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Search Results: 1 - 10 of 5932 matches for " Luboya Numbi Oscar "
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Severe Allergic Reaction to Oral Artesunate-Amodiaquine Combination Treatment for Malaria: Case Report in the Democratic Republic of Congo  [PDF]
Edouard Kawawa Swana, Christian Katshiza, Oscar Numbi Luboya, Michael J. Bangs
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1103676
Background: In 2012-2013, a pilot study on implementation of community-based case malaria management by trained community health workers was implemented in southern Katanga Province in the Democratic Republic of Congo (DRC). We report one case of severe adverse reaction that was linked to artesunate-amodiaquine (ASAQ). Case summary: An apparent healthy, 15-year-old Congolese female with a positive rapid diagnostic test for Plasmodium falciparum without any sign of complications was prescribed a fixed dose combination of ASAQ. Under direct observation, she took two tablets of ASAQ (200 mg AS/540mg AQ total) with water. Approximately 30 minutes later, she developed a generalized pruritus and widespread urticarial rash, with marked periorbital and forearm swelling. She was immediately referred to the nearest clinic. She did not present with fever or any respiratory distress and was fully conscious. She received dexamethasone 8 mg IV, followed 20 min later by 4 mg of chlorphenamine orally. Approximately 40 minutes after, the rash and swellings had mostly resolved. She received oral quinine as a second line treatment. Conclusion: This single presentation was the only such occurrence from 1354 malaria-infected patients. As ASAQ is the most widely used first-line treatment in the DRC, increased awareness and close monitoring of the use of this drug are advised. Health care professionals should document, report and provide immediate medical assistance.
Epidemiological, Nutritional and Factors Associated with Infant Bronchiolitis in Hospitals: Case of the City of Lubumbashi (DR Congo)  [PDF]
Boniface Fievey Makam, Gray A. Wakamb Kanteng, Stanis Okitotsho Wembonyama, Oscar Numbi Luboya
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1103710
Introduction: The objective of this study is to determine the incidence of acute bronchiolitis of infants in an urban area of the Democratic Republic of Congo to establish the epidemiological, clinical and nutritional profile of affected infants. Methodology: A cross-sectional descriptive study was conducted in Lubumbashi (DR Congo) at three hospitals over a 2-year period from 2013 to 2014. A total of 321 acute bronchiolitis was collected in infants Less than 24 months. Results: A hospital incidence of 3.8% was found. Bronchiolitis occurred most from December (8.7%) until March (8.7%), and the peak was observed in February, i.e. 24.9% of cases, which corresponds to the great rainy season. The average age of children with was calculated 7.78 ± 6.43 months. The prevalence of underweight was 40.6% (n = 129). There was a significant association between pathology and prematurity (p = 0.00, OR = 111 [20.2 - 614.5]) with associated pathologies (p = 0.02 OR = 8 [0.9-64.5]). Conclusion: The incidence of bronchiolitis has declined in comparison to previous studies in the context of our study setting, but it may be regressed if targeted public health measures are taken.
Risk Factors for Mortality of Newborn at Kolwezi Hospital  [PDF]
Kabamba Nzaji Michel, Mindje Kolomba Bertin, Kalonji Tshibwabwa Deddy, Kilolo Ngoy Umba Elie, Kwete Botshiabo Jack, Yowa Malemba Yvette, Kabwe Matanda Pascal, Nday Mwadiavita Charles, Oscar Luboya Numbi
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1102849
The WHO estimates that about 130 million children born each year worldwide, and about 4 million die during the neonatal period. Neonatal mortality remains until now a major public health problem in the world and is the socio-economic indicators of progress and health of a country by its frequency. This study aimed to identify risk factors of neonatal mortality through maternal and new-born characteristics susceptible to influence this last. We conducted a longitudinal study from January 1st to December 2014 based on data collected through a questionnaire developed for this purpose. This questionnaire was tested, standardized and administered in the maternity and neonatology service in the language spoken by the mother (Swahili or French). Results: Anemia and neonatal asphyxia were significantly associated with the occurrence of death with adjusted odds ratio of 34.570 respectively (CI: 5.633 to 212.149, 95%) and 7861 (CI: 2.017 to 30.644). The history of fetal deaths and HIV in mothers was also recognized as an explanatory factor for the occurrence of neonatal mortality. But it should be noted that the CPN followed and the history of genital bleeding in the first trimester of pregnancy have made protective factors for developing neonatal mortality with their respective adjusted OR of 0.169 (CI: 0.037 to 0.775, 95%) and 0.066 (CI: 0.005 to 0.906). Conclusion: To address this problem, the management of various risk factors that may influence the occurrence of neonatal mortality should be taken into account.
Respiratory Problems of Sands Carriers in the City of Lubumbashi/Rd Congo  [PDF]
Léon Kabamba Ngombe, Nlandu Roger Ngatu, Nyembo Mukena Christophe, Benjamin Kabyla Ilunga, Stanis Wembonyama Okitotsho, Jean-Baptiste Kakoma Sakatolo, Oscar Luboya Numbi, Brigitta Danuser
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1103172
Objective: To determine the prevalence of respiratory symptoms and illustrate the dangerousness of the sands dust in the Artisanal carriers in the city of Lubumbashi, Katanga province, in the Democratic Republic of the Congo (DRC). Method: In total, 120 carriers of sand have been recruited in an exhaustive approach with 120 communal administrative officers of Lubumbashi city as control group. Respiratory symptoms were collected using a respiratory questionnaire. A multi-analysis varied with the test of logistic regression has been privileged to determine the association between the characteristics of the carriers and the respiratory symptoms. Results: The prevalence of respiratory symptoms reported in carriers of sands was greater than that of the control group for the symptoms such as: cough in the morning (52.5% against 6.7%), sputum in the morning (35% against 7.5%), shortness of breath after effort (18.3% against 5%), asthma (26.7% against 5%), chronic bronchitis (12.5% against 4.2%), rhinitis (62.5% against 21.7%), conjunctivitis (58.3% against 17.5%). After adjustment, on factors such as age and education, the profession carrier of sands was strongly associated with the risk of developing respiratory symptoms below: spit in the morning, shortness of breath after effort, asthma, chronic bronchitis with a p < 0.001. The Peak Expiratory Flow Rate (PEFR) has been significantly reduced in the Carriers of sands (438.87 ± 109.02) compared to controls (480.14 ± 70.73) (p < 0.05). Conclusion: The profession carriers of sand as practiced in Lubumbashi, without means of adequate protection, carry a clear risk for respiratory health. It is essential to organize a specialized education in medicine of the work which can train doctors with proven expertise to address the enormous need for qualified personnel in this environment considered at risk of breathing.
Seroprevalence Hepatitis B in Blood Donors at Lubumbashi, DR Congo (Case of Provincial Hospital Sendwe Reference)  [PDF]
Kabamba Nzaji Michel, Kabwe Matanda Pascal, Kaki Khang Mariette, Ilunga Kahaki Blaise, Nkongal Nkongal Tonny, Bwana Kangulu Ignace, Kilolo Ngoy Umba Elie, Kabyla Benjamin Ilunga, Luboya Numbi Oscar
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1103105
In developing countries or economies in transition, many people die because of lack of safe blood, even in some urban healthcare facilities. Blood transfusions can save lives and improve health, but millions of patients did not timely access to safe blood, due to no reliable blood donors. The objective of this study was to determine the prevalence of hepatitis B in blood donors from the Sendwe General Provincial Hospital. This is a retrospective cross-sectional descriptive study on serum markers of hepatitis B study taking place over a period of 12 months from 1 January to 31 December 2014. This study showed that the prevalence of hepatitis B was 6.8%, and 78.7% of donors were male. The mean age was 34.1 ± 7.4 years, ranging from 18 to 57 years. Married, family donors, blood type O and Rh positive were the most represented with 81.1%, 68.6%, 58.8% and 99.3% respectively. A significant association was observed between the prevalence of hepatitis B and age, civil status of blood donors (p ≤ 0.001). These results should encourage health authorities to the implementation of effective prevention methods to stop the rapid spread of this infection, which is a serious public health problem.
Respiratory Health of Artisanal Miner of Lwisha in Katanga/DR Congo  [PDF]
Léon Kabamba Ngombe, Nlandu Roger Ngatu, Nyembo Mukena Christophe, Benjamin Kabyla Ilunga, Stanis Wembonyama Okitotsho, Jean-Baptiste Kakoma Sakatolo, Brigitta Danuser, Oscar Luboya Numbi
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1103233
Objective: To determine the prevalence of respiratory symptoms and make an awareness about the harmful effects of ores dust in the Artisanal miner in the city of Lubumbashi, Katanga province, in the Democratic Republic of the Congo (DRC). Method: In total, 104 artisanal miners have been recruited in an exhaustive manner with 122 administrative officers in the town hall of Lubumbashi, responsible for collecting the taxes in the Stations of the bus as the control group. Respiratory symptoms were collected using a standardized questionnaire. To determine the association between the characteristics of the miners and respiratory symptoms reported, a multi-analysis combined with the test of logistic regression has been privileged. Results: The prevalence of the respiratory symptoms was markedly higher in the artisanal diggers, as compared with the group that controls: wheezing (37.5% vs. 7.4%), shortness breathing after effort (26.9% vs. 3.3%), cough (29.8% vs. 12.3%), asthma (24% vs. 1.6%), rhinitis (20.2% vs. 14.8%), conjunctivitis (16.3% vs. 9.8%), and eczema (34.6% vs. 2.5%). After adjusting for age and education level, digger as occupation was strongly associated with a higher risk of developing respiratory and skin problems (p < 0.05). Conclusion: The study revealed that artisanal miner’s professions, as practiced in Lubumbashi, without any protection against dust, have a negative impact on the respiratory health. It proves to be very important to organize a teaching specialized in Occupational Medicine that can train some physicians with an established expertise having to answer if it is needed to be enormous in qualified staff in this area considered at respiratory risk.
Plants Used by Pregnant Women at Kipushi City in Democratic Republic of Congo: Prevalence and Indications  [PDF]
Khang Imvar Esther, Kataka Zabadi Kleph, Kaki Khang Mariette, Yayila Nsimba Sylvie, Wetshi Ongona Tchomba Andre, Lakula Niclette, Kabamba Nzaji Michel, Kalonji Ndumba Jean Baptiste, Luboya Numbi Oscar
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1103390
The use of plants in our immediate environment in primary health care in Africa and especially among the poor, is a very common practice. Our study aimed to determine the profile and frequency of pregnant using medicinal plants; and to identify medicinal plants most frequently used during pregnancy. We have done a descriptive cross-sectional study, conducted for up March 2014 to June 2014, on a sample of 400 pregnant women who consulted health centers of the city Kipushi during prenatal consultations. Of a total of 400 pregnant consulted during the investigation period, 30% or 7.5% used medicinal plants, 46.67% had an age between 26 and 30 years, the majority of pregnant or 56.67% had a secondary consideration; 13 pregnant using medicinal plants is 43.33% were multiparous pregnant while 10, 33.33% were large multiparous pregnant 12% or 40% were married and 9% or 30% of pregnant were single. The Birsocorpus orientaris was the most used plants in pregnant or 16.67% of pregnant monitoring and Uapaca kirkiana, Ficus capensis or 13.33% and 10% of these used the pregnant Thespesia garckeana, Hibiscus cannabinus or Liposes. These results provide the basis for subsequent studies to experimentally evaluate the potential of these plants. This will make available for women in labor, new substances of natural origin.
Nutritional Status of Tuberculous Children Diagnosed and Treated in an Urban Area in DR Congo  [PDF]
Bafwafwa Ntumba Don Dieu, Kanteng A. Wakamb Gray, Mutombo Mulangu Augustin, Lukamba Mbuli Robert, Tshikamba Erick, Wembonyama Okitotsho Stanislas, Luboya Numbi Oscar
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1103557
Introduction: Tuberculosis and malnutrition are major health problems in DR Congo, and children are particularly vulnerable. The objective of this study is to determine the incidence of malnutrition in tuberculous children in DR Congo and to identify the associated factors. Methodology: A cross sectional study was conducted, and concerned 22 Tuberculosis Diagnosis and Treatment Centers (TDTCs). It was carried out over a period from 2013 to 2015 and involved 717 tuberculosis children less than 15 years of age. Nutritional status was assessed on the basis of the values of the Z-score Weight for age (global malnutrition) according to the NCHS curves. Results: Tuberculosis incidence was 8.2%. The prevalence of underweight (<﹣2 z-score) is 20.8%, of which 8.4% is severely malnourished (<﹣3 z-score). An age of less than 60 months is significantly associated with poor nutritional status (OR = 0.3, CI 0.2 - 0.5). TB-HIV co-infection is significantly associated with poor nutritional status (OR = 0.4, CI 0.2 - 0.6). It was noticed that the outcome is favorable (recovery) in patients with good nutritional status (OR = 12, CI 8.0 - 18.9). Conclusion: Underweight is present in Congolese tuberculosis children. An adequate nutritional policy is needed to improve the prognosis of the disease.
Epidemiological Profile of High-Risk Pregnancies in Lubumbashi: Case of the Provincial Hospital Janson Sendwe  [PDF]
Kabamba Nzaji Michel, Banze Chris Ilunga, Katumbo Mukemo Astrid, Ilunga Kahaki Blaise, Khaki Khang Mariette, Kiluba Tshikala Pitchou, Mudisu Kayinga Loriot, Nyembo Mukena Christiphe, Mindje Kolomba, Oscar Luboya Numbi
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1103224
Maternal and child health is an important part in the health development plans in many countries. This descriptive study aimed to investigate the epidemiology of risk pregnancies managed at the provincial hospital Janson Sendwe. It was conducted from March 17 to July 15, 2015 to all pregnant women for childbirth consultant beyond 28 weeks of gestation and having at least one risk factor identified during antenatal care or a posteriori childbirth. On 535 women included in the study, we recorded 1667 risk factors in an average of 3.2 risk factors per woman. The three main risk factors were met by order of importance: the history of maternal infection (18.5%), the history of caesarean section (13.6%) and unexplained fetal or neonatal death antecedent (12.4%). The antecedent of uterine malformation (0.1%), the history of macrosomia (0.5%) and uterine height decreased (2.1%) were the least represented. It thus appears necessary to carefully monitor these women to avoid the occurrence of maternal mortality.
ANO Rectal Malformations in Lubumbashi: Case Report and Literature Review  [PDF]
Ilunga Kandolo Simon, Kabamba Wa Kabamba Christian, Ngolo Matthieux, Matungulu Matungulu Charles, Mwarabu Much’Apa, Lunbu Luvungu Nora, Elmer Delgado, Kabyla Ilunga Benjamin, Luboya Numbi Oscar, Mashini Ngongo Ghislain
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1103662
Three cases of congenital malformation were observed, including cases of anal imperforation at the Lubumbashi Surgery and Traumatology Center in the Democratic Republic of Congo. These cases concerned the anal imperforation observed in three new male babies from the ex-triangle of death in the province of Upper Katanga (The Democratic Republic of The Congo). One case presented dehydration in stage B. Colostomy was the first act to save the three newborns. The colostomies were repaired after reopening the anal orifice. No deaths were recorded.
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