clinical applications].

The sensitive branch of radial nerve is superficial at the inferior third of forearm. This explain frequency of their operative lesions. The purpose of our work is to study his anatomy for choosing surgical approach who protect the nerve. The sensitive radial nerve was dissected is 20 cadaver forearms and wrists. The ride of the nerve and his terminal branches was constant at the lateral side of the radius may be the origins of the terminal branches was variable with 40% of specimens innervating the radial 2 1/2 digits. This is the common terminal distribution of the nerve. The authors do not recommended lateral approach advise anterior surgical approach for the inferior third of the radius to prevent nervous lesions, disagreeable in post-operative period.

Forearm↗