scholarly journals The Effects of Climate Change on Rural-Urban Migration in Sub-Saharan Africa (SSA)—The Cases of Democratic Republic of Congo, Kenya and Niger

2018 ◽  
Author(s):  
Omar Moalin Hassan ◽  
Gurudeo Anand Tularam
Keyword(s):  
Climate Change ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Sub Saharan Africa ◽  
Urban Migration ◽  
Republic Of Congo ◽  
Rural Urban Migration ◽  
Sub Saharan

A monograph of the Afrotropical Cassidinae (Coleoptera: Chrysomelidae). Part 5. Revision of the genus Aethiopocassis Spaeth

Zootaxa ◽  
2018 ◽  
Vol 4488 (1) ◽  
pp. 1
Author(s):  
LECH BOROWIEC
Keyword(s):  
South Africa ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Sub Saharan Africa ◽  
Key To Species ◽  
Republic Of Congo ◽  
New Synonyms ◽  
Sub Saharan

The genus Aethiopocassis Spaeth, 1922 is revised and 31 species are recognized as valid, all distributed in Sub-Saharan Africa. Seven species are described as new: Aethiopocassis angulicollis sp. nov. (Tanzania), Aethiopocassis dewittei sp. nov. (Democratic Republic of Congo), Aethiopocassis garambana sp. nov. (Democratic Republic of Congo), Aethiopocassis guineensis sp. nov. (Guinea), Aethiopocassis huilaensis sp. nov. (Angola), Aethiopocassis longidoana sp. nov. (Tanzania), and Aethiopocassis transvaalensis sp. nov. (Republic of South Africa). The following new synonyms are proposed: Aethiopocassis fugax (Spaeth, 1906) = Cassida (Aethiopocassis) scita Spaeth, 1924 syn. nov.; Aethiopocassis gallarum (Spaeth, 1906) = Cassida deplanata Spaeth, 1906 syn. nov. = Cassida sjoestedti Spaeth, 1906 syn. nov. = Cassida (Aethiopocassis) burensis Spaeth, 1924 syn. nov.; Aethiopocassis pauli (Weise, 1898) = Cassida pauli var. deleta Weise, 1899 syn. nov. = Cassida (Aethiopocassis) alluaudi Spaeth, 1924 syn. nov.; Aethiopocassis silphoides (Spaeth, 1906) = Cassida (Aethiopocassis) silphoides ssp. katangana Spaeth, 1933 syn. nov.; Aethiopocassis suspiciosa (Weise, 1903) = Cassida suspiciosa var. connexa Weise, 1906 syn. nov. = Cassida suspiciosa ssp. picturata Spaeth, 1934 syn. nov. = Cassida manubialis Spaeth, 1906 syn. nov., = Cassida decipiens Spaeth, 1906 syn. nov. = Cassida (Aethiopocassis) maynei Spaeth, 1933 syn. nov. = Aethiopocassis suspiciosa ssp. flavofemorata Spaeth, 1934 syn. nov. = Aethiopocassis maynei ssp. biramosa Spaeth, 1934 syn. nov. Colour photos, including intraspecific variablity, a key to species and maps of distribution are given.  

scholarly journals Determinants of Modern Contraceptive Methods (MCM) discontinuation among childbearing age women in Kinshasa, Democratic Republic of Congo.

2021 ◽  
Author(s):  
Nathalie Pemba ◽  
Christophe Luhata ◽  
Shahul H Ebrahim ◽  
Dalau Nkamba Mukadi ◽  
Lise Lombeya ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Cox Regression ◽  
Democratic Republic Of Congo ◽  
Sub Saharan Africa ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Childbearing Age ◽  
Republic Of Congo ◽  
Contraceptive Discontinuation ◽  
Sub Saharan

Abstract Background: Family planning (FP) is one of the main strategies to reduce maternal mortality in sub-Saharan Africa. However, only 8% of women use modern contraceptive methods in the Democratic Republic of Congo. It is estimated that at least 50% of women stop using Modern Contraceptive Methods (MCM) in sub-Saharan Africa. The objective of this study was to identify factors associated with MCM discontinuation in Kinshasa. Methods: A retrospective cohort study was conducted in Kinshasa from April through June 2019. Three hundred and eighty-seven women who attended 10 health facilities in 10 health zones of Kinshasa (one facility per health zone) were enrolled in the study. Predictors of modern contraceptive discontinuation were investigated, using Cox regression. Results: The proportion of MCM discontinuation was 21.4% (95% CI: 17.6-25.8); 60.2% for implants and 24.1% for contraceptive injections. Predictors for dicontinuation were: unemployement (Hz.R = 2.23; 95% CI: 1.35 - 3.70; p = 0.003); having no or only one child (Hz.R = 2.89; 95% CI : 1.43 - 5.85; p = 0.015); using a short-acting method (Hz.R = 4.61; 95% CI: 2.81 - 7.56; p <0.001); lack of sufficient explanations about MCM (Hz.R = 3.14; 95% CI: 1.93-5.11; p <0.001) and side effects (Hz.R = 2.93; 95% CI: 1.79 - 4.80; p = 0.001). Conclusion: MCM discontinuation was high among women in Kinshasa. While it is important to reinforce strategies to increase MCM uptake, it is also critical to increase its continuation.

scholarly journals Evaluation of the survival of patients with cirrhosis of viral etiology B / C in 3 hospitals of Kinshasa in the Democratic Republic of Congo

2020 ◽  
Author(s):  
Aliocha Nkodila ◽  
Charles Mbendi ◽  
Vanessa Malumba ◽  
Hervé Alex Tukadila ◽  
Grace Kisalambote ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Sub Saharan Africa ◽  
Viral Etiology ◽  
Republic Of Congo ◽  
Predictors Of Mortality ◽  
Probability Of Survival ◽  
Cirrhotic Patients ◽  
Sub Saharan

Abstract Background and objective : The causes of declining survival in cirrhotic patients are dominated by complications in developing countries. But data on survival among cirrhotics in Sub-Saharan Africa are sketchy. The general objective was to assess the survival and predictors of mortality in patients with viral cirrhosis of the liver in 3 hospitals in the Democratic Republic of Congo. Methods: A historic cohort study from 2009 to December 2018. Patients were recruited and followed up at the Ngaliema Clinic, CUK and HPGRK for 10 years. Death was the endpoint and patients lost to follow-up were censored. The Kaplan Méier curves made it possible to describe the survival of children at the threshold of p <0.05. Results : One hundred and four, 124 were male (75.6%), mean age 50.1 ± 16.1 years, 54.9% HBV viral etiology and 18.9% HBV-HCV co-infection were included. 37.8% cirrhotic had died. The probability of survival for cirrhotic patients at the start of follow-up was 81.7%, 69.5%, 62.2%, 62.2% and 62.2%, respectively, at 1 year, 2 years, 3 years, 4 years and 10 years. The predictors of mortality were age ≥60 years, hepatocellular carcinoma, encephalopathy, Child Pugh class B and C and low Hb. Conclusion: complications in cirrhotics are the factors of poor prognosis for the survival of patients in this cohort. Early detection of cirrhosis increases the survival of cirrhotic patients.

scholarly journals Morpho-constitutional analysis of urinary stones from patients with urolithiasis in the Democratic Republic of Congo

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Pablo Kuntima Diasiama Diangienda ◽  
Dieudonné Molamba Moningo ◽  
Jean-Robert Rissasy Makulo ◽  
Ernest Kiswaya Sumaili ◽  
Eric Musalu Mafuta ◽  
...  
Keyword(s):  
Uric Acid ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Upper Urinary Tract ◽  
Sub Saharan Africa ◽  
Urinary Stones ◽  
Republic Of Congo ◽  
Sub Saharan ◽  
Main Components ◽  
Constitutional Analysis

Abstract Background Urolithiasis is increasingly diagnosed worldwide. Stone analysis is an important part in the assessment of patients with urolithiasis. However, in sub-Saharan Africa, data on the composition of urinary stones are limited. This study aimed to describe the composition and sites of urinary stones and to investigate relationship between socio-demographic characteristics, clinical profile of patients, and the composition of urinary stones. Methods A retrospective analysis of 132 patients with urolithiasis who visited one of the seven hospitals in the Democratic Republic of Congo during eight years of study period (January 2010 to January 2018) was conducted. Stones were analyzed by infrared spectrophotometry. Results Most of stones analyzed (n = 82, 62.1%) originated from the upper urinary tract with a difference across gender (58.5% males vs. 41.5% females, p = 0.001). Only three stones (two from whewellite and one from anhydrous uric acid) were considered pure (2.3%), excluding the protein frame (less than 5%). Whewellite, proteins, and carbapatite were identified in 97.7%, 96.2%, and 80.3% of the stones analyzed, respectively; and in 91.7%, 89.4%, and 67.7% of the nuclei of the stones analyzed, respectively. Taking into account the proportion of each constituent in the stones analyzed, whewellite (68.9%), anhydrous uric acid (10.6%), and carbapatite (8.3%) were the main constituents in respectively 68, 9%, 10.6%, and 8.3% of the stones analyzed. Conclusion Whewellite, anhydrous uric acid, and carbapatite represented the most frequent main components of stones identified, suggesting that dietary hyperoxaluria could be an important factor in lithogenesis in the Democratic Republic of Congo.

scholarly journals Symptoms of acute transfusion reactions at a general referral hospital in Kinshasa, Democratic Republic of Congo: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045081
Author(s):  
Patou Masika Musumari ◽  
Samclide Mutindu Mbikayi ◽  
Kriengkrai Srithanaviboonchai ◽  
Teeranee Techasrivichien ◽  
Arunrat Tangmunkongvorakul ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Respiratory Distress ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Referral Hospital ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Data Set ◽  
Republic Of Congo ◽  
Transfusion Reactions

ObjectivesBlood transfusion is a life-saving procedure and is also associated with a range of risks including the occurrence of symptoms of acute transfusion reactions (ATRs). Very few studies in sub-Saharan Africa have reported on ATRs. The present study addresses this gap in the literature by documenting the prevalence of and factors associated with ATRs in the Democratic Republic of Congo (DRC).DesignThis is a cross-sectional descriptive and analytical study using blood bank data from a general referral hospital.SettingCentre Hospitalier Mère-Enfant (CHME) Monkole, a general referral hospital in Kinshasa, DRC.ParticipantsGeneral population who have received blood transfusion in CHME Monkole between 2014 and 2019.ResultsThe data set included a total of 7166 patients; 3153 (44%) men and 4013 (56%) women. The overall prevalence of symptoms of ATRs was 2.6%; the lowest prevalence was in 2017 (2.34%) and highest in 2018 (2.95%) and 2019 (2.94%). The documented symptoms included 74 (39.6%) cases of dyspnoea/respiratory distress, 60 (32.1%) cases of fever, 36 (19.2%) cases of pruritus/urticaria and 17 (9.1%) cases of vomiting. None of the studied factors was associated with symptoms of ATRs.ConclusionSymptoms of ATRs were not uncommon in the studied population. Dyspnoea and respiratory distress, fever and pruritus/urticaria were the most common symptoms of ATRs. This study highlights the need for a clinical and biological surveillance to detect, prevent and manage ATRs in the context of the DRC.

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