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Search Results: 1 - 10 of 680 matches for " Berry Ikolango Bongenia "
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Sociodemographic and Anthropometric Profile of Positive HIV Patients in Early Traditional Treatment: Case of the Bonkoko Center  [PDF]
Ben Ilunga Bulanda, Elvis Tshunza Kateba, Berry Ikolango Bongenia, Victor Nyiama Kasongo, Micheline Abiba Kingombe, Erick Ntambwe Kamangu
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104555
Context: In the Democratic Republic of Congo (DRC), the Antiretroviral (ART) drug coverage is still very low throughout the country. Hence, a large number of People Living with HIV (PLHIV) use traditional treatment made from plants to fight the HIV infection and the opportunistic infection associated to it. Objective: The objective of this work was to evaluate the clinical parameters; para clinical and socio-demographic studies at the beginning of treatment of People Living with HIV (PLHIV) who adhere to traditional treatment in Kinshasa. Methods: A cohort study was conducted in the Bonkoko center with a baseline of 3 months; 97 HIV positive patients were included randomly according to the specific inclusion criteria from January 11, 2016 to April 11, 2016. Clinical, biological and socio-demographic parameters were recorded in all patients at baseline. Results: A total of 97 patients were selected for the job. A total of 79 women (81%) and 18 men (19%) participated voluntarily. The mean age was 40.8 ± 10 years and the most represented age range was 36 - 45 years. The mean Body Mass Index (BMI) is 23.07 ± 3.8 at baseline. The married dominated the sample while the dominant religion was the other religions called revival. The level of study that dominated the population was the secondary level. The mean biological values at baseline were as follows: Glycaemia 85 ± 19 mg/dl; Urea 22.5 ± 6.66 mg/dl; Creatinine 0.88 ± 0.22 mg/dl; Total cholesterol 169.6 ± 37.7 mg/dl; HDL 52.6 ± 15.1 mg/dl; LDL 96.4 ± 31.4 mg/dl; Triglyceride 102.8 ± 47 mg/dl; SGPT 23.3 ± 11.1 UI/L; SGOT 22.3 ± 10 UI/L; Amylase 81.9 ± 31.1 UI/L; and the median values for CD4 was 220 cells/ml and for the Viral Load was 4.10 log10 copies of RNA/ml. Conclusion: This study showed that patients who adhere to traditional medicine for the treatment of HIV infection are not different from those starting Antiretroviral into modern centers. The patient is in search of wellness and what is better. These patients followed by Traditional Medicine must be considered and taken care of in an integral way like all PLHIV followed by modern medicine.
Virological Profile of Patients Infected with HIV Starting Antiretroviral Treatment in Kinshasa  [PDF]
Erick Ntambwe Kamangu, Ben Ilunga Bulanda, Berry Ikolango Bongenia, Huguette Tshweka Botomwito, Georges Lelo Mvumbi, Patrick De Mol, Dolores Vaira, Marie-Pierre Hayette, Richard Lunganza Kalala
Open Access Library Journal (OALib Journal) , 2015, DOI: 10.4236/oalib.1101564
Abstract: Background: Viral Load (VL), CD4 T cells count and clinical signs are significant parameters for the decision of starting ARV Treatment (ART). The aim of this study is to determine the Viral Load profile of eligible patients on treatment in the centers according to the algorithm used in Kinshasa and the DRC. Methodology: Our sample consisted of 153 HIV-positive patients naive of ART. All patients aged over 18 years were included in the study without gender discrimination. The determination of the VL was made at the laboratory of Molecular Biology of the Faculty of Medicine of the University of Kinshasa using a previously described technique. Results: Of the 153 patients included in the study, 92 (60.1%) were women. The age of the patients was in the range 18 - 65 years with a mean of 37 years. Most patients (91.5%) were clinical stage 3, while the rest (8.5%) were clinical stage 4 for HIV infection. The rates of CD4 T lymphocytes were between 8 and 915 cells/mm3 with a median value of 180 cells/mm3. Seventy nine patients (86.8%) had CD4 count below 500 cells/mm3. The median VL of patients is 5.68 log10 RNA copies/ml. The minimum and maximum values are respectively 0.37 and 7.95 log10 RNA copies/ml. Conclusion: The majority of patients (63.4%) in Kinshasa begin antiretroviral treatment with a poor prognosis. The Viral loads are usually very high in these patients and CD4 quite collapsed. Indeed, the median value of CD4 for the patients is 180 cells/mm3 for the population, while the mean value of Viral Load is 5.48 log10 RNA copies/ml.
Vertical Transmission Rate of HIV from Seropositive Mothers Followed in the Different Care Centers in Kinshasa from 2010 to 2015  [PDF]
Divine Chuga, Ben Ilunga Bulanda, Jean Yves Debels Kabasele, Médard Omakoy Okonda, Berry Ikolango Bongenya, Erick Ntambwe Kamangu
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104769
Background: In the Democratic Republic of Congo, the use of Prevention of Transmission of Human Immunodeficiency Virus infection from mother to child is still very low. Objective: The objective of this study was to estimate the prevalence of infants born from HIV-positive mother in different centers in Kinshasa. Methods: This study is a retrospective cohort of at least 2 years on the records of mother-child couple followed in 8 centers of Kinshasa. Based on a sample survey form with specific criteria, some files were selected. Results: The record keeping of all centers was estimated at 70% on average; the most represented age group was from 26 to 35 years with 102 women (54%) out of 190. Forty-five percent (45%) of pregnant women started pre-natal consultation (CPN) in the 2nd trimester of pregnancy. All mothers had been diagnosed with 3 Rapid Diagnostic Tests (RDT). The majority of women were under: AZT 3TC NVP and CTX and 139 (73%) women were diagnosed at stage 1 of HIV infection according to WHO’s standard. One hundred new born were male. Seventy-eight newborns weighed between 2.01 and 3.00 kg at birth. Ninety seven percent of newborns were treated at birth. Ninety-one children who were on Nevirapine syrup; six of them were not put on treatment. Ninety five percent of newborns were diagnosed HIV-negative 9 months after birth by PCR; 2% of children were undiagnosed as a result of refusal and 3% of children had undetermined serology. This gives a mother-to-child transmission rate of 2% at 9 months of birth for the centers of Kinshasa. Conclusion: Despite the insufficient coverage of the PMTCT service in our community, the centers in Kinshasa respond to the PMTCT approach and the transmission rate in the 8 centers of 4 districts of Kinshasa is 2%.
Infection with Hepatitis B and C Virus in the Democratic Republic of Congo: A Public Health Problem  [PDF]
Ben Ilunga Bulanda, Berry Ikolango Bongenya, Jean-Yves Debels Kabasele, Médard Omakoy Okonda, Divine Chuga, Christian Tshisumbu, Elvis Tshunza Kateba, Erick Ntambwe Kamangu
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104760
Background: Viral hepatitis represents a major public health burden with more than 375 million people with chronic hepatitis B infection and 130 to 150 million with hepatitis C for 2016. Sub-Saharan Africa has the heaviest burden of the epidemic. Objective: The objective of this review is to present the characteristics of hepatitis B and C infections (HBV and HCV), present the synthesis and estimate its magnitude in the Democratic Republic of Congo for the last 20 years. Methods: This work consisted in cataloging the various published articles and abstracts presented in scientific conferences having as subject of interest the infection with viral hepatitis B and C in the DRC. The search for these published works on different infections was done on the internet from different search engines. The research was limited to published works and abstracts presented over the last 20 years. Pediatric studies, studies in patients with renal or hepatic infections or without original data were not included in this review. Results: According to the various works published and presented in conference since 1997, the populations targeted for the investigations on the hepatitis B and C infections are the poly-transfused, the blood donors and the People Living with HIV. Seven (7) works have been documented for the DRC meeting the various selection criteria. In 1999, the carriage of HBV infection was 9.2% in Kinshasa. In 2000, the carriage of HBV was 5.9% while that of HCV was 4.8% in Kinshasa. In 2001, the portage of HCV was 5.0% in Kinshasa. In 2004, the prevalence of HBs antigen was 5.4% in Kisangani. In 2008, the prevalence of HBV and HCV was 8% and 4% respectively in Bukavu. In 2008, seroprevalences of HBV and HCV were respectively 4.2% and 3.8% in Bukavu. In 2012 and 2013, prevalence of HCV was 5.8% and 5.2% respectively in Kinshasa. Conclusions: Although often asymptomatic, viral hepatitis B and C are a public health problem for the Democratic Republic of Congo. The prevalence of these viral infections is far superior to that of HIV infection in Blood Transfusion Centers across the country.
Sub-Optimal Generation Portfolio Variance with Rate of Return Regulation  [PDF]
Stanley Keith Berry
Technology and Investment (TI) , 2010, DOI: 10.4236/ti.2010.12014
Abstract: This paper demonstrates that continuation of traditional rate-of-return electric utility regulation of transmission and distribution assets will impede the ability of customers to optimize their generation portfolios. Under linear price regulation, with increasing (decreasing) returns to scale customers will choose a more (less) risky generation portfolio than they would with no transmission and distribution asset rate-of-return regulation. Similar problems arise under non-linear (two-part) pricing of transmission and distribution assets. When the per-unit price is set at marginal cost, with increasing (decreasing) marginal cost, customers will choose a more (less) risky generation portfolio than they would with no transmission and distribution asset regulation. With price caps the optimal generation portfolio is chosen.
Revista de Economía Institucional , 2002,
Abstract: this article assesses colombian agrarian reforms from the beginning of the 20th century. it shows the positive and negative effects of law 200 of 1936, criticizes the impact of incora in land distribution in the seventies and the failure of ?campesino? organizations that sought pacific agrarian reforms. the essay highlights the positive effects of dri on ?campesino? income but recognizes its negative effects on social inequality. also, it argues that the adoption of free market policies in the nineties deteriorated rural conditions and social inequality. finally, it evaluates the scope of recent projects and offers some policy recommendations.
The Pedagogic Grammarian's Dilemma: Modality and Personality in Grammatical Description
Roger Berry
Studia Anglica Posnaniensia , 2009, DOI: 10.2478/v10121-009-0008-3
Abstract: This paper investigates an issue that I call the "pedagogic grammarian's dilemma": the choice facing writers of pedagogic grammars between being specific about grammar and risking being wrong, or hedging and risking being vague, as formulated by Henry Widdowson (1997). Using two corpora of grammatical description, it examines how a number of exponents of modality are used to hedge and finds firstly that they are far more common than in ordinary text. More importantly there is a link between the use of such modality and the approach to personality chosen in the grammars: hedging is more common when the more friendly YOU is used to address users than when WE is used; this suggests an interpersonal (as well as epistemic) motivation for the hedging. Overall the response of the grammars studied to the pedagogic grammarian's dilemma is to hedge, in order, it seems, to avoid being prescriptive.
Protec ting South Africa’s children: what difference will the new Children’s Bill make?
L Berry
Continuing Medical Education , 2007,
Abstract: No s.
Using research in primary care: a workbook for health professionals
Berry Middel
International Journal of Integrated Care , 2003,
Getting Real About Teaching Effectiveness and Teacher Retention
Barnett Berry
Journal of Curriculum and Instruction , 2010,
Abstract: In this issue of the Journal of Curriculum and Instruction, a set of papers drawing on a range of data offers more substantiation that teaching is a complex activity that takes time to learn. Those who enter through more comprehensive teacher education programs, rather than short-cut alternative ones, learn more deeply about their profession and are more likely to remain in teaching. Let me briefly offer a few highlights from this new research, and then couch it in a larger set of empirical evidence, with implications for policy and practice.
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