scholarly journals Oral Cancer Lethality in the Dental Department of Kinshasa University Hospital, Democratic Republic of the Congo

Author(s):  
Charly Mana Mfutu ◽  
Jean-Paul Isouradi Sekele ◽  
Fidèle Nyimi Bushabu ◽  
Adelin Baudouin Nzudjom Foche ◽  
Matthieu Nkumu Loposso ◽  
...  

Background: Despite the scientific advances achieved during this century in cancer management, nevertheless, the cancer disease remains one of the most fatal sickens globally and little data are available on oral cancer mortality in most low-income countries including the Democratic Republic of the Congo. Aim: To assess the frequency of oral cancer mortality in the Department of Dental medicine at the Kinshasa University Hospital. Patients and Methods: A cross-sectional study based on the records of patients who died from oral cancer was conducted in the Department of Dental Medicine, Kinshasa University Hospital spanning over a period of 20 years (2000 to 2019). The data were collected from the records of patients with a histologically proven diagnosis of cancer. Pertinent parameters included Age, sex, stage of disease, histological type of tumor and probability of survival of patients were evaluated. Results: During the study, 889 patients were hospitalized in the Department. Out of 91 patients who died while in hospital, 49 deaths (53.8%) were from oral cancer in 57% males. Median age was 46.02±19.6 years and sex ratio of male/female of 1.3. The epidermoid or squamous cell carcinoma (63.3%) was the most frequent histological type of malignancy, and the majority of deaths (96%) occurred at and advanced cT4NM clinical stage with 90% having less than 200 days prognostic survival chance. Conclusion: The frequency of lethality in the present study was high and constitutes a health problem concern in the Democratic Republic of Congo. This study emphasizes the primary role devoted to oral health professionals in education, population, prevention, early detection and early management of oral cancer.

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Christiane Horwood ◽  
Sphindile Mapumulo ◽  
Lyn Haskins ◽  
Vaughn John ◽  
Silondile Luthuli ◽  
...  

Abstract Background Globally, increasing numbers of higher education institutions (HEIs) in non-English-speaking countries have adopted English as a medium of instruction (EMI), because of the perception that this provides opportunities to attract high-calibre students and academic staff, and engage with the international research community. We report an evaluation of a North–South-South collaboration to develop health research capacity in the Democratic Republic of the Congo (DRC) by establishing a postgraduate programme in nutritional epidemiology at the Kinshasa School of Public Health (KSPH), where EMI was adopted. We report experiences and perceptions of stakeholders, facilitators and students about using EMI. Methods In-depth qualitative interviews were conducted between October and December 2019 among convenience sampled stakeholders (8), facilitators (11) and students (12) involved in the programme from all three partner institutions (University of Kinshasa; University of KwaZulu-Natal, South Africa; University of Bergen, Norway). Interviews were conducted in participants’ language of preference (English or French), audio-recorded, transcribed verbatim and translated into English when required. Analysis employed a thematic approach. Results Most participants viewed EMI positively, reporting that studying in English created opportunities to access relevant literature, improve interactions with the scientific community and advance their careers. As a result of adopting EMI, some students had opportunities to present research findings at international conferences and publish their research in English. English-speaking researchers from partner institutions were able to participate in supervision of students’ research. However, inadequate English competency, particularly among students, was challenging, with some students reporting being unable to understand or interact in class, which negatively affected their academic performance. Further, EMI created barriers at KSPH among academic staff who were not proficient in English, leading to poor participation among non-English-speaking staff and lack of integration with other postgraduate programmes. Participants suggested additional English language support for EMI. Conclusion Partnerships between HEIs could be a powerful tool to develop research capacity in low-income countries in line with United Nations Sustainable Development Goals. EMI could be a solution to language barriers faced by many such partnerships, but wide-ranging support to develop English proficiency among staff and students is essential to ensure that the challenges do not outweigh the benefits.


2020 ◽  
Vol 37 ◽  
Author(s):  
Ben Izizag Bepouka ◽  
Madone Mandina ◽  
Jean Robert Makulo ◽  
Murielle Longokolo ◽  
Ossam Odio ◽  
...  

2021 ◽  
Vol 15 ◽  
Author(s):  
Michael L Hicks ◽  
Alex Mutombo ◽  
Tankoy Gombo YouYou ◽  
Mukanya Mpalata Anaclet ◽  
Mulumba Kapuku Sylvain ◽  
...  

2021 ◽  
Vol 9 (1) ◽  
pp. 44-50
Author(s):  
Chabo Byaene Alain ◽  
◽  
Mabela Matendo Rostin ◽  
Konde Numbi Joël ◽  
Muhindo Mavoko Hypolite ◽  
...  

The evaluation of the quality of a service is the critical assessment of the degree to which the service, or its component, provides customers’ satisfaction. Monitoring customer satisfaction is an important and useful quality improvement tool for clinical laboratories and health care organizations. The purpose of this research is to evaluate the satisfaction level with laboratory services among attending physicians and to identify factors associated with satisfaction and priorities for quality improvement. A cross-sectional study was conducted at the University Hospital of Kinshasa. Data were collected through a reliable and valid interviewer-administered questionnaire and analyzed by using SPSS version 21. The correlation between associated factors and customer satisfaction was analyzed using the chi-square test and multivariate regression analysis. The Importance-Performance Analysis was the determinant of improvement priority. The overall level of customers’ satisfaction toward clinical laboratory services in this study was 45.2% with a response rate of 330 (100%). Gender (ORadj = 1.75, 95% CI 1.06, 2.91), Department (ORadj = 3.09, 95% CI 1.50, 6.37) and academic title (ORadj = 6.85, 95% CI 3.51, 8.81) were found to have a statistically significant association with the overall satisfaction. Results accuracy (I = 0.944, P = 4.7), laboratory turnaround time (I = 0.932, P = 4.8), and availability of all the tests requested by physicians (I = 0.917, P = 4.9) were the most important opportunities for quality improvement. The overall level of customers’ satisfaction with laboratory services was low. Thus, the laboratory management must establish preventive and corrective measures to improve the results’ accuracy, reduce the laboratory turnaround time, and ensure the availability of all the tests requested by physicians. Keywords: Customers satisfaction, clinical laboratory, services’ quality, continuous improvement, Democratic Republic of the Congo.


2021 ◽  
Vol 09 (02) ◽  
pp. 12-20
Author(s):  
Ben Bepouka ◽  
Hippolyte Situakibanza ◽  
Ossam Odio ◽  
Jean Robert Makulo ◽  
Madone Mandina ◽  
...  

2019 ◽  
Vol 8 (20) ◽  
Author(s):  
Tony Wawina-Bokalanga ◽  
Bert Vanmechelen ◽  
Joan Martí-Carreras ◽  
Valentijn Vergote ◽  
Kurt Vermeire ◽  
...  

Genomic sequencing for early identification of Ebola virus remains a big challenge in low-income countries. Here, we report the complete genome sequence of an Ebola virus strain obtained during the 2017 Likati outbreak in the Democratic Republic of the Congo (DRC) by using the Oxford Nanopore Technologies (ONT) MinION sequencer.


2021 ◽  
Vol 9 (1) ◽  
pp. 35-43
Author(s):  
Chabo Byaene Alain ◽  
◽  
Mabela Matendo Rostin ◽  
Konde Numbi Joël ◽  
Muhindo Mavoko Hypolite ◽  
...  

The customer satisfaction-customer loyalty association is one of the most vital relationships for marketing theory and practice. However, there is a lack of consensus in the literature and among researchers about the causal link between the two concepts. The purpose of this research is to determine the strength and direction of the relationship between customer satisfaction and customer loyalty in a clinical laboratory. This study proposes a mathematical model examining the relationship among two variables: customer satisfaction and customer loyalty. It is based on the survey data collected from 330 attending physicians in the University Hospital of Kinshasa. The chi-square test of independence and linear regression analysis techniques are used to investigate the relationship between the two variables. The key findings of the study indicate that customer satisfaction and customer loyalty are related (χ2 = 226.978, df = 1, p < 0.001). There is a strong positive significant linear relationship between the two variables (r = 0.892, N = 330, p < 0.001). The R2 value of 0.795 reveals that customer satisfaction accounts for 79.5% of the variation in customer loyalty. The mean customer loyalty value increases by 0.945 for every one unit change in customer satisfaction (loyalty = 0.945satisfaction + 0.347). Customer loyalty is a function of customer satisfaction. Laboratory management should concentrate on customer satisfaction to improve customer loyalty and, thus, assure laboratory survival in the current competitive environment. Keywords: Customers’ satisfaction, clinical laboratory, Democratic Republic of the Congo, Customers’ loyalty.


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