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Dietary Vitamin K restriction and Effectiveness of Vitamin K Antagonists Prescribed at the CNHU-HKM University Cardiology Clinic/BENIN

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Food and Nutrition Sciences 2023年第10期14卷 928-940页

作者： Clémence Germaine metonnou charles jérôme sossa Lamidhi Salami rébécca Sabgohan Colette Azandjeme Camelle Mizehoun-Adossoda Virginie Mongbo Health Promotion Department Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin Health Policy and Systems Department Regional Institute of Public Health University of Abomey-Calavi Abomey-Calavi Benin School of Nutrition-Dietetics Faculty of Health Sciences University of Abomey-Calavi Cotonou Benin

Introduction: Their efficacy in preventing thrombotic and embolic events has been proven in numerous studies, but their narrow therapeutic index requires particular vigilance, especially in terms of biology. In addition, treatment-related hemorrhagic complications are not uncommon. This study explores the influence of dietary vitamin K restriction on the efficacy of antivitamin K treatment at the University Cardiology Clinic of CNHU-HKM. methods: Cross-sectional and descriptive study that took place from 25 April to 29 August 2019. Patients’ dietary behaviors and successive INr values were collected. Information on dietary intake was obtained by 2 non-consecutive 24-hour recalls. The effectiveness of VKA treatment was assessed by the “Time in Therapeutic range” (TTr) of the INr. VKA treatment was considered effective for a TTr greater than 65%. results: At the end of this study, 40 patients were surveyed. The mean age of the participants was 58.05 years ± 13.32 years, with a sex ratio of 1.35. Complete arrhythmia due to atrial fibrillation was the main indication for VKA treatment (37.50%) and fluindione was the most commonly prescribed drug (77.50%). The duration of treatment was less than or equal to 2 years in 47.5% of the subjects surveyed. Before starting treatment, 85% of patients received advice on restricting vitamin K-rich foods, and 45% of patients reported “food burnout” after a period of compliance with the restriction. The majority of respondents (97.50%) complied with the restriction on vitamin K-rich foods. All respondents had high energy intakes and a poor distribution of macronutrients, with a predominance of carbohydrates and proteins. 2.5% of respondents were on effective anti-vitamin K therapy with a TTr of over 65%. Conclusion: restriction of vitamin K-rich foods is not conducive to effective treatment with vitamin K antagonists.

关键词： Antivitamin K Dietary restriction Vitamin K Therapeutic Efficacy

Performance Evaluation of a Communication Plan Implementation for Behaviour Change in People at risk of Type 2 Diabetes in the Commune of Tchaourou in Benin

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journal of Diabetes mellitus 2022年第4期12卷 224-242页

作者： Clémence Germaine metonnou Colette Sylvie Azandjeme charles jérôme sossa Moussiliou Noël Paraïso Bio Nigan Victoire Damienne Agueh Department of Promotion Regional Institute of Public Health University of Abomey-Calavi Abomey-Calavi Benin Laboratory Sports Performance Health and Evaluation National Institute of Youth Physical Education and Sport (INJEPS) University of Abomey-Calavi (UAC) Porto-Novo Benin

Introduction: There are very few programmes to delay or prevent diabetes in Africa. This study aims to evaluate the communication plan implementation to reduce risk factors for Type 2 diabetes in people at risk. methods: The cross-sectional evaluative study focuses on the resources used for the implementation of the programme, the activities carried out and the beneficiaries of the programme. The non-probabilistic method was used to select. All target populations under study with appropriate sampling techniques. The performance of the communication plan implementation for behaviour change was assessed through the three sub-variables of evaluation of Donabedian health programmes: structure, process and results. The components assessment was based on the Varkevisser scale. The performance of the communication plan implementation for behaviour change was obtained by the sum of the scores of the three sub-variables. results: The performance of the communication plan implementation for behaviour change was satisfactory in all programme villages at 89%. The establishment of the research team, the management team and the technical team, the availability of financial resources on a timely basis, the follow-up of nutritionists, sports teachers and peer educators, the implementation of the programme package and the home coaching of the targets were effective in all the programme villages of the study. The scores for structure performance, process performance, and results performance were 100%, 95%, and 83.8%, respectively. The involvement of the entire research team, the commitment of local authorities and the motivation of the targets were also important in the obtained result. Conclusion: This study shows that effective T2D preventive communication is possible at community level in Benin and probably in Sub-Saharan Africa.

关键词： Implementation People at risk Type 2 Diabetes Benin

Knowledge, Attitudes, and Practices relating to Food and Nutrition among Pregnant Women Attending Antenatal Clinics at menontin Hospital (Benin)

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Health 2023年第11期15卷 1202-1217页

作者： charles jérôme sossa Lamidhi Salami Clémence Germaine metonnou Eloïse Tozoukan Colette Azandjeme Virginie Mongbo Moussiliou Noël Paraïso Health Promotion Department Regional Institute of Public Health University of Abomey-Calavi Abomey-Calavi Benin Department of Health Policy and System Regional Institute of Public Health University of Abomey-Calavi Abomey-Calavi Benin Department of Food Technology Engineering Ecole Polytechnique d’Abomey-Calavi University of Abomey-Calavi Abomey-Calavi Benin

Introduction: Pregnancy is a critical period during which environmental factors such as nutrition can affect the optimal development of the fetus. This study aims to evaluate the knowledge, attitudes, and practices in food and nutrition among pregnant women in antenatal consultation at menontin Hospital in 2021. methods: This was a cross-sectional, descriptive study including 96 pregnant women at menontin Hospital in Cotonou. Variables including socio-anthropological data, level of knowledge of nutritional requirements and their consequences on malnutrition, and description of physical activity practices were collected using a questionnaire and data on pregnant women’s dietary practices, macronutrient consumption, and fruit and vegetable consumption were documented using a food frequency questionnaire. results: The majority of pregnant women (88%) were unaware of their nutrient needs during pregnancy. Only 49.6% of them took at least three meals and two snacks a day, and 45% practiced less than 30 minutes of physical activity per day. The consumption of carbohydrates, proteins, and lipids were respectively in the proportions of 36.5%, 50%, and 38.5%. It was also found that 48% of pregnant women did not consume fruits and vegetables daily. Conclusion: The pregnant women followed in the Mènontin area hospital had a low level of knowledge in terms of food and nutrition during pregnancy. Consequently, their attitudes and practices were unfavorable to good nutrition for both the mother and the child.

关键词： Knowledge Attitudes Practices Nutrition Pregnancy Bénin

Sociodemographic and Economic Factors Associated with Urinary Bilharzia in the Municipalities of Sô-Ava, Aguegues and N’Dali in Benin

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Open journal of Epidemiology 2023年第4期13卷 342-359页

作者： josias Olutobi Ahamidé charles jérôme sossa Yolande Sissinto Edmond Yétongnon Pélagie Boko-Collins romaric Tchèbè Achille Ayalè Edgard-Marius Ouendo regional Institute of Public Health (IrSP-OUIDAH) University of Abomey-Calavi (UAC) Abomey-Calavi Benin Parasitology Laboratory (Faculty of Health Sciences) University of Abomey-Calavi (UAC) Abomey-Calavi Benin Laboratory of Analysis of Social Dynamics and Development (LADYSD) Faculty of Agronomic Sciences (FSA) University of Abomey-Calavi (UAC) Abomey-Calavi Benin Sightsavers Benin-Togo Cotonou-Lomé National Programme for the Control of Transmissible Diseases (PNLMT-Ministry of Health) Cotonou Benin Laboratory of Applied medical Anthropology (LAMA) (Faculty of Arts and Human Sciences (FASH) University of Abomey-Calavi Abomey-Calavi Benin

Introduction: This research, conducted in the municipalities of Aguégués, Sô-Ava, and N’dali in Benin, focused on identifying socio-demographic and economic factors associated with urinary bilharzia in 415 school-aged children from 8 to 14 years. Using urine test strips and filtration techniques, the study found prevalences ranging from 11.88% to 34.53% across the municipalities. method: Epidemiological data (urine) were collected and examined with test strips to assess the presence of terminal haematuria: the prevalence of infestation and parasite density was quantified using the filtration technique. Socio-demographic and economic factors were recorded using a questionnaire to assess the correlation with disease. results: Prevalences of 34.53% (N = 48 out of 139), 13.53% (N = 18 out of 133) and 11.88% (N = 17 out of 143) respectively for the municipalities of Aguégués, N’dali and Sô Ava were calculated. The study showed that the variables “age”, “sex”, “religion” and “socio-professional” activity were not significantly correlated with bilharziasis (p > 0.05) and it appears that these factors are not related to bilharziasis in the surveyed households. While age, sex, religion, and socio-professional activity showed no significant correlation with bilharziasis, factors like agriculture, fishing, and place of residence were statistically significant in relation to the disease. Conclusion: The findings suggest that these socio-demographic and economic factors impede the elimination of schistosomiasis in the examined areas.

关键词： Schistosomiasis Prevalence Sociodemographic and Economic Factors Municipalities School-Aged Children

Factors Associated with Overweight among Workers of the Ministry of Labor and Public Service in Benin in 2023

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Open journal of Internal medicine 2024年第3期14卷 299-318页

作者： Lucile T. S. Bedie Toïhen Géraud Padonou charles jérôme sossa Bayédjè Evrard Koutchoro Sègnon Eurydice Elvire Djossou Coovi Nonwanou Ignace Tokpanoude Badirou Aguemon Ministry of Labor and Public Service Cotonou Benin Faculty of Health Sciences (FSS) University of Abomey-Calavi (UAC) Cotonou Benin Health Promotion Department Regional Institute of Public Health Ouidah Benin

Introduction: The problem of excess weight is pandemic and affects the majority of nations, regardless of their level of development. However, the prevalence of overweight among workers in Benin is very poorly documented. To fill this gap, the present study aimed to determine the prevalence and factors associated with overweight among workers of the Ministry of Labor and Public Service (MTFP) in 2023 in Benin. Materials and methods: This is a descriptive cross-sectional study with analytical purposes carried out from August 16 to December 17, 2023, among MINISTrY OF LABOr AND PUBLIC SErVICE staff. The variables studied were overweight, sociodemographic, occupational and dietary characteristics, lifestyle, anthropometric factors and family history of obesity. An exhaustive recruitment of workers meeting our inclusion criteria and a questionnaire survey was carried out. Data were analyzed using r 4.0.4 software. A bivariate analysis followed by a multivariable analysis made it possible to identify the factors associated with overweight at the p results: In total, 379 workers were included in our study. The average age of the surveyed workers was 44.86 years ± 7.67 years, with 202 (53.30%) workers at least 45 years old. men predominated with a number of 228 (60.16%). The prevalence of overweight was 63.32% (95% CI: [58.23 - 68.15]) and the associated factors after multivariate analysis were: female sex (Ora = 4.00;95% CI [2.11 - 7.76];p Conclusion: The prevalence of overweight is high among ministry of labor and public service workers. Education and awareness in the professional environment on the prevention and management of risk factors are essential for a long-term impact on a notable regression of this public health phenomenon.

关键词： Overweight Associated Factors Workers-Benin

Alcohol, Tobacco and Tramadol Daily Consumption and road Traffic Crashes among Motorcycle Taxi Drivers in Cotonou (Benin)

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Open journal of Epidemiology 2021年第4期11卷 433-445页

作者： Ghislain Emmanuel Sopoh Akouété Nicolas Gaffan charles sossa-jérôme Alphonse Kpozèhouen Yolaine Glèlè-Ahanhanzo Health and Environment Department Regional Institute of Public Health Ouidah Benin Multidisciplinary research Unity for road Crashes Prevention (reMPArt) Department of Epidemiology and Bio-statistics Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin Department of Health Promotion Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin

Background: In Benin, motorcycle taxi drivers make up a significant portion of road transport. The use of psychoactive substances, a behavior recognized as being at risk of road crashes, is frequent in this group. Thi... 详细信息

rong>Background:rong> In Benin, motorcycle taxi drivers make up a significant portion of road transport. The use of psychoactive substances, a behavior recognized as being at risk of road crashes, is frequent in this group. This study aimed to analyze the association between the consumption of psychoactive substances and the occurrence of road crashes among motorcycle taxi drivers. rong>methods:rong> This was a cross-sectional study involving 430 motorcycle taxi drivers selected from motorcycle taxi stands in Cotonou (Benin) using a two-stage cluster sampling technique. An interview with a structured questionnaire was used to collect data, which took place in March and April 2019. Alcohol, tramadol, and tobacco were the psychoactive substances considered in this study and their daily use was investigated. A binary logistic regression was used for the analysis. rong>results:rong> Among the motorcycle taxi drivers surveyed, 27.79% (95% CI = 23.71 - 32.25) were involved in a road crash. The prevalence of psychoactive substances daily use was: 30.41% (95% CI = 26.17 - 35.00) for alcohol, 28.50% (95% CI = 24.37 - 33.02) for tramadol and 4.03% (95% CI = 2.51 - 6.42) for tobacco. Alcohol daily consumption (AOr = 2.09, 95% CI = 1.27 - 3.45, p = 0.004) was associated with a significant risk of road crashes. rong>Conclusion:rong> Interventions aiming to reduce psychoactive substances use should, therefore, be included in road safety policies, especially for this group.

关键词： road Crash Psychoactive Agent Health at Work Benin

Effects of Health record Computerization in the Context of the COVID-19 Pandemic in Burundi’ Hospitals: Propensity Score Matching

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Open journal of Epidemiology 2022年第3期12卷 245-260页

作者： Florence Munezero charles j. sossa Glele Yolaine Ahanhanzo Leodegal Bazira National Institute of Public Health Department of Research Bujumbura Burundi University of Abomey-Calavi Regional Institute of Public Health Ouidah Benin Faculty of medicine University of Burundi Bujumbura Burundi

Introduction: A great number of software are currently used to digitalize the patient records in order to optimize the quality of services offered to patients. The objective of this study was to evaluate the effects of Electronic Health records use in Burundi’s hospitals, taking into account the COVID-19 pandemic context. methods: This was a quasi-experimental study based on difference in difference method. Ten district hospitals were included in the study, five of them had the Electronic Health records and five of which did not yet have the Electronic Health records. The hospital’s control group were chosen using the propensity score matching method. The period before the project’s implementation was 2014 and the period after were 2019 and 2020. results: After 5 years of the Electronic Health record’s implementation, the results showed an increase in outpatient consultation (70%), deliveries (more than 100%), caesarean sections (56%) and major surgeries (43%) indicators. The overall quality score of hospitals’ care had a regressive effect of 37% and the income from performance-based funding had an increase by 31%. The indicators which were affected by the context of the COVID-19 pandemic were especially outpatient consultation, caesarian section, income from performance-based funding decreased by 3%, 5% and 20% respectively. Conclusion: The effects of Electronic Health records use are effective. As the COVID-19 pandemic impacted the hospital’s indicators negatively, the resilient strategies alongside the potential shocks are recommended.

关键词： Effects Health record Computerization COVID-19 Hospitals Propensity Score Matching

Effects of Charcoal Marketing on the Environment and Health in the City of Cotonou in Southern Benin

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journal of Geoscience and Environment Protection 2024年第11期12卷 132-144页

作者： Théodore Soussia Victoria Zinsou Thékpo Théodore Adjakpa Boniface Bonaventure Kpamegan Florence Nicole Houngla charles sossa jérôme Lisette Odoulami Lamine Saîd Baba-Moussa Institut National Mdico-Sanitaire (INmeS) Universit dAbomey Calavi Abomey Calavi Benin Centre Interfacultaire de Formation et de recherche en Environnement pour le Dveloppement Durable (CIFrED) Universit dAbomey Calavi Abomey Calavi Benin Institut rgional de Sant Publique (IrSP) Universit dAbomey Calavi Ouidah Benin Facult des Sciences et Techniques (FAST) Universit dAbomey Calavi Abomey Calavi Benin

Charcoal marketing is the main activity in the Gbegamey district of Cotonou. The aim of the study was to determine the effects of charcoal marketing on the environment and health of the Gbegamey population. A mixed descriptive and evaluative design was adopted. Data were collected using an interview guide, a structured non-participatory observation grid and air quality analysis equipment (PCE rCM 8 air quality detector;Carbon monoxide meter AS 87000A and Anemometer AM 4812) among charcoal traders, food vendors and residents living near charcoal sales outlets, selected by non-probabilistic purposive sampling, and were analysed with reference to national regulatory provisions and WHO recommendations (2022). 57 people, including 26 shopkeepers, were surveyed. Their average age was 45, with extremes of 25 and 65. The effects of charcoal marketing on health and the environment were known to 23 traders, who unfortunately did not adopt any protective measures. Some of the health effects mentioned were rheumatic and cardiovascular diseases. Pollutants (PM1: 96 µg/m3, PM2.5: 161 µg/m3, PM10: 206 µg/m3, CO: 185 mg/m3) were present in the coal-selling environment at Gbegamey. According to the respondents, respiratory diseases (42.31%), rheumatic diseases (30.77%) and cardiovascular diseases (11.54%) affected the traders, while respiratory diseases (51.61%) affected the general population. The marketing of charcoal in the Gbegamey district generates a high concentration of pollutants in the atmosphere. The activity needs to be monitored in order to limit its effects.

关键词： Marketing Charcoal Effects Health Environment

Knowledge, Attitudes and Practices of the Populations of Dapaong and Its Surroundings in Togo on Sodium/Salt and Potassium Intakes

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Open journal of Epidemiology 2023年第2期13卷 113-127页

作者： Tchasso Serge Kenao jerôme charles sossa Moussiliou Noel Paraiso Mofou Belo Mouawiyatou Bouraima Ghislain Sopoh Smaila Alidou Dadja Essoya Landoh Assima-Essodom Kalao Victoire Agueh Department of Health Promotion Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin Faculty of Health Sciences University of Lome Lomé Togo Department of Health Policy and Systems Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin Departement of Science Joseph KI-ZERBO University Ouagadougou Burkina Faso World Health Organization Guinee Togo Ministry of Health Lome Togo

Background: Food plays an important role in human health. A healthy diet contributes to the improvement of the health of populations. A diet high in sodium/salt and low in potassium has been shown to contribute to cardiovascular disease. The objective of this study was to assess the knowledge, attitudes and practices (KAP) of the inhabitants of Dapaong and its surroundings on dietary intakes of sodium/salt and potassium. methods: This was a cross-sectional study conducted from 1 November to 15 December 2022 involving 400 adults aged 25 to 44 years. Sampling was done using the probability method and the multistage random sampling technique with proportional allocation. These two methods were applied to select villages, households, and primary targets in each locality according to whether the area of residence was urban or rural. The electronic kobocollect questionnaire was administered to people in households and the interview guide was to resource persons, administrators and community leaders to collect the data. results: Overall, 80.25% of the respondents had low knowledge of sodium/salt intakes;88.50% had poor attitudes towards the use of foods that provide more sodium/salt and 92.75% had behaviours that were not conducive to reducing excessive salt consumption. With regard to potassium, the same trend was observed in the order of 91%, 72% and 73.75%. Conclusion: The KAP levels of the people studied were not good. The populations are prone to cardiovascular disease. A multisectoral nutritional intervention would be essential to improve the knowledge of the populations on sodium/salt and potassium intakes and therefore favourable to the fight against CVD/NCD.

关键词： KAP Sodium/Salt Potassium Togo