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Search Results: 1 - 10 of 2358 matches for " Guillaume Kabongo Mwamba "
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Children Family Break and Access to Health Care Law: What Knowledge and Attitudes in the City of Mbujimayi Democratic Republic of Congo  [PDF]
Anaclet Mbuyi Mishinda, Jean Christophe Bukasa Tshilonda, Guillaume Kabongo Mwamba, Valentin Kabambi Bukasa, André Mutombo Kabamba, Stany Wembonyama Okitotsho
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105386
Introduction: In the Democratic Republic of Congo, the right to health care is recognized to all children at both constitutional principles of the law on protection of the latter. Despite the existence of these instruments, access to health care continues to be a problem again. Thus, our study focuses on children with family breakdown and the right of access to health care: What about knowledge and attitudes in Mbujimayi/Democratic Republic of Congo. Methods: The study is the quantitative correlational type and focused on 600 children from broken homes in the city of Mbujimayi. She performed for a period of four months which is from 18 March to 18 July 2018. A questionnaire consisting of closed and open questions was used as an instrument for data collection. The Epi-Info software version 3.5 in 2010 was used for data analysis. Results: The majority of children in family breakdown is composed of those with more than 14 years with (52.8%); the average age is 15.5 years; 67.8% are male; 53% live east of the City of Mbujimayi; 60.5% are non-monogamous families; 53.8% are without levels; 67.5% are Christian and 71% cannot read or write. Conclusion: Knowledge of the right of access to health care and the question that access to health care den is an exclusive right granted to children from broken families is low. The attitude of children from broken front right of access to health care Mbujimayi is negative. So to improve this knowledge and attitudes, we suggest that parents support their responsibilities by supervising their children. Social actors and other stakeholders in the protection of children, help them reintegrate into society by providing them with a minimum of education/training to continue to do their fieldwork by sensitizing these children on their rights and especially on the right of access to health care to the Congolese State.
Une journée dans la vie d’Augustine Amaya d’Emmanuel Dongala : l’ identité de la femme africaine et du peuple congolais
Olivia Kabongo
Voix Plurielles , 2010,
Abstract: La femme a un r le central dans Jazz et vin de palme d’Emmanuel Dongala, surtout dans la nouvelle intitulée Une journée dans la vie d’Augustine Amaya. Par le biais du personnage d’Augustine Amaya et du processus de création littéraire, l’auteur explore la relation homme-femme, ainsi que le statut et l’identité de la femme dans la société centre-africaine. Dongala nous présente une image de la femme en tant que mère du peuple, et aussi belle qu’elle soit, elle reflète aussi le paradoxe de la femme noire. Cette image idéalisée de la femme sera analysée dans cet article et comparée à celle que Camara Laye présente dans L’Enfant noir, Maryse Condé dans Moi Tituba Sorcière et Alice Walker dans In Search of our Mother’s Gardens.
Un Référendum pour quoi faire ?
Bibombe Mwamba
Fédéralisme-Régionalisme , 2005,
Caesarean in Rural Environment of Eastern Kasai (Dr Congo): Evolution of Caesarean Section Rates in Kasansa and Tshilenge  [PDF]
André Guillaume Kabongo, Dady Kalala, Jean Christophe Bukasa, Deca Blood Banza, Christine Kankologo, André Mutombo, Stany Wembonyama
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104564
Objective: To analyze the evolution monthly of the disastrous Caesarean and to their influence one maternal mortality and infantile in the General hospitals of reference of Kasansa and Tshilenge. Methods: Descriptive retrospective study Bi-centric related to 434 Caesareans carried out to the maternity of the general hospital of reference of Kasansa and that of Tshilenge during years 2015 and 2016. Our dated were collected in the obstetric files, registers of the maternity and the operating room. Public garden Ki square is used to compare it with the percentages and T of Student for the comparison of the averages in two maternities, and the percentage of increase gold reduction was calculated with the formulated of growth used also in economy. Results: Two maternities received respectively in 2015, 549 and 227 childbirth, among which 136 Caesareans carried out with Kasansa and 72 in Tshilenge. During the Disastrous months (from January to December), Caesareans dropped by 68.2%, (10.7% to 3.4%) in Kasansa and of 71.1% with Tshilenge (from 19.7% to 2.8%). In 2016, 702 childbirth and 109 Caesareans with Kasansa and 376 childbirth and 117 Caesareans with Tshilenge. Disastrous Caesarean dropped by 7% (from 12.8% to 11.9%) with Kasansa and raised of 143.3% with Tshilenge (from 6% to 14.6%). Perinatal mortality dropped by 69.5% in 2015 and 51.8% in 2016 and maternal mortality dropped respectively by 100% in 2015 and in 2016 of 35.9%. Conclusion: During 24 months concerned with the study (of January 2015 with December 2016), the practice of the Caesarean Knew has fell into the two structures except for maternity of Tshilenge 2016. Thus, the improvement of the maternal forecast master keys rather by year improvement of the quality of the obstetric assumption of responsibility but not by the increase amongst operational childbirth. Thesis results encourage custom to analyze the participation of the various disastrous indications in the variation of the Caesarean in this medium.
Effectiveness of home-based directly observed treatment for tuberculosis in Kweneng West subdistrict, Botswana
Bob Mash,Diulu Kabongo
African Journal of Primary Health Care & Family Medicine , 2010, DOI: 10.4102/phcfm.v2i1.168
Abstract: Background: Tuberculosis (TB) and HIV are major public health problems in Botswana. In the face of growing TB notification rates, a low cure rate, human resource constraints and poor accessibility to health facilities, Botswana Ministry of Health decided to offer home-based directly observed treatment (DOT) using community volunteers. Objectives: The aim of this study was to assess the outcomes of home-based directly observed treatment (HB-DOT) versus facility-based, directly observed treatment (FB-DOT) in the Kweneng West subdistrict in Botswana and to explore the acceptability of HB-DOT among TB patients,community volunteers and health workers. Method: A quantitative, observational study using routinely collected TB data from 405 TB patientswas conducted and combined with 20 qualitative in-depth interviews. Results: The overall cure rate for smear-positive pulmonary TB patients was 78.5%. Treatmentoutcomes were not statistically different between FB-DOT and HB-DOT. Contact tracing was significantly better in FB-DOT patients. Interviews revealed advantages and disadvantages for both FB and HB options and that flexibility in the choice or mix of options was important. A number of suggestions were made by the interviewees to improve the HB-DOT programme. Conclusion: HB-DOT is at least as good as FB-DOT in terms of the treatment outcomes, but attention must be given to contact tracing. HB-DOT offers some patients the flexibility they need to adhere to TB treatment and community volunteers may be strengthened by ongoing training and support from health workers, financial incentives and provision of basic equipment. How to cite this article:Kabongo D, Mash B. Effectiveness of homebased directly observed treatment for tuberculosis in Kweneng West subdistrict, Botswana. Afr J Prm Health Care Fam Med. 2010;2(10), Art. #168,6 pages. DOI: 10.4102/phcfm. V2i1.168
Evaluation of malaria prevention strategies during pregnancy in Ndola, Zambia
Mwamba Mulamba,Bob Mash
African Journal of Primary Health Care & Family Medicine , 2010, DOI: 10.4102/phcfm.v2i1.159
Abstract: Background: Malaria in pregnancy is associated with many negative outcomes for the woman,foetus and neonate. Intermittent preventive treatment during pregnancy (IPTp) using three doses of sulfadoxine/pyrimethamine (SP), insecticide-treated mosquito nets (ITNs) and indoor residual spray (IRS), constitute the main strategies used to prevent malaria. The aim of this study is to evaluate the effectiveness of these strategies for the reduction of malaria prevalence in pregnant women. Methods: A questionnaire on socio-demographic information, history of malaria during current pregnancy and prevention strategies used was administered to 450 consecutive patients admitted into labour wards at three local clinics. From the antenatal cards, information was collected on the last menstrual period, date of each dose of SP taken, gravidity, and HIV status. A blood slide to detect Plasmodium was then collected from each woman after consent. Results: Of the participants in the study, 2.4% had a positive blood slide at term and 15.8% reported malaria during pregnancy. All the participants took at least one dose of SP with 87.6% completing the stipulated three doses. The mean gestational ages for each dose were 22.1 (SD 4.6), 29.1 (SD 4.4)and 34.4 (SD 3.9) weeks for the first, second and third dose respectively. With regard to ITNs, 79.5% had one, but only 74.1% used it regularly. IRS was completed in all three of the clinics’ catchment areas. Only 23.4% used commercial insecticide. Conclusion: The measured prevalence of malaria at term in Ndola was remarkably low, although the self-reported rate during pregnancy was still high. The national targets for accessing IPTp were exceeded, although the timing of each dose needs to be improved. Access to ITNs was high, but usage needs to increase. How to cite this article:Mulamba M, Mash B. Evaluation of malaria prevention strategies during pregnancy in Ndola, Zambia. Afr J Prm Health Care Fam Med.2010; 2(1), Art. #159,5 pages. DOI: 10.4102/phcfm.v2i1.159
Detection of bovine viral diarrhoea virus in specimens from cattle in South Africa and possible association with clinical disease
N. Kabongo,M. Van Vuuren
Journal of the South African Veterinary Association , 2012, DOI: 10.4102/jsava.v75i2.459
Abstract: Studies covering all aspects of bovine viral diarrhoea virus (BVDV) have been conducted in several countries in Europe, Asia and America. In southern Africa, more information is required about the nature of BVDV infection, the prevalence of different strains and the economic importance of the disease. The presence of BVDV in southern Africa has been known since the early 1970s through serological surveys but few reports confirming its presence by virus isolation and correlation with clinical disease are available. Specimens (n = 312) collected in 1998/99, from live and dead cattle from different farming systems, were obtained from private practitioners, feedlot consultants and abattoirs throughout the country. Specimens (n=37) from African buffaloes (Syncerus caffer) in the Kruger National Park were also included. All specimens were processed for virus isolation in cell culture with confirmation by means of immunofluorescent antibody tests and some also by means of an antigen capture ELISA. BVDV was isolated from 15 (4.7 %) cattle and were all noncytopathic biotypes. BVDV was not detected in 37 lymph nodes obtained from buffaloes in the Kruger National Park. Of the clinical signs in cattle from which virus were isolated, respiratory signs was the most frequent (10/15), followed by diarrhoea (5/15). Abortion, congenital malformations, haemorrhagic diarrhoea and poor growth were also included as criteria for selection of animals for specimen collection, but no BVD viruses were isolated from cattle manifesting these clinical signs.
Factors Associated with Acquired Infections Caesarian Wounds in Maternity Mbuji-Mayi/DR Congo  [PDF]
Jean Christophe Bukasa, Augustin Kadiata, Andre Guillaume Kabongo, Didier Lepelletier, Decas Blood Banza, Jean Jacques Bukasa, Félicien Ilunga, Andre Mutombo, Senghor Ngoyi Mbo, Angelique Bandimuna, Sébatien Kashimpo, Alexis Ntambwe, Stany Wembonyama
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104437
Introduction: The purpose of this study is to analyze the factors associated with nosocomial infections of caesarean section wounds in the maternity hospitals of the city of Mbuji-Mayi. Methods: This study was conducted in 25 maternities of general referral hospitals, clinics and hospitals in the city of Mbuji-Mayi during the period from 1 February to 1 June 2017, out of 171 parturients cesarized that were followed during a period of 4 months. A survey questionnaire was used to collect the data. Results: Out of 171 parturients monitored, surgical site infection developed 52 (SSI), an incidence of 30.4%. After analysis, nine factors were identified as associated post-caesarean SSI in Mbuji-Mayi city (p ≤ 0.05): age (p = 0.000), anemia (p = 0.000), prolonged duration of labor delivery (p = 0.001), premature rupture of the membranes before caesarean section (p = 0.044), prolonged duration after-rupture of the membranes (p = 0.000), preparation of the operative site by shaving (p = 0.029), surgery by general practitioner (p = 0.023), duration of operation greater than 60 minutes (p = 0.040), non-compliance with asepsis during dressing (p = 0.000). Conclusion: The fight against nosocomial infections must be a permanent concern: the prevention and regular monitoring of these infections must be the control strategies of each hospital structure, under the watchful eye of a coordination center for the fight nosocomial infections.
Molecular analysis of bovine viral diarrhoea virus isolates from South Africa
N. Kabongo,C. Baule,M. Van Vuuren
Onderstepoort Journal of Veterinary Research , 2010, DOI: 10.4102/ojvr.v70i4.292
Abstract: The presence of bovine viral diarrhoea virus in South Africa has been confirmed by several serological surveys. However, little is known about its biological properties. Twenty five isolates obtained by isolation in tissue culture and detected by means of the antigen capture ELISA from clinically sick cattle and from foetal calf serum in South Africa were characterized on the basis of analysis of the 5' non-translated (NTR) region of the genome. A reverse-transcription polymerase chain reaction (RT-PCR) was used to amplify specific sequences from the 5'NTR of the genome. The oligonucleotide primers corresponding to positions 105-125 and 399-378, respectively, in the sequence of BVDV strain NADL were used to generate the PCR products. Both strands were sequenced directly with these primers and fluorescence-labelled dideoxynucleotides in an automated nucleic acid sequencer. Reference strains of pestiviruses [(BVDV type I, BVDV type II, border disease virus (BDV) and hog cholera virus (HCV)] and isolates from a previous investigation on BVDV in southern Africa were included for comparative purposes. All the BVDV strains obtained during this study belong to subgroups of BVDV genotype I. No association could be demonstrated between the geographic origin of the isolates. A number of isolates formed another branch separate from the existing branches Ia, Ib and Ic. These findings suggest that extensive genetic diversity can be found within BVDV type I isolates from southern Africa. Isolates that group with the classical BVDV type I strains, particularly of American origin, coexist with variants that appear to represent a local genetic pool and or variants evolving from the classical strains.
Theoretical and Numerical Comparison of Limit Point Bifurcation and Maximum Force Criteria. Application to the Prediction of Diffuse Necking  [PDF]
Guillaume Altmeyer
Modeling and Numerical Simulation of Material Science (MNSMS) , 2013, DOI: 10.4236/mnsms.2013.31006
Abstract: A large number of criteria has been developed to predict material instabilities, but their choice is limited by the lack of existing comparison of their theoretical basis and application domains. To overcome this limitation, a theoretical and numerical comparison of two major models used to predict diffuse necking is present in this paper. Limit Point Bifurcation criterion is first introduced. An original formulation of the Maximum Force Criterion (MFC), taking into account the effects of damage and isotropic and kinematic hardenings, is then proposed. Strong connections are shown between them by comparing their theoretical basis. Numerical Forming Limit Diagrams at diffuse necking obtained with these criteria for different metallic materials are given. They illustrate the theoretical link and similar predictions are shown for both models.
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