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Search Results: 1 - 10 of 13 matches for " Stany Wembonyama Okitotsho "
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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
Abstract:
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.
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
Abstract:
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.
Management of Premature Infants Using the Kangaroo Method versus the Classic Method: Morbidity and Prognosis Associated with in Sendwe General Hospital in Lubumbashi (DR Congo)  [PDF]
Judith Sangwa Sinanduku, Gray Kanteng, Franck Moma, Stanis Wembonyama Okitotsho, Oscar Luboya
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105150
Abstract:
Introduction: This study aims to compare the benefit of two low low-birth weight newborn management methods, namely the “classic” method using incubators, and the Kangaroo method in a hospital setting; and determine the survival prognosis associated with each of these methods. Methods: We conducted a longitudinal cohort study from 2013 to 2015 at the Jason Sendwe General Hospital in Lubumbashi (DR Congo). A total of 200 cases of low birth weight infants were included, followed by one or the other of the methods evaluated. Results: The average weight at the exit was better under Kangaroo (2191.8 ± 212.1 g versus 2068.6 ± 476.5 g) as well as the average gain in weight per day (52.2 ± 9.5 g versus 31.0 ± 15.1 g). Fewer episodes of hypothermia were noted under Kangaroo, and the duration of stay was shorter (10.2 ± 2.9 days versus 13.0 ± 5.4 days). Logistic regression showed that the Kangaroo method is better for the management of premature infants (p = 0.004, ORa = 4.39 (1.60 - 12.04)). Survival is significantly higher under the Kangaroo method (p < 0.001). The median survival under Kangaroo versus classical method was 16 (EIQ: 15 - 16) and 10 (EIQ: 9 - 10) months, respectively. The incidence of Kangaroo deaths was 0.3 cases per 100 P-J versus 1.9 cases per 100 P-D (P < 0.001) using the conventional method. Conclusion: The Kangaroo method is applicable and offers guarantees of a beneficial management in the newborn with low birth weight.
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
Abstract:
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.
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
Abstract:
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.
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
Abstract:
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.
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
Abstract:
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.
Generalised Virasoro Constructions from Affine Inonu-Wigner Contractions
Stany Schrans
Physics , 1992, DOI: 10.1088/0264-9381/10/9/011
Abstract: We present a new method to find solutions of the Virasoro master equations for any affine Lie algebra $\widehat{g}$. The basic idea is to consider first the simplified case of an In\"on\"u-Wigner contraction $\widehat{g}_c$ of $\widehat{g}$ and to extend the Virasoro constructions of $\widehat{g}_c$ to $\widehat{g}$ by a perturbative expansion in the contraction parameter. The method is then applied to the orthogonal algebras, leading to fixed-level multi-parameter Virasoro constructions, which are the generalisations of the one-parameter Virasoro construction of $\widehat{su}(2)$ at level four.
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
Abstract:
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.
Anatomical variation of obturator vessels and its practical risk: a case report from an anatomic study
Nagabhooshana, Somayaji;Vollala, Venkata Ramana;Rodrigues, Vincent;Bhat, Seetharama;Pamidi, Narendra;Lobo, Stany Wilfred;
Jornal Vascular Brasileiro , 2008, DOI: 10.1590/S1677-54492008000300015
Abstract: obturator artery is frequently a branch of anterior division of the internal iliac artery. it has drawn attention of pelvic surgeons, anatomists and radiologists because of the high frequency of variations in its course and origin. the obturator vein is usually described as a tributary of the internal iliac vein. during routine dissection classes to undergraduate medical students we have observed obturator artery arising from external iliac artery, obturator vein draining into external iliac vein, communicating vein between obturator vein and external iliac vein and inferior epigastric artery arising from the obturator artery. the anomalous obturator vessels and inferior epigastric artery in the present case may be in a dangerous situation in pelvic surgeries that require dissection or suturing along the pelvic rim. developmental reasons and clinical significances of the variations are discussed.
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