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Therapeutic Routes of a Group of Heart Failure Patients Followed in a Cameroonian Urban Setting

World Journal of Cardiovascular Diseases 2023年第10期13卷 686-700页

作者： Chris Nadège Nganou-Gnindjio Bâ Hamadou Melissa Djuidje Djampouop marie ntep gwet Félicité Kamdem Pierre Mintom Juliette Valerie Ndobo Siddikatou Djibrilla Guillaume Ebene Manon Joel Noutackdie Tochie Samuel Kingue Faculty of Medicine and Biomedical Sciences University of Yaoundé 1 Yaoundé Cameroon Institut Supérieur des Sciences de la Santé Université des Montagnes Bangangte Cameroon Faculty of Medicine and Pharmaceuticals Sciences University of Douala Douala Cameroon Faculty of Health Sciences University of Buea Buea Cameroon

Background: Heart failure (HF) is a rising global health problem. Patients with HF tend to use several therapies obtained via different treatment routes to relieve their symptoms. It is rampant in sub-Saharan Africa (SSA), leading to poor health-seeking behaviours and worsened HF health outcomes. We aimed to describe the different therapeutic routes of HF patients from the onset of their first symptom until treatment in a specialised cardiology centre to identify and rebuke harmful therapeutic routes. Materials and Methods: This was a cross-sectional study at the Yaoundé Central Hospital in Cameroon between December 2018 to July 2019. Patients were recruited by consecutive convenient sampling. Adult patients aged above 18 years with confirmed HF were included using the Framingham criteria. Variables relating to socio-demographic and clinical data and the health-seeking behaviours of HF patients were studied. Results: We included 132 patients with a mean age of 62.90 years (62.88% women). Very few patients (0.90%) followed an ideal route;60.71% of subjects had a pseudo-ideal route, 19.64% accessed a specialised facility directly, and 21.42% used an erratic route. At the arrival time in a cardiology unit, 49.24% and 35.61% of our subjects were in NYHA stage III and IV HF compared to 15.15% for stage II. None of them was in Stage I. Conclusion: Most heart failure patients in Cameroon have resorted to non-specialised care, which worsens their clinical presentation. There is an urgent need for health education of HF patients in our context.

关键词： Heart Failure Therapeutic Care Route Cameroon

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Epidemiological Profile of Obesity among Health Staff at the YaoundéCentral Hospital and at the YaoundéUniversity Teaching Hospital

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World Journal of Cardiovascular Diseases 2019年第8期9卷 511-523页

作者： Sylvie Ndongo Amougou Liliane Linda Yangou Tchangoum marie ntep gweth Dieudonné Danwe Camille Mba Maadjjhou Samuel Kingue Jean Claude Mbanya Faculty of Medicine and Biomedical Sciences University of Yaoundé I Yaoundé Cameroon Yaoundé University Teaching Hospital Yaoundé Cameroon Higher Institute of Medical Technology Yaoundé Cameroon Yaoundé Central Hospital Yaoundé Cameroon

Background: Obesity is a real pandemic and with ever increasing prevalence. Health professionals play a vital role in the fight against this condition. They are also affected by obesity and could be even more affected than the general population. These health workers sometimes have a wrong perception of their own weight which interferes with their ability to counsel their patients. The purpose of this study was to determine the prevalence and factors associated with obesity among health care workers and increase their awareness of the problem. Methodology: This was a cross-sectional study conducted at the Yaoundé Central Hospital (YCH) and the Yaoundé University Teaching Hospital (YUTH) during a 6 months period. The data were collected through a questionnaire structured according to WHO STEP wise approach to chronic disease risk factor surveillance (STEPS). We measured weight, height, waist circumference, and blood pressure according to the WHO STEPS procedure. The Chi square test and logistic regression were used to measure the association between the qualitative variables. A p value 0.05 was considered statistically significant. Results: A total of 350 health personnel participated in this study. The prevalence of obesity was 30.3%. That of abdominal obesity was 46.9%. The factors independently associated to overall obesity were age > 40 years [OR = 2.22 95% CI (1.28 - 3.87)], nursing assistant profession [OR = 2.31 95% IC (1.21 - 4.41)] and high blood pressure [OR = 3.38 95% CI (1.16 - 9.84)] and to abdominal obesity, age > 40 years [OR = 3.35 95% CI (1.96 - 5.71)], female gender [OR = 5.47 95% CI (2.95 - 10.14)], marriage [OR = 1.84 95% CI (1.08 - 3.14)], and High blood pressure [OR = 3.76 95% CI (1.01 - 13.94)]. Conclusion: Obesity is very common among YCH and YUTH staff. Staff awareness and the introduction of proper lifestyle promotion programs are more than ever needed to win the fight against obesity.

关键词： Epidemiological Profile Obesity Health Personnel Yaoundé

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Quality of Caesarean Sections in Rural Sub-Saharan Africa: A Prospective Study in Cameroon

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Open Journal of Obstetrics and Gynecology 2021年第10期11卷 1361-1377页

作者： Jean Dupont Ngowa Kemfang Jovanny Tsuala Fouogue Adeline Christel gwet Arouna Ngapagna Njayou Bruno Kenfack Loic Meukem Tatsipie Christiane Nsahlai Henri Donald Mutarambirwa Pamela Leonie Fouogue Nzogning Manebou Pierre marie Tebeu Department of Obstetrics and Gynaecology Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1 Yaounde Cameroon Department of Obstetrics Gynaecology and Maternal Health Faculty of Medicine and Pharmaceutical Sciences of the University of Dschang Dschang Cameroon Institute of Health Science University of Montagnes Bangangte Cameroon Saint Vincent de Paul Hospital Dschang Cameroon Department of Translation Administrative Court of Bafoussam Bafoussam Cameroon

Introduction: Caesarean section (CS) is a major reproductive health intervention to improve maternal and foetal outcomes if appropriately performed. This study aimed to assess the quality of Caesarean sections (CS) in a rural setting in Cameroon. Materials and Methods: A prospective study conducted in 3 hospitals from February 1st 2020 to April 30th 2020. One hundred and twenty women who had a CS were included. Data were grouped into 5 categories: 1) Sociodemographic and obstetrical characteristics, 2) Geographic and financial access, 3) Diagnostic procedures, 4

关键词： Childbirth Caesarean Section Robson’s Classification Apgar Score

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