Annales de la Societe belge de medecine tropicale最新文献

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[Management of sexually transmissible diseases in an urban environment in Cameroon in 1992]. [1992年喀麦隆城市环境中的性传播疾病管理]。
J P Louis, R Migliani, A Trebucq, J P Tchupo, R Kwa Mbette, C Ayissi, T Abong, B Maubert, J F Louis, J Smith
{"title":"[Management of sexually transmissible diseases in an urban environment in Cameroon in 1992].","authors":"J P Louis,&nbsp;R Migliani,&nbsp;A Trebucq,&nbsp;J P Tchupo,&nbsp;R Kwa Mbette,&nbsp;C Ayissi,&nbsp;T Abong,&nbsp;B Maubert,&nbsp;J F Louis,&nbsp;J Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During the progress, in 1989, of a programme of social marketing of condoms in Cameroon, it was obvious that this approach should be supplemented by a similar programme for the management of STD's. Nine surveys were carried out in 1992 in Yaounde and Douala in the sexually most active male population (in the general community, at the workplace and in the leisure environment) in order to collect the basic data necessary for its implementation. Treatment essentially consists of mono-chemotherapy with drugs which are generally inefficient against the two principal etiologies of urethritis: Neisseria gonorrhoeae and Chlamydia trachomatis. The cost of treatment is considered excessive and leads to poor follow-up of the complete prescription. Simultaneous treatment of partners should be developed. All these data have been taken into account for the elaboration of a pilot programme which should be implemented in 1993.</p>","PeriodicalId":7901,"journal":{"name":"Annales de la Societe belge de medecine tropicale","volume":"73 4","pages":"267-78"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19121711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Estimate of maternal mortality in a rural area of Niger: use of the indirect sisterhood method]. [尼日尔农村地区孕产妇死亡率估计:使用间接姐妹法]。
D De Groof, A Seyni Bagnou, H Sekou
{"title":"[Estimate of maternal mortality in a rural area of Niger: use of the indirect sisterhood method].","authors":"D De Groof,&nbsp;A Seyni Bagnou,&nbsp;H Sekou","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Maternal mortality remains one of the major public health problems nowadays. Each year, all over the world, half a million women die of pregnancy-related complications most of which could be avoided. In spite of enormous efforts at handling this problem, the results have been small. In many countries, the extent of the problem is virtually unknown for lack of reliable birth and mortality data. Where vital statistics are incomplete or non-existent, one should have recourse to other sources of information. In reaction to the classic, yet inadequate methods of collecting information, indirect techniques for estimating maternal mortality have been developed. One of these procedures is the sisterhood method: using this technique, researchers are able to deduce indicators of maternal mortality based on the proportion of sisters, who, once reached childbearing age, survived or died during pregnancy, childbirth or postpartum. The authors tested this method in Niger in a rural area with difficult access to primary health care. They noted a maternal mortality rate of 1,050 every 100,000 live births. This practical and simple method of estimating maternal mortality in a given area, at a relatively low cost, could readily be incorporated into routine medical activities.</p>","PeriodicalId":7901,"journal":{"name":"Annales de la Societe belge de medecine tropicale","volume":"73 4","pages":"279-85"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19121712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Tropical biological diversity and therapeutic innovations. Research conducted by ORSTOM]. 热带生物多样性和治疗创新。由ORSTOM进行的研究]。
C Moretti, C Debitus, A Fournet, M Sauvain, G Bourdy, D Laurent
{"title":"[Tropical biological diversity and therapeutic innovations. Research conducted by ORSTOM].","authors":"C Moretti,&nbsp;C Debitus,&nbsp;A Fournet,&nbsp;M Sauvain,&nbsp;G Bourdy,&nbsp;D Laurent","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7901,"journal":{"name":"Annales de la Societe belge de medecine tropicale","volume":"73 3","pages":"169-78"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19266610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics of HIV/AIDS patients attending a rural hospital in Cameroon. Manyemen HIV/AIDS Team. 喀麦隆农村医院艾滋病毒/艾滋病患者的特征。也门艾滋病小组。
J Skalsky, P M Ndumbe
{"title":"Characteristics of HIV/AIDS patients attending a rural hospital in Cameroon. Manyemen HIV/AIDS Team.","authors":"J Skalsky,&nbsp;P M Ndumbe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Manyemen, a rural community in Cameroon, has now been hit by the HIV epidemic. This paper describes the experiences gained at the Presbyterian General Hospital in Manyemen between 1990 and 1992 regarding HIV infection in pregnant women, AIDS case management, counseling and home visits. A total of 383 pregnant women attending antenatal clinics were tested. We found a 2.9% HIV-1 seroprevalence and a 17% reactivity to a non-specific syphilis test, rapid plasma reagin, RPR. In 1990, 1991 and 1992, we diagnosed 55, 89 and 94 cases of clinical AIDS respectively. New TB cases seen in the same period showed the following HIV positive rates 3.5%, 2.4% and 5.8%. A detailed study of 78 AIDS patients revealed that the five most common presenting signs in our patients were wasting (80%), prolonged fever (28%), chronic diarrhoea (17%), oropharyngeal candidiasis (14%) and pulmonary TB (10%). Pretest and post test counseling is routinely done by the AIDS team. About 79% of the patients were post counselled as were 27% of their relatives. Home visits have been started. These results show that AIDS is no longer an issue confined to cities in Cameroon and that rural hospitals should institute a programme, similar to ours, to help them cope with the AIDS epidemic.</p>","PeriodicalId":7901,"journal":{"name":"Annales de la Societe belge de medecine tropicale","volume":"73 3","pages":"209-16"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19267935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cost recovery for drugs provided at the rural dispensary: an experiment in Niger. 农村药房提供药品的成本回收:尼日尔的一项实验。
T Juncker
{"title":"Cost recovery for drugs provided at the rural dispensary: an experiment in Niger.","authors":"T Juncker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An intervention was conducted in 1989-1990 in rural Niger to introduce a cost recovery system for the drugs prescribed at the dispensary level. The community concerned, about 27,000 persons, chose to pay a fixed fee per episode of illness. The fee covered the treatment for a maximum of seven days. The rate was fixed at US$ 0.8 per adult and US$ 0.4 per child. The drug prescription was rationalized through decisional guidelines including standardized treatments with essential drugs. All drugs were bought locally but most of them were commercial brands. During the first ten months of intervention, the revenues only covered 51% of the drug expenses. Aware of the deficit, the village representatives decided to double the fees. As a consequence, the cost recovery rate reached 77%. During the low fee period, the utilization of the curative services increased by 80%. When the fees were doubled, the attendance steadily declined and tended to reach the rate registered before the intervention while the mean cost per case and the percentage of costly treatments with antibiotics increased. It can be assumed that the increase in fees deterred patients requiring low-cost treatment.</p>","PeriodicalId":7901,"journal":{"name":"Annales de la Societe belge de medecine tropicale","volume":"73 3","pages":"235-46"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19267938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Long-term effect of a single dose of ivermectin on skin microfilarial density in an endemic onchocerciasis area of North Cameroon]. [单剂量伊维菌素对喀麦隆北部一个地方性盘尾丝虫病地区皮肤微丝虫密度的长期影响]。
M Boussinesq, J Prod'hon, J P Chippaux, D Quillévéré
{"title":"[Long-term effect of a single dose of ivermectin on skin microfilarial density in an endemic onchocerciasis area of North Cameroon].","authors":"M Boussinesq,&nbsp;J Prod'hon,&nbsp;J P Chippaux,&nbsp;D Quillévéré","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The long-term efficacy of a single dose of ivermectin (150 micrograms/kg) on skin microfilarial densities was evaluated by comparing parasite levels, before and after treatment, in 192 patients living in an area endemic for onchocerciasis in North Cameroon. A mass treatment with ivermectin has been undertaken in 1989 in two villages, where pretreatment community microfilarial loads (CMFL) were 5.5 and 25.1 microfilariae per snip. The parasitological examination carried out 32 months later showed that the microfilarial densities in the adults where only 24 and 51% of the initial values, respectively. In a third village, treated once in 1989 but located in an area where annual mass distributions of ivermectin have been undertaken since 1987, the mean microfilarial density 28 months after treatment was only 12% of the initial value. In 1992, the mean microfilarial load in children had decreased significantly in comparison with those of 1989 only in the village where the level of endemicity was initially the lowest. The rate of increase in the number of skin microfilariae after one dose of ivermectin is related with the pretreatment endemicity level. The impact of large-scale ivermectin treatments on the transmission of onchocerciasis enhances the long-term efficacy of this drug on the skin microfilarial densities.</p>","PeriodicalId":7901,"journal":{"name":"Annales de la Societe belge de medecine tropicale","volume":"73 3","pages":"189-96"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19267933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Plasmodium prevalence and parasitic burden in blood donors of Brazzaville, Congo]. [刚果布拉柴维尔献血者中的疟原虫流行率和寄生虫负担]。
B Carme, D Kenmogne, N Copin, A Mbitsi
{"title":"[Plasmodium prevalence and parasitic burden in blood donors of Brazzaville, Congo].","authors":"B Carme,&nbsp;D Kenmogne,&nbsp;N Copin,&nbsp;A Mbitsi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To assess the frequency of malaria-infected blood donations in Brazzaville (Congo) thick films from all blood donors (n = 12,375, minimum per month: 857, maximum per month: 1,295; sex ratio: 9.6) at the Brazzaville University Hospital were examined quantitatively for Plasmodium (screening threshold: 20/microliters of blood) over one year (1989). The overall prevalence rate for all species of Plasmodium was 8.5%. It varied according with age but not with sex. P. falciparum predominated (92%), followed by P. malariae (7%) and P. ovale (3%). For P. falciparum: 1--the prevalence rate was 7.8% but varied over the year from 4.8% in August (6.2% for the dry season on the whole) to 11.5% in March (9.6% for the rainy season); 2--the parasitic load, also variable according to the season, was over 600/microliters in 24% of the cases (i.e. 1.9% of all donations) and over 6,000/microliters in 15 cases (i.e. 1.6% of the cases). In conclusion the proportion of blood donations infected with P. falciparum (with a parasitic load > or = 20/microliters) varied in Brazzaville from 6% in the dry season to 10% in the rainy season.</p>","PeriodicalId":7901,"journal":{"name":"Annales de la Societe belge de medecine tropicale","volume":"73 3","pages":"179-87"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19267932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Salivary gland surface carbohydrate variations in three species of the Anopheles gambiae complex. 冈比亚按蚊复合体的三种唾液腺表面碳水化合物的变化。
H A Mohamed, G A Ingram
{"title":"Salivary gland surface carbohydrate variations in three species of the Anopheles gambiae complex.","authors":"H A Mohamed,&nbsp;G A Ingram","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fluorescein isothiocyanate (FITC)-conjugated lectins (agglutinins) were employed as probes to distinguish between the various carbohydrates present on the surface of salivary glands of three species of mosquito of the Anopheles gambiae complex. Of twenty lectins tested, eight (Concanavalin A- Con A, Lathyrus odoratus- LOA, Lens culinaris, Pisum sativum-PSA, Vicia faba- VFA, Triticum vulgaris, Maclura pomifera- MPA and Ulex europaeus) specifically reacted with the salivary gland membrane. Both mannosyl and N-acetylglucosamine moieties were detected in the three Anopheles gambiae sensu stricto strains, the two An. arabiensis strains and a single An. merus strain examined. Variations in the degrees of fluorescent intensities of Con A and MPA in particular suggested interspecies differences in membrane mannosyl and galactosyl residues on the salivary gland lobes of the three mosquito species in this study. Furthermore, intraspecific variations in mannose as indicated by Con A, LOA, PSA and VFA staining were demonstrated between the An. gambiae s.s. strains. The use of either peroxidase-labelled or biotinylated lectins confirmed the binding specificities of the above lectins. The consistent differences observed in lectin binding suggest that variations occur in salivary gland surface carbohydrate residues and that lectins can be used to distinguish between at least some members of the An. gambiae complex.</p>","PeriodicalId":7901,"journal":{"name":"Annales de la Societe belge de medecine tropicale","volume":"73 3","pages":"197-207"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19267934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Continuity of care and treatment of hypertension at a health center in Tunisia]. [突尼斯一家保健中心对高血压的持续护理和治疗]。
A el Abassi, W Van Lerberghe, P Van der Stuyft
{"title":"[Continuity of care and treatment of hypertension at a health center in Tunisia].","authors":"A el Abassi,&nbsp;W Van Lerberghe,&nbsp;P Van der Stuyft","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article describes the follow-up of 210 hypertensive patients in Soliman, Tunisia. Five years after starting treatment, two thirds of the patients are still followed-up. The incidence of interruption of treatment is of 0.18 per year of follow-up. Nearly half of these first interruptions occur during the first six months, but most do not result in a final abandon of treatment. The drop in blood pressure is more important among those who stick to their appointment schedules, than among those who do not. The former also present less hypertensive crises.</p>","PeriodicalId":7901,"journal":{"name":"Annales de la Societe belge de medecine tropicale","volume":"73 3","pages":"217-26"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19267936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An epidemiological study of hemoglobin levels and prevalence of anemia in young children from Bas-Zaire. 下扎伊尔地区儿童血红蛋白水平和贫血流行病学研究。
S Kuvibidila, L Yu, D Ode, V Mbele, R J Warrier
{"title":"An epidemiological study of hemoglobin levels and prevalence of anemia in young children from Bas-Zaire.","authors":"S Kuvibidila,&nbsp;L Yu,&nbsp;D Ode,&nbsp;V Mbele,&nbsp;R J Warrier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A population of 183 Zairean infants and young children (0.5 to 48 months old) who lived in rural Bas-Zaire has been examined in regard to hemoglobin (Hb), hematocrit (Hct) and mean corpuscular hemoglobin concentration (MCHC). The mean Hb was 9.03 g/dL, Hct 28.4%, and MCHC 30.7 micrograms/dL. These means are below normal by WHO and/or American Academy of Pediatrics criteria. Although there was no significant sex difference in the mean hematoglobin measurements, boys more than 24 months old had a higher mean Hb (9.98 g/dL) than girls (8.59d g/L) of the same age. Approximately 80%, 76% and 56% of children had Hb < 11 g/dL, Hct < 34% and MCHC < 32 micrograms/dL respectively. The highest prevalence of anemia was between the age of 12 and 18 months. Severe anemia (Hb < 8 g/dL) was observed in 30.65% of the study population (26.6% boys and 34.8% girls). Approximately one third of children had very low Hct levels (< or = 25%). Based on MCHC, iron deficiency was likely responsible of the anemia in 61% of the children. Both Hb (p < 0.05) and Hct positively correlated with the mother's level of education. Because of the many detrimental effects of iron deficiency in infants and young children on immunity, psychomotor, behaviour and mental development routine assessment of iron status and correction of iron deficiency should become a part of the Surveillance Programme in this population.</p>","PeriodicalId":7901,"journal":{"name":"Annales de la Societe belge de medecine tropicale","volume":"73 3","pages":"227-34"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19267937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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