检索结果-南通市图书馆

Barriers and facilitators for early and exclusive breastfeeding in health facilities in Sub-saharan africa:a systematic review

引用

Global Health Research and Policy 2021年第1期6卷 283-293页

作者： Mai-Lei Woo Kinshella Sarina Prasad Tamanda Hiwa Marianne Vidler Alinane Linda Nyondo-Mipando Queen Dube David Goldfarb Kondwani Kawaza Department of Obstetrics and Gynaecology BC Children’s and Women’s Hospital and University of British ColumbiaVancouverCanada Department of Pediatrics and Child Health College of MedicineUniversity of MalawiBlantyreMalawi School of Public Health and Family Medicine Department of Health Systems and PolicyCollege of MedicineUniversity of MalawiBlantyreMalawi Queen Elizabeth Central Hospital PediatricsBlantyreMalawi Department of Pathology and Laboratory Medicine BC Children’s and Women’s Hospital and University of British ColumbiaVancouverCanada

Background:Sub-saharan africa carries a disproportionate burden of under-five child deaths in the world and appropriate breastfeeding practices can support efforts to reduce child mortality *** facilities are important in the promotion of early and exclusive *** purpose of this review was to examine facility-based barriers and facilitators to early and exclusive breastfeeding in Sub-saharan ***:A systematic search was conducted on Medline,Web of Science,CINAHL,african Journals Online and african Index Medicus from database inception to April 29,2021 and primary research studies on breastfeeding practices in health facilities in Sub-saharan africa were included in the *** assessed qualitative studies with the Critical Appraisal Skills Programme Qualitative Checklist and quantitative studies using the National Heart,Lung,and Blood Institute *** review protocol was registered to Prospero prior to conducting the review(CRD42020167414).Results:Of the 56 included studies,relatively few described health facility infrastructure and supplies-related issues(5,11%)while caregiver factors were frequently described(35,74%).Facility-based breastfeeding policies and guidelines were frequently available but challenged by implementation gaps,especially at lower health service *** included positive caregiver and health worker attitudes,knowledge and support during the postpartum *** studies have focused on caregiver factors,particularly around their knowledge and attitudes,while health facility infrastructure and supplies factors appear to be growing concerns,such as overcrowding and lack of privacy during breastfeeding counselling that lowers the openness and comfort of mothers especially those ***:There has been a dramatic rise in rates of facility births in Sub-saharan africa,which must be taken into account when considering the capacities of health facilities to support breastfeeding pract

关键词： Breastfeeding Breastfeeding support Barriers Facilitators Health facilities africa south of the sahara

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Screening for Peripheral Artery Disease (PAD) in Hypertensive Black Patients: Ankle-Brachial Index in a Senegalese Primary Care Setting

引用

World Journal of Cardiovascular Diseases 2024年第10期14卷 613-621页

作者： Ngoné Diaba Gaye Aliou Alassane Ngaïdé Mame Madjiguène Ka Abdoul Kane Department of Cardiac Rehabilitation Ibra Mamadou Wane Medical Center Dakar Senegal Department of Cardiology Dalal Jam Hospital Dakar Senegal School of Medicine Cheikh Anta Diop University Dakar Senegal Department of Cardiology Principal Hospital Dakar Senegal

Background: Peripheral artery disease (PAD) poses a significant health concern, particularly in Sub-saharan africa, where its prevalence is increasing. [1] Despite its significance, there is limited understanding of PAD among hypertensive patients in this region, highlighting a critical gap in knowledge. This study aimed to investigate the prevalence of PAD and associated factors in black hypertensive patients. Methods: A descriptive and analytical cross-sectional study was conducted over two years at a primary care center in Senegal using their ankle-brachial index (ABI) database. Data collection was strictly retrospective, and sociodemographic characteristics and clinical parameters were retrieved from the local patient database. We included all hypertensive patients who had benefited from an ABI. Statistical analysis was performed using the SPSS 18.0 software program. Results: Among the 220 hypertensive patients enrolled, PAD prevalence was 35%. Significant associations were observed between PAD occurrence and older age (>75 years, p = 0.008) and triple therapy (p = 0.015). Multivariate analysis confirmed age >75 years as a strong predictor of PAD in hypertensive patients (p = 0.01, OR = 4.6). Furthermore, PAD prevalence increased with the severity of hypertension (p = 0.03), emphasizing the need for targeted screening strategies in this population. Conclusion: Despite its limits, this study underscores the urgent need for improved access to healthcare services and tailored screening programs. The findings highlight the growing burden of PAD in Sub-saharan africa and the essential role of early detection and intervention, particularly in high-risk populations such as hypertensive individuals. Collaborative efforts involving healthcare providers, policymakers, and community stakeholders are crucial to implement effective interventions and reduce the impact of PAD on population health outcomes.

关键词： Peripheral Artery Disease Hypertension africa south of the sahara

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Cardiovascular Risk and Subclinical Atherosclerosis in Senegalese Patients with Rheumatoid Arthritis:A Cross-Sectional Study in a Single Centre

引用

World Journal of Cardiovascular Diseases 2020年第1期10卷 1-11页

作者： Baidy Sy Kane Awa Cheikh Ndao Abdourahmane Samba Mame Madiguène Ka Maimouna Sow Fatou Aw Mohamed Dieng Souhaibou Ndongo Mouhamadou Bamba Ndiaye Maboury Diao Abdoulaye Pouye Department of Internal Medicine Le Dantec Teaching HospitalCheikh Anta DIOP UniversityDakarSenegal Biochemistry Laboratory Le Dantec Teaching HospitalCheikh Anta DIOP UniversityDakarSenegal Department of Cardiology Le Dantec Teaching HospitalCheikh Anta DIOP UniversityDakarSenegal

Introduction: Rheumatoid arthritis (RA) is associated with increasing of cardiovascular (CV) morbidity and mortality due to accelerated atherosclerosis. Several studies showed also the increasing of the prevalence of subclinical atherosclerosis, but there are little data from sub-saharan africa. The aim of our study was to assess the prevalence of cardiovascular risk factors, subclinical carotid atherosclerosis and the ability of the Systematic Coronary Risk Estimation (SCORE) modified by European League Against Rheumatism (EULAR) to predict the high CV risk in our patients. Patients and Method: We conducted a cross sectional study in Senegalese patients with RA. The RA was retained according to 2010 American College of Rheumatology (ACR)-European League Against Rheumatism (EULAR) criteria. Patients with RA were assessed in a clinical research consultation. Results: We included 50 RA patients. The mean age was 44 years (+/- 12.37) and the sex-ratiowas 0.06. The frequency distribution of traditional cardiovascular risk factors was: hypertension (HT) (30%), diabetes-mellitus (6%), smoking (2%), no-exercise (22%), obesity (16%), metabolic syndrome (8%). Fifty-eight percent of patients were classified at low cardiovascular risk according to mSCORE. 51.7% of patients classified as moderate-risk according to mSCORE, were reclassified as high cardiovascular risk according to carotid ultrasound evaluation (gold-standard). The sensitivity of the mSCORE in the prediction of high CV risk was low at 20%. In the present study, the prevalence of carotid subclinical atherosclerosis was 20%. Age (>45 years) and HT were correlated to subclinical atherosclerosis. Conclusion: In the present study, the prevalence of atherosclerosis in RA patients was higher than expected frequency in comparison with the prevalence in Senegalese general population. We showed that CV risk was underestimated by mSCORE which had a low sensitivity in the prediction of high risk. We showed also the importanc

关键词： Rheumatoid Arthritis Subclinical Atherosclerosis africa south of the sahara

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Ankle-Brachial Index in Systemic Lupus Erythematosus:A Senegalese Case-Control Study

引用

World Journal of Cardiovascular Diseases 2019年第12期9卷 958-968页

作者： Baidy Sy Kane Maimouna Sow Fatou Aw Abdourahmane Samba Ahmed Tall Lemrabott Awa Cheikh Ndao Souhaibou Ndongo Mouhamadou Bamba Ndiaye Maboury Diao Abdoulaye Pouye Department of Internal Medicine Le Dantec Teaching HospitalCheikh Anta DIOP UniversityDakarSenegal Department of Cardiology Le Dantec Teaching HospitalCheikh Anta DIOP UniversityDakarSenegal Biochemistry Laboratory Le Dantec Teaching HospitalCheikh Anta DIOP UniversityDakarSenegal Department of Nephrology Le Dantec Teaching HospitalCheikh Anta DIOP UniversityDakarSenegal

Systemic lupus erythematosus (SLE) is associated with accelerated atherosclerosis and increasing cardiovascular risk which is recognized as a major cause of morbidity and death. Whether subclinical atherosclerosis has been evaluated by several methods, there are very limited data about Ankle-Brachial Index (ABI) in patients with systemic lupus erythematosus. The aim of the present study was to compare this index, between SLE patients and controls. We conducted a case-control study in the Department of Internal Medicine of our institution during the period from August 1, 2017 to December 31, 2018. We included 100 subjects, including 50 SLE patients and 50 control cases. This included 44 women and 6 men in patients with an identical distribution in controls. The mean age was 33.5 ± 11.3 years for cases and 33.3 ± 11.3 years (p-value: 0.93) for controls subjects. There was higher frequency of cardiovascular risk factors such as dyslipidemia (p-value at 0.009), low level of serum HDL-cholesterol (p-value??0.001), hypertriglyceridemia (p-value at 0.000) and hyperuricemia (p-value at 0.000) in patients with SLE. Overweight/obesity was higher in controls subjects (p-value at 0.028). There was no statistically significant difference in the frequency of diabetes-mellitus, smoking and high blood pressure. The abnormally ABI was recorded in 19 patients with SLE (38%) and 8 controls (16%) with a p-value: 0.01 and odds ratio: 3.22. Eight patients (16%) and four controls (8%) had low ABI without significant difference (p-value: 0.11 but odds-ratio at 2.98). Eleven patients with SLE (22%) and five controls (10%) had high ABI (p-value: 0.05 and odds-ratio: 3.24). In patients with SLE only disease activity (cSLEDAI) at the inclusion of the study was correlated?to abnormal ABI.?Conclusion:?This study showed an increasing prevalence of abnormal ABI in black african patients with SLE compared to controls with a correlation between disease activity and abnormal ABI.

关键词： Systemic Lupus Erythematosus Subclinical Atherosclerosis Peripheral Arterial Disease Ankle-Brachial Index africa south of the sahara

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Haemorrhage Secondary to Cerebral Aneurysm in a Senegalese Patient with Systemic Lupus Erythematosus:A Case Report

引用

Health 2019年第12期11卷 1625-1630页

作者： Baidy Sy Kane Maimouna Sow Boundia Djiba Awa Cheikh Ndao Mohamed Dieng Souhaibou Ndongo Abdoulaye Pouye Department of Internal Medicine Le Dantec Teaching HospitalCheikh Anta DIOP UniversityDakarSenegal

Introduction: Hemorrhage by ruptured cerebral aneurysm is a rare and severe complication of systemic lupus erythematosus (SLE). We reported a case of this complication. Observation: A 24-year-old woman black Senegalese patient was followed in our department since for a systemic lupus with cutaneous and articular involvement and class III and V Lupus nephritis. She was readmitted for acute headache and early postprandial vomiting. The examination showed a meningeal syndrome, a subacute lupus eruption in the trunk, panniculitis and fever. The cerebral computer tomography showed spontaneous haemorrhage from saccular aneurysm. She was managed by immediate aneurysm clipping and medical treatment including bolus of methylprednisolone and immunosuppressive therapy was maintained. The outcome was favourable, but there was neurological damage such as brachial weakness. Conclusion: Hemorrhage by ruptured cerebral aneurysm is a rare and severe complication of SLE. The risk of damage is also significant. Immediate neurosurgical management and aggressive medical treatment may improve the prognosis.

关键词： Systemic Lupus Erythematosus Central Nervous System Lupus Subarachnoid Hemorrhage africa south of the sahara

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Severity of the Rheumatoid Arthritis in Sub-saharan africa:Study of 403 Senegalese Observations

引用

Open Journal of Internal Medicine 2017年第4期7卷 151-159页

作者： Moustapha Niasse Baidy Sy Kane Abdoul Aziz Ndiaye Awa Cheikh Ndao Boundia Djiba Seynabou Fall Ngone Diaba Diack Fatimata Bintou Sall Michel Assane Ndour Nafy Diagne Atoumane Faye Biram Codou Fall Souhaibou Ndongo Abdoulaye Pouye Department of Rheumatology Center Hospital Aristide Le DantecDakarSenegal Department of Internal Medicine Center Hospital Aristide Le DantecDakarSenegal University of Bambey BambeySenegal Department of Hematology Center Hospital DalalJammDakarSenegal Department of Internal Medicine/Endocrinology National Pikine Hospital CenterDakarSenegal Department of Hematology Center Hospital Aristide Le DantecDakarSenegal

Introduction: We assess the severity of the rheumatoid arthritis in a Senegalese african black population. Patients and methods: It is a retrospective study achieved in the service of Internal Medicine of Aristide Le Dantec teaching hospital of Dakar between January 2005 and December 2016 in patients suffering from rheumatoid arthritis. We specified for every patient the predictive data of severity of the rheumatoid arthritis. Results: Four hundred and three patients have been gathered (39 men and 364 women), with the mean age of 45.8 years. An active tobacco addiction was noticed in 10 patients. The diagnostic delay was on average of 72 months. Characteristic articular deformations were noticed in 215 patients (53.3%). They were correlated to male (p = 0.038), to age (p = 0.001) and to the activity of the rheumatoid arthritis (p = 0.0445). Systemic manifestations have been observed in 213 cases (52.9%), particularly anemia (50.8%). They were correlated to the anti-CCP antibodies (p = 0.047). The ESR was increased at the first hour in 84.4% of cases (median: 43 mm;extreme: 1and 160). CRP was elevated in 63.71% of cases (median of 12 mg/l;extreme: 1 and 384). The rheumatoid factor was positive in 57.6% of the cases. The anti-CCP antibodies were present in 89.2% of the cases. Articular erosions were objectified in all cases. A DAS 28 superior to 5.1 was noticed in 71% of cases. Conclusion: The rheumatoid arthritis was severe in our study.

关键词： Rheumatoid Arthritis africa south of the sahara Senegal

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Cytotoxic Lesions of the Corpus Callosum (CLOCCs) Associated with SARS-CoV-2 Infection in West africa (Côte d’Ivoire)

引用

Advances in Infectious Diseases 2023年第2期13卷 132-136页

作者： Ismaila Diakité Kotchi Elisée Bony Hiénaya Armel Karidioula Any Gnazegbo Muriel Tchwa Amon Kouame Léonard Kouassi Idrissa Garba Anhum Nicaise Konan Ange Eric Kouame Assouan Department of Neurology Training and Research Unit for Medical Sciences Felix Houphouet Boigny University Abidjan C&#244te d’Ivoire Department of Neurology Training and Research Unit for Medical Sciences Alassane Ouattara University Bouake Bouake C&#244te d’Ivoire Department of Radiology Training and Research Unit for Medical Sciences Felix Houphouet Boigny University Abidjan C&#244te d’Ivoire

Background: Cytotoxic lesions of the corpus callosum (CLOCCs) represent a collection of disparate conditions that can cause a signal change in the corpus callosum, usually involving the splenium. CLOCCs is present in a variety of disorders, such as cerebral infarction, bleeding, multiple sclerosis, acute disseminated encephalomyelitis, glioblastoma, lymphoma, metabolic diseases, and infections. Since 2020, World Health Organization (W.H.O) defined Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, as a pandemic. Numerous CLOCCs cases have been reported in adults in particular in Japan, in China, and recently in children in Turkey associated with SARS-CoV-2. We report the first case of CLOCCs diagnosed in West africa (Côte d’Ivoire) in an adult associated with SARS-CoV-2. Case Report: A 60 year-old-woman with a medical history of high blood pressure and diabetes, presented to the emergency department with confusion without fever. Neurological examination was normal apart from temporospatial disorientation. Brain magnetic resonance imaging (MRI) showed abnormal signals in the splenium of the corpus callosum (SCC). Forty-eight hours (48 h) after admission, the patient experienced a fever (temperature: 385˚C), several episodes of hypoglycemia (capillary blood glycemia levels below 0.5 g/l) and a dry cough. Lung CT imaging showed typical features with ground-glass opacities. Oropharyngeal swab was positive for SARS-CoV-2 on reverse-transcriptase–polymerase-chain-reaction (RT-PCR) assay. The clinical course was favorable. One month after disease onset, a follow-up Brain MRI showed considerable regression of SCC abnormal signal. The multiple episodes of hypoglycemia and SARS-COV 2 infection were incriminated as the causal factors. Conclusion: The improvement of the technical platform in our context of work gives us the possibility to identify the etiological factors of this rare clinico-radiological entity.

关键词： africa south of the sahara COVID-19 Corpus Callosum

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

HEALTH MANPOWER PLANNING FOR PRIMARY CARE IN GHANA

引用

中华医学杂志(英文版) 1984年第2期97卷 100-100页

作者： Kwasi P Nimo Department of Community Health University of Chana Medical School ACCRA

A 3-tier system of health manpower is being planned in Ghana in conformity with the primary health care strategy of that country. Front-line health workers who already exist in the communities will work in populations of 200 people or more. They will be responsible for primary preventive and promotive procedures and simple first level curative measures. Training and supervision of these front-line health workers will be done by conventional health workers. Emphasis is being put on these types of health workers because of the health problems encountered and unwillingness of highly trained health personnel to work in rural areas where they are most needed.

关键词： africa africa south of the sahara Community Workers Delivery Of Health Care Developing Countries Diseases Economic Factors Education English Speaking africa Ghana Health Health And Welfare Planning Health Personnel Health Services Health Services Administration Management Medicine Organization And Administration Primary Health Care Social Planning Training Programs Western africa

来源：

同方期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：