scholarly journals Epidemiological and Clinical Profile of Patients in the Medical Emergency Department at Amissa Bongo Regional Hospital in Franceville (ABRH), Gabon; Retrospective Cross-sectional Study

Author(s):  
Thiery Ndong Mba ◽  
Cedric Sima Obiang ◽  
Hilaire Kenguele Moundounga ◽  
Elvis Othogo N’Nang ◽  
Bourdettes Meye ◽  
...  

Objective: To evaluate the different non-surgical predominant pathologies in the emergency department of the Amissa Bongo regional hospital in Franceville, Haut-Ogooué. Materials and Methods: Using consultation registers and some medical records, we retrospectively studied the epidemiological and clinical profile of patients who consulted for a medical and non-surgical or gynaeco-obstetrical emergency, from 1 January 2018 to 31 December 2018. Results: During this period, 19597 patients consulted for a medical emergency at the Amissa Bongo regional hospital in Franceville in Haut-Ogooué (Gabon). This high score indicated that the majority of patients came from the different districts of the commune of Franceville and other departments of the province. Three periods of high attendance were distinguished: the long dry season (37.3%), the short rainy season (28.4%) and the long rainy season (24%), compared to the short dry season (10.3%). Infectious diseases were recurrent with 63.16%, and with 67% of cases, malaria (severe and simple) was more frequent. Non-infectious emergencies were also noted, such as diseases of the respiratory system (1791 cases = 24.81%), diseases of the digestive system (1028 cases = 14.24%), skin diseases (809 cases = 24.81%), cardiovascular diseases (800 cases = 11.21%), blood diseases (686 cases = 9. 5%), diseases of the urogenital system (588 cases = 8.14%), diseases of the locomotor system (510 cases = 7.06%), ENT diseases (451 cases = 6.24%), diseases of the glands and metabolism (296 cases = 4.10%), diseases of the nervous system and the senses (260 cases = 3.60%)                                                      Conclusion: Compared to non-infectious diseases, infectious and parasitic diseases are recurrent at CHRAB. They therefore require special attention from the health authorities of this hospital, and even of Gabon.

2021 ◽  
Vol 015 (02) ◽  
pp. 049-058
Author(s):  
Samuel Olorunyomi Oninla ◽  
Michael Olaniyan Onigbinde ◽  
Akinyemi Olaleye Fadugbagbe ◽  
Emmanuel Olaseinde Bello ◽  
Omolayo Adebukola Olubosede

Objective: This study set out to assess sex differences and seasonal variations in Pediatric Infectious Diseases (PID) admissions. Methods: One year retrospective study of PID admissions was conducted among children aged one month to 15 years. Relevant information retrieved from patients’ hospital records were dates of admission and discharge, age, sex, final PID diagnoses and outcome. Results: Of 1,035 patients’ records assessed, 603 (58.3%) were males and 432 (41.7%) females (p<0.001). Males in ages 1-12 and 13-59 months contributed largely to the gender difference. Over the 12 months period, PID admissions mean was 86.25±21.92, with rainy and dry seasons means of 92.57±20.7 and 77.4±20.9, respectively (p<0.001). Ages 13-19, 60-119 and ≥120 months had significantly higher admissions mean during the rainy season (p<0.001 in each group), while higher admissions occurred among ages 1-12months in dry season (p<0.001). Top six PID managed were malaria, gastroenteritis, pneumonia, septicemia, meningitis and typhoid, and males had higher incidence in all except for typhoid, with only malaria having significant difference (p<0.001). Malaria, septicemia and typhoid incidence were higher significantly during the rainy season, while gastroenteritis occurred more in the dry season. Overall fatality rate was 4.6%; females and males rates were 6.3% and 3.5%, respectively (p=0.661). Rainy and dry seasons mortality means were 5±1.77 and 2.6±0.8, respectively (p<0.001). Conclusion: Male children were more vulnerable to PID, with significant higher malaria incidence among them than females. PID incidence and mortality were significantly higher during the rainy season than dry. Malaria and gastroenteritis occurred significantly in rainy and dry seasons, respectively.


2018 ◽  
Vol 17 (2) ◽  
pp. 318-328
Author(s):  
Ajeagah Gideon Aghaindum ◽  
Asi Quiggle Atud ◽  
Okoa Amougou Thérèse Nadège

Abstract To determine the role of soils in dissemination of enteric protozoan cysts and intestinal eggs and/or larvae of helminths, a study was carried out on muddy soils around springs and wells of six districts in Yaounde, Cameroon from February to July 2015. Protozoan cysts and helminth eggs and larvae were observed microscopically after concentration by standard scientific methods. Flagellated enteric protozoa cysts were detected at an average density of 245 ± 145 cysts/L for Giardia intestinalis, 308 ±190 cysts/L for Chilomastix mesnili, 105 ± 106 cysts/L for Enteromonas hominis and 96 ± 118 cysts/L for Retortamonas intestinalis. Cyst densities were higher during the short rainy season (277 ± 119 cysts/L) than in the short dry season (147 ± 60 cysts/L). The helminths identified were Ascaris sp., Enterobius sp., Necator americanus and/or Ancylostoma duodenale, Strongyloides sp., Taenia sp., Hymenolepis sp., Diphyllobothrium sp. and Fasciola sp. Size varied between 40 μm and 200 μm for eggs and between 100 μm and 600 μm for the larvae assessed. Densities of environmental forms of the helminths were also higher during the short rainy season (176 ± 77 agents/L) than during the short dry season (117 ± 49 agents/L). These results show that muddy soils could contribute to the contamination of wells and springs and should be considered in epidemiological studies of intestinal parasites.


2018 ◽  
Vol 4 (2) ◽  
Author(s):  
Sardjito Eko Windarso dkk

The increasing of malaria cases in recent years at Kecamatan Kalibawang has been suspected correspond with the conversion of farming land-use which initiated in 1993. Four years after the natural vegetation in this area were changed become cocoa and coffee commercial farming estates, the number of malaria cases in 1997 rose more than six times, and in 2000 it reached 6085. This study were aimed to observe whether there were any differences in density and diversity of Anopheles as malaria vector between the cocoa and mix farming during dry and rainy seasons. The results of the study are useful for considering the appropriate methods, times and places for mosquito vector controlling. The study activities comprised of collecting Anopheles as well as identifying the species to determine the density and diversity of the malaria vector. Both activities were held four weeks in dry season and four weeks in rainy season. The mea-surement of physical factors such as temperature, humidity and rainfall were also conducted to support the study results. Four dusuns which meet the criteria and had the highest malaria cases were selected as study location. Descriptively, the results shows that the number of collected Anopheles in cocoa farming were higher compared with those in mix horticultural farming; and the number of Anopheles species identifi ed in cocoa farming were also more varied than those in the mix horticultural farming.Key words: bionomik vektor malaria, anopheles,


Author(s):  
Titis Apdini ◽  
Windi Al Zahra ◽  
Simon J. Oosting ◽  
Imke J. M. de Boer ◽  
Marion de Vries ◽  
...  

Abstract Purpose Life cycle assessment studies on smallholder farms in tropical regions generally use data that is collected at one moment in time, which could hamper assessment of the exact situation. We assessed seasonal differences in greenhouse gas emissions (GHGEs) from Indonesian dairy farms by means of longitudinal observations and evaluated the implications of number of farm visits on the variance of the estimated GHGE per kg milk (GHGEI) for a single farm, and the population mean. Methods An LCA study was done on 32 smallholder dairy farms in the Lembang district area, West Java, Indonesia. Farm visits (FVs) were performed every 2 months throughout 1 year: FV1–FV3 (rainy season) and FV4–FV6 (dry season). GHGEs were assessed for all processes up to the farm-gate, including upstream processes (production and transportation of feed, fertiliser, fuel and electricity) and on-farm processes (keeping animals, manure management and forage cultivation). We compared means of GHGE per unit of fat-and-protein-corrected milk (FPCM) produced in the rainy and the dry season. We evaluated the implication of number of farm visits on the variance of the estimated GHGEI, and on the variance of GHGE from different processes. Results and discussion GHGEI was higher in the rainy (1.32 kg CO2-eq kg−1 FPCM) than in the dry (0.91 kg CO2-eq kg−1 FPCM) season (P < 0.05). The between farm variance was 0.025 kg CO2-eq kg−1 FPCM in both seasons. The within farm variance in the estimate for the single farm mean decreased from 0.69 (1 visit) to 0.027 (26 visits) kg CO2-eq kg−1 FPCM (rainy season), and from 0.32 to 0.012 kg CO2-eq kg−1 FPCM (dry season). The within farm variance in the estimate for the population mean was 0.02 (rainy) and 0.01 (dry) kg CO2-eq kg−1 FPCM (1 visit), and decreased with an increase in farm visits. Forage cultivation was the main source of between farm variance, enteric fermentation the main source of within farm variance. Conclusions The estimated GHGEI was significantly higher in the rainy than in the dry season. The main contribution to variability in GHGEI is due to variation between observations from visits to the same farm. This source of variability can be reduced by increasing the number of visits per farm. Estimates for variation within and between farms enable a more informed decision about the data collection procedure.


2021 ◽  
Vol 13 (2) ◽  
pp. 741
Author(s):  
Wirat Krasachat ◽  
Suthathip Yaisawarng

To overcome the challenging food safety and security problem, in 2003, the Thai government initiated ‘Good Agricultural Practices’ (GAP) technology. This paper used a sample of 107 small chili farms from the Chiyaphoom province for the 2012 crop year, and data envelopment analysis (DEA) meta-frontier directional distance function technique to answer two questions: (1) Are GAP-adopting farms, on average, more efficient than conventional farms? (2) Does access to GAP technology affect farmers’ decisions to adopt GAP technology? We also developed an ‘indirect’ approach to reduce the potential sample selection bias for small samples. For the dry-season subsample, GAP farms were more technically efficient when compared with non-GAP farms. These dry-season non-GAP farms may not adopt the GAP method because they have limited access to GAP technology. For the rainy-season subsample, on average, GAP farms were more efficient than non-GAP farms at the 5% level. Access to the GAP technology is not a possible reason for non-GAP rainy season farms to not adopt the GAP technology. To enable sustainable development, government agencies and nongovernmental organizations (NGOs) must develop and implement appropriate educational and training workshops to promote and assist GAP technology adoption for chili farms in Thailand.


2021 ◽  
Vol 13 (4) ◽  
pp. 785
Author(s):  
Sen Zhang ◽  
Qigang Jiang ◽  
Chao Shi ◽  
Xitong Xu ◽  
Yundi Gong ◽  
...  

Kuh-e-Namak (Dashti) namakier is one of the most active salt diapirs along the Zagros fold–thrust belt in Iran. Its surface deformation should be measured to estimate its long-term kinematics. Ten Sentinel-2 optical images acquired between October 2016 and December 2019 were processed by using Co-Registration of Optically Sensed Images and Correlation (COSI-Corr) method. Forty-seven Sentinel-1 ascending Synthetic Aperture Radar (SAR) images acquired between April 2017 and December 2019 were processed by using Small Baseline Subset Synthetic Aperture Radar Interferometry (SBAS-InSAR) method. The deformation of Kuh-e-Namak (Dashti) namakier was measured using both methods. Then, meteorological data were utilized to explore the relationship between the kinematics of the namakier and weather conditions and differences in macrodeformation behavior of various rock salt types. The advantages and disadvantages of COSI-Corr and SBAS-InSAR methods in measuring the deformation of the namakier were compared. The results show that: (1) The flank subsides in the dry season and uplifts in the rainy season, whereas the dome subsides in the rainy season and uplifts in the dry season. Under extreme rainfall conditions, the namakier experiences permanent plastic deformation. (2) The “dirty” rock salt of the namakier is more prone to flow than the “clean” rock salt in terms of macrodeformation behavior. (3) In the exploration of the kinematics of the namakier via the two methods, COSI-Corr is superior to SBAS-InSAR on a spatial scale, but the latter is superior to the former on a time scale.


2021 ◽  
Vol 9 (3) ◽  
pp. 627
Author(s):  
Hagen Frickmann ◽  
Juliane Alker ◽  
Jessica Hansen ◽  
Juan Carlos Dib ◽  
Andrés Aristizabal ◽  
...  

Fecal-orally transmitted cyclosporiasis is frequent in remote resource-limited settings in Central and South America with poor hygiene conditions. In this study, we aimed at assessing seasonal effects on the epidemiology of colonization or infection with C. cayetanensis in Colombian indigenous people living under very restricted conditions. In the rainy season between July and November and in the dry season between January and April, stool samples from indigenous people with and without gastrointestinal symptoms were collected and screened for C. cayetanensis applying in-house real-time polymerase chain reaction (PCR). In the rainy season and in the dry season, positive PCR results were observed for 11.8% (16/136) and 5.1% (15/292), respectively, with cycle threshold (Ct) values of 30.6 (±3.4) and 34.4 (±1.6), respectively. Despite higher parasite loads in the rainy season, fewer individuals (2/16, 12.5%) reported gastrointestinal symptoms compared to the dry season (6/15, 40%). In conclusion, considerable prevalence of C. cayetanensis in Colombian indigenous people persists in the dry season. Low proportions of gastrointestinal symptoms along with higher parasite loads make colonization likely rather than infection.


Atmosphere ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 240
Author(s):  
Rayonil Carneiro ◽  
Gilberto Fisch ◽  
Theomar Neves ◽  
Rosa Santos ◽  
Carlos Santos ◽  
...  

This study investigated the erosion of the nocturnal boundary layer (NBL) over the central Amazon using a high-resolution model of large-eddy simulation (LES) named PArallel Les Model (PALM) and observational data from Green Ocean Amazon (GoAmazon) project 2014/5. This data set was collected during four intense observation periods (IOPs) in the dry and rainy seasons in the years 2014 (considered a typical year) and 2015, during which an El Niño–Southern Oscillation (ENSO) event predominated and provoked an intense dry season. The outputs from the PALM simulations represented reasonably well the NBL erosion, and the results showed that it has different characteristics between the seasons. During the rainy season, the IOPs exhibited slow surface heating and less intense convection, which resulted in a longer erosion period, typically about 3 h after sunrise (that occurs at 06:00 local time). In contrast, dry IOPs showed more intensive surface warming with stronger convection, resulting in faster NBL erosion, about 2 h after sunrise. A conceptual model was derived to investigate the complete erosion during sunrise hours when there is a very shallow mixed layer formed close to the surface and a stable layer above. The kinematic heat flux for heating this layer during the erosion period showed that for the rainy season, the energy emitted from the surface and the entrainment was not enough to fully heat the NBL layer and erode it. Approximately 30% of additional energy was used in the system, which could come from the release of energy from biomass. The dry period of 2014 showed stronger heating, but it was also not enough, requiring approximately 6% of additional energy. However, for the 2015 dry period, which was under the influence of the ENSO event, it was shown that the released surface fluxes were sufficient to fully heat the layer. The erosion time of the NBL probably influenced the development of the convective boundary layer (CBL), wherein greater vertical development was observed in the dry season IOPs (~1500 m), while the rainy season IOPs had a shallower layer (~1200 m).


2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Doris Uwamahoro ◽  
Aly Beeman ◽  
Vinay K. Sharma ◽  
Michael B. Henry ◽  
Stephanie Chow Garbern ◽  
...  

Abstract Background Tuberculosis (TB) remains a major global health concern. Previous research reveals that TB may have a seasonal peak during the spring and summer seasons in temperate climates; however, few studies have been conducted in tropical climates. This study evaluates the influence of seasonality on laboratory-confirmed TB diagnosis in Rwanda, a tropical country with two rainy and two dry seasons. Methods A retrospective chart review was performed at the University Teaching Hospital-Kigali (CHUK). From January 2016 to December 2017, 2717 CHUK patients with TB laboratory data were included. Data abstracted included patient demographics, season, HIV status, and TB laboratory results (microscopy, GeneXpert, culture). Univariate and multivariable logistic regression (adjusted for age, gender, and HIV status) analyses were performed to assess the association between season and laboratory-confirmed TB diagnoses. Results Patients presenting during rainy season periods had a lower odds of laboratory-confirmed TB diagnosis compared to the dry season (aOR=0.78, 95% CI 0.63–0.97, p=0.026) when controlling for age group, gender, and HIV status. Males, adults, and people living with HIV were more likely to have laboratory-confirmed TB diagnosis. On average, more people were tested for TB during the rainy season per month compared to the dry season (120.3 vs. 103.3), although this difference was not statistically significant. Conclusion In Rwanda, laboratory-confirmed TB case detection shows a seasonal variation with patients having higher odds of TB diagnosis occurring in the dry season. Further research is required to further elucidate this relationship and to delineate the mechanism of season influence on TB diagnosis.


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