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Search Results: 1 - 10 of 144403 matches for " B. Kabengele "
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Serum Lipase in Pulmonary Tuberculosis Patients in Kinshasa—A Hospital Based Study  [PDF]
M. K. Mbelu, J. J. Malemba, B. Kabengele, J. M. Kayembe, D. N. Kayembe
Journal of Tuberculosis Research (JTR) , 2018, DOI: 10.4236/jtr.2018.62015
Abstract: Context: The increase of serum lipase is established for pancreatic and bile duct disorders. However, the production of this enzyme by other organs, including the lungs, leads to the question of its potential role in the diagnosis of other conditions including lung diseases. Objective: The aim of the present study was to describe the profile of serum lipase in patients who suffered from the pulmonary tuberculosis and to identify its determinants. Patients and methods: A cross-sectional study was performed from July to October 2013 in four hospitals of Kinshasa (The University Hospital of Kinshasa, Lisanga medical Center and 2 medical centers of Save Army). Patients who suffered from tuberculosis were included. The levels of serum lipase, triglyceridemia, cholesterolemia, c-reactive protein were noted, as so as the hemogram profile and the prescribed treatment (category and phase). Results: One hundred and twenty-eight patients suffering from pulmonary tuberculosis were included. Forty three women (33.6%) and 85 men (66.4%). The sex ratio M/F was 1:9. Hyperlipasemia was observed in 44.5% of patients. The average level of serum lipase was 36.6 ± 5.0 IU/L (normal value: ≤ 38 IU/L) in tuberculosis patients and 30 ± 2.3 IU/L in controls The lipid profile of the patients was normal. Conclusion: L Hyperlipasemia can be encountered, in varying proportions, during pulmonary tuberculosis. It would be an indication of inflammation of the pulmonary parenchyma.
Saúde e diversidade Health and diversity
Kabengele Munanga
Saúde e Sociedade , 2007, DOI: 10.1590/s0104-12902007000200003
Abstract:
Patient Satisfaction Studies and the Monitoring of the Right to Health: Some Thoughts Based on a Review of the Literature
Emmanuel Kabengele Mpinga,Philippe Chastonay
Global Journal of Health Science , 2011, DOI: 10.5539/gjhs.v3n1p64
Abstract: The concept of patient satisfaction has a long history of controversy and debate. Yet it remains a topic of scientific investigation. Little is known about its importance as a tool for monitoring the right to health. A non-exhaustive review of scientific articles reported in Medline was done in order to better understand how patient satisfaction can be investigated and what it indicates. Over time and years the concept of patient satisfaction shows an evolution towards complexity, while becoming more operational. Indeed patient satisfaction studies have proved of value as a health indicator and allowed the implementation of improvement strategies in the health sector based on “the voice of the patient”, thus becoming a potential right to health indicator. However they do have limits, but we consider nevertheless that they are of interest as a health indicator and that they should be put as such on the public health agenda.
Selenium Content and Antioxidant Potential of Some Edible Wild Mushrooms from Bandundu Area, DR Congo  [PDF]
Marina Kisuba Kabuyi, Paulin Mutwale Kapepula, Jimmy Kabeya Kabengele, Bénédicte Moni, Gisèle Makengo, Patricia Mbombo Mungitshi, Adam Tujibikila Mukuta, Clement Mbadiko Mutunda, Simon Dibaluka Mpulusu, Jean Paul Koto-Te-Nyiwa Ngbolua, Nadège Ngombe Kabamba, Théophile Mbemba Fundu
Natural Resources (NR) , 2017, DOI: 10.4236/nr.2017.82008
Abstract: Nutrition is an important aspect of public health because it is linked to many significant diseases and health problems. This work is part of the promotion of traditional foods from the Democratic Republic of Congo in general and in the province of Bandundu, in particular by assessing the selenium content and the antioxidant capacity of wild edible mushrooms. Methanolic extracts from selected mushrooms were characterized for their chemical fingerprint by TLC and their in vitro antioxidant activities using ABTS, DPPH assays. Phytochemical screening revealed the presence of alkaloids, free amines, steroids and terpenes in all species. However, Auricularia delicata and Pleurotus tuberregium contain flavonoids. All extracts displayed a good radical-scavenging activity at the concentration range 1 - 300 μg/mL in the following order: Auricularia delicata > Lentinus cf cladopus > Pleurotus tuberregium > Marasmius buzungolo > Schizophillum commune. Studied mushrooms showed the interest quantity of selenium and L. cf cladodus had the highest concentration. Moderate selenium content of these wild mushrooms associated with their important antioxidant activities could provide health benefits to Bandundu’s populations in protecting against oxidative damage under different conditions including konzo.
Anemia and Hematologic Characteristics in Newly Diagnosed Pulmonary Tuberculosis Patients at Diagnosis in Kinshasa  [PDF]
Christophe Mbombo Mulenga, Jean-Marie Ntumba Kayembe, Benoit Obel Kabengele, Alain Bakebe
Journal of Tuberculosis Research (JTR) , 2017, DOI: 10.4236/jtr.2017.54026
Abstract: Context: The burden of TB in Africa tends to be exacerbated by the socio-economic situation and the high prevalence of intercurrent infections such as HIV, malaria and non-specific bacterial infections. These factors often result in anemia, making patients at high risk for anemia. Objective: We aimed to gain insights into the characteristics of anemia, hematologic variations and socio-economic status in untreated pulmonary TB patients (PTB) in Kinshasa, the Democratic Republic of Congo. Methods: We conducted a cross-sectional analysis of 200 smear-positive pulmonary TB patients (PTB) recruited at the initiation of TB treatment. Complete Blood Count, Iron profile, BMI, CRP and albuminemia were assessed. Data were analyzed using Student t or Mann Whitney tests as appropriate, and logistic regression was performed to assess the strength of associations. Results: Anemia was a regular finding in (69%). This anemia was mostly moderate (92.2%) and with iron deficiency pattern (48%). Hypoalbuminemia was observed in half of the subjects and appears to be correlated with the severity of anemia. Surprisingly, the severity of inflammation, as reflected by the CRP, was inversely correlated with the anemia. In the multivariate analysis, alcohol intake (OR: 2.38; IC 95%: 1.05 - 5.38), hypoalbuminemia (OR: 1.98; IC 95%: 1.02 - 3.82) and CRP rate were significantly associated with the presence of anemia among pulmonary tuberculosis at the diagnostic. Conclusion: This study demonstrates the heavy burden of the iron responsive anemia and risky life conditions in newly diagnosed TB patients, and underscores the potential usefulness of iron supplementation in the Congolese context.
Design, implementation and evaluation of a community health training program in an integrated problem-based medical curriculum: a fifteen-year experience at the University of Geneva Faculty of Medicine
Philippe Chastonay,Nu Viet Vu,Jean-Paul Humair,Emmanuel Kabengele Mpinga
Medical Education Online , 2012, DOI: 10.3402/meo.v17i0.16741
Abstract: Background: In the literature the need for relevance in medical education and training has been stressed. In the last 40 years medical schools have been challenged to train doctors competent to respond to community health needs. In the mid-90s the University of Geneva Faculty of Medicine introduced an integrated medical curriculum. In this initiative a particular emphasis was put in introducing a 6-year longitudinal and multidisciplinary Community Health Program (CHP). Objectives: The aims of the present article are to describe the conception, elaboration and implementation of the CHP as well as its evolution over 15 years and the evaluation of its outcomes. Methods: The CHP was at its origin elaborated by a small group of highly motivated teachers and later on developed by a multi-disciplinary group of primary care physicians, epidemiologists, public health and bio-ethics specialists, occupational health professionals, lawyers and historians. Evaluation of the program outcomes included educational innovations, new developments of the curriculum and interactions between students and the community. Results: The CHP learning objectives and teaching modalities were defined by the multi-disciplinary group in consensus meetings which triggered a collaborative spirit among teachers and facilitated further developments. The evaluation procedures allowed the monitoring of students’ satisfaction which remained high over the years, students’ active participation which decreased over time and success at certifying exams which was globally as good as in basic life sciences. The evaluation also assessed outcomes such as educational innovations, new developments of the curriculum and interactions between students and the community. Conclusion: As suggested in the literature, our experience shows that the students’ direct exposure and practice in the community health environment is an effective training approach to broaden students’ education by offering them a community perspective of health and disease.
Investigation of Hepatitis Functioning through Bilurbin at Blood Donors with HBV and HCV Positive  [PDF]
Kabengele Arlette Ndaya, A. Mbaz Ruth Kamb, Mulongo Pauline Kalenga, Ilunga Clarisse Manji, Kasongo Narcisse Mwinkeu
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1104166
Abstract:
The analysis of the liver functioning through bilurbin dosage has been up on fifty blood donors. The reactive bandages have been used to seek bilurbines in the urines of those patients considered as carriers with HBV and HCV. After analysis, this descriptive study has shown that out of 31 cases found at men more than 25 years old, 27 cases whose livers don’t function present a hyper degree of bilurbine when there is hepatitis. The doorstep of 3.9 μmol/L hold 65.2% of hepatitis B and hepatitis C. Whereas at the doorstep of 1.5 μmol/L and 7.8 μmol/L, the HBV has got respectively 8.7% and 26.1% of cases; and HCV has also got 33.3% and 26.7% of cases.
A Study of the Variation of Uremia, Creatinine and Total Proteinemia during Heart Failure  [PDF]
A. Mbaz Ruth Kamb, Kabengele Arlette Ndaya, Kamona Charles Kimuni, Mulongo Pauline Kalenga, Kasongo Narcisse Mwinkeu
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104313
Abstract:
Some diseases are accompanied with a change in biological parameters of which the dosage is possible in urine or blood. Previous studies have shown changes in parameters in kidney failure. The latter causes an impairment of the heart function later on. We have carried out a study of changes in biological parameters in people suffering exclusively from heart failure without any associated diseases or complications. The present research has been an analytic and case control one. It has been focused on urine, creatinine and on the total proteins found in the blood of heart failure patients diagnosed and hospitalized in the cardiologic Centre of Lubumbashi (D R Congo). Out of a population of 60 patients, our research has revealed a high level of urea and creatinine in the blood during heart failure, whereas the rate of total proteins has remained in the acceptable threshold.
Mutual Health Insurance and Access to Care in the Health Zone of Kabinda, Kasai-Oriental, Democratic Republic of Congo (DRC)  [PDF]
Cibangu Kazadi Richard, Bilonda Mpiana Alphonsine, Kabengele Mpinga Emmanuel, Mulewu Ngandu Hippolyte, Ciamala Mukendi Paul, Kanyiki Katala Moise, Kapitena Mangola Dominique, Tshimungu Kandolo Félicien
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1103568
Abstract:
In the Democratic Republic of Congo, a large part of the population now lives in a context of extreme poverty and suffers from serious health problems. Deprived of social protection, these people see themselves therefore in the financial inability to access quality health care. This study aims to analyze the different characteristics of members of the mutual health insurance and compare with non-members. The following observations were made: Of those surveyed, 97.7% and 91.4% of members were not members resorted average 4 times to health services during the last 6 months prior to the survey, a statistically significant difference was observed (p = 0.027). The survey data showed that a significant proportion of members and non-members (62.5% vs 66.4%; p = 0.36) had resorted to self-medication. For non-members, the rate of self-medication and traditional therapy were higher. Lack of money is mentioned by members and non-members as a problem limiting access to health care (38.3% vs 69.5%; p < 0.0001).
Evaluation of the Effectiveness of Urine Dipstick in the Screening of Urinary Infection in Relation to the Reference Method: The Cytobacteriological Examination of Urine  [PDF]
Bianza Moise Bakadia, Bakamona Lina Babidi, Tshilumbayi Falone Mutoba, Mazono Pierre Mbang, Kabengele Arlette Ndaya, Mutumukole Jeanluc Biampata, Ilunga Eric Kasamba
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104790
Abstract:
The cytobacteriological examination of urine is a biological test most commonly asked in the hospital. The results of a large part of urinary sample analyzed are negative, representing a heavy workload for bacteriology laboratories, burden that we would like to limit. In this context the aim of our study was to evaluate a screening test for urinary tract infection by urine dipstick compared to the reference method; the cytobacteriological examination of urine finally promotes the realization of the urine dipstick before any urine culture. We selected 600 patients whom the physician asked the cytobacteriological examination of urine, and on every patient, we proceeded to urine collection and finally realized the urine dipstick before urine culture; two parameters on urine dipstick have helped us to confirm the negativity and positivity of the dipstick, its leukocytes and nitrites. The results of urine dipstick are positive if one or less of the two tests, leukocyte and nitrite is positive; the result is negative if both tests are negative. The urine culture was done on cled agar and bacterial identification was made on cultural characteristics, biochemical (API 2OE gallery of biomerieux). The results of urine culture were collected 72 hours after culture. For the analysis of results, the sensitivity, specificity, predictive values (positive predictive value and negative predictive value), the youden index, the proportion of correctly-classified subjects and the likelihood ratio (positive likelihood ratio and negative likelihood ratio) were calculated. The urine dipstick has the sensitivity of 96%, specificity of 90%, the positive predictive value of 74%, the negative predictive value of 98.8%, youden index of 0.86, the proportion of subjects correctly classified of 91.6%, a positive likelihood ratio of 9.6 and a negative likelihood ratio of 0.04. In the light of these results, the urine dipstick is an elimination test, by its very high sensitivity (96%), its high negative predictive value (98.8%) and negative likelihood ratio close to 0 or 0.04, and if the dipstick does not detect nitrite and leukocyte, the diagnosis of urinary tract infection is highly unlikely (<2% probability).
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