scholarly journals Factors associated with behavioral problems and cognitive impairment in children with epilepsy of Kinshasa, Democratic Republic of the Congo

2018 ◽  
Vol 78 ◽  
pp. 78-83 ◽  
Author(s):  
Thierry Matonda-ma-Nzuzi ◽  
Samuel Mampunza Ma Miezi ◽  
Magloire Nkosi Mpembi ◽  
Diane Muanza Mvumbi ◽  
Michel Ntentani Aloni ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Behavioral Problems ◽  
Democratic Republic ◽  
Factors Associated ◽  
Republic Of The Congo

scholarly journals Factors associated with episiotomy practice in Bukavu, Democratic Republic of the Congo

2018 ◽  
Vol 7 (7) ◽  
pp. 2553
Author(s):  
Ntamulenga Innocent ◽  
Mulongo Mbarambara Philémon ◽  
Imani Prince ◽  
Yatoka Justine ◽  
Mukanire Ntakwinja ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Case Control Study ◽  
Neonatal Resuscitation ◽  
Fetal Distress ◽  
Case Control ◽  
Primary Objective ◽  
Foetal Distress ◽  
Factors Associated ◽  
Republic Of The Congo ◽  
Control Study

Background: The primary objective of the present study is to determine the episiotomy rate and factors associated with practice of episiotomy at the maternities in Bukavu town, South-Kivu, DRC.Methods: A case-control study was carried out the women who underwent the episiotomy (case) and those which did not undergo episiotomy (control) over one 12 months period between January to December 2015. A total of 1878 women had a vaginal delivery at a rate of one case for one control (939 cases and 939 controls) were included. Their medical files were exploited. The factors associated with episiotomy were performed by logistic regression.Results: The rate of episiotomy was 20.4%. It was found that after the logistic regression, the Primiparity (OR = 4,5;95% CI:2,31-4,49), the existence of a foetal distress (OR = 4,2;IC to 95% CI :2,36-5,29), the antecedent of episiotomy (OR = 3,9;95% CI:2,83-7,07), private character of maternity (OR= 3,3; 95% CI :2,12-6,30) and the fact that the childbirth was directed by a doctor (OR = 2,3; 95% CI :1,85-5,08) were strongly associated with the practice of the episiotomy in our medium of study.Conclusions: This study showed UA-S/D ratio and UA-RI>2SD are significant predictors of perinatal deaths and immediate neonatal resuscitation in preeclampsia. Acute fetal distress in labour or neonatal nursery admission could not be predicted.

scholarly journals Factors associated with adherence to COVID-19 prevention measures in the Democratic Republic of the Congo (DRC): results of an online survey

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e043356 ◽  
Author(s):  
John Dinanga Ditekemena ◽  
Dalau Mukadi Nkamba ◽  
Hypolite Mavoko Muhindo ◽  
Joseph Nelson Fodjo Siewe ◽  
Christophe Luhata ◽  
...  
Keyword(s):  
Online Survey ◽  
Democratic Republic ◽  
Preventive Measures ◽  
Poor Adherence ◽  
Secondary Outcome ◽  
Prevention Measures ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
Factors Associated ◽  
Republic Of The Congo

ObjectivesWe aimed to assess the level of adherence to COVID-19 preventive measures in the Democratic Republic of the Congo (DRC) and to identify factors associated with non-adherence.DesignA cross-sectional population-based online survey.SettingsThe study was conducted in 22 provinces of the DRC. Five provinces with a satisfactory number of respondents were included in the analysis: Haut Katanga, Kasaï-Central, Kasaï-Oriental, Kinshasa and North Kivu.ParticipantsThe participants were people aged ≥18 years, living in the DRC. A total of 3268 participants were included in the study analysis.InterventionsBoth convenience sampling (surveyors themselves contacted potential participants in different districts) and snowball sampling (the participants were requested to share the link of the questionnaire with their contacts) methods were used.Primary and secondary outcome measuresWe computed adherence scores using responses to 10 questions concerning COVID-19 preventive measures recommended by the WHO and the DRC Ministry of Health. We used logistic regression analysis with generalised estimating equations to identify factors of poor adherence. We also asked about the presence or absence of flu-like symptoms during the preceding 14 days, whether a COVID-19 test was done and the test result.ResultsData from 3268 participants were analysed. Face masks were not used by 1789 (54.7%) participants. Non-adherence to physical distancing was reported by 1364 (41.7%) participants. 501 (15.3%) participants did not observe regular handwashing. Five variables were associated with poor adherence: lower education level, living with other people at home, being jobless/students, living with a partner and not being a healthcare worker.ConclusionDespite compulsory restrictions imposed by the government, only about half of the respondents adhered to COVID-19 preventive measures in the DRC. Disparities across the provinces are remarkable. There is an urgent need to further explore the reasons for these disparities and factors associated with non-adherence.

scholarly journals Environmental and anthropogenic factors associated with increased malaria incidence in South‐Kivu Province, Democratic Republic of the Congo

2020 ◽  
Vol 25 (5) ◽  
pp. 600-611
Author(s):  
R. N. Bigirinama ◽  
J. A. Ntaongo ◽  
D. Batumbo ◽  
N. A. Sam‐Agudu ◽  
P. D. M. C. Katoto ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Malaria Incidence ◽  
Anthropogenic Factors ◽  
Factors Associated ◽  
Republic Of The Congo ◽  
South Kivu

scholarly journals ELDER ABUSE BY FAMILY CAREGIVER: DOES COGNITIVE IMPAIRMENT REALLY MATTER?

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S449-S449
Author(s):  
Elsie Yan
Keyword(s):  
Cognitive Impairment ◽  
Family Caregivers ◽  
Behavioral Problems ◽  
Older Persons ◽  
Elder Abuse ◽  
Psychological Aggression ◽  
Care Recipient ◽  
Physical Assault ◽  
Factors Associated ◽  
Significant Difference

Abstract Previous research suggested that cognitive impairment is a risk factor for elder abuse. Persons with dementia experience elevated risk of abuse as compared to the general aging population. The present study compared rates of abuse reported by family caregivers of older persons with and without dementia. A total of 693 family caregivers participated, among which 592 were providing care older persons with dementia and 101 were providing care to older persons without. Participants provided information on their demographic characteristics, care recipient physical functioning (Instrumental Activities of Daily Living), behavioral problems (Cohen Mansfield Agitation Inventory), caregiver stress (Zarit Burden Interview), emotional and instrumental social support, and abusive behaviors directed at the care recipients (Conflict Tactics Scale and Potentially Harmful Behaviors). Abuse is common in this sample: 46.8% reported potentially harmful behaviors, 52.7% reported psychological aggression, 11% physical assault, and 1.3% injury. No significant difference was observed between caregivers providing care to older persons with or without dementia (p>.05). A series of logistic regression was conducted to determine factors associated with abuse. Care recipient behavioral problems and caregiver burden were two prominent factors associated with potentially harmful behaviors and all forms of abuse. Behavioral problems are common in persons with cognitive impairment and many caregivers feel stressful managing them. It is plausible that cognitive impairments per sec do not increases risk of abuse, but the associated characteristics do. Helping family caregivers manage the caregiving situation and their expectation, positive appraisal and cognitive restructuring may help prevent elder abuse.

scholarly journals Knowledge of type 2 diabetic patients about their condition in Kimpese Hospital diabetic clinic, Democratic Republic of the Congo

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Patrick N. Ntontolo ◽  
Philippe N. Lukanu ◽  
Gboyega A. Ogunbanjo ◽  
Jean-Pierre L. Fina ◽  
Léon N.M. Kintaudi
Keyword(s):  
Diabetes Mellitus ◽  
Democratic Republic ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Factors Associated ◽  
Diabetic Clinic ◽  
Republic Of The Congo ◽  
The Mean ◽  
Type 2 Diabetic

Background: Diabetes mellitus is a worldwide increasing health problem of which type 2 diabetes is the most prevalent. Previously considered as a problem of industrialised countries, diabetes is currently a huge concern in developing countries and the Democratic Republic of the Congo (DRC) is one of the sub-Saharan countries with a high prevalence rate of diabetes. Deficit of knowledge has already been shown to be one of the barriers preventing diabetic patients from controlling their disease.Objectives: This study aimed to assess the knowledge of type 2 diabetic patients seen at the Institut Médical Evangélique (IME) Kimpese Hospital diabetic clinic, DRC, and the factors associated with their knowledge.Methods: A cross-sectional study involving 184 respondents was conducted at the diabetic clinic of the IME Kimpese Hospital, DRC. We administered a pre-tested questionnaire. Out of a total of 10, scores of < 5, 5 to < 7, and ≥ 7 were classified as ‘poor knowledge’, ‘moderate knowledge’ and ‘good knowledge’, respectively, according to expert consensus. All statistical tests were performed using p < 0.05 as the level of statistical significance.Results: The mean age of respondents was 57.5 years (s.d. ± 1.4, ranging from 40 to 83 years), with 56% being male. The mean diabetes knowledge score was poor: 3.2 out of a total of 10 (s.d. ± 1.7), with the range between 0.2 and 7.7. The majority of respondents (72.3%) had poor general knowledge about diabetes mellitus. Respondents also scored poorly in areas of the causes (35.6%), risk factors (39.3%), clinical features (34.9%), complications (20.5%) and management (42.4%) of diabetes mellitus. Using the student t-test analysis, it was found that age (p = 0.001), gender (p = 0.002), educational level (p = 0.007) and duration of disease (p = 0.032) were significantly associated with poor knowledge of diabetes mellitus.Conclusions: Knowledge of diabetes mellitus among type 2 diabetic patients seen at our setting was poor. Areas of deficiency and factors associated with knowledge of diabetes were identified. Our findings suggest the need for a health education intervention programme for our diabetic patients.

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