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Sample records for central hospital cameroon

  1. A case of abdominal textiloma following gynecologic surgery at the Yaounde Central Hospital, Cameroon

    PubMed Central

    Fouelifack, Florent Ymele; Fouogue, Jovanny Tsuala; Fouedjio, Jeanne Hortence; Sando, Zacharie

    2013-01-01

    Textiloma is the inadvertent retention of a textile foreign body on the surgical site. It is a rare complication of surgery but which carries severe consequences for both patients and surgeons in terms of morbi-mortality and medico-legal procedures respectively. We herein report the case of an abdominal textiloma in a 42 year old woman who underwent a total abdominal hysterectomy for symptomatic leiomyomas. We also depict the errors that led to this mishap in a tertiary hospital in Yaounde (Cameroon). The textiloma was recognized six weeks after the causative surgery and removed by laparotomy without further complications. PMID:24876905

  2. Erratum: maternal mortality in Cameroon: a university teaching hospital report.

    PubMed

    2015-01-01

    This erratum corrects article: "Maternal mortality in Cameroon: a university teaching hospital report." The Pan African Medical Journal. 2015;21:16. doi:10.11604/pamj.2015.21.16.3912[This corrects the article on p. 16 in vol. 21, PMID: 26401210.]. PMID:26816561

  3. Cameroon.

    PubMed

    1992-06-01

    The US profile of Cameroon indicates brief statistics on the population, geography, government, and economy and brief descriptions of the population, the history, government, political conditions, the economy, foreign relations, defense, and relations with the US. Principal government and US officials are furnished. The 1991 estimated population of Cameroon was 11.7 million of which 60% is rural. There are 200 different tribes who speak many African languages and dialects. The French and English languages both have official status. Muslims live in the north and Christians in the south. 80% live in the formerly French east. The growth rate is 3%. There is 65% literacy. Infant mortality is 20%. 70% are agricultural workers, 13% industrial and commercial, and 17% other. The government is an independent republic with an executive and legislative branch. Independence was achieved in 1960. There is 1 ruling party. Traditional courts administer the laws. Traditional rulers are treated as administrative adjuncts. Suffrage is universal adult. The central government budget is 1.4 billion of which 8.7% is for defense. There are 10 provinces and 4 major cities. The seaport city Douala is the largest at 1.5 million. Gross domestic product (GDP) is $12.5 billion with an annual growth rate of 4.3% and an inflation rate of 2%. Growth has been variable since 1988 and reached a low of 2.4% in 1988-89. Oil, natural gas, bauxite, iron core, and timber are natural resources. 27% of the GDP is in agricultural products (cocoa, coffee, cotton, fishing, and forestry). 13% of the GDP is manufacturing and 24% is industry. Exports are valued at $2.9 billion and imports at $2.2 billion. Major markets are France, Netherlands, and the US. Imports include intermediate goods, capital goods, fuel and lubricants, foodstuffs, beverages, and tobacco. Early inhabitants were the Pygmies, followed later by Bantu speakers, and Muslim Fulani. Political consolidation was achieved in 1970 after a period of

  4. Central line infections - hospitals

    MedlinePlus

    ... infection; CVC - infection; Central venous device - infection; Infection control - central line infection; Nosocomial infection - central line infection; Hospital acquired infection - central line infection; Patient safety - central ...

  5. 76 FR 61134 - Waiver of Restriction on Assistance to the Central Government of Cameroon

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-03

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Waiver of Restriction on Assistance to the Central Government of Cameroon Pursuant to Section 7086(c)(2) of... Section 7086(c)(1) of the Act with respect to Cameroon and I hereby waive such restriction....

  6. 78 FR 16029 - Waiver of Restriction on Assistance to the Central Government of Cameroon

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Waiver of Restriction on Assistance to the Central Government of Cameroon Pursuant to Section 7031(b)(3) of... Section 7031(b)(1) of the Act with respect to Cameroon, and I hereby waive this restriction....

  7. Maternal mortality in Cameroon: a university teaching hospital report.

    PubMed

    Tebeu, Pierre-Marie; Pierre-Marie, Tebeu; Halle-Ekane, Gregory; Gregory, Halle-Ekane; Da Itambi, Maxwell; Maxwell, Da Itambi; Enow Mbu, Robinson; Robinson, Enow Mbu; Mawamba, Yvette; Yvette, Mawamba; Fomulu, Joseph Nelson; Nelson, Fomulu Joseph

    2015-01-01

    More than 550,000 women die yearly from pregnancy-related causes. Fifty percent (50%) of the world estimate of maternal deaths occur in sub-Saharan Africa alone. There is insufficient information on the risk factors of maternal mortality in Cameroon. This study aimed at establishing causes and risk factors of maternal mortality. This was a case-control study from 1st January, 2006 to 31st December, 2010 after National Ethical Committee Approval. Cases were maternal deaths; controls were women who delivered normally. Maternal deaths were obtained from the delivery room registers and in-patient registers. Controls for each case were two normal deliveries following identified maternal deaths on the same day. Variables considered were socio-demographic and reproductive health characteristics. Epi Info 3.5.1 was used for analysis. The mean MMR was 287.5/100,000 live births. Causes of deaths were: postpartum hemorrhage (229.2%), unsafe abortion (25%), ectopic pregnancy (12.5%), hypertension in pregnancy (8.3%), malaria (8.3%), anemia (8.3%), heart disease (4.2%), and pneumonia (4.2%), and placenta praevia (4.2%). Ages ranged from 18 to 41 years, with a mean of 27.7 ± 5.14 years. Lack of antenatal care was a risk factor for maternal death (OR=78.33; CI: (8.66- 1802.51)). The mean MMR from 2006 to 2010 was 287.5/100,000 live births. Most of the causes of maternal deaths were preventable. Lack of antenatal care was a risk factor for maternal mortality. Key words: Maternal mortality, causes, risk factors, Cameroon. PMID:26401210

  8. 78 FR 76698 - Waiver of Restriction on Assistance to the Central Government of Cameroon

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-18

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Waiver of Restriction on Assistance to the Central Government of Cameroon Pursuant to Section 7031(b)(3) of... Section 7031(b)(1) of the Act and similar provisions of law in prior year Acts with respect to...

  9. Cattle ticks in Cameroon: is Rhipicephalus (Boophilus) microplus absent in Cameroon and the Central African region?

    PubMed

    Awa, D N; Adakal, H; Luogbou, N D D; Wachong, K H; Leinyuy, I; Achukwi, M D

    2015-03-01

    In most parts of the world, ticks are rapidly developing resistance to commonly used acaricides thus rendering control difficult. This constraint is further compounded by the introduction of new species in areas where they did not exist before. Such is the case with the introduction into and rapid spread of Rhipicephalus (Boophilus) microplus in some countries of West Africa. With the looming threat of its further spread in the region, the objective of the present study was to update knowledge on cattle ticks in Cameroon. Among 19,189 ticks collected monthly from 60 animals in 5 herds from March 2012 to February 2013, Rh. (B.) decoloratus was the most abundant species with a relative prevalence of 62.2%, followed by Amblyomma variegatum (28.4%), Rh. (B.) annulatus (0.2%), Rh. (B.) geigyi (0.03%), other Rhipicephalus spp. (8.4%) and Hyalomma spp. (0.3%). Rh. (B.) decoloratus and A. variegatum were also the most widely distributed in space. Infestation rate was generally high, with average tick count/animal of about 80 during peak periods. Tick distribution and abundance in the different sites was as varied as the underlying factors, among which the most important were management systems and climatic factors. The effects of rainfall and temperature were confounded by other factors and difficult to evaluate. However, it appears tick development depends among other factors, on a humidity threshold, above which there is not much more effect. Rh. microplus was not found during this study, but more extensive tick collections have to be done to confirm this. In conclusion, cattle tick infestation in Cameroon remains an important cause for concern. Farmers need assistance in the use and management of acaricides in order to increase their efficiency and reduce the development of resistance. Although Rh. microplus was not found, its introduction from other West African countries is imminent if adequate measures, especially in the control and limitation of animal movements

  10. Bacterial and archaeal communities in Lake Nyos (Cameroon, Central Africa)

    PubMed Central

    Tiodjio, Rosine E.; Sakatoku, Akihiro; Nakamura, Akihiro; Tanaka, Daisuke; Fantong, Wilson Y.; Tchakam, Kamtchueng B.; Tanyileke, Gregory; Ohba, Takeshi; Hell, Victor J.; Kusakabe, Minoru; Nakamura, Shogo; Ueda, Akira

    2014-01-01

    The aim of this study was to assess the microbial diversity associated with Lake Nyos, a lake with an unusual chemistry in Cameroon. Water samples were collected during the dry season on March 2013. Bacterial and archaeal communities were profiled using Polymerase Chain Reaction-Denaturing Gradient Gel Electrophoresis (PCR-DGGE) approach of the 16S rRNA gene. The results indicate a stratification of both communities along the water column. Altogether, the physico-chemical data and microbial sequences suggest a close correspondence of the potential microbial functions to the physico-chemical pattern of the lake. We also obtained evidence of a rich microbial diversity likely to include several novel microorganisms of environmental importance in the large unexplored microbial reservoir of Lake Nyos. PMID:25141868

  11. Epidemiology of chicken anemia virus in Central African Republic and Cameroon

    PubMed Central

    2012-01-01

    Background Although chicken anemia virus (CAV) has been detected on all continents, little is known about this virus in sub-Saharan Africa. This study aimed to detect and characterize CAV for the first time in Central African Republic and in Cameroon. Results An overall flock seroprevalence of 36.7% was found in Central African Republic during the 2008–2010 period. Virus prevalences were 34.2% (2008), 14.3% (2009) and 10.4% (2010) in Central African Republic and 39% (2007) and 34.9% (2009) in Cameroon. CAV DNA was found in cloacal swabs of 76.9% of seropositive chickens, suggesting that these animals excreted the virus despite antibodies. On the basis of VP1 sequences, most of the strains in Central African Republic and Cameroon belonged to 9 distinct phylogenetic clusters at the nucleotide level and were not intermixed with strains from other continent. Several cases of mixed infections in flocks and individual chickens were identified. Conclusions Our results suggest multiple introductions of CAV in each country that later spread and diverged locally. Mixed genotype infections together with the observation of CAV DNA in cloacal samples despite antibodies suggest a suboptimal protection by antibodies or virus persistence. PMID:22958546

  12. Correlates of malnutrition among children under 2 years of age admitted to hospital in Yaoundé, Cameroon.

    PubMed

    Defo, B K; Young, T B

    1993-04-01

    A survey of health status, biodemographics, and use of health care services of all children under 2 years of age, consecutively admitted to the Baudeloque ward of the Central Hospital of Yaoundé, Cameroon, was conducted over a 12-month period (1984). During the admission procedure, each child's mother or surrogate mother was interviewed and the child was weighted according to study protocol; additional data were collected by review of hospital records. A total of 669 children were recruited into the study sample; there were no refusals. Nutritional status was estimated by categories based on weight for age. Overall, 43 per cent of the sample were of normal weight-for-age, and 6 per cent, 19 per cent, and 32 per cent were categorized as having severe, moderate, and mild malnutrition, respectively. Multinomial logit modelling was used to identify independent correlates of mild, moderate, and severe PEM simultaneously. The study findings underscore the broad health benefits of immunizations. Furthermore, any prior contact of mother or child with the health care system appears to be associated with better nutritional status on hospital admission. Children with mothers employed outside the home may benefit particularly from health services outreach programmes. PMID:8492366

  13. Central line infections - hospitals

    MedlinePlus

    ... risk is higher if you: Are in the intensive care unit (ICU) Have a weakened immune system or serious ... unless you have washed your hands. Tell your nurse if your central line: Gets dirty Is coming ...

  14. Extension and evolution of the 2.1 Ga west-central African belt in Cameroon

    NASA Astrophysics Data System (ADS)

    Toteu, S. F.; Penaye, J.; Tchameni, R.; van Schmus, W. R.

    2003-04-01

    Available isotopic and geochronological data, combined with new petrostructural observations in Cameroon, permit discussion of the nature and the extension of the Paleoproterozoic West Central African Belt (WCAB, Feybesse et al., 1998), which resulted from the Eburnean collision between the Congo and São Francisco cratons. The portion of the belt recognized in Cameroon is approximately oriented NNE-SSW and includes the Nyong series along the NW corner of the Congo craton and Paleoproterozoic remnants cropping out further north within the late Neoproterozoic Pan-African belt. The dominant rock units consist of migmatitic orthogneisses associated with amphibolites, felsic gneisses of volcanic to volcano-sedimentary origin, quartzites and banded iron formations. Orthogneisses are mostly TTG compositions within the Nyong series and metadiorites to metagranodiorites to the north in the Pan African belt. Paleoproterozoic evolution is characterized by development of nappe tectonic structures, recognized in the Nyong series, and by high-grade, granulitic facies, metamorphism that was associated with arrested charnockite formation. About 600 Ma the Paleoproterozoic structures and mineral assemblages were subsequently reworked more severely in the Pan African mobile belt than in the Nyong series, where they are locally well preserved. Broadly, the Nyong series may be ascribed to a proximal domain characterized by reworking and recycling of the adjacent Archean cratonic crust, while the occurrences farther north represent a more distal domain characterized by newly formed Paleoproterozoic (Birrimian) crust. This is consistent with the distribution of metamorphic ages, which display a polarity from the internal zones (ca 2.1 Ga) to the external zones (ca 2.03 Ga) and suggest origin of the metamorphic rocks in a modern-type collisional belt during the Paleoproterozoic (Eburnean). Reference: Feybesse J.L., Johan V., Triboulet C., Guerrot C., Mayaga-Mikolo F., Bouchot V, Eko N

  15. Technical Education and Vocational Training in Central Africa. Feasibility Survey of the Regional Development of Rapid Vocational Training: Cameroon, Central African Republic, Chad, and Gabon.

    ERIC Educational Resources Information Center

    Organization for Rehabilitation through Training, Geneva (Switzerland).

    This final report is the result of a survey requested by the United States Agency for International Development (USAID) and undertaken by the Organization for Rehabilitation through Training (ORT) of four countries (Cameroon, Chad, Central African Republic, and Gabon) and a conference on vocational training sponsored by the Economic and Customs…

  16. The 2.1 Ga West Central African Belt in Cameroon: extension and evolution

    NASA Astrophysics Data System (ADS)

    Penaye, J.; Toteu, S. F.; Tchameni, R.; Van Schmus, W. R.; Tchakounté, J.; Ganwa, A.; Minyem, D.; Nsifa, E. N.

    2004-06-01

    Available isotopic and geochronological data, combined with new petrographic and structural observations in Cameroon, permit discussion of the nature and extension of the Paleoproterozoic West Central African Belt, which resulted from the Eburnean collision between the Congo and São Francisco cratons. The portion of the belt recognized in Cameroon is approximately oriented NNE-SSW and includes the Nyong series along the NW corner of the Congo craton and Paleoproterozoic remnants cropping out further north within the late Neoproterozoic Pan-African belt. The dominant rock units consist of migmatitic orthogneisses associated with amphibolites, felsic gneisses of volcanic to volcano-sedimentary origin, quartzites, and banded iron formations. Orthogneisses are mostly TTG compositions within the Nyong series and metadiorites to metagranodiorites to the north in the Pan-African belt. Paleoproterozoic evolution is characterized by the development of nappe tectonic structures, recognized in the Nyong series, and by high-grade, granulitic facies metamorphism that was associated with arrested charnockite formation. The Paleoproterozoic structures and mineral assemblages were subsequently reworked more severely in the Pan-African mobile belt than in the Nyong series, where they are locally well preserved. Broadly, the Nyong series may be ascribed to a proximal domain characterized by reworking and recycling of the adjacent Archean cratonic crust, while the occurrences farther north represent a more distal domain characterized by newly formed Paleoproterozoic (Birrimian) crust. This is consistent with the distribution of metamorphic ages, which display a polarity from the internal zones (ca. 2.1 Ga) to the external zones (ca. 2.03 Ga) and suggest origin of the metamorphic rocks in a modern-type collisional belt during the Paleoproterozoic (Eburnean).

  17. The profile of patients with obstructive uropathy in Cameroon: case of the Douala General Hospital

    PubMed Central

    Halle, Marie Patrice; Toukep, Linda Njonkam; Nzuobontane, Samuel Ekane; Ebana, Hermine Fouda; Ekane, Gregory Halle; Priso, Eugene Belley

    2016-01-01

    Introduction Obstructive uropathy can lead to irreversible kidney damage. The etiology largely determined by the patient's age can be benign or malignant. This study aimed at determining the profile and outcome of patients with obstructive uropathy in Cameroon. Methods A cross sectional study carried out in the urology unit of the Douala General Hospital, including patients with a diagnosis of obstructive uropathy seen from January 2004 to December 2013. Clinical profile, treatment and outcome data were obtained from patients records. Results Of the 229 patients included 69% were men, mean age 50 ±18 years. Associated comorbidities were hypertension, diabetes, and HIV. Mean haemoglobin 8,40±2,4g/dl, mean GFR 10,3 ±10ml/min, 94 (41%) patients needed emergency dialysis. Symptoms at presentation: asthenia (57%), anorexia (55%), loin pain (37%), vomiting (28%), oedema (20%), and anuria (15%). Urinary tract infection was present in 33 patients. Main aetiologies of obstruction: urolithiasis (35%), begnin prostatic hypertrophy (27%), prostatic cancer (12%), cervical cancer (16%), and congenital malformations (5%). Drainage was effective in 102 (45%) patients, 63 (28%) recovered completely, 91 (41%) were loss to follow up, 49 (22%) died and more women (p = 0.02). Mortality was associated with prostatic cancer (p = 0.000), cervical cancer (p = 0.004) and radiotherapy (p = 0.03). Conclusion Patients with obstructive uropathy presented with significant impaired renal function. Main causes were urinary stones, prostatic hypertrophy, prostatic and cervical cancers. Renal recovery was poor, loss to follow up and mortality high. Specific strategies to target improvement in renal recovery and patient's survival are needed in this patient's group. PMID:27217891

  18. The interface between the national tuberculosis control programme and district hospitals in Cameroon: missed opportunities for strengthening the local health system –a multiple case study

    PubMed Central

    2013-01-01

    Background Tuberculosis remains a major public health problem in sub-Saharan Africa. District hospitals (DHs) play a central role in district-based health systems, and their relation with vertical programmes is very important. Studies on the impact of vertical programmes on DHs are rare. This study aims to fill this gap. Its purpose is to analyse the interaction between the National Tuberculosis Control Programme (NTCP) and DHs in Cameroon, especially its effects on the human resources, routine health information system (HIS) and technical capacity at the hospital level. Methods We used a multiple case study methodology. From the Adamaoua Region, we selected two DHs, one public and one faith-based. We collected qualitative and quantitative data through document reviews, semi-structured interviews with district and regional staff, and observations in the two DHs. Results The NTCP trained and supervised staff, designed and provided tuberculosis data collection and reporting tools, and provided anti-tuberculosis drugs, reagents and microscopes to DHs. However, these interventions were limited to the hospital units designated as Tuberculosis Diagnostic and Treatment Centres and to staff dedicated to tuberculosis control activities. The NTCP installed a parallel HIS that bypassed the District Health Services. The DH that performs well in terms of general hospital care and that is well managed was successful in tuberculosis control. Based on the available resources, the two hospitals adapt the organisation of tuberculosis control to their settings. The management teams in charge of the District Health Services are not involved in tuberculosis control. In our study, we identified several opportunities to strengthen the local health system that have been missed by the NTCP and the health system managers. Conclusion Well-managed DHs perform better in terms of tuberculosis control than DHs that are not well managed. The analysis of the effects of the NTCP on the human

  19. Multiple insecticide resistance mechanisms in Anopheles gambiae s.l. populations from Cameroon, Central Africa

    PubMed Central

    2013-01-01

    Background Increasing incidence of DDT and pyrethroid resistance in Anopheles mosquitoes is seen as a limiting factor for malaria vector control. The current study aimed at an in-depth characterization of An. gambiae s.l. resistance to insecticides in Cameroon, in order to guide malaria vector control interventions. Methods Anopheles gambiae s.l. mosquitoes were collected as larvae and pupae from six localities spread throughout the four main biogeographical domains of Cameroon and reared to adults in insectaries. Standard WHO insecticide susceptibility tests were carried out with 4% DDT, 0.75% permethrin and 0.05% deltamethrin. Mortality rates and knockdown times (kdt50 and kdt95) were determined and the effect of pre-exposure to the synergists DEF, DEM and PBO was assessed. Tested mosquitoes were identified to species and molecular forms (M or S) using PCR-RFLP. The hot ligation method was used to depict kdr mutations and biochemical assays were conducted to assess detoxifying enzyme activities. Results The An. arabiensis population from Pitoa was fully susceptible to DDT and permethrin (mortality rates > 98%) and showed reduced susceptibility to deltamethrin. Resistance to DDT was widespread in An. gambiae s.s. populations and heterogeneous levels of susceptibility to permethrin and deltamethrin were observed. In many cases, prior exposure to synergists partially restored insecticide knockdown effect and increased mortality rates, suggesting a role of detoxifying enzymes in increasing mosquito survival upon challenge by pyrethroids and, to a lower extent DDT. The distribution of kdr alleles suggested a major role of kdr-based resistance in the S form of An. gambiae. In biochemical tests, all but one mosquito population overexpressed P450 activity, whereas baseline GST activity was low and similar in all field mosquito populations and in the control. Conclusion In Cameroon, multiple resistance mechanisms segregate in the S form of An. gambiae resulting in

  20. Re-centralized central chiller plant serves hospital

    SciTech Connect

    Seckman, T.C.

    1997-05-01

    Baptist Hospital in Nashville, Tenn., is a 759-bed complex consisting of 13 buildings. Space cooling for nine of these is provided by seven electric hermetic centrifugal chillers. Located in three buildings--Central, Kidd, and Emergency (ER), which houses the newest chiller plant--these machines have a combined chilled water generation capacity of 5,800 tons. The five oldest units use CFC-11. HCFC-123 is the refrigerant used in the ER machines. In 1995, a new phase of chiller operation was initiated when the three plants were tied together to create a re-centralized central chilled water plant. This was done when the 1,300-ton chiller was added to the ER plant. The ER plant will ultimately replace the two older plants. Linking the three together was done to provide greater reliability and operating flexibility during the years that the ER plant is incrementally enlarged and the older Central and Kidd chillers are selectively retired.

  1. Laparoscopic Fimbrioplasty and Neosalpingostomy in Female Infertility: A Review of 402 Cases at the Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital in Yaoundé-Cameroon

    PubMed Central

    Kasia, Jean Marie; Ngowa, Jean Dupont Kemfang; Mimboe, Yolande Salome; Toukam, Michel; Ngassam, Anny; Noa, Claude Cyrile; Belinga, Etienne; Medou, Alexis

    2016-01-01

    Background: More than 70 million couples suffer from infertility worldwide. The aim of this study was to evaluate the fertility outcomes after laparoscopic fimbrioplasty and neosalpingostomy in female infertility. Methods: Laparoscopic distal tuboplasty was carried out for 402 cases at the Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital in Yaoundé-Cameroon in Central Africa from December 2002 to December 2007. Laparoscopic fimbrioplasty and neosalpingostomy were done using bipolar electrocoagulation and conventional endoscopic instruments. Log-rank test was used to compare cumulative rate curves of intrauterine pregnancy with respect to the tubal stages. P<0.05 was considered statistically significant. Results: The mean age of the patients was 31.6±5.45 years. Secondary infertility was the most frequent type of infertility (70.14%). The laparoscopic tubal surgery done consisted of fimbrioplasty in 185(46%) cases and neosalpingostomy in 217 (54%) cases. Of 260 women followed up after tuboplasty, there were overall 74 (28.48%) pregnancies; 68(26.1%) intrauterine pregnancies and 6(2.3%) ectopic pregnancies. Pregnancy rates were significantly associated to the tubal stage (63% in stage 1, 15% in stage 3 and 00% in stage 4; p<0.001) and the adnexal adhesion scores (73.91% in the absence of adnexal adhesions and 8.8% in the case of a severe adnexal adhesion score). Of the 68 intrauterine pregnancies, there were 60(88%) live births and 8(12%) spontaneous abortions. Conclusion: It is believed that laparoscopic fimbrioplasty and neosalpingostomy should be the preferred choice when faced with tubal distal occlusion in a context of female infertility. This implies that training in endoscopic surgery should be regarded as an important issue in developing countries. PMID:27141465

  2. Taxonomy of Atlantic Central African orchids 5. A new species of Angraecum sect. Conchoglossum (Orchidaceae, Angraecinae) from Gabon and Cameroon.

    PubMed

    Ječmenica, Vladimir; Droissart, Vincent; Noret, Nausicaa; Stévart, Tariq

    2016-01-01

    Recent field inventories and taxonomic research in Central Africa have resulted in the discovery of many new orchid species. Five specimens of an apparently new Angraecum species were collected in Gabon and Cameroon. They stand out for their hanging habit and short zig-zag stem. Morphology of leaves and habit is somewhat comparable to Angraecum cultriforme and Angraecum stolzii, two species from East Africa. Flowers of the novelty share the general morphology of Angraecum pyriforme from which the new species is distinguished by being smaller and with a different lip-spur ratio. Here we show that these five specimens represent a new species, described here as Angraecum lanceolatum. The distinguishing traits include thin lanceolate leaves, convolute distally, with a rhombic lip shape. Dichotomous key to four Central African species of sect. Conchoglossum and a table of the diagnostic characters of the seven related Continental African Angraecum taxa are included here. A preliminary assessment of the conservation status of Angraecum lanceolatum is provided, using the IUCN Red List Categories and Criteria. PMID:27081350

  3. Taxonomy of Atlantic Central African orchids 5. A new species of Angraecum sect. Conchoglossum (Orchidaceae, Angraecinae) from Gabon and Cameroon

    PubMed Central

    Ječmenica, Vladimir; Droissart, Vincent; Noret, Nausicaa; Stévart, Tariq

    2016-01-01

    Abstract Recent field inventories and taxonomic research in Central Africa have resulted in the discovery of many new orchid species. Five specimens of an apparently new Angraecum species were collected in Gabon and Cameroon. They stand out for their hanging habit and short zig-zag stem. Morphology of leaves and habit is somewhat comparable to Angraecum cultriforme and Angraecum stolzii, two species from East Africa. Flowers of the novelty share the general morphology of Angraecum pyriforme from which the new species is distinguished by being smaller and with a different lip-spur ratio. Here we show that these five specimens represent a new species, described here as Angraecum lanceolatum. The distinguishing traits include thin lanceolate leaves, convolute distally, with a rhombic lip shape. Dichotomous key to four Central African species of sect. Conchoglossum and a table of the diagnostic characters of the seven related Continental African Angraecum taxa are included here. A preliminary assessment of the conservation status of Angraecum lanceolatum is provided, using the IUCN Red List Categories and Criteria. PMID:27081350

  4. Risk Factors for Transmission of HIV in a Hospital Environment of Yaoundé, Cameroon

    PubMed Central

    Mbanya, Dora; Ateudjieu, Jerome; Tagny, Claude Tayou; Moudourou, Sylvie; Lobe, Marcel Monny; Kaptue, Lazare

    2010-01-01

    Risk factors for HIV transmission within a hospital setting were assessed using pre-structured questionnaires and observations. Of 409 respondents, 66.3% corresponded to the nursing staff, 14.4% doctors and 8.3% laboratory staff. The irregular use of gloves and other protective clothing for risky tasks, and recapping of needles after use were some of the risk factors identified, especially amongst nurses. Preventive measures were not always implemented by health personnel. More emphasis should be placed not only on diffusing universal precautions and recommendations for hospital staff safety, but accompanying measures for monitoring and evaluation of implementation of these standards are also indispensable. PMID:20623013

  5. Petrogenesis of the Sabongari alkaline complex, cameroon line (central Africa): Preliminary petrological and geochemical constraints

    NASA Astrophysics Data System (ADS)

    Njonfang, Emmanuel; Tchoneng, Gilbert Tchuenté; Cozzupoli, Domenico; Lucci, Federico

    2013-07-01

    The petrography, mineral chemistry and geochemical features of the Sabongari alkaline complex are presented and discussed in this paper with the aim of constraining its petrogenesis and comparing it with other alkaline complexes of the Cameroon Line. The complex is mainly made up of felsic rocks: (i) granites predominate and include pyroxene-amphibole (the most abundant), amphibole-biotite, biotite and pyroxene types; (ii) syenites are subordinate and comprise amphibole-pyroxene and amphibole-biotite quartz syenites; (iii) pyroxene-amphibole-biotite trachyte and (iv) relatively abundant rhyolite. The minor basic and intermediate terms associated with felsic rocks consist of basanites, microdiorite and monzodioites. Two groups of pyroxene bearing rocks are distinguished: a basanite-trachyte-granite (Group 1) bimodal series (SiO2 gap: 44 and 63 wt.%) and a basanite-microdiorite-monzodiorite-syenite-granite (Group 2) less pronounced bimodal series (reduced SiO2 gap: 56-67 wt.%). Both are metaluminous to peralkaline whereas felsic rocks bare of pyroxene (Group 3) are metaluminous to peraluminous. The Group 1 basanite is SiO2-undersaturated (modal analcite in the groundmass and 11.04 wt.% normative nepheline); its Ni (240 ppm) and Cr (450 ppm) contents, near mantle values, indicate its most primitive character. The Group 2 basanite is rather slightly SiO2-saturated (1.56 wt.% normative hypersthene), a marker of its high crustal contamination (low Nb/Y-high Rb/Y). The La/Yb and Gd/Yb values of both basanites (1: 19.47 and 2.92; 2: 9.09 and 2.23) suggest their common parental magma composition, and their crystallization through two episodes of partial melting (2% and 3% respectively) of a lherzolite mantle source with <4% residual garnet. The effects of crustal contamination were selectively felt in the values of HFSE/LREE, LREE/LILE and LREE/HFSE ratios, known as indicators. Similar features have been recently obtained in the felsic lavas of the Cameroon Volcanic Line.

  6. Soils and their distribution on Bambouto volcanic mountain, West Cameroon highland, Central Africa

    NASA Astrophysics Data System (ADS)

    Tematio, P.; Kengni, L.; Bitom, D.; Hodson, M.; Fopoussi, J. C.; Leumbe, O.; Mpakam, H. G.; Tsozué, D.

    2004-06-01

    Morphological, physical and chemical studies were carried out on soils of Mount Bambouto, a volcanic mountain of the West Cameroon highland. These studies show that the soils of this region can be divided into seven groups according to Soils Taxonomy USA [Soil taxonomy: a basic system of soil classification for making and interpreting soils surveys: USDA Agriculture Handbook 436: Washington, DC, US Government Pronting Office, 1975, 754]: lithic dystrandept soils, typical dystrandept soils, oxic dystrandept soils, typical haplohumox soils, typical kandiudox soils, tropopsamment soils and umbriaquox soils. A soils map of this region at scale 1:50,000 has been drawn up, using the seven soils groups above as soil cartography units. These soils are organised into of three main categories: soils with andic characteristics in the upper region of the mountain (lithic dystrandept soils, typical dystrandept soils and oxic dystrandept soils); ferrallitic soils in the lower part of the mountain (typical haplohumox soils and typical kandiudox soils) and imperfectly developed soils (tropopsamment soils and umbraquox soils).

  7. Vulnerability to Climate Change of Mangroves: Assessment from Cameroon, Central Africa

    PubMed Central

    Ellison, Joanna C.; Zouh, Isabella

    2012-01-01

    Intertidal mangrove ecosystems are sensitive to climate change impacts, particularly to associated relative sea level rise. Human stressors and low tidal range add to vulnerability, both characteristics of the Doula Estuary, Cameroon. To investigate vulnerability, spatial techniques were combined with ground surveys to map distributions of mangrove zones, and compare with historical spatial records to quantify change over the last few decades. Low technology techniques were used to establish the tidal range and relative elevation of the mapped mangrove area. Stratigraphic coring and palaeobiological reconstruction were used to show the longer term biological history of mangroves and net sedimentation rate, and oral history surveys of local communities were used to provide evidence of recent change and identify possible causes. Results showed that the seaward edge of mangroves had over two thirds of the shoreline experienced dieback at up to 3 m per year over the last three decades, and an offshore mangrove island had suffered 89% loss. Results also showed low net sedimentation rates under seaward edge mangroves, and restricted intertidal elevation habitats of all mangroves, and Avicennia and Laguncularia in particular. To reduce vulnerability, adaptation planning can be improved by reducing the non-climate stressors on the mangrove area, particularly those resulting from human impacts. Other priorities for adaptation planning in mangrove areas that are located in such low tidal range regions are to plan inland migration areas and strategic protected areas for mangroves, and to undertake management activities that enhance accretion within the mangroves. PMID:24832511

  8. Chemistry and origin of the Mayo Kila sapphires, NW region Cameroon (Central Africa): Their possible relationship with the Cameroon volcanic line

    NASA Astrophysics Data System (ADS)

    Paul Mbih, Kemeng; Meffre, Sebastien; Yongue, Rose Fouateu; Kanouo, Nguo Sylvestre; Jay, Thomson

    2016-06-01

    Mineralogical, chemical and geochronological studies constrained the origin of sapphires from Mayo Kila, Northwest Cameroon. The sapphires are mostly blue, with sizes ranging from 2 to 5 mm. The pale blue grains are transparent, whereas, other corundums are transparent to translucent and/or opaque. The sapphires are dominantly euhedral to sub-hedral with few polished lustrous grains, acquired features during moderate to short distance transport from a proximal source rock. Solid inclusions are limited to rutile and zircon. Trace element analysis of sapphires shows significant concentration (in ppm) in some elements: Fe (2208-14,473), Ti (82-1783), Ga (77-512), Mg (0.9-264.9), Cr (b.d.l -168) and V (1.3-82). The other elements (e.g. Sn, Nb, Ta, Th, Zr, Ni, Ce) are generally below 10 ppm. The calculated ratios for some of the selected elements show an extreme variation: Fe/Mg (43-3043), Fe/Ti (2-76), Ti/Mg (1-328), and Ga/Mg (0.4-363). They are dominantly corundum crystallized in alkaline magma (s) with few from metamorphic source (s). Trace elemental features with Hf (13,354-26,238 ppm), Th (4018-45,584 ppm) and U (7825-17,175 ppm), and Th/U (0.39-2.65) found in zircon inclusions are compatible with quantified values in magmatic crystallized zircons. The Cenozoic age (mean of 30.78 ± 0.28 Ma) obtained for zircon inclusions is close to the age of some igneous rocks found within the Cameroon Volcanic Line (e.g. rocks of the Mount Oku: 31-22 Ma), showing the same period of formation. The most probable source of the zircon host sapphires is the Oku Mountain located SW of Mayo Kila.

  9. Late Pregnancy Outcomes among Women who Attended and Women who did not Attend First Trimester Antenatal Care Visits in a Suburban Regional Hospital in Cameroon

    PubMed Central

    Njim, Tsi N

    2016-01-01

    Background: Despite relatively high number of women who attend antenatal care (ANC) in Cameroon, there is an ever-increasing maternal mortality ratio, and pregnancy outcomes remain inadequate. A new suggested Optimal ANC Package includes attending ANC in the first trimester. This study assesses the overall ANC coverage, the percentage, and pregnancy outcomes among women who attended and did not attend ANC in the first trimester in the Buea Regional Hospital (BRH) in Cameroon. Methods: A cross-sectional study was carried out among 200 consenting pregnant women presenting for delivery at the BRH. A bivariate analysis was used to compare the frequencies of various pregnancy outcomes within the the two categories of women who attended and who did not attend first trimester ANC. Results: Ninety-six percent of the women attended at least 1 ANC visit with 20.5% of these women attending ANC in the first trimester and 60.2% attending at least 4 visits. Sociodemographic and obstetric factors were not found to be associated with attending ANC in the first trimester. Also, there was no statistically significant association between all the late pregnancy outcomes assessed and attending ANC in the first trimester. Conclusions and Global Health Implications: Trends in most sub-Saharan countries seem to suggest that most women do not attend first trimester ANC. This could have negative consequences on overall perinatal outcome. More user-friendly educational programs for women of childbearing age is required in such regions to address this situation. PMID:27622008

  10. Elemental weathering fluxes and saprolite production rate in a Central African lateritic terrain (Nsimi, South Cameroon)

    NASA Astrophysics Data System (ADS)

    Braun, Jean-Jacques; Marechal, Jean-Christophe; Riotte, Jean; Boeglin, Jean-Loup; Bedimo Bedimo, Jean-Pierre; Ndam Ngoupayou, Jules Remy; Nyeck, Brunot; Robain, Henri; Sekhar, M.; Audry, Stéphane; Viers, Jérôme

    2012-12-01

    The comparison between contemporary and long-term weathering has been carried out in the Small Experimental Watershed (SEW) of Nsimi, South Cameroon in order to quantify the export fluxes of major and trace elements and the residence time of the lateritic weathering cover. We focus on the hillside system composed of a thick lateritic weathering cover topped by a soil layer. This study is built on the recent improvements of the hillside hydrological functioning and on the analyses of major and trace elements. The mass balance calculation at the weathering horizon scale performed with the parent rock as reference indicates (i) strong depletion profiles for alkalis (Na, K, Rb) and alkaline earths (Mg, Ca, Sr, Ba), (ii) moderate depletion profiles for Si, P, Cd, Cu, Zn, Ni and Co, (iii) depletion/enrichment profiles for Al, Ga, Ge, Sn, Pb, LREE, HREE, Y, U, Fe, V, Cr, Mn. It is noteworthy that (i) Mn and Ce are not significantly redistributed according to oxidative processes as it is the case for Fe, V and Cr, and (ii) Ge is fractionated compared to silica with enrichment in Fe-rich horizons. The calculations performed for the topsoil with iron crust as parent material reference reveal that the degradation of the iron crust is accompanied by the loss of most of the constituting elements, among which are those specifically accumulated as the redox sensitive elements (Fe, V, Cr) and iron oxide related elements like Th. The overall current elemental fluxes from the hillside system at the springs and the seepage zones are extremely low due to the inert lateritic mineralogy. Ninety-four percent of the whole Na flux generated from the hillside corrected from atmospheric deposits (77 mol/ha/yr) represents the current weathering rates of plagioclase (oligoclase) in the system, the other remaining 6% may be attributed to the dissolution of hornblende. The silica hillside flux is 300 mol/ha/yr and can be mostly attributed to the plagioclase and kaolinite dissolution. Al and Ga

  11. Impact of repeated ivermectin treatments against onchocerciasis on the transmission of loiasis: an entomologic evaluation in central Cameroon

    PubMed Central

    2013-01-01

    Background Annual community-directed treatment with ivermectin (CDTI) have been carried out since 1999 in the Lekie division (central region of Cameroon where most cases of Loa-related post ivermectin severe adverse events were reported) as part of the joined activities of the African Programme for Onchocerciasis Control (APOC) and Mectizan® Donation Program (MDP). As large-scale administration of ivermetine was demonstrated to be an efficient means to control loiasis transmission, it was hypothesized that CDTI would have lowered or halted the transmission of Loa loa in the Lekie division after 13 years of annual drug administration, indicating a possible reduction in the occurrence of Loa-related post-ivermectin severe adverse events. Methods A 4-month entomologic study was carried out from March to June 2012 in the Lekie division to evaluate the impact of 13 years of CDTI on the transmission of L. loa whose baseline data were recorded in 1999–2000. Results There was a significant reduction in the infection rate for Chrysops silacea and C. dimidiata from 6.8 and 9% in 1999–2000 to 3 and 3.6% in 2012, respectively. The differences in the infective rate (IR) (percentage of flies harboring head L3 larvae), potential infective rate (PIR) (percentage of flies bearing L3 larvae), mean head L3 larvae load (MHL3) (average L3 per infective fly) and mean fly L3 larvae load (MFL3) (average L3 per potentially infective fly) for both C. silacea and C. dimidiata were not significantly different between the two investigation periods. The biting density (BD) was almost three-fold higher in 2012 for C. silacea but not for C. dimidiata. The transmission potential (TP) which is a function of the BD, was higher in the present study than in the baseline investigation for each species. Conclusion The infection rate remaining high, the high TP and the stability observed in the IR, PIR, MHL3 and MFL3 after 13 years of CDTI suggest that transmission of L. loa is still active. This is

  12. A comparative study of the diagnostic methods for Group A streptococcal sore throat in two reference hospitals in Yaounde, Cameroon

    PubMed Central

    Gonsu, Hortense Kamga; Bomki, Cynthia Mbimenyuy; Djomou, François; Toukam, Michel; Ndze, Valantine Ngum; Lyonga, Emilia Enjema; Mbakop, Calixte Didier; Koulla-Shiro, Sinata

    2015-01-01

    Introduction Sore throat is a common complaint in general practice which is more frequent in children. The most frequent pathogenic bacteria associated with this infection is Streptococcus pyogenes. Rapid Antigen Diagnostic Test (RADT) facilitates the rapid identification and consequently prompt treatment of patients, prevents complications, and also reduces the risk of spread of Group A Streptococcus (GAS). The main objective of this study was to assess the diagnostic value of a rapid streptococcal antigen detection test in patients with sore throat. Methods A cross-sectional descriptive study was carried out from January to April 2011 on patients aged 3 to 72 years consulting for pharyngitis or sore throat at the paediatric and Ear, Nose and Throat units of the University Teaching Hospital Yaounde and the Central Hospital Yaounde. Two throat swabs were collected per patient. One was used for the rapid test and the other for standard bacteriological analysis. Results The prevalence of GAS in the study population was 22.5%. Out of the 71 samples collected, the RADT detected group A streptococcal antigens in 12 of 16 positive cultures giving a sensitivity of 75%. The specificity of the rapid test was 96%, with positive predictive value of 85.7%, and negative predictive value of 93% respectively. Conclusion Rapid test may have an additional value in the management of patients with high risk of having GAS infection. However, tests with a higher sensitivity are needed for accurate and reliable results for early diagnosis of patients with sore throat caused by GAS.

  13. Evidence for Archean inheritance in the pre-Panafrican crust of Central Cameroon: Insight from zircon internal structure and LA-MC-ICP-MS Usbnd Pb ages

    NASA Astrophysics Data System (ADS)

    Ganwa, Alembert Alexandre; Klötzli, Urs Stephan; Hauzenberger, Christoph

    2016-08-01

    The main geological feature of Central Cameroon is the wide spread occurrence of granitoids emplaced in close association with transcurrent regional shear zones. The basement of this vast domain is a Paleoproterozoic ortho-and para-derivative formation, which has been intensely reworked, together with subsequent intrusions and sediments, during the Panafrican orogenesis in the Neoproterozoic. As consequence, the area underwent pervasive metamorphism and intense deformation. This makes it difficult to distinguish between Panafrican metasediments or syntectonic plutonites and their respective basement. Our study presents zircon features (CL-BSE-SE) and in-situ U-Th-Pb LA-MC-ICP-MS geochronology of a meta-sedimentary pyroxene-amphibole-bearing gneiss of the Méiganga area in Central Cameroon. Based on the Internal structures of the zircon four characteristic zonation patterns can be deciphered: 1) cores with magmatic oscillatory zonation 2) zircons with oscillatory or sector zonation, 3) zircons with sector zoning or blurred zoning, and 4) narrow bright un-zoned rims. These groups suggest that the rock experienced a number of geological events. Considering this zircon characteristic, the U-Th-Pb data allow to distinguish four ages: 2116 ± 57 Ma, consistent with ages from the Paleoproterozoic West Central African Belt; 2551 ± 33 Ma which marks a late Neoarchean magmatic event; 2721 ± 27 Ma related to a Neoarchean magmatic even in Central Cameroon, similar to one found in the Congo Craton. A zircon core gives ages around 2925 Ma which provides some evidence of the presence of the Mesoarchean basement prior to the Neoarchean magmatism. A weighted average of lower intercepts ages gives a value of 821 ± 50 Ma, representing the age of later metamorphism event. The various characteristic group and related ages reflect not only the complexity of the history of the pyroxene amphibole gneiss, but also show that the meta-sediment has at least three zircon

  14. High birth weight in a suburban hospital in Cameroon: an analysis of the clinical cut-off, prevalence, predictors and adverse outcomes

    PubMed Central

    Choukem, Simeon-Pierre; Njim, Tsi; Atashili, Julius; Hamilton-Shield, Julian P; Mbu, Robinson

    2016-01-01

    Background and aims High birth weight (HBW) increases the risk of maternal and fetal morbidity and mortality. Its prevalence and adverse outcomes may be reduced if risk factors are identified and managed during pregnancy. The cut-off value for HBW remains debatable. The objectives of this study were to identify the optimal cut-off value and determine the prevalence, predictors and adverse outcomes of HBW in a suburban area of Cameroon. Design A 6-year retrospective register analysis and a 3-month prospective phase. Setting A secondary care level (regional) hospital in the city of Buea (southwest region of Cameroon). Participants Women who delivered in this hospital over a 6-year period (retrospective phase) and consenting pregnant mothers and their infants (singletons, born at >28 weeks gestation) (prospective phase). Outcome measures 90th centile of birth weights; prevalence of HBW defined as birth weight above the 90th centile; sociodemographic, maternal and obstetrical factors associated with HBW; maternal and neonatal adverse outcomes of HBW. Results Of the 4941 newborns reviewed in registers, the 90th centile of birth weights was 3850 g. Using this new cut-off, we obtained a prevalence of 14.0% for HBW in the 200 newborns included in the prospective phase. This was significantly higher than the prevalence (9.5%) yielded when the traditional cut-off of 4000 g was used (p=0.003). None of the factors assessed was independently associated with HBW. Newborns with HBW were more likely to have shoulder dystocia (p<0.01), and their mothers more likely to suffer from prolonged labour (p=0.01) and postpartum haemorrhage (p<0.01). Conclusions The results of this study suggest that the cut-off for HBW in this population should be 3850 g. Thus, 3 of every 10 babies born with HBW in this hospital are likely not receiving optimal postnatal care because 4000 g is currently used to qualify for additional support. PMID:27357199

  15. The Language Situation in Cameroon

    ERIC Educational Resources Information Center

    Kouega, Jean-Paul

    2007-01-01

    This monograph examines the language situation in Cameroon, a Central African country where fewer than 20 million people speak close to 250 languages. Specifically, the monograph addresses the issues of language use and spread, language policy and planning, and language maintenance and prospects. The study is divided into five parts. The…

  16. How can small hydro energy and other renewable energy mitigate impact of climate change in remote Central Africa: Cameroon case study.

    NASA Astrophysics Data System (ADS)

    Kenfack, Joseph; Bignom, Blaise

    2015-04-01

    Central Africa owns important renewable energy potential, namely hydro, solar and biomass. This important potential is still suffering from poor development up to the point where the sub region is still abundantly using the fossil energy and biomass as main power source. This is harmful to the climate and the situation is still ongoing. The main cause of the poor use of renewable energy is the poor management of resources by governments who have not taken the necessary measures to boost the renewable energy sector. Since the region is experiencing power shortage, thermal plants are among other solutions planned or under construction. Firewood is heavily used in remote areas without a sustainability program behind. This solution is not environment friendly and hence is not a long term solution. Given the fact that the region has the highest hydro potential of the continent, up to one-quarter of the world's tropical forest, important oil production with poor purchase power, the aim of this paper is to identify actions for improved access to sustainable, friendly, affordable energy services to users as well as a significant improvement of energy infrastructure in Central Africa and the promotion of small hydro and other renewable energy. The work will show at first the potential for the three primary energy sources which are solar, biomass and hydro while showing where available the level of development, with an emphasis on small hydro. Then identified obstacles for the promotion of clean energy will be targeted. From lessons learned, suggestions will be made to help the countries develop an approach aiming at developing good clean energy policy to increase the status of renewable energy and better contribute to fight against climate change. Cameroon has a great renewable energy potential and some data are available on energy. From the overview of institutional structure reform of the Cameroon power sector and assessments, specific suggestions based on the weaknesses

  17. Ground night nesting in chimpanzees: new insights from central chimpanzees (Pan troglodytes troglodytes) in South-East Cameroon.

    PubMed

    Tagg, Nikki; Willie, Jacob; Petre, Charles-Albert; Haggis, Olivia

    2013-01-01

    Some chimpanzee populations exhibit ground night nesting, which occurs in different habitat types, is driven by a variety of interconnected factors, and may reflect cultural or social differences. This has important implications for ape conservation management, given that accurate nest builder identification is required to estimate density, crucial in monitoring, and allows inferences about environmental and social factors that may have contributed to the transition from tree to ground sleeping in early hominins. We conducted a 24-month marked nest count survey in La Belgique, Cameroon, and recorded the occurrence of chimpanzee tree and ground night nests, temperature and rainfall, predator and large mammal abundance, human activities, nesting tree species, and Uapaca spp. consumption. Ground night nesting occurred at a rate of 3.47% (n = 1,008), with more in swamps, in the dry season and with increasing human activities. We found no influence of leopard/elephant presence, but a possible influence of lack of nesting trees. We suggest chimpanzees visit swamps in the dry season (low water levels) for relief from hunting pressure and to consume Uapaca spp. fruits. Ground nesting may be enabled due to high abundance of terrestrial herbaceous vegetation, and may be favoured for inconspicuousness and safety from gun hunters. PMID:23988519

  18. Estimating C3 vs. C4 vegetation cover from sedimentary records - a surface sediment test from Cameroon, Western Central Africa

    NASA Astrophysics Data System (ADS)

    Garcin, Y.; Schefuss, E.; Schwab-Lavrič, V.; Gleixner, G.; Todou, G.; Séné, O.; Onana, J.; Achoundong, G.; Sachse, D.

    2012-12-01

    Carbon isotope fractionation associated with higher plant photosynthesis differs between the Calvin-Benson (C3) and Hatch-Slack (C4) cycles. It is possible to identify both C3 and C4 plants by measuring their δ13C values: C3 plants are depleted in δ13C compared with C4 plants. Higher plant lipid biomarkers, such as long-chain n-alkanes, which inherit the δ13C values representative of the carbon fixation pathway, are often used to reconstruct past vegetation cover (C3 vs. C4) for the African continent quantitatively. The percentage of C3 and C4 vegetation contribution to sedimentary n-alkanes can be determined by applying simple mixing models that assume two end-member δ13C values for both vegetation types. Here, we present a new dataset of δ13C values of n-alkanes from modern C3 and C4 plants and lake surface sediments with the aim to test the accuracy of these binary mixing models to infer C3 and C4 vegetation compositions from sedimentary records. Samples were collected in Cameroon across a natural gradient, which accommodates a wide range of climates and vegetation classes. Our results indicate that while the mean δ13C values of C4 plants remains relatively stable along the studied gradient (n-C29 alkane = -20±2‰), the mean δ13C values of C3 plants show larger variations (n-C29 alkane = -37±4‰). The latter observation can be attributed to environmental variables such as the relative humidity: n-C29 alkanes from C3 plants growing under high relative humidity (80%) had mean δ13C values of -40‰ while at low relative humidity (45%) they reached up to -31‰. These results suggest that δ13C values of C3 plants are not independent of environmental conditions, which likely reflects known physiological responses of leaves such as the decrease in stomatal conductance and increase in water use efficiency under drier conditions. The large variability of δ13C values of C3 plants across this transect further suggests that assigning an end-member value for C

  19. Eruptive history of the Barombi Mbo Maar, Cameroon Volcanic Line, Central Africa: Constraints from volcanic facies analysis

    NASA Astrophysics Data System (ADS)

    Tchamabé, Boris Chako; Youmen, Dieudonné; Owona, Sébastien; Issa; Ohba, Takeshi; Németh, Károly; Ngapna, Moussa Nsangou; Asaah, Asobo N. E.; Aka, Festus T.; Tanyileke, Gregory; Hell, Joseph V.

    2013-12-01

    his study presents the first and detail field investigations of exposed deposits at proximal sections of the Barombi Mbo Maar (BMM), NE Mt Cameroon, with the aim of documenting its past activity, providing insight on the stratigraphic distribution, depositional process, and evolution of the eruptive sequences during its formation. Field evidence reveals that the BMM deposit is about 126m thick, of which about 20m is buried lowermost under the lake level and covered by vegetation. Based on variation in pyroclastic facies within the deposit, it can be divided into three main stratigraphic units: U1, U2 and U3. Interpretation of these features indicates that U1 consists of alternating lapilli-ash-lapilli beds series, in which fallout derived individual lapilli-rich beds are demarcated by surges deposits made up of thin, fine-grained and consolidated ash-beds that are well-defined, well-sorted and laterally continuous in outcrop scale. U2, a pyroclastic fall-derived unit, shows crudely lenticular stratified scoriaceous layers, in which many fluidal and spindle bombs-rich lapilli-beds are separated by very thin, coarse-vesiculatedash-beds, overlain by a mantle xenolith- and accidental lithic-rich explosive breccia, and massive lapilli tuff and lapillistone. U3 displays a series of surges and pyroclastic fall layers. Emplacement processes were largely controlled by fallout deposition and turbulent diluted pyroclastic density currents under "dry" and "wet" conditions. The eruptive activity evolved in a series of initial phreatic eruptions, which gradually became phreatomagmatic, followed by a phreato-Strombolian and a violent phreatomagmatic fragmentation. A relatively long-time break, demonstrated by a paleosol between U2 and U3, would have permitted the feeding of the root zone or the prominent crater by the water that sustained the next eruptive episode, dominated by subsequent phreatomagmatic eruptions. These preliminary results require complementary studies, such as

  20. Hypoalbuminaemia in haemodialysis patients at Parirenyatwa group of hospitals and Chitungwiza central hospital

    PubMed Central

    Machingura, Pasipanodya Ian; Mahiya, Needmore Muchadura; Chikwasha, Vasco

    2015-01-01

    Introduction Haemodialysis is one of the widely used methods in end stage renal disease. However it has a negative impact on the quality of life of the renal patients. Hypoalbuminaemia occur in haemodialysis patients and it correlates strongly with mortality and morbidity. We sought out to determine the prevalence of hypoalbuminaemia among haemodialysis patients at Parirenyatwa group of hospitals and Chitungwiza central hospital. Methods A questionnaire was administered on haemodialysis patients at Parirenyatwa Group of Hospitals and Chitungwiza Central Hospital who consented to participate in the study. Pre dialysis serum samples collected from the patients were used for albumin analysis. The serum from the patients was analysed for serum albumin levels using the Mindray BS120 chemistry analyser using the bromocresol green method. Results A total of 60 patients were recruited from the two hospitals. The Mean albumin concentration for the entire group was 33.6g/L SD (6.1 g/L). The mean albumin in males was 33.6 g/L, SD (5.9) and in female 33.6, SD (6.6 g/L) and this was not statistically significantly different (p = 0.988). The prevalence of hypoalbuminaemia was 76.7%. Conclusion Hypoalbuminaemia in 76.7% of haemodialysis patients studied is a cause of concern thus monitoring of haemodialysis patients albumin is necessary since its decreased levels has been associated with increased morbidity and mortality. PMID:26491522

  1. Prevalence of Hypertension in HIV/AIDS Patients on Highly Active Antiretroviral Therapy (HAART) Compared with HAART-Naïve Patients at the Limbe Regional Hospital, Cameroon

    PubMed Central

    Dimala, Christian Akem; Atashili, Julius; Mbuagbaw, Josephine C.; Wilfred, Akam; Monekosso, Gottlieb L.

    2016-01-01

    Background Highly active antiretroviral therapy (HAART) has greatly reduced the morbidity and mortality of HIV/AIDS patients but has also been associated with increased metabolic complications and cardiovascular diseases. Data on the association between HAART and hypertension (HTN) in Africa are scarce. Objectives Primarily to compare the prevalence of HTN in HIV/AIDS patients on HAART and HAART-naïve patients in Limbe, Cameroon; and secondarily to assess other socio-demographic and clinical factors associated with HTN in this population. Methods A cross-sectional study was conducted at the Limbe Regional Hospital HIV treatment center between April and June 2013, involving 200 HIV/AIDS patients (100 on first-line HAART regimens for at least 12 months matched by age and sex to 100 HAART-naïve patients). HTN was defined as a systolic blood pressure (BP) ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg. Results The prevalence of HTN in patients on HAART was twice (38%; 95% CI: 28.5–48.3) that of the HAART-naïve patients (19%; 95% CI, 11.8–28.1), p = 0.003. In multivariate analyses adjusted for age, gender, smoking, family history of HTN, and BMI-defined overweight, HAART was associated with HTN, the adjusted odds ratio of the HAART-treated versus HAART-naïve group was 2.20 (95% CI: 1.07–4.52), p = 0.032. HTN was associated with older age and male gender, in the HAART group and with BMI-defined overweight in the HAART-naïve group. Conclusion The prevalence of hypertension in HIV/AIDS patients in Limbe stands out to be elevated, higher in patients on HAART compared to those not on treatment. Blood pressure and cardiovascular risk factors should be routinely monitored. Other factors such as diet, weight control and physical exercise should also be considered. PMID:26862763

  2. Spectrum of heart diseases in children: an echocardiographic study of 1,666 subjects in a pediatric hospital, Yaounde, Cameroon

    PubMed Central

    Nguefack, Félicitée; Menanga, Alain P.; Ngo Um, Suzanne; Gody, Jean C.; Tatah, Sandra A.; Koki Ndombo, Paul O.

    2016-01-01

    Background Children’s health programs in Sub-Saharan Africa have always been oriented primarily to infectious diseases and malnutrition. We are witnessing in the early 21st century an epidemiological transition marked by the decline of old diseases and the identification of new diseases including heart disease. Therefore, it is necessary to describe the spectrum of these diseases in order to better prepare health workers to these new challenges. Methods We conducted a cross-sectional study focused on heart disease diagnosed by echocardiography in children seen from January 2006 to December 2014 in a pediatric hospital of Yaounde. We collected socio-demographic data and the types of heart disease from registers, patients files as well as the electronic database of echocardiographic records. Results A total of 2,235 patients underwent echocardiographic examination during the study period including 1,666 subjects with heart disease. Congenital cardiopathies were found in 1,230 (73.8%) patients and acquired abnormalities in 429 (25.8%). Seven children (0.4%) had a combination of both types. Congenital heart defects (CHD) were dominated by ventricular septal defect (VSD). Acquired heart disease was mostly rheumatic valvulopathies. Dyspnea on exertion was the most frequent presenting complaint (87.6%). Discovery of a heart murmur was the principal clinical finding on physical examination (81.4%). The median age was 9 months for congenital heart disease and 132 months for acquired heart disease. Conclusions As infectious diseases recede and the diagnostic facilities are improving, pediatric heart diseases occupy a more important position in the spectrum of pediatric diseases in our context. However, the ability to evoke the diagnosis remains unsatisfactory by the majority of health personnel and therefore needs to be improved. Apart from congenital heart diseases, the impact of acquired heart diseases, rheumatic valvulopathy being the highest ranking, is remarkable in

  3. Destination: Cameroon. Study Guide.

    ERIC Educational Resources Information Center

    Collins, H. Thomas; Majeske, Christopher

    Designed to allow teachers and students to take a pro-active approach to learning about Cameroon, the guide is a starting point for research and discussion with information that enables students to identify patterns of culture and geography. In the first section, details on Africa and Cameroon provide information that can be personalized for each…

  4. Sepsis in Buraidah Central Hospital, Qassim, Kingdom of Saudi Arabia

    PubMed Central

    Gasim, Gasim I.; Musa, Imad R; Yassin, Taha; Al Shobaili, Hani A.; Adam, Ishag

    2016-01-01

    Objectives Severe sepsis is a major public health concern and a frequent cause of intensive care unit (ICU) admission with a high fatality rate. Higher (Sequential Organ Failure Assessment score) SOFA score and co-morbidity of acute renal failure (ARF) are risk factors contributing to fatal outcome. This work was meant to study the epidemiology of sepsis in Buraidah central hospital. Methods This is a descriptive study conducted in the period from January 1, 2012, to June 29, 2012 to determine the epidemiology (incidence, clinical characteristics) and the outcome of sepsis in Buraidah hospital, Saudi Arabia. Results Out of 387 patients admitted to ICU, 62 (16%) patients had sepsis, their mean (SD) age was 62.7 (21.3) years. Three quarters of them 47 (75.8%) presented with septic shock. The median APACHE II score was 26.5 (8 to 48) and SOFA score 11 (5 to 21). The mean of duration of hospital stay was 11.95 days. The most frequent infection site was the pulmonary (69.5%). There were 37 isolated organism, gram-negative organisms (13; 35.13%) were the predominant isolates. There were 25 (40.3%) deaths; the majority of the deaths were due to septic shock 20(80%). There was a significant difference between deaths and the survivors, in the APACHI II score, SOFA score), and whether ventilated or not. Conclusions There was a high incidence of septic shock (and higher mortality) among the patients admitted to the ICU of Buraidah central hospital, especially among the elderly patients with respiratory infections. PMID:27103899

  5. Central Portion of Third Floor Plan U.S. Veterans Hospital, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Central Portion of Third Floor Plan - U.S. Veterans Hospital, Jefferson Barracks, Main Hospital, VA Medical Center, Jefferson Barracks Division 1 Jefferson Barracks Drive, Saint Louis, Independent City, MO

  6. Central Portion of Second Floor Plan U.S. Veterans Hospital, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Central Portion of Second Floor Plan - U.S. Veterans Hospital, Jefferson Barracks, Main Hospital, VA Medical Center, Jefferson Barracks Division 1 Jefferson Barracks Drive, Saint Louis, Independent City, MO

  7. Assessing forest products usage and local residents' perception of environmental changes in peri-urban and rural mangroves of Cameroon, Central Africa

    PubMed Central

    2011-01-01

    Background Deforestation is one of the most ubiquitous forms of land degradation worldwide. Although remote sensing and aerial photographs can supply valuable information on land/use cover changes, they may not regularly be available for some tropical coasts (e.g., Cameroon estuary) where cloud cover is frequent. With respect to mangroves, researchers are now employing local knowledge as an alternative means of understanding forest disturbances. This paper was primarily aimed at assessing the mangrove forest products usage, along with the local people's perceptions on environmental changes, between Littoral (Cameroon estuary) and Southern (mouth of the Nyong River and Mpalla village) regions of Cameroon. Methods The data from both locations were obtained through conducting household interviews and field observations. Results In the Cameroon estuary (Littoral region), 69.23% of respondents (mostly elders) could distinguish two to four mangrove plants, whereas the informants (65.45%) in the mouth of the Nyong River and Mpalla village (mostly young people interviewed from the Southern region) are familiar with only one or two commonly found mangroves. Also, more respondents from the Cameroon estuary are depending on mangroves for fuelwood (Rhizophora spp.) and housing (Rhizophora spp., Avicennia germinans (L.) Stearn and Nypa fruticans (Thumb.) Wurmb.) purposes, in contrast to Nyong River mouth and Mpalla village. Although local people perceived wood extraction as a greater disruptive factor, there are several causes for mangrove depletion in the Cameroon estuary. Among others, over-harvesting, clear-felled corridors, sand extraction and housing were found important. Furthermore, a decline in mangrove fauna composition (in terms of fishery products) was recorded in the Littoral as well as Southern regions. However, the causes of such perceived negative changes were not similar in both cases. Conclusions Findings of this study highlight the need to improve sustainable

  8. Evidence of heterogeneous crustal origin for the Pan-African Mbengwi granitoids and the associated mafic intrusions (northwestern Cameroon, central Africa)

    NASA Astrophysics Data System (ADS)

    Mbassa, Benoît Joseph; Kamgang, Pierre; Grégoire, Michel; Njonfang, Emmanuel; Benoit, Mathieu; Itiga, Zénon; Duchene, Stéphanie; Bessong, Moïse; Nguet, Pauline Wonkwenmendam; Nfomou, Ntepe

    2016-02-01

    The Mbengwi plutonics consist of intermediate to felsic granitoids forming a continuous magmatic series from monzonite to granite and mafic intrusions. Their mineralogical composition consists of quartz, plagioclases, K-feldspars, biotite, muscovite, and amphibole. The accessory phase includes opaque minerals + titanite ± apatite ± zircon, while secondary minerals are pyrite, phengite, chlorite, epidote, and rarely calcite. These plutonics are assigned high-K calc-alkaline to shoshonitic series, metaluminous to weakly peraluminous and mostly belong to an I-type suite (A/CNK = 0.63-1.2). They are typically post-collisional, with a subduction signature probably being inherited from their protoliths emplaced during the subduction phase. The Sr and Nd isotopic data evidence that these plutonics result from melting of the lower continental crust with variable contribution of the oceanic crust. Their geochemical features are similar to those of western Cameroon granitoids related to the Pan-African D1 event in Cameroon.

  9. Day-to-Day Variability of H Component of Geomagnetic Field in Central African Sector Provided by YACM (Yaoundé-Cameroon) Amber Magnetometer Station

    NASA Astrophysics Data System (ADS)

    Etoundi Messanga, Honoré

    2015-04-01

    The geomagnetic data obtained from Amber Network station in Cameroon has been used for this study. The variability of H component of geomagnetic field has been examined by using geomagnetic field data of X and Y components recorded at AMBER magnetometer station hosted by the Department of Physics of University of Yaoundé (3.87°N, 11.52°E). The day-to-day variability of the horizontal intensity of the geomagnetic field has been examined and shows that the scattering of H component of magnetic field variation is more on disturbed than on quiet days. The signatures H of geomagnetic Sq and Sd variations in intensities in the geomagnetic element, has been studied. This paper shows that the daytime variations in intensities of geomagnetic elements H, Sq(H) and Sd(H) respectively are generally greater at diurnal-times than at night-times. This study mainly interests to answer to two questions: 1) how can geomagnetic variations be used to study the equatorial ionosphere electrodynamics and electrojet equatorial over Africa in general and Cameroon in particular? 2) How can geomagnetic variations be used to monitor and predict Space weather events in Cameroon? This study presents and interprets the results of H component of geomagnetic field variations during magnetic storms and on quiet days.

  10. [Theater nurse and midwife in Cameroon. Impressions and experiences in the grasslands (Northwest Cameroon) during a six-and-a-half month stay in a hospital situated at a height of 1800 m].

    PubMed

    Raeber, C

    1979-05-01

    The author describes the circumstances of the hospital and out-of-hospital situation in the region she worked in, in focussing on the relevant practical features of the daily life of patients and staff. She deals among other things with the maternity ward (including the separate "camp" devoted to prenatal stays) and the operating theatre. As regards health activities outside the hospital, she mentions those of the existing health centres and of auxiliary personnel called first-aiders (whose job description is close to the one of the village health workers advocated by WHO and others). A health team, usually led by a physician, makes periodic visits to bush villages. The importance of the contacts thus created, for health work itself (including collaboration with traditional health practitioners) as well as for community development, is underlined. PMID:380223

  11. Derivation of detrital rutile in the Yaoundé region from the Neoproterozoic Pan-African belt in southern Cameroon (Central Africa)

    NASA Astrophysics Data System (ADS)

    Stendal, Henrik; Toteu, Sadrack Félix; Frei, Robert; Penaye, Joseph; Njel, Urbain Olivier; Bassahak, Jean; Nni, Jean; Kankeu, Boniface; Ngako, Vincent; Hell, Joseph Victor

    2006-04-01

    Rutile, as an important component in alluvial or eluvial heavy mineral deposits, is known in southern Cameroon. These deposits are underlain by the Neoproterozoic low- to high-grade Yaoundé Group. Geochemical, thermometric, fluid inclusion and Pb isotopic studies of the rutile from alluvial and eluvial concentrates and from medium-grade micaschist from the nearby Yaoundé region permit the following conclusions: (1) alluvial and eluvial rutile of the Yaoundé region are derived from the degradation of metapelites, metamafic rocks and pegmatites of the nearby Yaoundé Group; (2) rutile in the Yaoundé Group formed during the Pan-African metamorphism, or was inherited as detrital rutile from a ˜900 Ma source. The study also shows that the rutile can be used to trace the history of the Pan-African belt north of the Congo craton.

  12. Hepatitis B and C Co-Infections in Some HIV-Positive Populations in Cameroon, West Central Africa: Analysis of Samples Collected Over More Than a Decade

    PubMed Central

    Nanfack, Aubin J.; Agyingi, Lucy A.; Ngai, Johnson N.; Nyambi, Phillipe N.

    2015-01-01

    As people infected with the human immunodeficiency virus (HIV) in Sub-Saharan Africa live longer due to availability of antiretroviral treatment (ART), so is the rise of associated infections with their burdens on patients. But reliable data on the prevalence of co-infection with hepatitis B (HBV) or C (HCV) still remains sparse and many individuals with HIV do not know their co-infection status. This study attempted to estimate the seroprevalence and identify risk factors associated with hepatitis B and/or C co-infections in HIV-infected individuals from five Regions of Cameroon by screening 531 HIV infected subjects for the presence of HBV surface antigen (HBsAg) and antibodies to HCV (HCV-Ab). A Screening and a confirmatory Enzyme linked immunosorbent assay were used to detect presence of markers of infection. CD4 count levels were also examined. The results indicate that of the 531 participants, 68% were females and 32% males. Mean CD4 count was ~400 cells/μl. Seroprevalence rates for HBsAg and HCV-Ab were 23.7%, and 7.2%, respectively. Associations assessed using logistic regression revealed that HBsAg but not HCV-Ab positivity was linked to age, lower CD4 count and residing in an urban rather than in a rural setting. This high prevalence of co-infection with HBV raises the urgent need to systematically screen all newly diagnosed HIV cases for co-infection in Cameroon and other regions of sub-Saharan Africa where HIV accounts for the majority of the global infection, so as to improve management strategies for HBV infection and ART implementation. PMID:26371878

  13. Vegetation establishment and evolution in four ponds that received sewage and wastewater in a portion of the Olezoa wetland complex, Yaounde, Cameroon, central Africa

    SciTech Connect

    Atekwana, E.A. . Dept. of Geology); Agendia, P.L. . Dept. of Plant Biology)

    1994-04-01

    A study of the spatial and temporal changes in the pattern and distribution of tropical wetland vegetation in four ponds that received sewage and wastewater discharge, was undertaken for a small wetland ecosystem in the Olezoa drainage basin in Yaounde, Cameroon. More than 25 years of nutrient loading has led to the eutrophication and subsequent establishment of wetland vegetation in these ponds. Estimated free water surface areas of the ponds in 1964, 1976, and 1986 and 1992 determined from digitized aerial photographs and field measurements suggests a decline of 70 to 100% in the pond surface areas due to invasion and colonization by plants. The rate of pond surface decline and vegetation development is correlated with the construction of sewage plants and the discharge of untreated sewage and wastewater into the ponds. The main wetland plants that are established in the ponds consist of aquatic species Nymphae lotus, Enhydra fluctuants, Pistia stratiotes, Commelina sp., Ipomea aquatica and terrestrial species Echinochloa sp., Thalia welwitschii, Polygonum senegalense, Leersia haxandra and Cyperus papyrus. The pattern of wetland plant succession that resulted within each pond is correlated to the timing, duration and magnitude of sewage and wastewater discharge into the wetland complex.

  14. Sub-continental lithospheric mantle structure beneath the Adamawa plateau inferred from the petrology of ultramafic xenoliths from Ngaoundéré (Adamawa plateau, Cameroon, Central Africa)

    NASA Astrophysics Data System (ADS)

    Nkouandou, Oumarou F.; Bardintzeff, Jacques-Marie; Fagny, Aminatou M.

    2015-11-01

    Ultramafic xenoliths (lherzolite, harzburgite and olivine websterite) have been discovered in basanites close to Ngaoundéré in Adamawa plateau. Xenoliths exhibit protogranular texture (lherzolite and olivine websterite) or porphyroclastic texture (harzburgite). They are composed of olivine Fo89-90, orthopyroxene, clinopyroxene and spinel. According to geothermometers, lherzolites have been equilibrated at 880-1060 °C; equilibrium temperatures of harzburgite are rather higher (880-1160 °C), while those of olivine websterite are bracketed between 820 and 1010 °C. The corresponding pressures are 1.8-1.9 GPa, 0.8-1.0 GPa and 1.9-2.5 GPa, respectively, which suggests that xenoliths have been sampled respectively at depths of 59-63 km, 26-33 km and 63-83 km. Texture and chemical compositional variations of xenoliths with temperature, pressure and depth on regional scale may be ascribed to the complex history undergone by the sub-continental mantle beneath the Adamawa plateau during its evolution. This may involve a limited asthenosphere uprise, concomitantly with plastic deformation and partial melting due to adiabatic decompression processes. Chemical compositional heterogeneities are also proposed in the sub-continental lithospheric mantle under the Adamawa plateau, as previously suggested for the whole Cameroon Volcanic Line.

  15. Linguistic Interference in a Multilingual Setting: The Case of Cameroon

    ERIC Educational Resources Information Center

    Julius, Nashipu

    2006-01-01

    Cameroon, a central African state is one of the few countries in the world where, in addition to a very rich linguistically diverse landscape (a little below 300 identified indigenous languages) there is English and French (all vestiges of colonial legacy) used as official languages. Coupled with this, there is pidgin English which plays the role…

  16. Aspects of a Grammar of Makary Kotoko (Chadic, Cameroon)

    ERIC Educational Resources Information Center

    Allison, Sean David

    2012-01-01

    Makary Kotoko (MK), a Central Chadic B language, is spoken in the north of Cameroon just south of Lake Chad. Published works on MK to date include about a dozen articles on different aspects of the grammar of the language, primarily by H. Tourneux. The present work, which is based on a substantial corpus of recorded texts, is a systematic…

  17. Reconstructing C3 and C4 vegetation cover using n-alkane carbon isotope ratios in recent lake sediments from Cameroon, Western Central Africa

    NASA Astrophysics Data System (ADS)

    Garcin, Yannick; Schefuß, Enno; Schwab, Valérie F.; Garreta, Vincent; Gleixner, Gerd; Vincens, Annie; Todou, Gilbert; Séné, Olivier; Onana, Jean-Michel; Achoundong, Gaston; Sachse, Dirk

    2014-10-01

    Trees and shrubs in tropical Africa use the C3 cycle as a carbon fixation pathway during photosynthesis, while grasses and sedges mostly use the C4 cycle. Leaf-wax lipids from sedimentary archives such as the long-chain n-alkanes (e.g., n-C27 to n-C33) inherit carbon isotope ratios that are representative of the carbon fixation pathway. Therefore, n-alkane δ13C values are often used to reconstruct past C3/C4 composition of vegetation, assuming that the relative proportions of C3 and C4 leaf waxes reflect the relative proportions of C3 and C4 plants. We have compared the δ13C values of n-alkanes from modern C3 and C4 plants with previously published values from recent lake sediments and provide a framework for estimating the fractional contribution (areal-based) of C3 vegetation cover (fC3) represented by these sedimentary archives. Samples were collected in Cameroon, across a latitudinal transect that accommodates a wide range of climate zones and vegetation types, as reflected in the progressive northward replacement of C3-dominated rain forest by C4-dominated savanna. The C3 plants analysed were characterised by substantially higher abundances of n-C29 alkanes and by substantially lower abundances of n-C33 alkanes than the C4 plants. Furthermore, the sedimentary δ13C values of n-C29 and n-C31 alkanes from recent lake sediments in Cameroon (-37.4‰ to -26.5‰) were generally within the range of δ13C values for C3 plants, even when from sites where C4 plants dominated the catchment vegetation. In such cases simple linear mixing models fail to accurately reconstruct the relative proportions of C3 and C4 vegetation cover when using the δ13C values of sedimentary n-alkanes, overestimating the proportion of C3 vegetation, likely as a consequence of the differences in plant wax production, preservation, transport, and/or deposition between C3 and C4 plants. We therefore tested a set of non-linear binary mixing models using δ13C values from both C3 and C4

  18. Bobbi Be Best: the development and evaluation of an audio program and discussion guide to promote exclusive breastfeeding in Cameroon, Central Africa.

    PubMed

    Reinsma, Kathryn; Bolima, Nancy; Fonteh, Florence; Okwen, Patrick; Siapco, Gina; Yota, Daniel; Montgomery, Susanne

    2016-09-01

    One risk factor for infant and childhood morbidity is not exclusive breastfeeding (EBF) during the first six months of life. Entertainment Education (EE) is a communication strategy consisting of placing educational information into television, movies, and radio programs. In developing countries this form of behavioral change communication has proven effective in addressing health-related issues; however, no research has determined if EE is effective in promoting EBF. The objective of this research was to develop an EE audio program and discussion guide and to determine if a series of four 15-minute episodes and post-listening discussion improved knowledge, perceived benefits, self-efficacy, and intention and decreased misconceptions and perceived barriers toward EBF in the Kumbo West Health District, Cameroon. Pregnant women and their partners were assigned to either the control group (N = 116; 74 women, 42 partners) or intervention group (N = 148; 99 women, 49 partners) based on expected date of delivery. All control and intervention group participants completed a questionnaire prior to listening to the first and after the last episode. Pre- and post-listening questionnaires were used to determine changes in the EBF knowledge, misconceptions, perceived barriers, self-efficacy, and intention variables as a result of exposure to the audio program. The Wilcoxon Sign Rank test showed significant improvement in all of the variables, except perceived barriers, within the intervention group (p < 0.05) and the Mann-Whitney test indicated significant differences between the control and intervention group in all of the variables (p < 0.05), indicating that using an audio program and discussion guide based on the EE model is an effective tool for promoting EBF in this setting. The strength of this approach is that it goes beyond simply telling women about what constitutes EBF, but addresses misconceptions and perceived barriers that may prevent women from practicing EBF for

  19. Cross-Reactivity of Filariais ICT Cards in Areas of Contrasting Endemicity of Loa loa and Mansonella perstans in Cameroon: Implications for Shrinking of the Lymphatic Filariasis Map in the Central African Region

    PubMed Central

    Wanji, Samuel; Koudou, Benjamin; Chounna Ndongmo, Patrick W.; Kengne-Ouafo, Jonas A.; Datchoua-Poutcheu, Fabrice R.; Fovennso, Bridget Adzemye; Tayong, Dizzle Bita; Fombad, Fanny Fri; Fischer, Peter U.; Enyong, Peter I.; Bockarie, Moses

    2015-01-01

    Background Immunochromatographic card test (ICT) is a tool to map the distribution of Wuchereria bancrofti. In areas highly endemic for loaisis in DRC and Cameroon, a relationship has been envisaged between high L. loa microfilaria (Mf) loads and ICT positivity. However, similar associations have not been demonstrated from other areas with contrasting levels of L. loa endemicity. This study investigated the cross-reactivity of ICT when mapping lymphatic filariasis (LF) in areas with contrasting endemicity levels of loiasis and mansonellosis in Cameroon. Methodology/Principal Findings A cross-sectional study to assess the prevalence and intensity of W. bancrofti, L. loa and M. perstans was carried out in 42 villages across three regions (East, North-west and South-west) of the Cameroon rainforest domain. Diurnal blood was collected from participants for the detection of circulating filarial antigen (CFA) by ICT and assessment of Mf using a thick blood smear. Clinical manifestations of LF were also assessed. ICT positives and patients clinically diagnosed with lymphoedema were further subjected to night blood collection for the detection of W. bancrofti Mf. Overall, 2190 individuals took part in the study. Overall, 24 individuals residing in 14 communities were tested positive by ICT, with prevalence rates ranging from 0% in the South-west to 2.1% in the North-west. Lymphoedema were diagnosed in 20 individuals with the majority of cases found in the North-west (11/20), and none of them were tested positive by ICT. No Mf of W. bancrofti were found in the night blood of any individual with a positive ICT result or clinical lymphoedema. Positive ICT results were strongly associated with high L. loa Mf intensity with 21 subjects having more than 8,000 L. loa Mf ml/blood (Odds ratio = 15.4; 95%CI: 6.1–39.0; p < 0.001). Similarly, a strong positive association (Spearman’s rho = 0.900; p = 0.037) was observed between the prevalence of L. loa and ICT positivity by area

  20. [The Central Military Hospital of the People's Commissariat for Defence during the Great Patriotic War].

    PubMed

    Simonenko, V B; Abashin, V G; Polovinka, V S

    2014-05-01

    The article is devoted to activity of the Central Military Hospital of the People's Commissariat for Defence during the Great Patriotic War. The research is based on declassified orders of PCD and orders of the chef of hospital. Authors presented the role of the hospital in organization of medical aid for officers of PCD, members of their families, Red Army soldiers, junior and senior Red Army commanders; the role of the hospital in organization of medical facilities for combat army; medical supply for evacuation of family members of PCD's officers ( en route and in evacuation places); delivery of child health care to children of officers of PCD in the hospital and education in kindergartens of PCD. PMID:25286563

  1. Vulnerability of settlements around Mt. Cameroon volcano, Cameroon

    NASA Astrophysics Data System (ADS)

    Zogning, Appolinaire; Spinetti, Claudia; Ngouanet, Chretien; Tchoudam, David; Kouokam, Emmanuel; Thierry, Pierre; Bignami, Christian; Fabrizia Buongiorno, Maria; Ilaria Pannaccione Apa, Maria

    2010-05-01

    Located at the bottom of the Gulf of Guinea, Cameroon is exposed to a large variety of natural hazards, including volcanism. Most of the hazard are concentrated around the active volcano Mt. Cameroon which combines effusive and explosive types of activity. The threatened stakes are numerous and different exposed: people, settlements, industrial plantations, petrol refinery and many other factories and infrastructures. Until 2005, no risk management plans has been available. In 2006, the French Embassy in Cameroon, within the framework of a financial convention between Cameroon and France, put in place the GRINP (Management of Natural Risks and Civil Protection) project whose objective was to reinforce the capacity of Cameroon's civil protection department and thus, contribute to the improvement of the security of the population faced with catastrophes. The objective was to realize a Risk Prevention Plan at a local council scale, and taking into consideration the specific natural risks of each zone. The general objective of the RPP was to clearly draw land use maps for risks zones, showing the overlay of stakes with risk of different intensities. In 2008 European Commission funded the Mia-Vita project (Mitigating and Assessing Volcanic Impacts on Terrain and human Activities). The aim of the project is to improve the crisis management capabilities based on monitoring and early warning systems and secure communications; reduction of people's vulnerability and development of recovering capabilities after an event occurs for both local communities and ecological systems. Keyword: natural hazards, Mt. Cameroon, vulnerability, risk prevention plan

  2. Magnet® Hospital Recognition Linked to Lower Central Line-Associated Bloodstream Infection Rates.

    PubMed

    Barnes, Hilary; Rearden, Jessica; McHugh, Matthew D

    2016-04-01

    Central-line-associated bloodstream infections (CLABSI) are among the deadliest heathcare-associated infections, with an estimated 12-25% mortality rate. In 2014, the Centers for Medicare and Medicaid Services (CMS) began to penalize hospitals for poor performance with respect to selected hospital-acquired conditions, including CLABSI. A structural factor associated with high-quality nursing care and better patient outcomes is The Magnet Recognition Program®. The purpose of this study was to explore the relationship between Magnet status and hospital CLABSI rates. We used propensity score matching to match Magnet and non-Magnet hospitals with similar hospital characteristics. In a matched sample of 291 Magnet hospitals and 291 non-Magnet hospitals, logistic regression models were used to examine whether there was a link between Magnet status and CLABSI rates. Both before and after matching, Magnet hospital status was associated with better (lower than the national average) CLABSI rates (OR = 1.60, 95%CI: 1.10, 2.33 after matching). While established programs such as Magnet recognition are consistently correlated with high-quality nursing work environments and positive patient outcomes, additional research is needed to determine whether Magnet designation produces positive patient outcomes or rewards existing excellence. PMID:26809115

  3. Baseline demographic, clinical and immunological profiles of HIV-infected children at the Yaounde Gynaeco-Obstetric and Pediatric hospital, Cameroon

    PubMed Central

    Fru, Florence Soh; Chiabi, Andreas; Nguefack, Séraphin; Mah, Evelyn; Takou, Virginie; Bogne, Jean Baptiste; Lando, Marie; Tchokoteu, Pierre-Fernand; Mbonda, Elie

    2014-01-01

    Introduction Approximately 2.5 million children below 15 years are infected with the HIV virus, with 90% in sub-Saharan Africa. The Yaounde Gynaeco-obstetric and Pediatric hospital has been a treatment center for HIV since 2006. The aim of this study was to analyze the baseline demographic, clinical and immunologic characteristics of the children with the HIV infection in this hospital. Methods It was a retrospective, cross- sectional and analytic study, carried out between January and April 2011 which included 61 HIV positive children aged 0-15 years. The socio-demographic, clinical and immunologic data were obtained from their medical records. Results Most (52.5%) of the children studied were above 60 months of age with a mean age of 71 months. Most (57.4%) were females. Mother-to-child transmission was the principal mode of contamination in 88.5% of cases. More than half of their mothers (55.7%) did not receive antiretroviral prophylaxis during pregnancy and labor. Common clinical findings included prolonged fever (44.6%), malnutrition (37.6%), lymphadenopathy (34.4%), respiratory tract infections (34.4%) and diarrhea (24.5%). Diagnosis was confirmed by HIV serology for most of the patients (93.4%). Polymerase chain reaction served as method of diagnosis in only 6.6% of the cases. HIV 1 was the predominant viral type. More than half of the children (52.5%) were seen at an advanced stage of the disease. Conclusion HIV screening during pregnancy and prevention of mother-to-child transmission should be reinforced in this context, and fathers of HIV-infected children should be encouraged to go for HIV testing. PMID:25452833

  4. The clinical pattern of renal diseases in the nephrology in-patient unit of the Yaounde General Hospital in Cameroon: a five-year audit

    PubMed Central

    Kaze, Francois Folefack; Ekokobe, Forbin Elias; Halle, Marie Patrice; Fouda, Hermine; Menanga, Alain Patrick; Ashuntantang, Gloria

    2015-01-01

    Introduction Kidney diseases are a growing worldwide problem and one of the major public health threats. We analyzed the spectrum of kidney diseases seen over a five-year period in the nephrology in-patient unit of the Yaounde general hospital. Methods This was a retrospective analysis of 225 medical records of patients admitted from January 2005 to December 2009 in the unit with a discharge diagnosis of kidney and urinary tract diseases. The first hospitalization was considered for patients admitted several times for the same disease. Socio-demographic and clinical patient data were recorded. Results The patients mean age was 44.8±16 years with 135 (60%) males and 211 (93.8%) emergency admissions. All 139 (61.8%) patients with chronic kidney disease (CKD) had chronic renal failure. Acute kidney injury (AKI) (28%), nephrotic syndrome (7.6%), renal colic (1.3%) and acute pyelonephritis (1.3%) were other patterns observed. Chronic glomerulonephritis (25.9%), hypertension (22.3%) and diabetes (20.1%) were the main etiological factors of CKD. All AKI patients were in stage RIFLE-F. AKI was secondary to parenchymal (58.7%), functional (25.4%) and obstructive (15.9%) etiologies. Black water fever (36.4%), sepsis (22.7%), drugs (18.2%), eclampsia (13.6%) and herbal concoctions (9.1%) were the etiologies of acute tubular necrosis while enterocolitis (56.2%), heart failure (31.3%) and digestive hemorrhage (12.5%) were the etiologies of functional AKI. Conclusion The clinical pattern of renal diseases is dominated by advanced CKD and AKI secondary to preventable causes. This study suggests a need for an array of actions including sensitization, continuous medical education and strengthening of the health system. PMID:26421100

  5. A Comparison of the Diabetes Risk Score in HIV/AIDS Patients on Highly Active Antiretroviral Therapy (HAART) and HAART-Naïve Patients at the Limbe Regional Hospital, Cameroon

    PubMed Central

    Dimala, Christian Akem; Atashili, Julius; Mbuagbaw, Josephine C.; Wilfred, Akam; Monekosso, Gottlieb L.

    2016-01-01

    Background Highly active antiretroviral therapy (HAART) has been associated with dysglycaemia. However, there is scarce data on the risk of developing diabetes mellitus (DM) in HIV/AIDS patients in Africa. Objectives Primarily to quantify and compare the risk of having diabetes mellitus in HIV/AIDS patients on HAART and HAART-naïve patients in Limbe, Cameroon; and secondarily to determine if there is an association between HAART and increased DM risk. Methods A cross-sectional study was conducted at the Limbe Regional Hospital HIV treatment center between April and June 2013, involving 200 HIV/AIDS patients (100 on first-line HAART regimens for at least 12 months matched by age and gender to 100 HAART-naïve patients). The Diabetes Risk Score (DRS) was calculated using a clinically validated model based on routinely recorded primary care parameters. A DRS ≥ 7% was considered as indicative of an increased risk of developing DM. Results The median DRS was significantly higher in patients on HAART (2.30%) than in HAART-naïve patients (1.62%), p = 0.002. The prevalence of the increased DM risk (DRS ≥ 7%) was significantly higher in patients on HAART, 31% (95% CI: 22.13–41.03) than in HAART-naïve patients, 17% (95% CI: 10.23–25.82), p = 0.020. HAART was significantly associated with an increased DM risk, the odds ratio of the HAART group compared to the HAART-naïve group was 2.19 (95% CI: 1.12–4.30, p = 0.020). However, no association was found after adjusting for BMI-defined overweight, hypertension, age, sex, family history of DM and smoking (Odds ratio = 1.22, 95% CI: 0.42–3.59, p = 0.708). Higher BMI and hypertension accounted for the increased risk of DM in patients on HAART. Also, more than 82% of the participants were receiving or had ever used Zidovudine based HAART regimens. Conclusion HIV/AIDS patients on HAART could be at a greater risk of having DM than HAART-naïve patients as a result of the effect of HAART on risk factors of DM such as BMI

  6. Hospital-wide multidisciplinary, multimodal intervention programme to reduce central venous catheter-associated bloodstream infection.

    PubMed

    Zingg, Walter; Cartier, Vanessa; Inan, Cigdem; Touveneau, Sylvie; Theriault, Michel; Gayet-Ageron, Angèle; Clergue, François; Pittet, Didier; Walder, Bernhard

    2014-01-01

    Central line-associated bloodstream infection (CLABSI) is the major complication of central venous catheters (CVC). The aim of the study was to test the effectiveness of a hospital-wide strategy on CLABSI reduction. Between 2008 and 2011, all CVCs were observed individually and hospital-wide at a large university-affiliated, tertiary care hospital. CVC insertion training started from the 3rd quarter and a total of 146 physicians employed or newly entering the hospital were trained in simulator workshops. CVC care started from quarter 7 and a total of 1274 nurses were trained by their supervisors using a web-based, modular, e-learning programme. The study included 3952 patients with 6353 CVCs accumulating 61,366 catheter-days. Hospital-wide, 106 patients had 114 CLABSIs with a cumulative incidence of 1.79 infections per 100 catheters. We observed a significant quarterly reduction of the incidence density (incidence rate ratios [95% confidence interval]: 0.92 [0.88-0.96]; P<0.001) after adjusting for multiple confounders. The incidence densities (n/1000 catheter-days) in the first and last study year were 2.3/1000 and 0.7/1000 hospital-wide, 1.7/1000 and 0.4/1000 in the intensive care units, and 2.7/1000 and 0.9/1000 in non-intensive care settings, respectively. Median time-to-infection was 15 days (Interquartile range, 8-22). Our findings suggest that clinically relevant reduction of hospital-wide CLABSI was reached with a comprehensive, multidisciplinary and multimodal quality improvement programme including aspects of behavioural change and key principles of good implementation practice. This is one of the first multimodal, multidisciplinary, hospital-wide training strategies successfully reducing CLABSI. PMID:24714418

  7. Comparison of hysterosalpingograms with laparoscopy in the diagnostic of tubal factor of female infertility at the Yaoundé General Hospital, Cameroon

    PubMed Central

    Ngowa, Jean Dupont Kemfang; Kasia, Jean Marie; Georges, NGuefack-Tsague; Nkongo, Victorine; Sone, Charles; Fongang, Emmanuel

    2015-01-01

    Introduction The objectives were to assess the diagnostic value of hysterosalpingography (HSG) with laparoscopy as gold standard in the evaluation of tubal patency and pelvic adhesions in women suffering from infertility. Methods We conducted a comparative cross sectional study on 208 medical files of infertile women followed up at the Yaoundé General Hospital during a period of five years (December 2007 to December 2012). Tubal patency, hydrosalpinx and pelvic adhesions detected at HSG were compared with laparoscopic findings as the gold standard. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and diagnostic accuracy of HSG were calculated with 95% confidence interval (CI). Results Mean age of the patients was 31.4± 6.45 years. Secondary infertility was the most frequent type of infertility (66.82%). HSG had a moderate sensitivity (51.0%; 95% IC. 37.5-64.4), high specificity (90.0%; 95% IC.74.4-96.5), high PPV (89.3%; 95% IC. 72.8-96.3) and a moderate NPV (52.9%; 95% IC. 39.5-65.9) in the diagnosis of bilateral proximal tubal occlusion. Concerning, distal tubal patency, HSG had a high sensitivity (86.8%; 95% IC. 76.7-92.9), low specificity (42.2%; 95% CI. 29.0-56.7), moderate PPV (69.4%; 95% IC. 58.9-78.2) and a moderate NPV (67.9%; 95% IC. 49.3-82.0) in the diagnosis of bilateral or unilateral distal tubal occlusion. However, HSG had a low diagnostic value (27.8%; 95%IC.18.8-39.0) in the pelvic adhesions. Conclusion HSG is of limited diagnostic value in tubal factor infertility and is of low diagnostic value for pelvic adhesions. PMID:26958127

  8. [Return for HIV test results after voluntary screening in Cameroon].

    PubMed

    2016-01-01

    The results of this study indicate that individuals who voluntarily undergo an HIV test in PVTCCs of the Douala district hospitals in Cameroon perceived real advantages and very few disadvantages and barriers to know their HIV status. Particular attention should be given to organizational factors that may be responsible for failure to return for HIV test results and post-test counselling.. PMID:27531439

  9. Shrimp U Pb zircon age evidence for Paleoproterozoic sedimentation and 2.05 Ga syntectonic plutonism in the Nyong Group, South-Western Cameroon: consequences for the Eburnean Transamazonian belt of NE Brazil and Central Africa

    NASA Astrophysics Data System (ADS)

    Lerouge, Cathérine; Cocherie, Alain; Toteu, Sadrack F.; Penaye, Joseph; Milési, Jean-Pierre; Tchameni, Robert; Nsifa, Emmanuel N.; Mark Fanning, C.; Deloule, Etienne

    2006-04-01

    The Nyong Group of the NW corner of the Congo craton is a metasedimentary and metaplutonic rock unit that underwent a high-grade tectono-metamorphic event at ˜2050 Ma associated with charnockite formation. However, the age of the sedimentation and associated plutonism was not known. In view of this, the unit was considered to be part of the Archean Congo craton reactivated during a Paleoproterozoic or a Pan-African orogeny. Such interpretation was widely supported by the persistence of Archean inheritance revealed by Nd isotope data on whole rocks and U-Pb on zircons. New SHRIMP analyses on detrital zircons from metasediments (BIF, orthopyroxene gneiss and garnet gneiss) yield Mesoarchean to Paleoproterozoic ages, with the youngest zircon at 2423 ± 4 Ma, thus giving the maximum deposition age for the Nyong Group. Data on a metagranodiorite at Bonguen and a metasyenite at Lolodorf yield emplacement ages of 2066 ± 4 Ma and 2055 ± 5 Ma respectively, with Archean inheritance (2836 ± 11 Ma) for the metasyenite. The syntectonic emplacement of these plutonic rocks is supported by the age of 2044 ± 9 Ma obtained on the Bienkop charnockite, associated with Eburnean high-grade metamorphism which continued probably up to 1985 ± 8 Ma. These new data permit correlation of the Nyong rocks with the Paleoproterozoic of NE Brazil and the discussion of the source provenance of detritus for the Nyong Group. Finally, it is proposed that the West Central African Belt (WCAB) in southern Cameroon, Gabon, Congo and Angola represents a segment of the Eburnean-Transamazonian orogeny that resulted from the convergence and collision between the São Francisco-Nigerian Shield block and a former Congo megacraton.

  10. Origin and paleoenvironment of Pleistocene-Holocene Travertine deposit from the Mbéré sedimentary sub-basin along the Central Cameroon shear zone: Insights from petrology and palynology and evidence for neotectonics

    NASA Astrophysics Data System (ADS)

    Tchouatcha, Milan Stafford; Njoya, André; Ganno, Sylvestre; Toyama, Réné; Ngouem, Paul Aubin; Njiké Ngaha, Pierre Ricard

    2016-06-01

    The Mbéré sub-basin belongs to the Mbéré-Djerem intra-continental basin of Central North Cameroon. In this sub-basin, a travertine outcrop has been discovered and investigated palynologically and petrologically in this study. The sporopollinic content of the studied travertine is mainly composed of fungal spores (Rhyzophagites sp., Monoporisporites sp …) associated with rare fresh water algae spores such as Chomotriletes minor and angiosperm pollens (compositae, graminae, …). This sporopollinic association is indicative of hot and semi-arid to arid paleoclimate and reveals a Pleistocene-Holocene depositional age. The whole rock major element geochemistry shows relative enrichment of CaO (49.48%) and CO2 (38.49%). The origin of CO2 is probably from magmatic and/or metamorphic fluids. Compared to other travertines, SiO2 and Al2O3 contents are significant with average concentrations of 5.68% and 2.58% respectively. The mineralogical composition revealed by a microscopic study of bulk rocks is dominated by calcite (90-92%) associated to quartz (2-4%) and feldspar (2-3%), meanwhile the heavy mineral concentrate is formed by various mineral types such as zircon (most abundant), garnet, tourmaline, epidote, biotite, peridot and aegirine augite suggesting that the underground water has crossed both volcanic, plutonic and metamorphic rocks. With the mineral composition made of both chemical and detrital derived elements, the Mbéré travertine corresponds to chemico-lithoclastic/detrital limestone. In the Mbéré trough, numerous thermo-mineral springs are located along major fractures and faults. This result suggests that the Mbéré travertine deposit is related to the rising of deep water with the help of a fracturing system, similar to those of Irdi (Morocco), Italy and Turkey where there is much volcanism.

  11. Does malaria epidemiology project Cameroon as 'Africa in miniature'?

    PubMed

    Mbenda, Huguette Gaelle Ngassa; Awasthi, Gauri; Singh, Poonam K; Gouado, Inocent; Das, Aparup

    2014-09-01

    Cameroon, a west-central African country with a ~ 20 million population, is commonly regarded as 'Africa in miniature' due to the extensive biological and cultural diversities of whole Africa being present in a single-country setting. This country is inhabited by ancestral human lineages in unique eco-climatic conditions and diverse topography. Over 90 percent Cameroonians are at risk of malaria infection, and ~ 41 percent have at least one episode of malaria each year. Historically, the rate of malaria infection in Cameroon has fluctuated over the years; the number of cases was about 2 million in 2010 and 2011. The Cameroonian malaria control programme faces an uphill task due to high prevalence of multidrug-resistant parasites and insecticide-resistant malaria vectors. Above all, continued human migration from the rural to urban areas as well as population exchange with adjoining countries, high rate of ecological instabilities caused by deforestation, poor housing, lack of proper sanitation and drainage system might have resulted in the recent increase in incidences of malaria and other vector-borne diseases in Cameroon. The available data on eco-environmental variability and intricate malaria epidemiology in Cameroon reflect the situation in the whole of Africa, and warrant the need for in-depth study by using modern surveillance tools for meaningful basic understanding of the malaria triangle (host-parasite-vector-environment). PMID:25116627

  12. Geochronological, geochemical and mineralogical constraints of emplacement depth of TTG suite from the Sinassi Batholith in the Central African Fold Belt (CAFB) of northern Cameroon: Implications for tectonomagmatic evolution

    NASA Astrophysics Data System (ADS)

    Houketchang Bouyo, M.; Penaye, J.; Njel, U. O.; Moussango, A. P. I.; Sep, J. P. N.; Nyama, B. A.; Wassouo, W. J.; Abaté, J. M. E.; Yaya, F.; Mahamat, A.; Ye, Hao; Wu, Fei

    2016-04-01

    The Sinassi Batholith in the Central African Fold Belt (CAFB) of northern Cameroon represents the largest volume of plutonic rocks or granitoids massif of the Western Cameroonian Domain. It is made up dominantly of tonalite-trondhjemite-granodiorite (TTG) suite and lesser granite which are locally more or less deformed, and composed of varying proportions of quartz, plagioclase, K-feldspar, biotite, hornblende, sphene, magnetite, apatite and zircon. Major and trace element compositions of fifteen rock samples of granitoids (Djourdé granodiorite, Sinassi quartz diorite and orthogneisses groups) indicate that investigated rocks from the Sinassi Batholith are characterized by medium- to high-K calc-alkaline affinity and metaluminous I-type signature. In addition, their chondrite- and primitive mantle-normalized trace element patterns are strongly fractionated ((La/Yb)N = 2.96-61.40) and show respectively enrichment in LREE relative to HREE and enrichment in LILE compared to HFSE with moderate to slight negative Nb-Ta, Ti and Eu anomalies consistent with a continental magmatic arc setting related to a subduction zone. Geothermobarometric calculations using hornblende-plagioclase thermometry and aluminum-in-hornblende barometry on eleven rock samples indicate that plutons from Sinassi Batholith were emplaced at average temperatures and pressures ranging between 698 and 720 °C and 4.06-5.82 kbar (Djourdé granitoids), 698-728 °C and 4.04-5.34 kbar (Sinassi granitoids) and 667-670 and 4.23-4.76 kbar (orthogneisses group) respectively. The average emplacement depths estimates for the investigated granitoids is constrained at ca 16-18 km, indicating that at least 16 km of crustal rocks of the Sinassi Batholith must have been eroded or uplifted at approximately exhumation rates of 0.08-0.10 mm/year. Regardless of their Th/U ratios, geochronological results highlight three main events characterizing the Neoproterozoic tectonomagmatic evolution within the Sinassi Batholith

  13. Implementation of a children’s hospital-wide central venous catheter insertion and maintenance bundle

    PubMed Central

    2013-01-01

    Background Central venous catheter-associated bloodstream infections in children are an increasingly recognized serious safety problem worldwide, but are often preventable. Central venous catheter bundles have proved effective to prevent such infections. Successful implementation requires changes in the hospital system as well as in healthcare professionals’ behaviour. The aim of the study is to evaluate process and outcome of implementation of a state-of-the-art central venous catheter insertion and maintenance bundle in a large university children’s hospital. Methods/design An interrupted time series design will be used; the study will encompass all children who need a central venous catheter. New state-of-the-art central venous catheter bundles will be developed. The Pronovost-model will guide the implementation process. We developed a tailored multifaceted implementation strategy consisting of reminders, feedback, management support, local opinion leaders, and education. Primary outcome measure is the number of catheter-associated infections per 1000 line-days. The process outcome is degree of adherence to use of these central venous catheter bundles is the secondary outcome. A cost-effectiveness analysis is part of the study. Outcomes will be monitored during three periods: baseline, pre-intervention, and post-intervention for over 48 months. Discussion This model-based implementation strategy will reveal the challenges of implementing a hospital-wide safety program. This work will add to the body of knowledge in the field of implementation. We postulate that healthcare workers’ willingness to shift from providing habitual care to state-of-the-art care may reflect the need for consistent care improvement. Trial registration: Dutch trials registry, trial # 3635. Trial registration Dutch trials registry (http://www.trialregister.nl), trial # 3635 PMID:24125520

  14. Implementation of a Central Line Maintenance Care Bundle in Hospitalized Pediatric Oncology Patients

    PubMed Central

    Chen, Allen R.; Bundy, David G.; Colantuoni, Elizabeth; Fratino, Lisa; Drucis, Kim M.; Panton, Stephanie Y.; Kokoszka, Michelle; Budd, Alicia P.; Milstone, Aaron M.; Miller, Marlene R.

    2012-01-01

    OBJECTIVE: To investigate whether a multidisciplinary, best-practice central line maintenance care bundle reduces central line-associated blood stream infection (CLABSI) rates in hospitalized pediatric oncology patients and to further delineate the epidemiology of CLABSIs in this population. METHODS: We performed a prospective, interrupted time series study of a best-practice bundle addressing all areas of central line care: reduction of entries, aseptic entries, and aseptic procedures when changing components. Based on a continuous quality improvement model, targeted interventions were instituted to improve compliance with each of the bundle elements. CLABSI rates and epidemiological data were collected for 10 months before and 24 months after implementation of the bundle and compared in a Poisson regression model. RESULTS: CLABSI rates decreased from 2.25 CLABSIs per 1000 central line days at baseline to 1.79 CLABSIs per 1000 central line days during the intervention period (incidence rate ratio [IRR]: 0.80, P = .58). Secondary analyses indicated CLABSI rates were reduced to 0.81 CLABSIs per 1000 central line days in the second 12 months of the intervention (IRR: 0.36, P = .091). Fifty-nine percent of infections resulted from Gram-positive pathogens, 37% of patients with a CLABSI required central line removal, and patients with Hickman catheters were more likely to have a CLABSI than patients with Infusaports (IRR: 4.62, P = .02). CONCLUSIONS: A best-practice central line maintenance care bundle can be implemented in hospitalized pediatric oncology patients, although long ramp-up times may be necessary to reap maximal benefits. Further research is needed to determine if this CLABSI rate reduction can be sustained and spread. PMID:22945408

  15. Thanking Responders in Cameroon English

    ERIC Educational Resources Information Center

    Ouafeu, Yves Talla Sando

    2009-01-01

    An analysis of authentic or genuine interactions among Cameroon English speakers reveals that conversational routines in this variety of English differ a good deal from those obtained in other varieties of English, non-native varieties of English inclusive, and more specifically in native varieties of English. This paper looks at "thanking…

  16. [Supporting system for regional medical liaison and role of a central hospital].

    PubMed

    Kitano, Seigo

    2003-04-01

    The current status and future development of the supporting system for regional medical liaison and a role of the central hospital in the network were outlined. One of such supportive systems for regional medical network would be tele-medicine or tele-mentoring that include radiological and pathological diagnoses in distance, tele-surgery, and tele-education. Most of these systems are facilitated in the universities and affiliated hospitals and generally need high-cost communication equipment. Another approach is the information sharing system through the modern telecommunication network. Electronic patient record (EPR) systems are the key to achieving this and currently active in several areas. Since the recent progress in information technology (IT) is astonishing, community-based EPR systems are practical with the capability of clinical information exchange between different institutions and even with patients. The role of a central hospital in these systems must be capacious. Management and continuous operation of the system would be the most important affairs. For extending these supporting systems to the ones working in a broader area, the establishment of a "one ID for one patient" system is crucial. Strict security management of the data base and legal institution for distant medical practice still remain as the future tasks. PMID:12774744

  17. Structure of the crust beneath Cameroon (West Africa) revealed by ambient noise tomography

    NASA Astrophysics Data System (ADS)

    Guidarelli, M.; Zandomeneghi, D.; Aoudia, A.

    2011-12-01

    As Cameroon is characterized by moderate seismicity, mainly restricted to Mt. Cameroon, the study of crust and uppermost mantle with traditional seismic tomography methods can be very limited. We use the ambient noise surface wave tomography to overcome the limitations of traditional methods and fully exploit the Cameroon network data. By cross-correlating six months of continuous seismic noise records from 32 broadband stations distributed across Cameroon, we have been able to measure Rayleigh wave group velocity in the period range 5-35 s, sensitive to approximately the upper 40 km of the crust, for about 300 station-to-station paths. We first apply a dispersion analysis using the frequency-time analysis to obtain the group velocity of the fundamental mode of Rayleigh waves for periods ranging from 5 to 35 sec. We then invert path-averaged dispersion curves to obtain 2D maps, on a 0.5 ° x0.5 ° nodal grid, of group velocity for discrete periods using a method that is the generalization to two dimensions of the Backus and Gilbert method. We obtain tomographic group velocity maps of the Cameroon crust that image the main tectonic features of the Cameroon crust, with an unprecedented detail on the major West Africa tectonic feature, known as Cameroon Volcanic Line. Through Cameroon, the anomaly maps clearly show both higher- and slower-than-average velocities, marking a variety of geological/tectonic features. In the period range 10-20 s, which corresponds to crustal depths, the most evident features are: the high velocity region, wide and composite, in southern Cameroon in clear spatial correspondence with the Congo Craton; the low velocity in the central-eastern part of the country corresponding to the Adamawa Plateau; a strong low velocity anomaly beneath Mt. Cameroon that persists up to 25 s period; and low group velocities along the border with Nigeria. Based on our new results and integrated with precedent studies we discuss the origin of the Cameroon

  18. [Branch N 1 of the Vishhnevsky central military clinical hospital N 3 celebrates the 70th anniversary].

    PubMed

    Esipov, A V; Meshkov, A V; Galik, V P; Musailov, V A

    2016-04-01

    On May 2016 the 114th Central aircraft hospital of fighters of air defense troop celebrates the 70th anniversary. Since the establishment of the hospital soldiers took an active part in medical support of the Soviet and later the Russian Air Force. During its existence, the hospital repeatedly reorganized, is now a modern military medical institution, has qualified and specialized medical care to the wounded and sick. PMID:27416723

  19. Characteristics and visual outcomes of patients hospitalized for ocular trauma in central China: 2006–2011

    PubMed Central

    Qi, Ying; Zhang, Feng-Yan; Peng, Guang-Hua; Zhu, Yu; Wan, Guang-Ming; Wang, Wen-Zhan; Ma, Jing; Ren, Shi-Jie

    2015-01-01

    AIM To complete the data of ocular trauma in central China, as a well-known tertiary referral center for ocular trauma, we documented the epidemiological characteristics and visual outcomes of patients hospitalized for ocular trauma in this region. METHODS A retrospective study of patients hospitalized for ocular trauma in central China from 2006 to 2011 was performed. RESULTS This study included 5964 eyes of 5799 patients. The average age was 35.5±21.8y with a male-to-female ratio of 2.8:1. The most common age was 45-59y age group. Most patients were farmers and workers (51.9%). The most common injuries were firework related (24.5%), road traffic related (24.2%), and work related (15.0%). Among the most common causative agents were firecrackers (24.5%), followed by metal/knife/scissors (21.4%). Most injuries occurred in January (14.2%), February (27.0%), and August (10.0%). There were 8.5% patients with ocular injuries combined with other injuries. The incidence of open ocular injuries (4585 eyes, 76.9%) was higher than closed ocular injuries (939 eyes, 15.7%). The incidences of chemical and thermal ocular injuries were 1.2% and 0.6%. Ocular trauma score (OTS) predicted final visual acuity at non light perception (NLP), 20/200-20/50 and 20/40 with a sensitivity of 100%, and light perception (LP)/hand motion (HM) and 1/200-19/200 with a specificity of 100%. CONCLUSIONS This study provides recent epidemiological data of patients hospitalized for ocular trauma in central China. Some factors influencing the visual outcome include time interval between injury and visit to the clinic, wound location, open or closed globe injury, initial visual acuity, and OTS. PMID:25709927

  20. We are family? Spanish law and lesbian normalization in Hospital Central.

    PubMed

    Calvo, Mónica; Escudero, Maite

    2009-01-01

    After four decades of a repressive dictatorial regime during which homosexuality was banned and punished with prison sentence and electroshock, Spain became a democratic country in 1978. The social, political, and legal debates previous to the passing of the law on same-sex marriage in June 2005 fueled lesbian visibility in the media. Considering that the emergence of lesbian representation has been linked to these social and political changes, our contribution centers on the ways in which the prime time TV series Hospital Central unravels as a vehicle for the normalization of lesbian relationships and families as addressed to a mostly heterosexual audience. PMID:19197662

  1. Antibiotic Prescribing among Pediatric Inpatients with Potential Infections in Two Private Sector Hospitals in Central India

    PubMed Central

    Pathak, Ashish; Stålsby Lundborg, Cecilia

    2015-01-01

    Introduction Infectious diseases are one of the major causes of child mortality in India. Pediatric patients are commonly prescribed antibiotics for non-bacterial infections. Monitoring of local antibiotic prescribing with respect to the diagnosis is necessary to improve the prescribing practices. The aim of the study was to describe antibiotic prescribing for potential infections among patients admitted in pediatric departments in two private sector hospitals; one teaching (TH) and one non-teaching (NTH) in Central India. Methods Data from all patients admitted at the pediatric departments of both study hospitals was collected manually, for 3 years (2008–2011) using a customized form. Data from inpatients aged 0–18 years, diagnosed with; acute gastroenteritis (AGE), respiratory tract infections, enteric fever, viral fever or unspecified fever were focused for analysis. Antibiotic prescriptions were analysed using the WHO Anatomical Therapeutic Chemical (ATC) classification system and defined daily doses (DDDs). Adherence to the Indian Academy of Pediatrics list of essential medicines (IAP-LEM) was investigated. P-values <0.05 were considered significant. Results Oftotal6, 825 inpatients admitted at two pediatric departments, 510 patients from the TH and 2,479from the NTH were selected based on the assigned potential infectious diagnoses. Of these, 224 patients (44%) at the TH and 2,088 (84%) at the NTH were prescribed at least one antibiotic during hospital stay (odds ratio-0.69, 95%confidence interval-0.52 to 0.93; p<0.001). Patients with AGE, viral- and enteric fever were frequently prescribed antibiotics at both hospitals, yet higher proportion were prescribed antibiotics at the NTH compared to the TH. Broad-spectrum antibiotics were the most commonly prescribed antibiotic class in both hospitals, namely third generation cephalosporins, J01DD (69%) at the TH, and new fixed dose combinations of antibiotics J01R (FDCs, 42%) at the NTH. At the TH, 37% of the

  2. English in Francophone Elementary Grades in Cameroon

    ERIC Educational Resources Information Center

    Kouega, Jean-Paul

    2003-01-01

    Since Reunification of French Cameroon and British Cameroons in 1961, the country has adopted French and English as its joint official languages and recommended the promotion of bilingualism in these two foreign languages in official domains. This paper focuses on the primary school level in the francophone sub system of education and examines the…

  3. Basals in Cameroon: Help or Hindrance?

    ERIC Educational Resources Information Center

    Yenika-Agbaw, Vivian

    1999-01-01

    States that in "developing" countries such as Cameroon, educators struggle to overcome the remnants of colonial educational systems and instructional methods, which are not in keeping with current educational theory. Examines the inadequacies of the Evans English textbooks used for literacy instruction in West Cameroon schools as an example of how…

  4. Exploring the Game of "Julirde": A Mathematical-Educational Game Played by Fulbe Children in Cameroon.

    ERIC Educational Resources Information Center

    Gerdes, Paulus

    2001-01-01

    Presents an educational mathematical activity from Africa. Shows how one child explored the game of Julirde, a game of the mosque emphasizing problem solving and symmetry. Offers several suggestions for exploring the game from the central African country of Cameroon in the elementary school mathematics classroom. (ASK)

  5. "A Child has Many Mothers": Views of Child Fostering in Northwestern Cameroon

    ERIC Educational Resources Information Center

    Verhoef, Heidi

    2005-01-01

    This article examines 20 fostering arrangements in a growing urban community in northwestern Cameroon from the perspectives of those involved. Analysis of interviews with caregivers and birth mothers suggests that the nature of adult relationships is central to children's living arrangements. Three caregiver-mother relationship profiles are…

  6. Early management of traumatic brain injury in a Tertiary hospital in Central Kenya: A clinical audit

    PubMed Central

    Mwita, Clifford Chacha; Muthoka, Johnstone; Maina, Stephen; Mulingwa, Phillip; Gwer, Samson

    2016-01-01

    Background: Traumatic brain injury (TBI) is a major cause of death and disability worldwide and is mostly attributed to road traffic accidents in resource-poor areas. However, access to neurosurgical care is poor in these settings and patients in need of neurosurgical procedures are often managed by general practitioners or surgeons. Materials and Methods: A retrospective clinical audit of the initial management of patients with TBI in Thika Level 5 Hospital (TL5H), a Tertiary Hospital in Central Kenya. Seventeen audit criteria divided into five clinical domains were identified and patient case notes reviewed for compliance with each criterion. Data were analyzed separately for those below 13 years owing to differences in response to brain trauma in those below this age. Results: Overall, there was poor compliance with audit criteria in both groups. Among those below 13 years of age, only 3 out of 17 criteria achieved compliance and 4 out of 17 criteria achieved compliance for those above 13 years of age. Assessment for the need for a cervical radiograph (7.1% and 8.8% compliance) and administration of oxygen (21.4% and 20.6% compliance) had the worst performance in both groups. Conclusion: Poor compliance to audit criteria indicates the low quality of care for patients with TBI in TL5H. Quality improvement strategies with follow-up audits are needed to improve care. There is a need to develop and enforce evidence-based protocols and guidelines for use in the management of patients with TBI in sub-Saharan Africa. PMID:26933354

  7. A Module for Hospital Central Processing Technicians on Decontamination, Assembly and Wrapping Concepts of GYN Hysterectomy Instruments.

    ERIC Educational Resources Information Center

    Wojcik, Roseann B.; Moseley, James L.

    This learning module can be used as an orientation guide, inservice tool, or resource guide for hospital central processing department technicians and instructors. It contains information sheets, worksheets, worksheet answers, a posttest, and posttest answers on correct procedures for decontaminating, assembling, and wrapping the medical…

  8. Cameroon and Chad: cost recovery.

    PubMed

    Godin, C

    1998-04-01

    African Ministers of Health adopted the Bamako Initiative in 1987 to ensure sustainable and efficient primary health care (PHC), with an eye toward decreasing levels of morbidity and mortality in Africa. The initiative has made local communities largely responsible for identifying problems and distributing and managing local health care resources. Cost recovery is a key component of the Bamako Initiative. The adoption of a policy of decentralization in which the immediate providers and users of PHC services are responsible for the recovery of costs was recommended. Chad and Cameroon decentralized its health services in 1990 and 1992, respectively. With onchocerciasis one of these 2 countries' most important public health problems, the 2 governments decided to base onchocerciasis control efforts upon the mass distribution of Mectizan (ivermectin, MSD) integrated into the local PHC systems and including cost recovery. Community participation must now be developed to ensure the sustainability of treatment programs in both countries. In both Cameroon and Chad, studies have found that the introduction of cost recovery has had no significant effect upon treatment coverage in hyper- and meso-endemic communities. In fact, those charged for Mectizan treatment often believe that the drug must be worthwhile because they have to pay for it. PMID:9861286

  9. Factors associated with low birth weight among neonates born at Olkalou District Hospital, Central Region, Kenya

    PubMed Central

    Muchemi, Onesmus Maina; Echoka, Elizabeth; Makokha, Anselimo

    2015-01-01

    Introduction Ninety-two percent of Low Birth Weight(LBW) infants are born in developing countries, 70% in Asia and 22% in Africa. WHO and UNICEF estimate LBW in Kenya as11% and 6%by 2009 Kenya Demographic Health Survey. The same survey estimated LBW to be 5.5% in Central Province, Kenya. Data in Olkalou hospital indicated that prevalence of LBW was high. However, factors giving rise to the problem remained unknown. Methods A cross-sectional analytic study was therefore conducted to estimate prevalence and distribution and determine the factors associated with LBW in the hospital. LBW was defined as birth of a live infant less than 2500g. We collected data using a semi-structured questionnaire and review of health records. A total 327 women were randomly selected from 500mothers. Data was managed using Epi Info 3.3.2. Results The prevalence of LBW was 12.3% (n=40). The mean age of mothers was 25.6±6.2 years. Mean birth weight was 2928±533 grams. There were 51.1% (n=165) male neonates and 48.9% (n=158) females. The following factors were significantly associated with LBW:LBW delivery in a previous birth (OR=4.7, 95%C.I.=1.53-14.24), premature rapture of membranes (OR=2.95, 95%C.I.=1.14-7.62), premature births (OR=3.65, 95%C.I.=1.31-10.38), and female newborn (OR=2.32, 95%C.I.=1.15-4.70). On logistic regression only delivery of LBW baby in a previous birth (OR=5.07, 95%C.I.=1.59-16.21) and female infant (OR=3.37, 95%C.I.=1.14-10.00)were independently associated with LBW. Conclusion Prevalence of LBW in the hospital was higher than national estimates. Female infant and LBW baby in a previous birth are independent factors. Local prevention efforts are necessary to mitigate the problem. Population-based study is necessary to provide accurate estimates in the area. PMID:26090056

  10. Analysis of 126 hospitalized elder maxillofacial trauma victims in central China

    PubMed Central

    Zhang, Rui; Li, Wenlu; Pei, Fei; He, Wei

    2015-01-01

    Background The aim of this study was to analyzed the characteristics and treatment of maxillofacial injuries in the elder patients with maxillofacial injuries in central China. Material and Methods We retrospectively analyzed the characteristics and treatment of maxillofacial injuries in the patients over the age of 60 to analyze the trends and clinical characteristics of maxillofacial trauma in elder patients from the First Affiliated Hospital of Zhengzhou University (from 2010 to 2013) in central China and to present recommendations on prevention and management. Results Of the 932 patients with maxillofacial injuries, 126 aged over 60 years old accounting for 13.52% of all the patients (male:female, 1.74:1; mean age, 67.08 years old). Approximately 52% of the patients were injured by falls. The most frequently observed type of injuries was soft tissue injuries (100%), followed by facial fractures (83.05%). Of the patients with soft tissue injuries, the abrasions accounted the most, followed by lacerations. The numbers of patients of midface fracture (60 patients) were almost similar to the number of lower face fractures (66 patients). Eighty two patients (65.08%%) demonstrated associated injuries, of which craniocerebral injuries were the most prevalent. One hundred and four patients (82.54%) had other systemic medical conditions, with cardiovascular diseases the most and followed by metabolic diseases and musculoskeletal conditions. Furthermore, the study indicated a relationship between maxillofacial fractures and musculoskeletal conditions. Only 13 patients (10.32%) sustained local infections, of whom had other medical conditions. Most of the facial injuries (85.71%) in older people were operated including debridement, fixing loose teeth, reduction, intermaxillary fixation and open reduction and internal fixation (ORIF). Conclusions Our analysis of the characteristics of maxillofacial injuries in the elder patents may help to promote clinical research to

  11. Carbapenem Resistance among Enterobacter Species in a Tertiary Care Hospital in Central India

    PubMed Central

    Khajuria, Atul; Praharaj, Ashok Kumar; Kumar, Mahadevan; Grover, Naveen

    2014-01-01

    Objective. To detect genes encoding carbapenem resistance among Enterobacter species in a tertiary care hospital in central India. Methods. Bacterial identification of Enterobacter spp. isolates from various clinical specimens in patients admitted to intensive care units was performed by routine conventional microbial culture and biochemical tests using standard recommended techniques. Antibiotic sensitivity test was performed by standard Kirby Bauer disc diffusion technique. PCR amplification and automated sequencing was carried out. Transfer of resistance genes was determined by conjugation. Results. A total of 70/130 (53.84%) isolates of Enterobacter spp. were found to exhibit reduced susceptibility to imipenem (diameter of zones of inhibition ≤13 mm) by disc diffusion method. Among 70 isolates tested, 48 (68.57%) isolates showed MIC values for imipenem and meropenem ranging from 32 to 64 mg/L as per CLSI breakpoints. All of these 70 isolates were found susceptible to colistin in vitro as per MIC breakpoints (<0.5 mg/L). PCR carried out on these 48 MBL (IP/IPI) E-test positive isolates (12 Enterobacter aerogenes, 31 Enterobacter cloacae, and 05 Enterobacter cloacae complex) was validated by sequencing for beta-lactam resistance genes and result was interpreted accordingly. Conclusion. The study showed MBL production as an important mechanism in carbapenem resistance in Enterobacter spp. and interspecies transfer of these genes through plasmids suggesting early detection by molecular methods. PMID:25180095

  12. Molecular epidemiology of Acinetobacter baumannii in central intensive care unit in Kosova Teaching Hospital.

    PubMed

    Raka, Lul; Kalenć, Smilja; Bosnjak, Zrinka; Budimir, Ana; Katić, Stjepan; Sijak, Dubravko; Mulliqi-Osmani, Gjyle; Zoutman, Dick; Jaka, Arbëresha

    2009-12-01

    Infections caused by bacteria of genus Acinetobacter pose a significant health care challenge worldwide. Information on molecular epidemiological investigation of outbreaks caused by Acinetobacter species in Kosova is lacking. The present investigation was carried out to enlight molecular epidemiology of Acinetobacter baumannii in the Central Intensive Care Unit (CICU) of a University hospital in Kosova using pulse field gel electrophoresis (PFGE). During March - July 2006, A. baumannii was isolated from 30 patients, of whom 22 were infected and 8 were colonised. Twenty patients had ventilator-associated pneumonia, one patient had meningitis, and two had coinfection with bloodstream infection and surgical site infection. The most common diagnoses upon admission to the ICU were politrauma and cerebral hemorrhage. Bacterial isolates were most frequently recovered from endotracheal aspirate (86.7%). First isolation occurred, on average, on day 8 following admission (range 1-26 days). Genotype analysis of A. baumannii isolates identified nine distinct PFGE patterns, with predominance of PFGE clone E represented by isolates from 9 patients. Eight strains were resistant to carbapenems. The genetic relatedness of Acinetobacter baumannii was high, indicating cross-transmission within the ICU setting. These results emphasize the need for measures to prevent nosocomial transmission of A. baumannii in ICU. PMID:20464330

  13. A Ground Deformation Monitoring Approach to Understanding Magma Chamber Systems and Eruptive Cycles of Mount Cameroon

    NASA Astrophysics Data System (ADS)

    Riley, S.; Clarke, A.

    2005-05-01

    Mount Cameroon is a 13,400ft basanite volcano on the passive margin of West Africa. It has erupted seven times in the past century making it one of the most active volcanoes in Africa. Most recently Mount Cameroon erupted in 1999 and 2000 first issuing strombolian explosions from vents near the summit, and later erupting effusively from a fissure running southwest from the summit (Suh et al., 2003). Prior to 2004, the only monitoring equipment on Mount Cameroon was a small seismometer network installed following the 1982 eruption. By 1999 only a single seismometer in the network was functional. Seismic activity did not rise above background levels until the few days immediately preceding the eruption. In an effort to raise awareness of the volcano's condition and provide a more efficient warning of impending eruptions we have begun constructing a ground deformation network on Mount Cameroon. The new network currently consists of two Applied Geomechanics 711-2A(4X) biaxial tiltmeters capable of resolving 0.1 microradians of tilt. One station is located approximately 500 m from the 2000 summit vent, and the other is approximately 1km away from the central fissure approximately 5km southwest of the 2000 summit vent. Three primary processes could precede eruptions at Mt. Cameroon, offering the opportunity for detection and prediction by our network. These processes are magma chamber pressurization, magma ascent via a central conduit, and/or propagation of magma along the central fissure. Magma chamber location, if a significant chamber exists, is poorly constrained, however, previous petrologic studies on Mount Cameroon (Suh et al., 2003; Fitton et al., 1983) suggest Mount Cameroon magmas originate at a depth less than 40km. Published seismic data (Ambeh, 1989) contains evidence of magmatic activity and possible chambers at depths ranging from 10km to 70km. Preliminary calculations using a simple Mogi model suggest deformation caused by pressurization of a large

  14. Aetiologies of Central Nervous System Infection in Viet Nam: A Prospective Provincial Hospital-Based Descriptive Surveillance Study

    PubMed Central

    Ho Dang Trung, Nghia; Le Thi Phuong, Tu; Wolbers, Marcel; Nguyen Van Minh, Hoang; Nguyen Thanh, Vinh; Van, Minh Pham; Thieu, Nga Tran Vu; Le Van, Tan; Song, Diep To; Le Thi, Phuong; Thi Phuong, Thao Nguyen; Van, Cong Bui; Tang, Vu; Ngoc Anh, Tuan Hoang; Nguyen, Dong; Trung, Tien Phan; Thi Nam, Lien Nguyen; Kiem, Hao Tran; Thi Thanh, Tam Nguyen; Campbell, James; Caws, Maxine; Day, Jeremy; de Jong, Menno D.; Van Vinh, Chau Nguyen; Van Doorn, H. Rogier; Tinh, Hien Tran; Farrar, Jeremy; Schultsz, Constance

    2012-01-01

    Background Infectious diseases of the central nervous system (CNS) remain common and life-threatening, especially in developing countries. Knowledge of the aetiological agents responsible for these infections is essential to guide empiric therapy and develop a rational public health policy. To date most data has come from patients admitted to tertiary referral hospitals in Asia and there is limited aetiological data at the provincial hospital level where most patients are seen. Methods We conducted a prospective Provincial Hospital-based descriptive surveillance study in adults and children at thirteen hospitals in central and southern Viet Nam between August 2007– April 2010. The pathogens of CNS infection were confirmed in CSF and blood samples by using classical microbiology, molecular diagnostics and serology. Results We recruited 1241 patients with clinically suspected infection of the CNS. An aetiological agent was identified in 640/1241 (52%) of the patients. The most common pathogens were Streptococcus suis serotype 2 in patients older than 14 years of age (147/617, 24%) and Japanese encephalitis virus in patients less than 14 years old (142/624, 23%). Mycobacterium tuberculosis was confirmed in 34/617 (6%) adult patients and 11/624 (2%) paediatric patients. The acute case fatality rate (CFR) during hospital admission was 73/617 (12%) in adults and to 42/624 (7%) in children. Conclusions Zoonotic bacterial and viral pathogens are the most common causes of CNS infection in adults and children in Viet Nam. PMID:22662232

  15. A multi-criteria assessment of scenarios on thermal processing of infectious hospital wastes: A case study for Central Macedonia

    SciTech Connect

    Karagiannidis, A.; Papageorgiou, A.; Perkoulidis, G.; Sanida, G.; Samaras, P.

    2010-02-15

    In Greece more than 14,000 tonnes of infectious hospital waste are produced yearly; a significant part of it is still mismanaged. Only one off-site licensed incineration facility for hospital wastes is in operation, with the remaining of the market covered by various hydroclave and autoclave units, whereas numerous problems are still generally encountered regarding waste segregation, collection, transportation and management, as well as often excessive entailed costs. Everyday practices still include dumping the majority of solid hospital waste into household disposal sites and landfills after sterilization, still largely without any preceding recycling and separation steps. Discussed in the present paper are the implemented and future treatment practices of infectious hospital wastes in Central Macedonia; produced quantities are reviewed, actual treatment costs are addressed critically, whereas the overall situation in Greece is discussed. Moreover, thermal treatment processes that could be applied for the treatment of infectious hospital wastes in the region are assessed via the multi-criteria decision method Analytic Hierarchy Process. Furthermore, a sensitivity analysis was performed and the analysis demonstrated that a centralized autoclave or hydroclave plant near Thessaloniki is the best performing option, depending however on the selection and weighing of criteria of the multi-criteria process. Moreover the study found that a common treatment option for the treatment of all infectious hospital wastes produced in the Region of Central Macedonia, could offer cost and environmental benefits. In general the multi-criteria decision method, as well as the conclusions and remarks of this study can be used as a basis for future planning and anticipation of the needs for investments in the area of medical waste management.

  16. [Ano-rectal injuries in civilian practice in Cameroon. 10 case reports].

    PubMed

    Yao, J G; Masso-Misse, P; Malonga, E

    1994-01-01

    At the Central Hospital of Yaoundé, Cameroon, 10 ano-rectal injuries were treated over a period of 5 years. There were the same number of men and women and all patients were young (range: 7 to 35 years). The cause was illegal abortion in 2 cases and impalement following a fall from a tree in 3. The time lapse between injury and treatment was longer than 24 hours in 5 patients. In 2 cases the lesions were minor and simple debridement was possible. In the remaining 8 cases, construction of a colostomy was required using either the Hartmann terminal-type technique (n = 5) or the exclusion technique (n = 3). Three patients died: one from traumatic shock and two from septic shock. Complications were observed in 4 patients: 2 infections and 2 mechanical complications. Two patients presented permanent sequels including one with partial fecal incontinence. This study confirms the difficulty in management of ano-rectal injuries with limited facilities and reveals the variety of situations that can lead to these injuries especially in children in Africa. PMID:7934784

  17. Etiologic Agents of Central Nervous System Infections among Febrile Hospitalized Patients in the Country of Georgia

    PubMed Central

    Akhvlediani, Tamar; Bautista, Christian T.; Shakarishvili, Roman; Tsertsvadze, Tengiz; Imnadze, Paata; Tatishvili, Nana; Davitashvili, Tamar; Samkharadze, Tamar; Chlikadze, Rusudan; Dvali, Natia; Dzigua, Lela; Karchava, Mariam; Gatserelia, Lana; Macharashvili, Nino; Kvirkvelia, Nana; Habashy, Engy Emil; Farrell, Margaret; Rowlinson, Emily; Sejvar, James; Hepburn, Matthew; Pimentel, Guillermo; Dueger, Erica; House, Brent; Rivard, Robert

    2014-01-01

    Objectives There is a large spectrum of viral, bacterial, fungal, and prion pathogens that cause central nervous system (CNS) infections. As such, identification of the etiological agent requires multiple laboratory tests and accurate diagnosis requires clinical and epidemiological information. This hospital-based study aimed to determine the main causes of acute meningitis and encephalitis and enhance laboratory capacity for CNS infection diagnosis. Methods Children and adults patients clinically diagnosed with meningitis or encephalitis were enrolled at four reference health centers. Cerebrospinal fluid (CSF) was collected for bacterial culture, and in-house and multiplex RT-PCR testing was conducted for herpes simplex virus (HSV) types 1 and 2, mumps virus, enterovirus, varicella zoster virus (VZV), Streptococcus pneumoniae, HiB and Neisseria meningitidis. Results Out of 140 enrolled patients, the mean age was 23.9 years, and 58% were children. Bacterial or viral etiologies were determined in 51% of patients. Five Streptococcus pneumoniae cultures were isolated from CSF. Based on in-house PCR analysis, 25 patients were positive for S. pneumoniae, 6 for N. meningitidis, and 1 for H. influenzae. Viral multiplex PCR identified infections with enterovirus (n = 26), VZV (n = 4), and HSV-1 (n = 2). No patient was positive for mumps or HSV-2. Conclusions Study findings indicate that S. pneumoniae and enteroviruses are the main etiologies in this patient cohort. The utility of molecular diagnostics for pathogen identification combined with the knowledge provided by the investigation may improve health outcomes of CNS infection cases in Georgia. PMID:25369023

  18. Public health implications of contamination of Franc CFA (XAF) circulating in Buea (Cameroon) with drug resistant pathogens

    PubMed Central

    2014-01-01

    Background Studies in different parts of the world have implicated money as a vehicle for transmission of pathogens. Such information which is necessary to facilitate infection control strategies is lacking in many sub-Saharan countries including Cameroon. This study analyzed the Franc de la Communauté Financiere d’Afrique (Franc CFA), the currency used in Cameroon and other countries in the Central African sub-region, as a potential vehicle for transmission of pathogenic bacteria and fungi, particularly drug-resistant strains, to generate findings which could create awareness on currency contamination and serve as a guide when formulating health policies on currency. Methods Two hundred and thirteen currency samples representing various denominations of notes and coins randomly collected from diverse sources in Buea, Cameroon were analyzed for bacteria and fungi. The sensitivity of bacterial isolates to antibiotics was tested using the disc diffusion method. The relationship between contamination and physical state, source or denomination of currency was assessed using the χ2 test. All statistics were discussed at 0.05 significance level. Results Two hundred (93.9%) samples were contaminated with notes (96.6%) showing higher contamination than coins (88.2%). Uncirculated (mint) samples showed no contamination. There was a significant difference (P˂0.05) in contamination with respect to currency denomination, physical state and source. All samples from butchers and patients/personnel in hospitals were contaminated. Lower denominations showed significantly higher (P = 0.008) levels of contamination than higher denominations. Dirty currency was more contaminated than clean currency. Nine bacterial species were isolated. Coagulase-negative Staphylococcus (CoNS) (54.9%) and Staphylococcus aureus (20.1%) predominated. Among the fungi detected, Aspergillus sp (17.3%) and Penicillium sp (15.9%) showed higher frequency of occurrence. Bacteria were susceptible (100

  19. One Rural Hospital's Experience Implementing the Society for Healthcare Epidemiology of America Guidelines to Decrease Central Line Infections.

    PubMed

    Curlej, Maria H; Katrancha, Elizabeth

    2016-01-01

    In an effort to take advantage of the Highmark Quality Blue Initiative () requiring information from hospitals detailing their central line-associated blood stream infections (CLABSIs) surveillance system, quality improvement program, and statistics regarding the CLABSI events, this institution investigated the latest evidence-based recommendations to reduce CLABSIs. Recognizing the baseline rate of 2.4 CLABSIs per 1,000 central line days and its effect on patient outcomes and medical costs, this hospital made a commitment to improve their CLABSI outcomes. As a result, the facility adopted the Society for Healthcare Epidemiology of America (SHEA) guidelines. The purpose of this article is to review the CLABSI rates and examine the prevention strategies following implementation of the SHEA guidelines. A quantitative, descriptive retrospective program evaluation examined the hospital's pre- and post-SHEA implementation methods of decreasing CLABSIs and the subsequent CLABSI rates over 3 time periods. Any patient with a CLABSI infection admitted to this hospital July 2007 to June 2010 (N = 78). CLABSI rates decreased from 1.9 to 1.3 over the study period. Compliance with specific SHEA guidelines was evaluated and measures were put into place to increase compliance where necessary. CLABSI rates at this facility remain below the baseline of 2.4 for calendar year 2013 (0.79), 2014 (0.07), and 2015 (0.33). PMID:27618377

  20. Greeting, Hospitality, and Naming among the Bororo of Central Brazil. Working Papers in Sociolinguistics Number 37.

    ERIC Educational Resources Information Center

    Viertler, Renate B.

    Hospitality patterns of the Bororo Indians are illustrated in two examples: the etiquette due to a visiting chief from another Bororo village, and the etiquette due any common visitor from another Bororo village. Formal hospitality differs greatly from the usual etiquette. At a visiting chief's arrival, he enters as the last of his group and waits…

  1. Dynamic evolution of the Mt. Cameroon volcanic edifice

    NASA Astrophysics Data System (ADS)

    Barfod, Dan N.; Njome, Manga S.; Suh, Cheo E.; Godfrey Fitton, J.

    2014-05-01

    The growth and destruction of a volcanic edifice reflects dynamic processes that shape the Earth, including transport of mass and heat in a cooling planet versus the mechanical and chemical degradation of igneous material driving toward equilibrium. Central to understanding the nature of volcanoes are determinations of the rates of change in the volumes of these features. Through a quantitative temporal framework it is possible to elucidate the relative importance of competing processes that govern growth and destruction of volcanoes, e.g., magma production versus mass wasting. As the energetics of constructive and destructive processes are directly linked to the hazards that they pose to human populations and because volcanoes are stochastic systems, the only means of long-term forecast is via comprehensive understanding of volcanic history. Mount Cameroon is one of Africa's largest volcanoes and is currently the only active centre on the Cameroon line. The edifice is 4 km high with a volume of at least 1200 km3. Seventeen eruptions have been reported since 1800 and a time-averaged eruption volume of 6 x 106 m3/year is calculated from 7 eruptions over the past 91 years. Eight new Ar/Ar ages have been determined for basaltic rocks distributed across Mt. Cameroon; plateau ages are 4139±19 ka, 195±2 ka, 187±5 ka, 161±2 ka, 82±4, 68±3, 14±4 and 2±4 ka (1σ). The upper age from this set defines the oldest age yet measured for the Mt. Cameroon system. The data demonstrate activity through the mid to upper Pleistocene, continuing through to modern activity. Using recent estimates for basin-wide erosion of ca. 0.05 mm/a on a similar edifice (Kauai, Hawaii, Gayer et al 2008) and extrapolating over the Mt. Cameroon edifice yields an erosion rate of 5x104 m3/a, a factor of 30 times lower than the modern magma production rate. Considering these two fluxes implies that approximately 700 ka is required to construct an edifice of 1200 km3 (the current volume of Mt

  2. [Evaluation of the oropharyngeal tularemia cases admitted to our hospital from the provinces of Central Anatolia].

    PubMed

    Uyar, Melek; Cengiz, Buğra; Unlü, Murat; Celebi, Bekir; Kılıç, Selçuk; Eryılmaz, Adil

    2011-01-01

    Tularemia caused by the bacterium Francisella tularensis is a zoonotic infection which has re-emerged in Turkey in recent years as water-borne endemics. Oropharyngeal form is the most frequently reported form of the disease from Turkey. The aim of this study was to evaluate the clinical and laboratory findings of oropharyngeal tularemia patients admitted to ear, nose & throat outpatient clinic between January-March 2010. A total of 10 patients (age range: 16-80 years, mean age: 43.9 years; nine were male) inhabiting in the provinces in Central Anatolia, Turkey, were admitted to our hospital with the complaints of fever, sore throat and painful cervical lump. They have been previously diagnosed as tonsillo-pharyngitis at different medical centers and empirical antibiotic therapy has initiated, however, their complaints have not recovered. Endoscopic laryngoscopic examination revealed that oropharynx, larynx and hypopharynx were normal. Physical examination of the neck yielded localized fixed masses with diameters between 2-7 cm. The lesions were localized at right submandibular (n= 4), upper jugular (n=3) and one of each at left posterior cervical, left submandibular and left jugulodigastric regions. The patients were hospitalized with the pre-diagnosis of "neck mass with unknown origin" for further investigation and treatment. The mean white blood cell count of the cases was 9730 (7500-15.100) cells/µl; the mean erythrocyte sedimantation rate was 68.7 (46-85) mm3/hours and the mean C-reactive protein level was 4.3 (1.5-7.4) µg/dl. Salmonella, Brucella, Toxoplasma gondii, rubella, cytomegalovirus, herpes simplex virus, Epstein-Barr virus and viral hepatitis serology did not indicate acute infections. Serum and tissue samples were sent to Refik Saydam National Public Health Agency in order to test for tularemia, namely culture, microagglutination test (MAT), direct fluorescence antibody (DFA) test and in-house polymerase chain reaction (PCR). All of the patients

  3. The Burden of Orphans and Vulnerable Children Due to HIV/AIDS in Cameroon

    PubMed Central

    Nsagha, Dickson S; Bissek, Anne-Cécile ZK; Nsagha, Sarah M; Assob, Jules-Clement N; Kamga, Henri-Lucien F; Njamnshi, Dora M; Njunda, Anna L; Obama, Marie-Thérèse O; Njamnshi, Alfred K

    2012-01-01

    HIV/AIDS is a major public health problem in Cameroon and Africa, and the challenges of orphans and vulnerable children are a threat to child survival, growth and development. The HIV prevalence in Cameroon was estimated at 5.1% in 2010. The objective of this study was to assess the burden of orphans and vulnerable children due to HIV/AIDS in Cameroon. A structured search to identify publications on orphans and other children made vulnerable by AIDS was carried out. A traditional literature search on google, PubMed and Medline using the keywords: orphans, vulnerable children, HIV/AIDS and Cameroon was conducted to identify potential AIDS orphans publications, we included papers on HIV prevalence in Cameroon, institutional versus integrated care of orphans, burden of children orphaned by AIDS and projections, impact of AIDS orphans on Cameroon, AIDS orphans assisted through the integrated care approach, and comparism of the policies of orphans care in the central African sub-region. We also used our participatory approach working experience with traditional rulers, administrative authorities and health stakeholders in Yaounde I and Yaounde VI Councils, Nanga Eboko Health District, Isangelle and Ekondo Titi Health Areas, Bafaka-Balue, PLAN Cameroon, the Pan African Institute for Development-West Africa, Save the orphans Foundation, Ministry of Social Affairs, and the Ministry of Public Health. Results show that only 9% of all OVC in Cameroon are given any form of support. AIDS death continue to rise in Cameroon. In 1995, 7,900 people died from AIDS in the country; and the annual number rose to 25,000 in 2000. Out of 1,200,000 orphans and vulnerable children in Cameroon in 2010, 300,000(25%) were AIDS orphans. Orphans and the number of children orphaned by AIDS has increased dramatically from 13,000 in 1995 to 304,000 in 2010. By 2020, this number is projected to rise to 350,000. These deaths profoundly affect families, which often are split up and left without any

  4. Will Economic Crises in Africa Weaken Rural-Urban Ties? Insights from Child Fosterage Trends in Cameroon.

    ERIC Educational Resources Information Center

    Eloundou-Enyegue, Parfait M.; Stokes, C. Shannon

    2002-01-01

    In many African countries, rural-urban kinship ties support the education and economic mobility of rural children through fosterage into urban families. Demographic survey data from central Cameroon indicate major rural-urban differences in child fosterage relative to family characteristics and child's school performance, and show lower rural…

  5. Determining factors of observance of antiretroviral treatments in Cameroon during the start-up period (2000-2002)

    PubMed Central

    Commeyras, Christophe; Rey, Jean Loup; Badre-Sentenac, Stéphanie; Essomba-Ntsama, Claudine

    Objective: highlight the socioeconomic and environmental determining factors of long-term observance to antiretroviral treatments in developing countries. Method: The regularity of antiretroviral prescriptions renewal at the central pharmacy of the Yaounde Central Hospital (Cameroon) was measured through analysing the medical and pharmaceutical files of 230 patients over the 21 month start-up period. 99 patients were also interviewed during the last six months. The determining factors were analysed according to various socio-economic criteria, linked with the longitudinal study of treatment observance. Results: The huge price decrease of HIV treatments during the start-up period was conducive to an increase in new treatments by a factor 5.76. In this context of an exploding demand, the paper shows that observance is firstly dependent on quality information about illness and treatment protocols, while longer term adherence is partly dependent on financial capability, and includes the strong influence of living conditions and behaviours. Conclusion: The paper recommends the introduction of free treatment as an objective in national sector policies and the organisation of a long term following-up of patients. In the African context of poverty and actual decentralisation of healthcare, the question of the availability of human resources is profoundly enhanced. PMID:25214897

  6. [Clinical-parasitological experiences in Cameroon].

    PubMed

    Schubert, S

    1991-02-01

    Clinical-parasitological experiences collected 1989 in Cameroon during a 6-weeks lasting medical work are reported. Malaria tropica is by far the greatest problem due to the impossibility of an effective epidemiologic control, further to rising drug resistances. Beside malaria there are plenty of other parasitoses, but they are more restricted to lower social groups and to certain geographic regions--to the extreme Northern part of Cameroon in particular. Furthermore the actual situation depends also from epidemiologic control programmes. So the trypanosomiasis seems to be under epidemiologic control, the onchocerciasis in opposite to it has been increased again due to the absence of an effective control programme at present. PMID:2039090

  7. Two new butterfly species (Lepidoptera: Rhopalocera) from Mount Cameroon, Gulf of Guinea Highlands, Cameroon.

    PubMed

    Sáfián, Szabolcs; Tropek, Robert

    2016-01-01

    A field survey of Mount Cameroon, South-West Province, Cameroon, revealed two butterfly species new to science. Lepidochrysops liberti sp. nov. (Lycaenidae) flies in the extensive mosaic of natural clearings in sub-montane forest above 1100 m a.s.l., whereas Ceratrichia fako sp. nov. (Hesperiidae) locally inhabits the forested narrow gullies in the same vegetation zone. Observations on the habitat and behaviour of both species are also presented. PMID:27515650

  8. Structure of the Crust beneath Cameroon, West Africa, from the Joint Inversion of Rayleigh Wave Group Velocities and Receiver Functions

    SciTech Connect

    Tokam, A K; Tabod, C T; Nyblade, A A; Julia, J; Wiens, D A; Pasyanos, M E

    2010-02-18

    The Cameroon Volcanic Line (CVL) is a major geologic feature that cuts across Cameroon from the south west to the north east. It is a unique volcanic lineament which has both an oceanic and a continental sector and consists of a chain of Tertiary to Recent, generally alkaline volcanoes stretching from the Atlantic island of Pagalu to the interior of the African continent. The oceanic sector includes the islands of Bioko (formerly Fernando Po) and Sao Tome and Principe while the continental sector includes the Etinde, Cameroon, Manengouba, Bamboutos, Oku and Mandara mountains, as well as the Adamawa and Biu Plateaus. In addition to the CVL, three other major tectonic features characterize the region: the Benue Trough located northwest of the CVL, the Central African Shear Zone (CASZ), trending N70 degrees E, roughly parallel to the CVL, and the Congo Craton in southern Cameroon. The origin of the CVL is still the subject of considerable debate, with both plume and non-plume models invoked by many authors (e.g., Deruelle et al., 2007; Ngako et al, 2006; Ritsema and Allen, 2003; Burke, 2001; Ebinger and Sleep, 1998; Lee et al, 1994; Dorbath et al., 1986; Fairhead and Binks, 1991; King and Ritsema, 2000; Reusch et al., 2010). Crustal structure beneath Cameroon has been investigated previously using active (Stuart et al, 1985) and passive (Dorbath et al., 1986; Tabod, 1991; Tabod et al, 1992; Plomerova et al, 1993) source seismic data, revealing a crust about 33 km thick at the south-western end of the continental portion of the CVL (Tabod, 1991) and the Adamawa Plateau, and thinner crust (23 km thick) beneath the Garoua Rift in the north (Stuart et al, 1985) (Figure 1). Estimates of crustal thickness obtained using gravity data show similar variations between the Garoua rift, Adamawa Plateau, and southern part of the CVL (Poudjom et al., 1995; Nnange et al., 2000). In this study, we investigate further crustal structure beneath the CVL and the adjacent regions in

  9. Comparison of Total Hospital-Acquired Bloodstream Infections to Central Line-Associated Bloodstream Infections and Implications for Outcome Measures in Infection Control

    PubMed Central

    Leekha, Surbhi; Li, Shanshan; Thom, Kerri A.; Anne Preas, Michael; Caffo, Brian S.; Morgan, Daniel J.; Harris, Anthony D.

    2014-01-01

    Validity of the central line-associated bloodstream infection (CLABSI) measure is compromised by subjectivity. We observed significant decreases in both CLABSI and total hospital-acquired bloodstream infection (BSI) following a CLABSI prevention intervention in adult intensive care units. Total hospital-acquired BSI could be explored as an adjunct, objective CLABSI measure. PMID:23917916

  10. Bacterial-resistance among outpatients of county hospitals in China: significant geographic distinctions and minor differences between central cities.

    PubMed

    Xiao, Yonghong; Wei, Zeqing; Shen, Ping; Ji, Jinru; Sun, Ziyong; Yu, Hua; Zhang, Tiantuo; Ji, Ping; Ni, Yuxing; Hu, Zhidong; Chu, Yunzhuo; Li, Lanjuan

    2015-06-01

    The purpose of this study was to survey antibacterial resistance in outpatients of Chinese county hospitals. A total of 31 county hospitals were selected and samples continuously collected from August 2010 to August 2011. Drug sensitivity testing was conducted in a central laboratory. A total of 2946 unique isolates were collected, including 634 strains of Escherichia coli, 606 Klebsiella pneumoniae, 476 Staphylococcus aureus, 308 Streptococcus pneumoniae, and 160 Haemophilus influenzae. Extended-spectrum β-lactamases were detected in E. coli (42.3% strains), K. pneumoniae (31.7%), and Proteus mirabilis (39.0%). Ciprofloxacin-resistance was detected in 51.0% of E. coli strains. Salmonella spp. and Shigella spp. were sensitive to most antibacterial agents. Less than 8.0% of Pseudomonas aeruginosa isolates were resistant to carbapenem. For S. aureus strains, 15.3% were resistant to methicillin, and some strains of S. pneumoniae showed resistance to penicillin (1.6%), ceftriaxone (13.0%), and erythromycin (96.4%). β-lactamase was produced by 96.5% of Moraxella catarrhalis strains, and 36.2% of H. influenzae isolates were resistant to ampicillin. Azithromycin-resistant H. influenzae, imipenem-resistant but meropenem-sensitive Proteus, and ceftriaxone- and carbapenem non-sensitive M. catarrhalis were recorded. In conclusion, cephalosporin- and quinolone-resistant strains of E. coli and Klebsiella pneumonia and macrolide-resistant Gram-positive cocci were relatively prominent in county hospitals. The antibacterial resistance profiles of isolates from different geographical locations varied significantly, with proportions in county hospitals lower than those in their tertiary counterparts in the central cities, although the difference is diminishing. PMID:25708671

  11. English Pronunciation in Cameroon: Conflicts and Consequences.

    ERIC Educational Resources Information Center

    Bobda, A. Simo

    1993-01-01

    This paper examines some of the social and pedagogical problems caused by the conflicting forms of English pronunciation found in Cameroon. American, Nigerian, and local variations compete with British Received Pronunciation. The problems can be minimized through a more adequate training of broadcasters and teachers. (21 references) (MDM)

  12. Antiretroviral drug resistance and routine therapy, Cameroon.

    PubMed

    Laurent, Christian; Kouanfack, Charles; Vergne, Laurence; Tardy, Michèle; Zekeng, Léopold; Noumsi, Nathalie; Butel, Christelle; Bourgeois, Anke; Mpoudi-Ngolé, Eitel; Koulla-Shiro, Sinata; Peeters, Martine; Delaporte, Eric

    2006-06-01

    Among 128 patients routinely receiving highly active antiretroviral therapy in an HIV/AIDS outpatient clinic in Cameroon, 16.4% had drug resistance after a median of 10 months. Of these, 12.5% had resistance to nucleoside reverse transcriptase inhibitors (NRTIs), 10.2% to non-NRTIs, and 2.3% to protease inhibitors. PMID:16707062

  13. Women and Economic Development in Cameroon.

    ERIC Educational Resources Information Center

    Bryson, Judy C.

    Based on a survey of written sources and perspectives of knowledgeable individuals, the report provides information on women's economic roles in Cameroon, and on aspects of social life which effect their economic performance. A description of the importance of traditional social systems and their evolution over the last 30 years follows a brief…

  14. The Reception of American Literature in Cameroon

    ERIC Educational Resources Information Center

    Djockoua, Manyaka Toko

    2014-01-01

    In Cameroon, popular belief associates American literature with its country's economic and political greatness. Yet, if millions of Cameroonians show a growing enthusiasm for a visit to the US, just a few are interested in learning its literature. Using theories on the reading and teaching of literature, statistical data based on a questionnaire,…

  15. Seismic Anisotropy Beneath the Cameroon Volcanic Line from SKS and SKKS Splitting Analysis

    NASA Astrophysics Data System (ADS)

    Koch, F. W.; Wiens, D. A.; Nyblade, A.; Reusch, A. M.; Euler, G. G.; Shore, P.

    2009-12-01

    The Cameroon Volcanic Line (CVL) is an 1800-km-long line of Cenozoic volcanism that runs from the island of Annobòn in the Atlantic to northeast Cameroon. It does not show a chronological progression consistent with hotspot-related volcanism. We investigate seismic anisotropy to determine the upper mantle lattice preferred orientation and constrain the mantle flow pattern. For this study, we use a temporary array of 32 broadband seismographs deployed throughout Cameroon for 1 to 2 years between 2005 and 2007 along with two additional permanent seismographs in adjacent countries. Using the SKS splitting method described by Silver and Chan (1991) and the analysis program of George Helffrich, we investigate SKS and SKKS arrivals from 44 earthquakes with sources 95 to 145 degrees away and magnitudes greater than 6.0. First we determine the fast direction and lag time indicated beneath each station for each event, and then we stack the high-quality measurements for each station to find the final fast axis and lag time. We interpret the fast directions as indicating the direction of flow in the upper mantle, as suggested by laboratory experiments and previous studies of mantle xenoliths. Our results indicate four regions with different anisotropic parameters in the upper mantle. Two regions indicate anisotropy with a northeast-southwest-oriented fast direction and split time of about 1 s: the Congo craton in Southern Cameroon and the eastern end of the CVL. Between the Congo craton and the CVL, in central Cameroon, the fast direction is variable and has a small lag time of about 0.3 s. Along the CVL, the fast direction has an approximate north-south orientation, with a lag time of about 0.7 s. The splitting values in Southern Cameroon are consistent with large splitting times and NE directions found at GSN stations in Gabon and the Central African Republic and probably indicate a strong consistent anisotropic fabric frozen into the cratonic lithosphere. Splitting

  16. Ambient noise tomography of the Cameroon Volcanic Line and Northern Congo craton: new constraints on the structure of the lithosphere

    NASA Astrophysics Data System (ADS)

    Guidarelli, M.; Aoudia, A.

    2016-03-01

    We investigate the lithospheric structure of Cameroon inverting Rayleigh waves obtained from the cross-correlation of ambient seismic noise. We correlate seismic records between 32 broad-band stations and we obtain good quality Rayleigh waves for 310 interstation paths. We measure group velocity dispersion curves from the reconstructed Rayleigh waves in the period range 10-35 s and we invert the group velocities for tomographic images. After the tomography the group velocities are then inverted, together with longer period group velocity measurements from existing literature, to compute a 3-D S-wave velocity model of the Cameroon lithosphere down to 100 km depth. Our results provide an unprecedented mapping of the physical properties of the different crustal units and their correlations with surface geology, as well as with mantle lithospheric variations. The Cameroon Volcanic Line (CVL) appears as a segmented feature exhibiting different physical properties along strike. The active Mt Cameroon volcano is underlain by very low velocities, unlike the other segments of the CVL. The along-strike variations in crustal structure suggest that lateral heterogeneities in lithospheric thickness and physical properties have influenced the location and distribution of magmatism. The crust beneath the Central African Shear Zone exhibits a sizeable low velocity anomaly. The lithosphere beneath Cameroon is characterised by a heterogeneous crust with a relatively constant thickness and a low velocity uppermost mantle at the edge of the Congo Craton. Our results favour processes combining small-scale upwelling at the edge of a thick lithosphere and reactivation of Precambrian basement structures to explain the distribution of Holocene-Recent magmatism and plateau uplift. Our results also indicate that Mt Cameroon and surroundings areas are the most at risk zones for magmatic activity during this stage of CVL development.

  17. Epidemiological and histopathological patterns of salivary gland tumors in Cameroon

    PubMed Central

    Sando, Zacharie; Fokouo, Jean Valentin; Mebada, Arlette Onomo; Djomou, François; NDjolo, Alexis; Oyono, Jean Louis Essame

    2016-01-01

    Introduction Tumors of salivary glands are rare. According to Johns and Goldsmith in 1989, their annual incidence is less than 1/100000 without noteworthy geographical gap. But other authors suggest that their distribution may vary according to the race and geographical location. In Cameroon, existing studies give incomplete data. Hence, we underwent this study in order to draw the general profile of salivary gland tumors in Cameroon. Methods A retrospective study was carried out on the period spanning from January 2000 to December 2010 (11 years). It was done in nine Pathology services of different hospitals in Yaoundé, Douala and Bamenda. We consulted the archive registers of those services, retaining any patient with salivary gland tumor, whatever the histological type or location. Information gathered was the year of diagnosis, the service, the age and sex, the site of the tumor (gland) the histological type and the benign/ malignant character. Results We recruited a total of 275 files. Women were 56% (154/275) and men 44% (121/275) of the sample. Fifty eight tumors were malignant (21.9%) while 217 were benign (78.1%). The overall mean age was 37.44 years, with extremes between 1 and 84 years. Pleomorphic adenoma (60.36%) was the most common benign tumor. Adenoid cystic carcinoma (31%), mucoepidermoid carcinoma (22.4%) and adenocarcinoma (19%) were the most common malignant tumors. Palate (66.7%), cheek (30%) and lips (3.3%) were the sites were the minor salivary glands were mostly involved. Conclusion The differences with western world authors suggest a geographical variability of salivary gland tumors. PMID:27217890

  18. Incidence and Predictive Factors of Central Nervous System Dysfunction in Patients Consulting for Dengue Fever in Cayenne Hospital, French Guiana

    PubMed Central

    Djossou, Félix; Vesin, Guillaume; Bidaud, Bastien; Mosnier, Emilie; Simonnet, Christine; Matheus, Séverine; Prince, Christelle; Balcaen, John; Donutil, Gerd; Egmann, Gérald; Okandze, Antoine; Malvy, Denis; Nacher, Mathieu

    2016-01-01

    Introduction The frequency, the clinical characteristics, and the prognosis of dengue is highly variable. Dengue fever is associated with a range of neurological manifestations. The objective of the present study was to determine the incidence of neurological signs and their predictive factors using data from cases of dengue seen and followed in Cayenne Hospital during the Dengue 2 epidemic in 2013. Methods In 2013, a longitudinal study using data from all cases of dengue seen in Cayenne hospital was collected. Medical records used a standardized form to collect demographic information, clinical signs and biological results and the date at which they were present. The analysis used Cox proportional modeling to obtain adjusted Hazard ratios. Results A total of 1574 patients were included 221 of whom developed central nervous system signs. These signs were spontaneously resolutive. There were 9298person days of follow-up and the overall incidence rate for central nervous system signs was 2.37 per 100 person-days. The variables independently associated with central nervous system anomalies were headache, Adjusted Hazard ratio (AHR) = 1.9(95%CI = 1.4–2.6), bleeding AHR = 2 ((95%CI = 1.3–3.1), P = 0.001, abdominal pain AHR = 1.9 ((95%CI = 1.4–2.6), P<0.001, aches AHR = 2.1 ((95%CI = 1.5–2.9), P<0.001, and fatigue AHR = 1.5 ((95%CI = 1.3–1.7), P<0.001. Discussion Overall, the present study suggests that neurological signs of dengue are not exceptional even in patients without the most severe features of dengue. These manifestations were spontaneously resolutive. Here it was not possible to distinguish between encephalitis or encephalopathy. Further studies would require more in depth exploration of the patients. PMID:26981859

  19. Outcome of Late Second Trimester Emergency Cerclage in Patients with Advanced Cervical Dilatation with Bulging Amniotic Membranes: A Report of Six Cases Managed at the Douala General Hospital, Cameroon

    PubMed Central

    Egbe, Thomas Obinchemti; Nana Njamen, Theophile; Halle Ekane, Gregory; Tsingaing, Jacques Kamgaing; Tchente, Charlotte Nguefack; Beyiha, Gerard; Barla, Esther; Nyemb, Ernest

    2013-01-01

    Purpose. To show the feasibility of emergency late second trimester cerclage with advanced cervical dilatation and bulging of amniotic membranes. Setting. Department of Obstetrics and Gynecology of the Douala General Hospital. Method. This is a retrospective study of case files of patients who underwent emergency late second trimester cerclage with advanced cervical dilatation, some with bulging of fetal membranes between June 2003 and June 2010. The modified Shirodkar technique was employed in all the cases. Results. Altogether, six patients (100%) underwent late second trimester cervical cerclage between 24 and 26 weeks of gestational age. Four cases (66.7%) carried on their pregnancies to term that resulted in healthy live-born babies all delivered vaginally. The other two cases (33.3%) presented with preterm premature rupture of fetal membranes (PPROM) which led us to undo the stitch with eventual delivery of live-born premature fetuses which died in the neonatal intensive care unit because of complications of prematurity and neonatal infection. Conclusion. In experienced hands and in the absence of other risk factors like infection, the success rates of this procedure are encouraging with improved prognosis. Finally, the modified Shirodkar technique yielded excellent results in our series. PMID:24371527

  20. [Vesicular contact dermatitis due to Paederus in Cameroon and review of the literature].

    PubMed

    Vanhecke, C; Le Gall, P; Gaüzère, B-A

    2015-12-01

    This irritant blister dermatitis is caused by the genus Paederus whose geographical distribution is worldwide, with a higher incidence in tropical areas. It is induced by direct skin contact with pederin, a blistering and caustic substance found in the abdomen (coelome) of Paederus insects (insect order Coleoptera: family Staphylinidae). The diagnosis is based on the presence of typical clinical features combined with compatible epidemiological features. Our goal is to describe the epidemiological and clinical features of this irritant contact dermatitis in Cameroon through a retrospective study conducted at the end of the rainy season at the Oku Hospital in Northwest Cameroon and to also include cases reported at the medical center of the French Embassy in Yaounde during this same timeframe. In addition, we conducted a literature review of paederus dermatitis. Nineteen patients were included in this study. More than half of the patients presented with more than two lesions predominantly localized to the face or the neck; less than half had complications manifesting as either localized or respiratory reactions and three patients presented periorbital involvement. This study confirms the presence of paederus dermatitis in Cameroon. It is mainly localized in the unusual geoclimatic region of the western high mountains within the country, as well as the usual warm, moist areas of Yaounde. The clinical evolution of this dermatitis is usually one of spontaneous and uneventful resolution with complications being rare. Curative treatment is one of localized topical therapies while oral antibiotic therapy should be reserved for more complicated cases. PMID:26608274

  1. Evidence and response to the impact of the Medicaid Drug Rebate Program (OBRA) on hospital pharmacy: a progress report from central Ohio.

    PubMed

    Taylor, S; Kucukarslan, S; Sherrin, T

    1991-07-01

    Preliminary results of a survey conducted by the American Society of Hospital Pharmacists (ASHP) indicated that hospital drug prices increased since the implementation of rebate agreements between Medicaid and drug manufacturers. The question of how hospital pharmacy directors are planning to respond to the cost-shifting that may occur in the recent future is raised in this article. Open-ended questions posed to Central Ohio Hospital directors assessed their expectations, experience, and proposed strategies in response to the rebate program. The respondents expect increases in drug prices, reductions in discounts for volume purchases, rebate programs, and contract purchases. Increases in the use of special dating on invoice, bundling of contract purchases, shorter time period for guaranteed prices, and shorter dating on invoices are also expected. Using stricter hospital formularies and capitalizing on the negotiating strength of purchasing groups, was the common strategy considered by hospital pharmacies. PMID:10111796

  2. Cameroon: official lethargy blamed for donor pull-out.

    PubMed

    1995-06-01

    Cameroon participated in World Health Organization (WHO)-coordinated global AIDS control efforts for about 10 years, when the HIV/AIDS epidemic was just beginning in Cameroon. The government established a National AIDS Committee and AIDS Control Service to provide information on prevention of HIV/AIDS. The National AIDS Program was donor-oriented, donor-driven, donor-sustained, and donor-sustaining. It failed, as illustrated by a strong increase in HIV seroprevalence between 1989 and 1992 from 60 to 1304 cases. The donors then abandoned Cameroon. Government officials did not decentralize the program, largely because they believed that districts and communities are incapable of understanding HIV/AIDS-related issues and of managing money from donors. Since the primary health care (PHC) system broke down, it was impossible to integrate HIV/AIDS control activities into PHC, needed for program sustainability. The government did not commit financial resources to the national AIDS program. When donors first provided monies to Cameroon, the economy was strong. 10 years later, a politically and economically unstable situation prevails in Cameroon. WHO has recalled all its staff in Cameroon. The donors often attached conditions that hurt HIV-infected persons. The European Union did not implement a project to train laboratory technicians in the screening and diagnosis of AIDS because of problems encountered with its blood banking and its youth projects, also in Cameroon. Both of these projects have ended. The USAID Office closed in 1994 with about three months' notice, allegedly due to clashes with the Cameroon government. Not all persons working with the funding agencies have totally abandoned Cameroon, however. The government needs to be more concerned about its people and allocation of resources. As Cameroon struggles with its problems, HIV/AIDS is increasing in Cameroon. PMID:12289044

  3. [Judicial proceedings involving sexual abuse of minors in Cameroon].

    PubMed

    Mbassa Menick, D

    2000-01-01

    The purpose of this study was to evaluate how courts in Cameroon treat cases involving sexual abuse on minors by comparing the incidence of hospital examinations and legal proceedings for sexual abuse. This retrospective study is based on a review of public records at the Yaoundé Court of Justice covering the period from October 1, 1994 to January 6, 1999. Of the 2345 criminal cases recorded during the study period, 224 involved sexual abuse on minors under the age of 16 years (9.5 p. 100 of cases). The victims were all female ranging from 3 to 15 years of age (mean, 9 years) with a peak incidence between 10 and 15 years (70 p. 100). All offenders were adults between 21 and 50 years of age (mean, 30 years) at the time of the crime. This study showed that the incidence of court proceedings for sexual abuse is higher than that of hospital examinations for sexual abuse. Most offenders convicted of sexual abuse on minors received long prison sentences, i.e. 15 years or more. No reconciliatory action or mediation was initiated by the court or third parties. PMID:11100448

  4. Addressing the Child and Maternal Mortality Crisis in Haiti through a Central Referral Hospital Providing Countrywide Care

    PubMed Central

    Jacobs, Lee D; Judd, Thomas M; Bhutta, Zulfiqar A

    2016-01-01

    The neonatal, infant, child, and maternal mortality rates in Haiti are the highest in the Western Hemisphere, with rates similar to those found in Afghanistan and several African countries. We identify several factors that have perpetuated this health care crisis and summarize the literature highlighting the most cost-effective, evidence-based interventions proved to decrease these mortality rates in low- and middle-income countries. To create a major change in Haiti’s health care infrastructure, we are implementing two strategies that are unique for low-income countries: development of a countrywide network of geographic “community care grids” to facilitate implementation of frontline interventions, and the construction of a centrally located referral and teaching hospital to provide specialty care for communities throughout the country. This hospital strategy will leverage the proximity of Haiti to North America by mobilizing large numbers of North American medical volunteers to provide one-on-one mentoring for the Haitian medical staff. The first phase of this strategy will address the child and maternal health crisis. We have begun implementation of these evidence-based strategies that we believe will fast-track improvement in the child and maternal mortality rates throughout the country. We anticipate that, as we partner with private and public groups already working in Haiti, one day Haiti’s health care system will be among the leaders in that region. PMID:26934625

  5. A survey on oral hygiene methods practiced by patients attending Dentistry Department at a Tertiary Care Hospital from Central Gujarat

    PubMed Central

    Goryawala, S. N.; Chavda, Paragkumar; Udhani, Sneha; Pathak, Naiya V.; Pathak, Shivang; Ojha, Ritu

    2016-01-01

    Objective: Oral hygiene is important not only for maintaining health of teeth and gingivae in an individual but also for good and uneventful regeneration and healing of tissues, when one has undergone one or other dental treatments. This makes it important to have an understanding of oral hygiene practices employed by the population. Materials and Methodology: This descriptive cross-sectional hospital-based survey was carried out to know oral hygiene methods practiced by patients who visited Department of Dentistry at a Tertiary Care Hospital attached to medical college from Central Gujarat. While examining and recording their history, their mode of oral hygiene practice was also noted. Recorded data were entered in Microsoft Excel and analyzed in SPSS Statistics Version 17.0. The study reports proportions of the variables under study in percentages. Results: The patients ranged from 4 to 80 years in age with equal numbers from both genders. The number of participants using modern and scientific material and instrument for oral hygiene was good. However, majority of them performed it only once a day, and none after every meal or at bed time. Conclusion: There is a need to improve the frequency of oral hygiene procedure among the studied population as well as use of dental floss needs to be increased. PMID:27114949

  6. Addressing the Child and Maternal Mortality Crisis in Haiti through a Central Referral Hospital Providing Countrywide Care.

    PubMed

    Jacobs, Lee D; Judd, Thomas M; Bhutta, Zulfiqar A

    2016-01-01

    The neonatal, infant, child, and maternal mortality rates in Haiti are the highest in the Western Hemisphere, with rates similar to those found in Afghanistan and several African countries. We identify several factors that have perpetuated this health care crisis and summarize the literature highlighting the most cost-effective, evidence-based interventions proved to decrease these mortality rates in low- and middle-income countries.To create a major change in Haiti's health care infrastructure, we are implementing two strategies that are unique for low-income countries: development of a countrywide network of geographic "community care grids" to facilitate implementation of frontline interventions, and the construction of a centrally located referral and teaching hospital to provide specialty care for communities throughout the country. This hospital strategy will leverage the proximity of Haiti to North America by mobilizing large numbers of North American medical volunteers to provide one-on-one mentoring for the Haitian medical staff. The first phase of this strategy will address the child and maternal health crisis.We have begun implementation of these evidence-based strategies that we believe will fast-track improvement in the child and maternal mortality rates throughout the country. We anticipate that, as we partner with private and public groups already working in Haiti, one day Haiti's health care system will be among the leaders in that region. PMID:26934625

  7. Evidence from Cameroon reveals differences in the genetic structure and histories of chimpanzee populations.

    PubMed

    Gonder, Mary Katherine; Locatelli, Sabrina; Ghobrial, Lora; Mitchell, Matthew W; Kujawski, Joseph T; Lankester, Felix J; Stewart, Caro-Beth; Tishkoff, Sarah A

    2011-03-22

    The history of the genus Pan is a topic of enduring interest. Chimpanzees (Pan troglodytes) are often divided into subspecies, but the population structure and genetic history of chimpanzees across Africa remain unclear. Some population genetics studies have led to speculation that, until recently, this species constituted a single population with ongoing gene flow across its range, which resulted in a continuous gradient of allele frequencies. Chimpanzees, designated here as P. t. ellioti, occupy the Gulf of Guinea region that spans southern Nigeria and western Cameroon at the center of the distribution of this species. Remarkably, few studies have included individuals from this region, hindering the examination of chimpanzee population structure across Africa. Here, we analyzed microsatellite genotypes of 94 chimpanzees, including 32 designated as P. t. ellioti. We find that chimpanzees fall into three major populations: (i) Upper Guinea in western Africa (P. t. verus); (ii) the Gulf of Guinea region (P. t. ellioti); and (iii) equatorial Africa (P. t. troglodytes and P. t. schweinfurthii). Importantly, the Gulf of Guinea population is significantly different genetically from the others, sharing a last common ancestor with the populations in Upper Guinea ~0.46 million years ago (mya) and equatorial Africa ~0.32 mya. Equatorial chimpanzees are subdivided into up to three populations occupying southern Cameroon, central Africa, and eastern Africa, which may have constituted a single population until ~0.10-0.11 mya. Finally, occasional hybridization may be occurring between the Gulf of Guinea and southern Cameroon populations. PMID:21368170

  8. Distribution and heterogeneity of hepatitis C genotypes in hepatitis patients in Cameroon.

    PubMed

    Pasquier, Christophe; Njouom, Richard; Ayouba, Ahidjo; Dubois, Martine; Sartre, Michèle Tagni; Vessière, Aurelia; Timba, Isabelle; Thonnon, Jocelyn; Izopet, Jacques; Nerrienet, Eric

    2005-11-01

    Hepatitis C virus infects humans world-wide. The virus genome varies greatly and it has several genotypes. HCV infection is highly prevalent in Central Africa and Cameroon. Initial studies on the genetic variability of HCV showed infection with HCV genotypes 1, 2, and 4. We have now sequenced the NS5b and E2 regions of 156 HCV isolates collected from patients presenting for diagnosis in Yaounde and used the data to describe the distribution of HCV genotypes and subtypes in patients with hepatitis in Cameroon. Genotype 1 was more frequent than Genotypes 4 and 2. Genotypes 1 and 4 were highly heterogeneous, containing many subtypes described previously (1b, 1c, 1e, 1h, 1l, 4f, 4t, 4p, 4k) and unsubtyped groups. There was a systematic phylogenetic concordance between NS5b and E2 sequence clustering. The Genotype 2 sequences did not vary. Neither subject age nor gender influenced HCV distribution. HCV Genotypes 1 and 4 are very heterogeneous in Cameroon, perhaps due to ancient infections. The homogeneity of HCV Genotype 2 indicates its more recent introduction from western Africa. PMID:16173014

  9. Medical store management: an integrated economic analysis of a tertiary care hospital in central India.

    PubMed

    Mahatme, Ms; Dakhale, Gn; Hiware, Sk; Shinde, At; Salve, Am

    2012-04-01

    Economic analysis plays a pivotal role in the management of medical store. The main objectives of this study were to consider always better control-vital, essential and desirable (ABC-VED) analysis with economic order quantity (EOQ), comparison of indexed cost and the actual cost, and to assess the expenditure for the forthcoming years. Based on cost and criticality, a matrix of nine groups by combining ABC and VED analysis was formulated. Drug categories were narrowed down for prioritization to direct supervisory monitoring. The subgroups AE and AV of the categories category I and II should be ordered based on EOQ. The difference between the actual annual drug expenditure (ADE) and the derived indexed cost using the cost inflation index (CII) was calculated. Linear regression was used to assess the expenditure for the forth coming years. The total ADE for the financial year of 2010-2011 was Rs. 1,91,44,253 which was only 7.68% of annual hospital expenditure. Using the inflation index, the indexed cost of acquisition of ADE for year 2010-2011 was Rs. 1,95,10,387. The difference between the two was estimated to be 2.11%. Thus, the CII justifies the demand of increased budget for next year and prompts us for cautious use of drugs. By taking into consideration the ADE of last 10 years, we have forecasted the budget for forthcoming years which will help significantly for making policies according to the available budget. PMID:22754264

  10. Age, geochemical characteristics and petrogenesis of Cenozoic intraplate alkaline volcanic rocks in the Bafang region, West Cameroon

    NASA Astrophysics Data System (ADS)

    Tchuimegnie Ngongang, Nicaise Blaise; Kamgang, Pierre; Chazot, Gilles; Agranier, Arnaud; Bellon, Hervé; Nonnotte, Philippe

    2015-02-01

    The origin of the volcanism in the Cameroon Volcanic Line and the nature of its mantle sources are still highly controversial. We present major and trace element compositions as well as Sr-Nd-Pb-Hf isotopic results on mafic and intermediate lavas from the Bafang area in the central part of the Cameroon Volcanic Line. The lavas range from basanites and basalts to hawaiites and mugearites with an alkaline affinity and were emplaced between 10 and 6 Ma ago. The evolution from basalts and basanites to more differentiated rocks involved fractionation of olivine, clinopyroxene and Fe-Ti oxides, but the isotopic compositions show that crustal contamination processes affected some magmas during their ascent in the crust. Basalts and basanites originated from a garnet-bearing mantle source and their differences are mostly due to variable degrees of partial melting. The isotopic composition of the uncontaminated samples imply the participation of three distinct mantle components, the depleted MORB mantle (not dominant), an enriched component and a Pb radiogenic component similar to the source of the Mount Cameroon. Combined with previously published isotopic data from the Cameroon Volcanic Line, our new results indicate that the source of the volcanism mostly reside in the lithospheric mantle and is different from what can be expected from the melting of a mantle accreted from or modified during the emplacement of the St. Helena mantle plume.

  11. The substantial hospitalization burden of influenza in central China: surveillance for severe, acute respiratory infection, and influenza viruses, 2010–2012

    PubMed Central

    Yu, Hongjie; Huang, Jigui; Huai, Yang; Guan, Xuhua; Klena, John; Liu, Shali; Peng, Youxing; Yang, Hui; Luo, Jun; Zheng, Jiandong; Chen, Maoyi; Peng, Zhibin; Xiang, Nijuan; Huo, Xixiang; Xiao, Lin; Jiang, Hui; Chen, Hui; Zhang, Yuzhi; Xing, Xuesen; Xu, Zhen; Feng, Zijian; Zhan, Faxian; Yang, Weizhong; Uyeki, Timothy M; Wang, Yu; Varma, Jay K

    2014-01-01

    Background Published data on influenza in severe acute respiratory infection (SARI) patients are limited. We conducted SARI surveillance in central China and estimated hospitalization rates of SARI attributable to influenza by viral type/subtype. Methods Surveillance was conducted at four hospitals in Jingzhou, China from 2010 to 2012. We enrolled hospitalized patients who had temperature ≥37·3°C and at least one of: cough, sore throat, tachypnea, difficulty breathing, abnormal breath sounds on auscultation, sputum production, hemoptysis, chest pain, or chest radiograph consistent with pneumonia. A nasopharyngeal swab was collected from each case-patient within 24 hours of admission for influenza testing by real-time reverse transcription PCR. Results Of 17 172 SARI patients enrolled, 90% were aged <15 years. The median duration of hospitalization was 5 days. Of 16 208 (94%) SARI cases tested, 2057 (13%) had confirmed influenza, including 1427 (69%) aged <5 years. Multiple peaks of influenza occurred during summer, winter, and spring months. Influenza was associated with an estimated 115 and 142 SARI hospitalizations per 100 000 during 2010–2011 and 2011–2012 [including A(H3N2): 55 and 44 SARI hospitalizations per 100 000; pandemic A(H1N1): 33 SARI hospitalizations per 100 000 during 2010–2011; influenza B: 26 and 98 hospitalizations per 100 000], with the highest rate among children aged 6–11 months (3603 and 3805 hospitalizations per 100 000 during 2010–2011 and 2011–2012, respectively). Conclusions In central China, influenza A and B caused a substantial number of hospitalizations during multiple periods each year. Our findings strongly suggest that young children should be the highest priority group for annual influenza vaccination in China. PMID:24209711

  12. The Nature of the Cameroon Volcanic Line: Evidence from Seismic Anisotropy and Receiver Functions

    NASA Astrophysics Data System (ADS)

    Bastow, I. D.; De Plaen, R. S. M.; Gallacher, R. J.

    2012-04-01

    The Cameroon geological record spans more than 3 billion years, from Congo Craton basement formation during the Archean, to Cenozoic volcanism along the Cameroon Volcanic Line (CVL). Intriguingly, the CVL, which straddles the continent-ocean boundary in central West Africa, displays no age-progression along its length. Analogies with other hotspot chains worldwide are thus not well established. To help address this issue, we present a receiver function study of bulk crustal structure, and an SKS shear wave splitting study of seismic anisotropy using data from a recent broadband seismic experiment in Cameroon. Within the cratonic Cameroon, crustal Vp/Vs ratios show little variation between Archean and Proterozoic domains, perhaps indicating similar mechanisms of crustal formation during more than 2 billion years of the Precambrian. The edge of the Congo Craton, however, is characterized by an abrupt change in crustal thickness of ~5 km, which constrains the northern and western edges of the craton to be ~4N and ~10E respectively. Along the CVL, Vp/Vs ratios are low (~1.74) compared to other hotspots worldwide, providing no evidence for either partial melt, or mafic crustal intrusion due to Cenozoic volcanism. The anisotropy study indicates that fast polarisation directions parallel the trend of the Central African Sear Zone (CASZ), which developed during the breakup of the Pangea supercontinent during Cretaceous times. Beneath much of the CVL, however, we observe only null SKS splitting observations. The lack of lithospheric fabric here may be the result of it being destroyed during Cenozoic hotspot tectonism. However, there is no evidence for anisotropic aligned melt within the lithosphere, unlike hotspots such as Ethiopia, with the implication that neither a CASZ-related lithospheric fabric nor horizontally oriented asthenospheric fabrics exist beneath the line. This finding is in agreement with the receiver function study, and petrological studies that suggest

  13. Vascular malformations of central nervous system: A series from tertiary care hospital in South India

    PubMed Central

    Karri, Sudhir Babu; Uppin, Megha S.; Rajesh, A.; Ashish, K.; Bhattacharjee, Suchanda; Rani, Y. Jyotsna; Sahu, B. P.; Saradhi, M Vijaya; Purohit, A. K.; Challa, Sundaram

    2016-01-01

    Aims and Objectives: To describe clinicopathological features of surgically resected vascular malformations (VMs) of central nervous system (CNS). Materials and Methods: Histologically diagnosed cases of VMs of CNS during April 2010–April 2014 were included. Demographic data, clinical and radiological features were obtained. Hematoxylin and eosin slides were reviewed along with Verhoeff-Van Gieson (VVG), Masson's trichrome, periodic acid-Schiff, and Perls' stains. Morphologically, cavernomas and arteriovenous malformations (AVMs) were distinguished on the basis of vessel wall features on VVG and intervening glial parenchyma. Results: Fifty cases were diagnosed as VMs of CNS with an age range of 14–62 years. These included 36 cavernomas, 12 AVMs, 2 mixed capillary-cavernous angiomas. Most of the cavernoma patients (15/36) presented with seizures, whereas AVM patients (8/12) had a headache as the dominant symptom. Twenty-nine patients were reliably diagnosed on radiological features. Microscopic evidence of hemorrhage was seen in 24/36 cavernomas and 6/12 AVMs, as opposed to radiologic evidence of 10 and 4, respectively. Reactive gliosis was seen in 16 cavernomas. Conclusions: Histological features are important for classifying the VMs of CNS as there are no specific clinical and radiological features. Type of VM has a bearing on management, prognosis, and risk of hemorrhage. PMID:27114659

  14. Foreign bodies in the ear, nose and throat: an experience in a tertiary care hospital in central Nepal.

    PubMed

    Parajuli, Ramesh

    2015-04-01

    Introduction A foreign body (FB) is an object or substance foreign to the location where it is found. FBs in the ear, nose, and throat are a common problem frequently encountered in both children and adults. Objective To analyze FBs in terms of type, site, age, and gender distribution and method of removal. Methods A retrospective study was performed in a tertiary care hospital in the central part of Nepal. The study period was from June 2013 to May 2014. The information was obtained from hospital record books. Results A total of 134 patients had FBs in the ear, nose, or throat; 94 were males and 40 were females. Of the 134 patients, 70 (52.23%) had FB in the ear, 28 (20.89%) in the nose, and 36 (26.86%) in the throat. The FB was animate (living) in 28 (40%) patients with FB in the ear and 1 (3.5%) patient with FB in the nose, but the FB was inanimate (nonliving) in any patient with FB in the throat, in 42 (60%) patients with FB in the ear FB, and in 27 (96.4%) patients with FB of the nose. The FB was removed with or without local anaesthesia (LA) in 98 (73.13%) patients, and only 36 patients (26.86%) required general anaesthesia (GA). The most common age group affected was <10 years. Conclusion FBs in the ear and nose were found more frequently in children, and the throat was the most common site of FB in adults and elderly people. Most of the FBs can be easily removed in emergency room or outpatient department. PMID:25992166

  15. Foreign Bodies in the Ear, Nose and Throat: An Experience in a Tertiary Care Hospital in Central Nepal

    PubMed Central

    Parajuli, Ramesh

    2014-01-01

    Introduction A foreign body (FB) is an object or substance foreign to the location where it is found. FBs in the ear, nose, and throat are a common problem frequently encountered in both children and adults. Objective To analyze FBs in terms of type, site, age, and gender distribution and method of removal. Methods A retrospective study was performed in a tertiary care hospital in the central part of Nepal. The study period was from June 2013 to May 2014. The information was obtained from hospital record books. Results A total of 134 patients had FBs in the ear, nose, or throat; 94 were males and 40 were females. Of the 134 patients, 70 (52.23%) had FB in the ear, 28 (20.89%) in the nose, and 36 (26.86%) in the throat. The FB was animate (living) in 28 (40%) patients with FB in the ear and 1 (3.5%) patient with FB in the nose, but the FB was inanimate (nonliving) in any patient with FB in the throat, in 42 (60%) patients with FB in the ear FB, and in 27 (96.4%) patients with FB of the nose. The FB was removed with or without local anaesthesia (LA) in 98 (73.13%) patients, and only 36 patients (26.86%) required general anaesthesia (GA). The most common age group affected was <10 years. Conclusion FBs in the ear and nose were found more frequently in children, and the throat was the most common site of FB in adults and elderly people. Most of the FBs can be easily removed in emergency room or outpatient department. PMID:25992166

  16. How HL7 version 3 is used at the Sahlgrenska University Hospital to exchange information with a central archive

    NASA Astrophysics Data System (ADS)

    Carlsson, Göran; Hagberg, Tommy; Bogavac, Ludmilla; Wintell, Mikael

    2008-03-01

    This paper describes how the integration between one of the RIS-systems (Adapt) in VGR and the infobroker in the central archive is implemented. The project was presented in 2006 with the title Building an IT Healthcare Enterprise by taking the standards to the limits and sometimes beyond that. The Adapt RIS is used by the Sahlgrenska University Hospital (SU) in Gothenburg and handles 8 different radiology departments. The implementation is based on HL7 version 3 and the message exchange is based on Web Services/SOAP. The base of the RIS-system was developed in the beginning of the 1990:s by a company that no longer exists. SU has always been able to modify the system by changing the source code and we have been responsible for the system-development since late 1990s. We are using IBM Informix Dynamic Server that is running on a Solaris-based cluster with additional software from Veritas/Symantec. The communication is planned to be 2-way. Our RIS-system transfers order promises, various status updates during the workflow and finally reports with various status levels. Our system will be able to receive requests and reports from the broker. The broker in turn receives these messages from other hospitals in VGR (Vastra Gotalands Regionen). We use Axis2 to generate skeleton java-code based on WSDL- and XSD-files that defines the Web Services. Axis2 is an Open Source software that is developed as a part of the Apache project. Eclipse is a development environment for Java that we use and it is also open source. Apache Tomcat is the application server that we use to receive messages from the infobroker.

  17. [Descriptive study of cerebrovascular accidents in Douala, Cameroon].

    PubMed

    Chiasseu, Mbeumi M T; Mbahe, S

    2011-10-01

    A cerebrovascular accident or stroke is a sudden-onset cerebral deficit of vascular origin lasting more than 24 hours. These events represent the second leading cause of death in the world and take a particularly heavy toll in third world countries. The purpose of this study was to describe cerebrovascular lesions (type, location, size) as well as patient age and gender in Cameroon. Brain CT-scan and MRI findings from 50 stroke patients admitted to two health centers in Douala were reviewed. Data showed that 74% of patients were over 50 years of age, the 51-60 year group being the most affected. Patients were male in 64% of cases. Ischemic stroke accounted for 60% of cases versus 40% for hemorrhagic stroke. The most affected sites were the sylvian territory site in ischemic stroke and the temporal lobe in hemorrhagic stroke, acconting for 43.3% and 35% of cases respectively. The median size of ischemic and hemorrhagic lesions were 2.81 cm3, and 26.98 cm3 respectively. Hemorrhagic stroke and lacunar infarcts were more common in this sample. Discrepancies between results at the two hospitals may be due to the use of different imaging techniques. Indeed, MRI is known to be more sensitive than CT-scan for acute detection of stroke lesions. PMID:22235625

  18. The Attitudes of Anglophone and Francophone Cameroonians towards Cameroon English as a Model of English Language Teaching and Learning in Cameroon

    ERIC Educational Resources Information Center

    Atechi, Samuel; Angwah, Julius

    2016-01-01

    Teachers of English in Cameroon are proficient speakers of Cameroon English and their non-native status militates against their usage of Standard British English in the English language classrooms. This makes the attainment of British English thorny and perhaps impossible in Cameroon. Standing on that premise, we were motivated to find out…

  19. Late Cretaceous intraplate silicic volcanism in the Lake Chad region: incipient continental rift volcanism vs. Cameroon Line volcanism

    NASA Astrophysics Data System (ADS)

    Shellnutt, G.; Lee, T. Y.; Torng, P. K.; Yang, C. C.

    2015-12-01

    The crustal evolution of west-central Africa during the Cretaceous was directly related to plate motion associated with the opening of the central Atlantic Ocean. Late Cretaceous (~66 Ma) to recent magmatism related to the Cameroon Line stretches from Northern Cameroon (i.e. Golda Zuelva) to the Gulf of Guinea (i.e. Pagalu) and is considered to be due to mantle-crust interaction. The volcanic rocks at Hadjer el Khamis, west-central Chad, are considered to be amongst the oldest volcanic rocks of the Cameroon Line but their relationship is uncertain because they erupted during a period of a regional extension associated with the opening of the Late Cretaceous (~75 Ma) Termit basin. The silicic volcanic rocks can be divided into a peraluminous group and a peralkaline group with both rock types having similar chemical characteristics as within-plate granitoids. In situ U/Pb zircon dating yielded a mean 206Pb/238U age of 74.4 ± 1.3 Ma and indicates the rocks erupted ~10 million years before the next oldest eruption attributed to the Cameroon Line. The Sr isotopes (i.e. ISr = 0.7050 to 0.7143) show a wide range but the Nd isotopes (i.e. 143Nd/144Ndi = 0.51268 to 0.51271) are more uniform and indicate that the rocks were derived from a moderately depleted mantle source. Major and trace elemental modeling show that the silicic rocks likely formed by shallow fractionation of a mafic parental magma where the peraluminous rocks experienced crustal contamination and the peralkaline rocks did not. The silicic rocks are more isotopically similar to Late Cretaceous basalts in the Doba and Bongor basins (i.e. ISr = 0.7040 to 0.7060; 143Nd/144Ndi = 0.51267 to 0.51277) of southern Chad than to rocks of the Cameroon Line (i.e. ISr = 0.7026 to 0.7038; 143Nd/144Ndi = 0.51270 to 0.51300). Given the age and isotopic compositions, it is likely that the silicic volcanic rocks of the Lake Chad area are related to Late Cretaceous extensional tectonics rather than to Cameroon Line magmatism.

  20. Central Line–Associated Infections as Defined by the Centers for Medicare and Medicaid Services’ Hospital-Acquired Condition versus Standard Infection Control Surveillance: Why Hospital Compare Seems Conflicted

    PubMed Central

    Moehring, Rebekah W.; Staheli, Russell; Miller, Becky A.; Chen, Luke Francis; Sexton, Daniel John; Anderson, Deverick John

    2013-01-01

    OBJECTIVE To evaluate the concordance of case-finding methods for central line–associated infection as defined by Centers for Medicare and Medicaid Services (CMS) hospital-acquired condition (HAC) compared with traditional infection control (IC) methods. SETTING One tertiary care and 2 community hospitals in North Carolina. PATIENTS Adult and pediatric hospitalized patients determined to have central line infection by either case-finding method. METHODS We performed a retrospective comparative analysis of infection detected using HAC versus standard IC central line–associated bloodstream infection surveillance from October 1, 2007, through December 31, 2009. One billing and 2 IC databases were queried and matched to determine the number and concordance of cases identified by each method. Manual review of 25 cases from each discordant category was performed. Sensitivity and positive predictive value (PPV) were calculated using IC as criterion standard. RESULTS A total of 1,505 cases were identified: 844 by International Classification of Diseases, Ninth Revision (ICD-9), and 798 by IC. A total of 204 cases (24%) identified by ICD-9 were deemed not present at hospital admission by coders. Only 112 cases (13%) were concordant. HAC sensitivity was 14% and PPV was 55% compared with IC. Concordance was low regardless of hospital type. Primary reasons for discordance included differences in surveillance and clinical definitions, clinical uncertainty, and poor documentation. CONCLUSIONS The case-finding method used by CMS HAC and the methods used for traditional IC surveillance frequently do not agree. This can lead to conflicting results when these 2 measures are used as hospital quality metrics. PMID:23388357

  1. Evaluation of Etiology and Treatment Methods for Epistaxis: A Review at a Tertiary Care Hospital in Central Nepal

    PubMed Central

    Parajuli, Ramesh

    2015-01-01

    Introduction. Epistaxis is one of the most common emergencies in Otorhinolaryngology. It is usually managed with simple conservative measures but occasionally it is a life threatening condition. Identification of the cause is important, as it reflects the management plan being followed. Aims and Objectives. To analyze the etiology and treatment methods for patients with epistaxis. Methods. A retrospective study was done in a tertiary care hospital in central Nepal. The study period was from May 2014 to April 2015. Results. A total of 84 patients had epistaxis; 52 were males and 32 were females. The most common cause of epistaxis was idiopathic (38.09%) followed by hypertension (27.38%), trauma (15.47%), and coagulopathy (8.33%). Regarding treatment methods, most (52.38%) of our patients required anterior nasal packing. Chemical cautery was sufficient to stop bleeding in 14.28% of patients while electrocautery and posterior nasal packing were performed in 2.38% and 16.66% patients, respectively. Two (2.38%) patients required endoscopic sphenopalatine arterial ligation. Conclusion. Hypertension, trauma and coagulopathy were the most common etiological factors among the patients in whom etiology was found although in most of the patients etiology could not be found. Anterior nasal packing was the most common treatment method applied to these patients. PMID:26346242

  2. Structural adjustment, women, and agriculture in Cameroon.

    PubMed

    Fonchingong, C

    1999-11-01

    This article assesses the impact of economic structural programs on the agricultural activities of women's groups in Cameroon, and explores women's ways of coping with the reduction in individual and family income and the loss of public services. It examines the role of 25 women's groups in both rural and urban areas of Cameroon's northwest and southwest provinces in a study conducted from April to June 1999. Economic structural adjustment caused a tremendous increase in the workload of women that are farming usually in lots distant from their homes that yield poor returns. Land for food-crop cultivation has become increasingly scarce, and inputs have become substantially unaffordable. Income generated from the sale of crops is inadequate to supply the economic and social needs of the family. Moreover, the burden of their work has increased as they cope with housework, child-care, and food production, in addition to an expanded participation in paid employment. Moreover, women spend longer working hours than men, meeting both household responsibilities and their outside work. Women have devised strategies to cope with this economic crisis, but they need organizations that will support them with the important resources to be able to operate. Rural women seem to be coping better than urban women cope. In extreme cases, some women in urban areas resort to prostitution to cope with life in this crisis setting. PMID:12349481

  3. Hospital Performance Indicators and Their Associated Factors in Acute Child Poisoning at a Single Poison Center, Central Saudi Arabia.

    PubMed

    Alanazi, Menyfah Q; Al-Jeriasy, Majed I; Al-Assiri, Mohammed H; Afesh, Lara Y; Alhammad, Fahad; Salam, Mahmoud

    2015-12-01

    Admission rate and length of stay (LOS) are two hospital performance indicators that affect the quality of care, patients' satisfaction, bed turnover, and health cost expenditures. The aim of the study was to identify factors associated with higher admission rates and extended average LOS among acutely poisoned children at a single poison center, central Saudi Arabia.This is a cross-sectional, poison and medical chart review between 2009 and 2011. Exposures were child characteristics, that is, gender, age, body mass index (BMI), health history, and Canadian 5-level triage scale. Poison incident characteristics were, that is, type, exposure route, amount, form, home remedy, and arrival time to center. Admission status and LOS were obtained from records. Chronic poisoning, plant allergies, and venomous bites were excluded. Bivariate and regression analyses were applied. Significance at P < 0.05.Of the 315 eligible cases, (72%) were toddlers with equal gender distribution, (58%) had normal BMI, and (77%) were previously healthy. Poison substances were pharmaceutical drugs (63%) versus chemical products (37%). Main exposure route was oral (98%). Home remedy was observed in (21.9%), which were fluids, solutes, and/or gag-induced vomiting. Almost (52%) arrived to center >1 h. Triage levels: non-urgent cases (58%), less urgent (11%), urgent (18%), emergency (12%), resuscitative (1%). Admission rate was (20.6%) whereas av. LOS was 13 ± 22 h. After adjusting and controlling for confounders, older children (adj.OR = 1.19) and more critical triage levels (adj.OR = 1.35) were significantly associated with higher admission rates compared to younger children and less critical triage levels (adj.P = 0.006) and (adj.P = 0.042) respectively. Home remedy prior arrival was significantly associated with higher av. LOS (Beta = 9.48, t = 2.99), compared to those who directly visited the center, adj.P = 0.003.Hospital administrators are cautioned

  4. Ethnobotanical survey of trees in Fundong, Northwest Region, Cameroon

    PubMed Central

    Focho, Derek A; Newu, Muh C; Anjah, Mendi G; Nwana, Fongod A; Ambo, Fonge B

    2009-01-01

    Ethnobotanical investigations were conducted in Fundong Central Subdivision in the Northwest Region of Cameroon to identify trees growing in the area and collect information on their uses by the local people. This research covered a period of 12 months from May 2007 to April 2008. Ethnobotanical information was collected through the show-and-tell/semi-structured method and personal interviews during field trips. Three villages were investigated. A total of 82 tree species were identified belonging to 70 genera and 42 families. Among these species, 40 were widely used by the local people in traditional medicine to treat 48 human ailments. Tree species were also used for fuel wood, construction materials, wood carving and honey production. Leaves and barks were commonly used in traditional medicine while the wood, branches and the entire plants were commonly used for other purposes. In spite of the scarcity of natural forests in the study area, the local populations continue to depend on indigenous and exotic trees in their surroundings for their survival. There is therefore need for cultivation, protection and sustainable management of these valuable resources for rural livelihoods. PMID:19555468

  5. Socio-cultural determinants of infant malnutrition in Cameroon.

    PubMed

    Pemunta, Ngambouk Vitalis; Fubah, Mathias Alubafi

    2015-07-01

    This study seeks to explore and explain the socio-cultural factors responsible for the incidence of infant malnutrition in Cameroon with particular emphasis on northern Cameroon where it is most accentuated. It combines quantitative data drawn from the 1991, 1998, 2004 and 2011 Cameroon Demographic and Health Surveys, as well as a literature review of publications by the WHO and UNICEF. This is further complemented with qualitative data from various regions of Cameroon, partly from a national ethnographic study on the ethno-medical causes of infertility in Cameroon conducted between 1999 and 2000. Whereas socio-cultural factors related to child feeding and maternal health (breast-feeding, food taboos and representations of the colostrum as dangerous for infants) are widespread throughout Cameroon, poverty-related factors (lack of education for mothers, natural disaster, unprecedented influx of refugees, inaccessibility and inequity in the distribution of health care services) are pervasive in northern Cameroon. This conjunction of factors accounts for the higher incidence of infant malnutrition and mortality in northern Cameroon. The study suggests the need for women's empowerment and for health care personnel in transcultural situations to understand local cultural beliefs, practices and sentiments before initiating change efforts in infant feeding practices and maternal health. Biomedical services should be tailored to the social and cultural needs of the target population--particularly women--since beliefs and practices underpin therapeutic recourse. Whereas infant diarrhoea might be believed to be the result of sexual contact, in reality, it is caused by unhygienic conditions. Similarly, weaning foods aimed at transmitting ethnic identity might not meet a child's age-specific food needs and might instead give rise to malnutrition. PMID:24717356

  6. Neurocognitive Recovery After Hospital-Treated Deliberate Self-Poisoning With Central Nervous System Depressant Drugs: A Longitudinal Cohort Study.

    PubMed

    Oxley, Stewart O C; Dassanayake, Tharaka L; Carter, Gregory L; Whyte, Ian; Jones, Alison L; Cooper, Gavin; Michie, Patricia T

    2015-12-01

    Hospital-treated deliberate self-poisoning (DSP) by central nervous system depressant drugs (CNS-D) has been associated with impairments in cognitive and psychomotor functions at the time of discharge. We aimed to replicate this finding and to compare recovery in the first month after discharge for CNS-D and CNS nondepressant drug ingestions. We also examined a series of multivariate explanatory models of recovery of neurocognitive outcomes over time. The CNS-D group was impaired at discharge compared with the CNS-nondepressant group in cognitive flexibility, cognitive efficiency, and working memory. There were no significant differences at discharge in visual attention, processing speed, visuomotor speed, or inhibition speed. Both groups improved in the latter measures over 1 month of follow-up. However, the CNS-D group's recovery was significantly slower for key neurocognitive domains underlying driving in complex traffic situations, namely, cognitive flexibility, cognitive efficiency, and working memory. Patients discharged after DSP with CNS-D drugs have impairments of some critical cognitive functions that may require up to 1 month to recover. Although more pre- than post-DSP variables were retained as explanatory models of neurocognitive performance overall, recovery over time could not be explained by any one of the measured covariates. Tests of cognitive flexibility could be used in clinical settings as a proxy measure for recovery of driving ability. Regulatory authorities should also consider the implications of these results for the period of nondriving advised after ingestion of CNS-D in overdose. Future research, with adequate sample size, should examine contributions of other variables to the pattern of recovery over time. PMID:26485340

  7. 76 FR 1660 - Culturally Significant Objects Imported for Exhibition Determinations: “Art in Cameroon...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Culturally Significant Objects Imported for Exhibition Determinations: ``Art in Cameroon: Sculptural... ``Art in Cameroon: Sculptural Dialogues,'' imported from abroad for temporary exhibition within...

  8. What Role Do Traditional Beliefs Play in Treatment Seeking and Delay for Buruli Ulcer Disease?–Insights from a Mixed Methods Study in Cameroon

    PubMed Central

    Peeters Grietens, Koen; Toomer, Elizabeth; Um Boock, Alphonse; Hausmann-Muela, Susanna; Peeters, Hans; Kanobana, Kirezi; Gryseels, Charlotte; Ribera, Joan Muela

    2012-01-01

    Background Victims of Buruli ulcer disease (BUD) frequently report to specialized units at a late stage of the disease. This delay has been associated with local beliefs and a preference for traditional healing linked to a reportedly mystical origin of the disease. We assessed the role beliefs play in determining BUD sufferers’ choice between traditional and biomedical treatments. Methods Anthropological fieldwork was conducted in community and clinical settings in the region of Ayos and Akonolinga in Central Cameroon. The research design consisted of a mixed methods study, triangulating a qualitative strand based on ethnographic research and quantitative data obtained through a survey presented to all patients at the Ayos and Akonolinga hospitals (N = 79) at the time of study and in four endemic communities (N = 73) belonging to the hospitals’ catchment area. Results The analysis of BUD sufferers’ health-seeking behaviour showed extremely complex therapeutic itineraries, including various attempts and failures both in the biomedical and traditional fields. Contrary to expectations, nearly half of all hospital patients attributed their illness to mystical causes, while traditional healers admitted patients they perceived to be infected by natural causes. Moreover, both patients in hospitals and in communities often combined elements of both types of treatments. Ultimately, perceptions regarding the effectiveness of the treatment, the option for local treatment as a cost prevention strategy and the characteristics of the doctor-patient relationship were more determinant for treatment choice than beliefs. Discussion The ascription of delay and treatment choice to beliefs constitutes an over-simplification of BUD health-seeking behaviour and places the responsibility directly on the shoulders of BUD sufferers while potentially neglecting other structural elements. While more efficacious treatment in the biomedical sector is likely to reduce perceived

  9. The Lilongwe Central Hospital Patient Management Information System: A Success in Computer-Based Order Entry Where One Might Least Expect It

    PubMed Central

    GP, Douglas; RA, Deula; SE, Connor

    2003-01-01

    Computer-based order entry is a powerful tool for enhancing patient care. A pilot project in the pediatric department of the Lilongwe Central Hospital (LCH) in Malawi, Africa has demonstrated that computer-based order entry (COE): 1) can be successfully deployed and adopted in resource-poor settings, 2) can be built, deployed and sustained at relatively low cost and with local resources, and 3) has a greater potential to improve patient care in developing than in developed countries. PMID:14728338

  10. Petromagnetic characteristics of Cameroon Line volcanic rocks

    NASA Astrophysics Data System (ADS)

    Ubangoh, R. U.; Pacca, I. G.; Nyobe, J. B.; Hell, J.; Ateba, B.

    2005-04-01

    Volcanic rock samples collected from 154 sites on the Cameroon Line (CL) have been analysed to study their petromagnetic characteristics. Thermomagnetic experiments and electron microscope observations on the samples indicate that the principal magnetic mineral and carrier of Natural Remanent Magnetisation (NRM) in these rocks is titanomagnetite rich in titanium. These also indicate that the level and stability of magnetisation are dependent on the quantity and composition of the magnetic minerals (which are controlled by the composition of the original liquid magma), their oxidation states and grain sizes. The contribution of high- and low-temperature oxidation observed in some of the magnetic minerals was that of increasing their magnetic resistance. Rocks with abundant ilmenite lamellae in their titanomagnetite showed increased magnetic resistance during demagnetisation experiments. In the analysis, the samples exhibited a considerable magnetisation spectrum indicating that most of them are strongly magnetic. The general tendency in experimental magnetism of an increase in magnetic resistance with decrease in grain sizes of discrete magnetic minerals is not respected in this natural system because of the effects of the presence of many ilmenite lamellae and mini-fractures in some of the titanomagnetite grains. In this way, the conditions of low crystallisation temperature, high fO2 and high PH 2O , which were the conditions for the crystallisation of the most stable rocks (the hawaiites) on the line, were the conditions favourable for the acquisition of a stable magnetisation in the region. The low Curie temperatures (74-250 °C) found for a majority of the rocks indicate that the lower crust in the region and the upper mantle could be nonmagnetic. The high regional negative magnetic anomaly over the Cameroon Line that is not consistent with the small depth previewed by the Curie system and by the paramagnetic effect of the acid volcanic rocks in the region is

  11. Cameroon: A Country Guide Series Report from the AACRAO-AID Project.

    ERIC Educational Resources Information Center

    Saidi, Jasmin

    This report on the educational system of Cameroon contains information for university admissions officers and registrars in the United States on the credentials and other documentation that would be minimally required for student entry from Cameroon to specified levels of study in the United States. In Cameroon French and English languages share…

  12. Language Practices and Religious Rites in the Full Gospel Mission Cameroon

    ERIC Educational Resources Information Center

    Kouega, Jean-Paul

    2016-01-01

    This paper deals with language practices in one Pentecostal church in Cameroon, i.e. the Full Gospel Mission Cameroon (FGMC). The data are produced by some 80 pastors, church officials, choir leaders and congregants, and the settings are some 20 churches located in two anglophone regions and two francophone regions of Cameroon. The instruments…

  13. The Development of the Cameroon Volcanic Line: Evidence from Broadband Seismology

    NASA Astrophysics Data System (ADS)

    Basow, Ian; Gallacher, Ryan; De Plaen, Raphael; Chambers, Emma; Keir, Derek; Keane, Joseph

    2014-05-01

    The Cameroon Volcanic Line (CVL) straddles the continent-ocean boundary in west Africa, but exhibits no clear age progression. This renders it difficult to explain by traditional plume/plate-motion hypotheses; thus there remains no consensus on the processes responsible for its development. To understand better the nature of asthenospheric flow beneath the CVL, and the effects of hotspot tectonism on the overlying lithosphere, we analyse mantle seismic anisotropy, bulk crustal seismic structure, and seismicity. Cameroon is relatively aseismic compared to hotspots elsewhere, with little evidence for magmatism-related crustal deformation away from Mt. Cameroon, which last erupted in 2000. Low crustal Vp/Vs ratios (~1.74) and a lack of evidence for seismically anisotropic aligned melt within the lithosphere both point towards a poorly developed magmatic plumbing system beneath the CVL. Null SKS splitting observations dominate the western continental portion of the CVL; elsewhere, anisotropic fast polarization directions parallel the Precambrian Central African Shear Zone (CASZ). The nulls may imply the CVL convecting upper mantle is isotropic, or characterized by a vertically oriented olivine LPO fabric, perhaps due to a mantle plume or the upward limb of a small-scale convection cell. Precambrian CASZ fossil lithospheric fabrics along the CVL may have been thermomechanically eroded during Gondwana breakup ~130Ma, with an isotropic lower lithosphere subsequently re-forming due to cooling of the slow-moving African plate. Small-scale lithospheric delamination during the 30Ma-Recent development of the line may also have contributed to the erosion of the CASZ lithospheric fossil anisotropy, at the same time as generating the low-volume alkaline basaltic volcanism along the CVL.

  14. The development of magmatism along the Cameroon Volcanic Line: Evidence from seismicity and seismic anisotropy

    NASA Astrophysics Data System (ADS)

    De Plaen, R. S. M.; Bastow, I. D.; Chambers, E. L.; Keir, D.; Gallacher, R. J.; Keane, J.

    2014-05-01

    The Cameroon Volcanic Line (CVL) straddles the continent-ocean boundary in West Africa but exhibits no clear age progression. This renders it difficult to explain by traditional plume/plate motion hypotheses; thus, there remains no consensus on the processes responsible for its development. To understand better the nature of asthenospheric flow beneath the CVL, and the effects of hotspot tectonism on the overlying lithosphere, we analyze mantle seismic anisotropy and seismicity. Cameroon is relatively aseismic compared to hotspots elsewhere, with little evidence for magmatism-related crustal deformation away from Mount Cameroon, which last erupted in 2000. Low crustal Vp/Vs ratios (˜1.74) and a lack of evidence for seismically anisotropic aligned melt within the lithosphere both point toward a poorly developed magmatic plumbing system beneath the CVL. Null SKS splitting observations dominate the western continental portion of the CVL; elsewhere, anisotropic fast polarization directions parallel the strike of the Precambrian Central African Shear Zone (CASZ). The nulls may imply that the convecting upper mantle beneath the CVL is isotropic, or characterized by a vertically oriented olivine lattice preferred orientation fabric, perhaps due to a mantle plume or the upward limb of a small-scale convection cell. Precambrian CASZ fossil lithospheric fabrics along the CVL may have been thermomechanically eroded during Gondwana breakup ˜130 Ma, with an isotropic lower lithosphere subsequently reforming due to cooling of the slow-moving African plate. Small-scale lithospheric delamination during the 30 Ma recent development of the line may also have contributed to the erosion of the CASZ lithospheric fossil anisotropy, at the same time as generating the low-volume alkaline basaltic volcanism along the CVL.

  15. Molecular Species Delimitation and Morphology of Aquatic and Sub-Aquatic Bugs (Heteroptera) in Cameroon.

    PubMed

    Meyin A Ebong, Solange; Petit, Elsa; Le Gall, Philippe; Chen, Ping-Ping; Nieser, Nico; Guilbert, Eric; Njiokou, Flobert; Marsollier, Laurent; Guégan, Jean-François; Pluot-Sigwalt, Dominique; Eyangoh, Sara; Harry, Myriam

    2016-01-01

    Aquatic and semi-aquatic bugs (Heteroptera) represent a remarkable diversity and a resurging interest has been given to documenting at the species level these insects inhabiting Cameroon in Central Africa due to their potential implication in the transmission of the bacterium Mycobacterium ulcerans, the causal agent of Buruli ulcer, an emerging human disease. A survey was carried out over two years in Cameroon. Morphological analyses were done in two steps. A first step consisted in separating the specimens based on broadly shared characters into morphotypes. The specimens were then separated into two independent batches containing each the same representation of each morphotype. One batch (309 specimens) was used by taxonomy experts on aquatic bugs for species level identification and/or to reconcile nymph with their corresponding adult species. The second batch (188 specimens) was used to define species based on the COI DNA sequences (standard sequence used for "DNA barcoding") and using the Automatic Barcode Gap Discovery (ABGD) method. The first morphological analysis step separated the specimens into 63 different morphotypes (49 adults and 14 nymphs), which were then found to belong to 54 morphological species in the infra-orders Gerromorpha and Nepomorpha based on the species-level morphological identification, and 41-45 putative molecular species according to the gap value retained in the ABGD. Integrating morphology and "DNA barcoding" reconciled all the specimens into 62 aquatic bug species in Cameroon. Generally, we obtained a good congruence between species a priori identified based on morphology from adult morphotypes and molecular putative species. Moreover, molecular identification has allowed the association of 86% of nymphs with adults. This work illustrates the importance of integrative taxonomy. PMID:27149077

  16. Molecular Species Delimitation and Morphology of Aquatic and Sub-Aquatic Bugs (Heteroptera) in Cameroon

    PubMed Central

    Le Gall, Philippe; Chen, Ping-Ping; Nieser, Nico; Guilbert, Eric; Njiokou, Flobert; Marsollier, Laurent; Guégan, Jean-François; Pluot-Sigwalt, Dominique; Eyangoh, Sara; Harry, Myriam

    2016-01-01

    Aquatic and semi-aquatic bugs (Heteroptera) represent a remarkable diversity and a resurging interest has been given to documenting at the species level these insects inhabiting Cameroon in Central Africa due to their potential implication in the transmission of the bacterium Mycobacterium ulcerans, the causal agent of Buruli ulcer, an emerging human disease. A survey was carried out over two years in Cameroon. Morphological analyses were done in two steps. A first step consisted in separating the specimens based on broadly shared characters into morphotypes. The specimens were then separated into two independent batches containing each the same representation of each morphotype. One batch (309 specimens) was used by taxonomy experts on aquatic bugs for species level identification and/or to reconcile nymph with their corresponding adult species. The second batch (188 specimens) was used to define species based on the COI DNA sequences (standard sequence used for “DNA barcoding”) and using the Automatic Barcode Gap Discovery (ABGD) method. The first morphological analysis step separated the specimens into 63 different morphotypes (49 adults and 14 nymphs), which were then found to belong to 54 morphological species in the infra-orders Gerromorpha and Nepomorpha based on the species-level morphological identification, and 41–45 putative molecular species according to the gap value retained in the ABGD. Integrating morphology and “DNA barcoding” reconciled all the specimens into 62 aquatic bug species in Cameroon. Generally, we obtained a good congruence between species a priori identified based on morphology from adult morphotypes and molecular putative species. Moreover, molecular identification has allowed the association of 86% of nymphs with adults. This work illustrates the importance of integrative taxonomy. PMID:27149077

  17. Cardiac involvement in HIV infected people in Yaounde, Cameroon

    PubMed Central

    Nzuobontane, D; Blackett, K; Kuaban, C

    2002-01-01

    Objective: To study the cardiac abnormalities in HIV infected patients in relation to the clinical stage of the disease and the immunological status of the patients. Methods: A total 75 consecutive patients tested for HIV on the basis of clinical suspicion of the disease from July to September 1996 at the University Hospital Centre, Yaounde, Cameroon were recruited. The patients were classified into AIDS, HIV positive non-AIDS, and HIV negative according to clinical findings and outcome of ELISA and western blot testing. Every patient underwent a clinical examination, two dimensional and M-mode echocardiography, and blood lymphocyte typing. Results: Dilated cardiomyopathy occurred in 7/30 (23.33%) AIDS patients, 1/24 (4.17%) HIV positive non-AIDS patient, but in none of the HIV negative patients. Other echocardiographic abnormalities included pericardial separation, effusion, thickening, and mitral valve prolapse. Although these abnormalities were more frequent in HIV infected patients, the differences did not reach levels of statistical significance. Dilated cardiomyopathy occurred in six (31.58%) of the patients with a CD4 cell count ≤100/mm3 and two (6.06%) in those with absolute CD4 counts >100/mm3 (χ2 = 4.02, p = 0.03). Conclusions: Cardiovascular abnormalities are frequent in African HIV infected patients but clinically discrete. Low CD4 cell counts are associated with dilated cardiomyopathy. These abnormalities should be expected with greater frequency in cardiological clinical practice as management of opportunistic infections improves in a situation of continued high disease prevalence in Africa. PMID:12496326

  18. [Children's department and child care institutions of the Central military, hospital of People's commissariat during the Great Patriotic War].

    PubMed

    Simonenko, V B; Krainyukov, P E; Abashin, V G

    2016-01-01

    The article presents historical data about paediatric health care delivery and escort of children of the Command of the Red Army during their evacuation from Moscow in 1941. Data on foundation of kindergartens of People's commissariat in 1942-1943, their support and foundation of children's department in the hospital is given. Special subdivision governed by the head of child care institutions of the hospital was formed for managing child care institutions. PMID:27120958

  19. Serotype Diversity of Foot-and-Mouth-Disease Virus in Livestock without History of Vaccination in the Far North Region of Cameroon.

    PubMed

    Ludi, A; Ahmed, Z; Pomeroy, L W; Pauszek, S J; Smoliga, G R; Moritz, M; Dickmu, S; Abdoulkadiri, S; Arzt, J; Garabed, R; Rodriguez, L L

    2016-02-01

    Little information is available about the natural cycle of foot-and-mouth disease (FMD) in the absence of control measures such as vaccination. Cameroon presents a unique opportunity for epidemiological studies because FMD vaccination is not practiced. We carried out a prospective study including serological, antigenic and genetic aspects of FMD virus (FMDV) infections among different livestock production systems in the Far North of Cameroon to gain insight into the natural ecology of the virus. We found serological evidence of FMDV infection in over 75% of the animals sampled with no significant differences of prevalence observed among the sampled groups (i.e. market, sedentary, transboundary trade and mobile). We also found antibodies reactive to five of the seven FMDV serotypes (A, O, SAT1, SAT2 and SAT3) among the animals sampled. Finally, we were able to genetically characterize viruses obtained from clinical and subclinical FMD infections in Cameroon. Serotype O viruses grouped into two topotypes (West and East Africa). SAT2 viruses grouped with viruses from Central and Northern Africa, notably within the sublineage causing the large epidemic in Northern Africa in 2012, suggesting a common origin for these viruses. This research will guide future interventions for the control of FMD such as improved diagnostics, guidance for vaccine formulation and epidemiological understanding in support of the progressive control of FMD in Cameroon. PMID:24735162

  20. Campano-Maastrichtian foraminifera from onshore sediments in the Rio del Rey Basin, Southwest Cameroon

    NASA Astrophysics Data System (ADS)

    Njoh, Oliver Anoh; Victor, Obiosio; Christopher, Agyingi

    2013-03-01

    Campanian-Maastrichtian marine sediments outcrop in five genetically linked sedimentary basins along the West African coast in the Gulf of Guinea, from the Douala Basin in Cameroon to the Anambra Basin in Nigeria. These sediments in the more centrally located Rio del Rey Basin have been the least studied. Therefore, the geologic history of this region has merely been speculative. The Rio del Rey Basin like the adjacent Niger Delta is producing hydrocarbon from the offshore Tertiary sedimentary interval in which all studies have been focused, neglecting the onshore Cretaceous sediments. Outcrops in the basin are rare, small and highly weathered. Samples from some of these sediments have yielded a few Planktonic and dominantly benthonic foraminiferal assemblages. The long-ranging heterohelix and hedbergellids characterized the planktics while the species Afrobolivina afra which is a well known diagnostic taxon for Campanian-Maastrichtian sediments in West African basins clearly dominate the benthic assemblage. Its occurrence in association with other Upper Cretaceous forms such as Bolivina explicata, Praebulimina exiqua, Gabonita lata, Ammobaculites coprolithiformis amongst others, formed the basis on which this age was assigned to the sediments sampled from the Rio del Rey Basin. Hence, this work has undoubtedly established the much needed link in this regional geologic history and correlates these sediments with the Logbaba and Nkporo Formations in the Douala Basin in Cameroon and the southeastern Nigerian Sedimentary Basins. Thus, these units were all deposited during this same geologic period and probably controlled by the same geologic event.

  1. The Two-Phase Emergence of Non Pandemic HIV-1 Group O in Cameroon

    PubMed Central

    Feyertag, Felix; Kfutwah, Anfumbom; Mauclère, Philippe; Lachenal, Guillaume; Damond, Florence; De Oliveira, Fabienne; Lemée, Véronique; Simon, François; Robertson, David L; Plantier, Jean-Christophe

    2015-01-01

    Unlike the pandemic form of HIV-1 (group M), group O viruses are endemic in west central Africa, especially in Cameroon. However, little is known about group O’s genetic evolution, and why this highly divergent lineage has not become pandemic. Using a unique and large set of group O sequences from samples collected from 1987 to 2012, we find that this lineage has evolved in successive slow and fast phases of diversification, with a most recent common ancestor estimated to have existed around 1930 (1914–1944). The most rapid periods of diversification occurred in the 1950s and in the 1980s, and could be linked to favourable epidemiological contexts in Cameroon. Group O genetic diversity reflects this two-phase evolution, with two distinct populations potentially having different viral properties. The currently predominant viral population emerged in the 1980s, from an ancient population which had first developed in the 1950s, and is characterized by higher growth and evolutionary rates, and the natural presence of the Y181C resistance mutation, thought to confer a phenotypic advantage. Our findings show that although this evolutionary pattern is specific to HIV-1 group O, it paralleled the early spread of HIV-1 group M in the Democratic Republic of Congo. Both viral lineages are likely to have benefited from similar epidemiological contexts. The relative role of virological and social factors in the distinct epidemic histories of HIV-1 group O and M needs to be reassessed. PMID:26241860

  2. [Telemedicine, a medical social network for humanitarian aid between Spain and Cameroon].

    PubMed

    Pérez-Manchón, David

    2015-01-01

    The application of information technologies and telecommunications in healthcare in southern countries can improve the health of millions of people living in poverty without access to high-quality health services. Specifically, telemedicine not synchronized with internet platforms is a very efficient option for international cooperation projects. Since its inception, the project Health 2.0: professionals from Africa-Spain connected, of the Spanish organization, Foundation Recover, Hospitals for Africa, has managed to connect health professionals from both continents with the goal of improving health in Cameroon. Thanks to a social network with the scientific format of case management and clinical updates, Spanish physicians collaborate through volunteer e-health in the training of their African colleagues to improve the quality of care provided to residents and also create sources of knowledge and research. PMID:25175358

  3. Uncovering high rates of unsafe injection equipment reuse in rural Cameroon: validation of a survey instrument that probes for specific misconceptions

    PubMed Central

    2011-01-01

    Background Unsafe reuse of injection equipment in hospitals is an on-going threat to patient safety in many parts of Africa. The extent of this problem is difficult to measure. Standard WHO injection safety assessment protocols used in the 2003 national injection safety assessment in Cameroon are problematic because health workers often behave differently under the observation of visitors. The main objective of this study is to assess the extent of unsafe injection equipment reuse and potential for blood-borne virus transmission in Cameroon. This can be done by probing for misconceptions about injection safety that explain reuse without sterilization. These misconceptions concern useless precautions against cross-contamination, i.e. "indirect reuse" of injection equipment. To investigate whether a shortage of supply explains unsafe reuse, we compared our survey data against records of purchases. Methods All health workers at public hospitals in two health districts in the Northwest Province of Cameroon were interviewed about their own injection practices. Injection equipment supply purchase records documented for January to December 2009 were compared with self-reported rates of syringe reuse. The number of HIV, HBV and HCV infections that result from unsafe medical injections in these health districts is estimated from the frequency of unsafe reuse, the number of injections performed, the probability that reused injection equipment had just been used on an infected patient, the size of the susceptible population, and the transmission efficiency of each virus in an injection. Results Injection equipment reuse occurs commonly in the Northwest Province of Cameroon, practiced by 44% of health workers at public hospitals. Self-reported rates of syringe reuse only partly explained by records on injection equipment supplied to these hospitals, showing a shortage of syringes where syringes are reused. Injection safety interventions could prevent an estimated 14-336 HIV

  4. Patterns of cardiovascular disease in a group of HIV-infected adults in Yaoundé, Cameroon

    PubMed Central

    Menanga, Alain Patrick; Ngomseu, Christelle Kougang; Jingi, Ahmadou M.; Mfangam, Brigitte Molu; Gweth, Marie Ntep; Blackett, Kathleen Ngu; Kingue, Samuel

    2015-01-01

    Background Cardiovascular disease is an increasingly important issue in human immunodeficiency viral (HIV)-infected individuals. There is dearth of information on the patterns of cardiovascular disease especially in sub-Saharan Africa (SSA) patients. This study reports on the clinical, biological, electrocardiographic and echocardiographic characteristics of a group of HIV-infected patients presenting with symptoms of heart disease in Yaoundé, Cameroon. Methods This was a cross-sectional study conducted at the Yaoundé Central Hospital and Jamot Hospital. Consenting HIV-infected adults aged ≥18 years with symptoms suggestive of heart disease were consecutively recruited between February and July 2014. All participants underwent a complete clinical examination; biological analyses including CD4 cell counts, fasting blood glucose, and serum lipids, resting electrocardiography and cardiac ultrasound, and a venous ultrasound where necessary. Results Forty four subjects (21 men) were included. Their mean age was 48 (SD 13) years. Thirty patients (68.2%) were in WHO clinical stages 3 and 4 of HIV infection, 27 (61.4%) had a CD4 cell count <200/mm3, and 31 (70.5%) were on antiretroviral therapy (ART). Hypertension (43.2%, n=19) was the most frequent cardiovascular risk factor; and dyslipidemia which was found in 17 subjects (38.6%) was significantly associated with ART (48.4% vs. 15.4%, P=0.04). Only men where smokers (23% vs. 0%, P=0.019). Exertional dyspnea (86.4%, n=38) and cough (59.1%, n=26) were the most frequent symptoms, and the clinical presentation was dominated by heart failure (75%, n=33). The most frequent echocardiographic abnormalities were pericardial effusion (45.5%, n=20) and dilated cardiomyopathy (22.7%, n=10). Dilated cardiomyopathy was significantly associated with CD4 cell counts <200/mm3 (100%, P=0.003). Primary pulmonary hypertension (PH) rate was 11.4% (n=5) and all cases occurred at CD4 cell counts ≥200/mm3 (P=0.005). The most frequent

  5. Mycobacterium tuberculosis is the causative agent of tuberculosis in the southern ecological zones of Cameroon, as shown by genetic analysis

    PubMed Central

    2013-01-01

    Background Tuberculosis (TB) is a major cause of mortality and suffering worldwide, with over 95% of TB deaths occurring in low- and middle-income countries. In recent years, molecular typing methods have been widely used in epidemiological studies to aid the control of TB, but this usage has not been the case with many African countries, including Cameroon. The aims of the present investigation were to identify and evaluate the diversity of the Mycobacterium tuberculosis complex (MTBC) isolates circulating in two ecological zones of Cameroon, seven years after the last studies in the West Region, and after the re-organization of the National TB Control Program (NTBCP). These were expected to shed light also on the transmission of TB in the country. The study was conducted from February to July 2009. During this period, 169 patients with symptomatic disease and with sputum cultures that were positive for MTBC were randomly selected for the study from amongst 964 suspected patients in the savannah mosaic zone (West and North West regions) and the tropical rainforest zone (Central region). After culture and diagnosis, DNA was extracted from each of the MTBC isolates and transported to the BecA-ILRI Hub in Nairobi, Kenya for molecular analysis. Methods Genetic characterization was done by mycobacterial interspersed repetitive unit–variable number tandem repeat typing (MIRU-VNTR) and Spoligotyping. Results Molecular analysis showed that all TB cases reported in this study were caused by infections with Mycobacterium tuberculosis (98.8%) and Mycobacterium africanum (M. africanum) (1.2%) respectively. We did not detect any M. bovis. Comparative analyses using spoligotyping revealed that the majority of isolates belong to major clades of M. tuberculosis: Haarlem (7.6%), Latin American-Mediterranean (34.4%) and T clade (26.7%); the remaining isolates (31.3%) where distributed among the minor clades. The predominant group of isolates (34.4%) corresponded to spoligotype 61

  6. Epidemiology and medical cost of hospitalization due to rotavirus gastroenteritis among children under 5 years of age in the central-east of Tunisia.

    PubMed

    Soltani, M S; Salah, A Ben; Bouanene, I; Trabelsi, A; Sfar, M T; Harbi, A; Gueddiche, M N; Farhat, E Ben

    2015-08-01

    Data on the economic burden of rotavirus infection in Tunisia are needed to inform the decision to include rotavirus in routine childhood immunizations. This study aimed to describe the epidemiological profile of rotavirus disease in central-east Tunisia and to estimate its hospital cost. In the first stage - the prospective collection of epidemiological data - we enrolled all patients < 5 years old who were hospitalized for acute diarrhoea at 5 university paediatric departments in central-east Tunisia during the period 2009-2011. Rotavirus was responsible for 65 (23.3%) of the 279 cases enrolled. In the second stage, cost data were collected retrospectively using an activity-based costing method from the medical records of the children who were positively diagnosed with rotavirus. The average cost of care per child was TD 433 (SD 134). This is a significant economic burden in Tunisia, where a safe and effective vaccine is available but not yet introduced to the immunization schedule. PMID:26446530

  7. Distribution of entomopathogenic nematodes in Southern Cameroon.

    PubMed

    Kanga, Françoise Ngo; Waeyenberge, Lieven; Hauser, Stefan; Moens, Maurice

    2012-01-01

    A first survey of entomopathogenic nematodes (EPN) was conducted in three agro-ecological zones of Southern Cameroon in 2007 and 2008. Entomopathogenic nematodes were recovered from 26 of 251 soil samples (10.4%). Three species, Heterorhabditis baujardi, Steinernema sp. A and Steinernema sp. B were found. The two steinernematids were considered unidentified species. Among the positive samples, 23 samples contained only H. baujardi (88.5%), two contained Steinernema sp. A co-occurring with H. baujardi (7.7%), and one sample contained Steinernema sp. B (3.9%). H. baujardi was frequent in forest and fruit crop (cocoa and oil palm plantations). Steinernema sp. A was found in a tree plantation of teak, Steinernema sp. B in a forest habitat. Nematodes were mostly present in acidic soils with pH ranging from 3.7 to 7.0. The highest EPN presence was recorded in sandy loam, sandy clay loam, sandy clay and clay soils. EPNs were not recovered in sand, loamy sand and clay loam soils. Using principal component analysis for elucidating the major variation patterns among sampling sites, four factors explaining for 73.64% of the overall variance were extracted. Factors were a combination of geographical (latitude, longitude, altitude), soil (pH, contents of sand, silt and clay, organic carbon, texture), and moisture (wilting point, field capacity) parameters as well as climatic parameters (mean annual rainfall, mean air temperature). Logistic regression and redundancy analyses (RDA) revealed that soil pH, longitude, available water and altitude were associated with presence and absence of EPN. Both logistic regression and RDA indicated that, increasing soil pH and longitude, associated with decreasing altitude, led to higher percentages of samples containing entomopathogenic nematodes. PMID:21983478

  8. Lead exposure from aluminum cookware in Cameroon.

    PubMed

    Weidenhamer, Jeffrey D; Kobunski, Peter A; Kuepouo, Gilbert; Corbin, Rebecca W; Gottesfeld, Perry

    2014-10-15

    Blood lead levels have decreased following the removal of lead from gasoline in most of the world. However, numerous recent studies provide evidence that elevated blood lead levels persist in many low and middle-income countries around the world at much higher prevalence than in the more developed countries. One potential source of lead exposure that has not been widely investigated is the leaching of lead from artisanal aluminum cookware, which is commonly used in the developing world. Twenty-nine samples of aluminum cookware and utensils manufactured by local artisans in Cameroon were collected and analyzed for their potential to release lead during cooking. Source materials for this cookware included scrap metal such as engine parts, radiators, cans, and construction materials. The lead content of this cookware is relatively low (<1000 ppm by X-ray fluorescence), however significant amounts of lead, as well as aluminum and cadmium were released from many of the samples using dilute acetic acid extractions at boiling and ambient temperatures. Potential exposures to lead per serving were estimated to be as high as 260 μg, indicating that such cookware can pose a serious health hazard. We conclude that lead, aluminum and cadmium can migrate from this aluminum cookware during cooking and enter food at levels exceeding recommended public health guidelines. Our results support the need to regulate lead content of materials used to manufacture these pots. Artisanal aluminum cookware may be a major contributor to lead poisoning throughout the developing world. Testing of aluminum cookware in other developing countries is warranted. PMID:25087065

  9. Ethnomycological studies of edible and medicinal mushrooms in the Mount Cameroon region (Cameroon, Africa).

    PubMed

    Kinge, Tonjock R; Tabi, Ebai M; Mih, Afui M; Enow, Egbe A; Njouonkou, L; Nji, T M

    2011-01-01

    Inhabitants of the Mount Cameroon region depend on the forest resources of the region for their livelihood, including the diverse use of macrofungi. With the increasing loss of forest due to exploitation and urbanization, they are liable to rapidly lose their indigenous knowledge of the forest resources, especially of mushrooms. An ethnomycological survey was conducted with the aim of documenting the indigenous knowledge of mushrooms as a prelude to conservation efforts. We also sought to assess the mycophilic and mycophobic tendencies of the inhabitants. It was revealed that traditionally, mushrooms were used as food, medicine, for mythological purposes, for aesthetics, and some poisonous species were also recorded. At least 15 different species were identified to be edible among the Bakweri people. Species used for ethnomedicine among the Bakweris belonged to several genera, including Termitomyces, Auricularia, Agaricus, Daldinia, Dictyophora, Pleurotus, Russula, Trametes, Chlorophyllum, and Ganoderma. Mushrooms were used as love charms, for dispelling evil spirits, and as part of cultural festivals. PMID:22135882

  10. Transpressional granite-emplacement model: Structural and magnetic study of the Pan-African Bandja granitic pluton (West Cameroon)

    NASA Astrophysics Data System (ADS)

    Sandjo, A. F. Yakeu; Njanko, T.; Njonfang, E.; Errami, E.; Rochette, P.; Fozing, E.

    2016-02-01

    The Pan-African NE-SW elongated Bandja granitic pluton, located at the western part of the Pan-African belt in Cameroon, is a K-feldspar megacryst granite. It is emplaced in banded gneiss and its NW border underwent mylonitization. The magmatic foliation shows NE-SW and NNE-SSW strike directions with moderate to strong dip respectively in its northern and central parts. This mostly, ferromagnetic granite displays magnetic fabrics carried by magnetite and characterized by (i) magnetic foliation with best poles at 295/34, 283/33 and 35/59 respectively in its northern, central and southern parts and (ii) a subhorizontal magnetic lineation with best line at 37/8, 191/9 and 267/22 respectively in the northern, central and southern parts. Magnetic lineation shows an `S' shape trend that allows to (1) consider the complete emplacement and deformation of the pluton during the Pan-African D 2 and D 3 events which occurred in the Pan-African belt in Cameroon and (2) reorganize Pan-African ages from Nguiessi Tchakam et al. (1997) compared with those of the other granitic plutons in the belt as: 686 ±17 Ma (Rb/Sr) for D 1 age of metamorphism recorded in gneiss; and the period between 604-557 Ma for D 2-D 3 emplacement and deformation age of the granitic pluton in a dextral ENE-WSW shear movement.

  11. [HEPATIC HIDATIDOSIS: REVIEW OF CASES WITH SURGICAL INTERVENTION IN THE CENTRAL MILITARY HOSPITAL(LIMA 1990-1999)

    PubMed

    Correa Tineo, Santos; Culqui Lévano, Carlos; Pinto Paz, M.; Huillca, Lisbeth; Salinas Alva, Edgardo

    2000-01-01

    We present a retrospective and descriptive study of 21 surgeries of echinocociosis of the liver, corresponding to 30% of a universe of 70 patients that were studied at HMC from 1990 to 1999; other places were 67% in the lung, 1.5% in peritoneal cavity and 1.5% in the spleen.We analyzed frequency in relation to sex, age, origin of the patient, clinical findings, serological tests, radiological tests, abdominal ecography, CT, surgical procedure, morbility and mortality and stay at hospital.These are the results:The average age was 29 years; 76.19% male and 23.81 %female; pain of the right superior quadrant was 66%, palpable mass with 38%.57.14% were from endemic region. We did serological test in 52.4% of the patients; V arc 42.8%; ELISA 23.8%; W. Blot in 33% with 100% of positive results. Eosinophilia was found in 80.95%; echographic studies were realized in 100%; CT in 61.9%; hepatic gammagraphy in 14.2%. Surgical treatment was conservative in 95.2% and radical in 4.3%.42.8% were complicated cysts. Postoperative complications were present in 66%; the most frequent was fever. The rate of mortality was 0%. The average of stay at hospital was 74 days. PMID:12140587

  12. Nitrate contamination of groundwater in two areas of the Cameroon Volcanic Line (Banana Plain and Mount Cameroon area)

    NASA Astrophysics Data System (ADS)

    Ako, Andrew Ako; Eyong, Gloria Eneke Takem; Shimada, Jun; Koike, Katsuaki; Hosono, Takahiro; Ichiyanagi, Kimpei; Richard, Akoachere; Tandia, Beatrice Ketchemen; Nkeng, George Elambo; Roger, Ntankouo Njila

    2014-06-01

    Water containing high concentrations of nitrate is unfit for human consumption and, if discharging to freshwater or marine habitats, can contribute to algal blooms and eutrophication. The level of nitrate contamination in groundwater of two densely populated, agro-industrial areas of the Cameroon Volcanic Line (CVL) (Banana Plain and Mount Cameroon area) was evaluated. A total of 100 samples from boreholes, open wells and springs (67 from the Banana Plain; 33 from springs only, in the Mount Cameroon area) were collected in April 2009 and January 2010 and analyzed for chemical constituents, including nitrates. The average groundwater nitrate concentrations for the studied areas are: 17.28 mg/l for the Banana Plain and 2.90 mg/l for the Mount Cameroon area. Overall, groundwaters are relatively free from excessive nitrate contamination, with nitrate concentrations in only 6 % of groundwater resources in the Banana Plain exceeding the maximum admissible concentration for drinking water (50 mg/l). Sources of NO3 - in groundwater of this region may be mainly anthropogenic (N-fertilizers, sewerage, animal waste, organic manure, pit latrines, etc.). Multivariate statistical analyses of the hydrochemical data revealed that three factors were responsible for the groundwater chemistry (especially, degree of nitrate contamination): (1) a geogenic factor; (2) nitrate contamination factor; (3) ionic enrichment factor. The impact of anthropogenic activities, especially groundwater nitrate contamination, is more accentuated in the Banana Plain than in the Mount Cameroon area. This study also demonstrates the usefulness of multivariate statistical analysis in groundwater study as a supplementary tool for interpretation of complex hydrochemical data sets.

  13. Prevalence and Correlation of Infectious Agents in Hospitalized Children with Acute Respiratory Tract Infections in Central China

    PubMed Central

    Li, Fu; Wen, Zhou; Liu, Weiyong; Li, Tongya; Qin, Kai; Wu, Jianguo; Liu, Yingle

    2015-01-01

    Acute respiratory tract infections (ARTIs) are associated with significant morbidity and mortality worldwide, especially in children under the age of 5 years. Almost 2 million children die from ARTIs each year, and most of them are from developing countries. The prevalence and correlation of pathogens in ARTIs are poorly understood, but are critical for improving case prevention, treatment, and management. In this study, we investigated the prevalence and correlation of infectious agents in children with ARTIs. A total of 39,756 children with one or more symptoms, including fever, cough, sore throat, tonsillitis, pharyngitis, herpangina, pneumonia, and bronchiolitis, were enrolled in the study. All patients were hospitalized in Wuhan Children’s Hospital between October 1, 2010 and September 30, 2012, and were evaluated for infectious agents. Pathogens, including Mycoplasma pneumoniae, influenza A virus, influenza B virus, adenoviruses, respiratory syncytial virus, parainfluenza virus, Legionella pneumophila, Chlamydophila pneumoniae, and Coxiella burnetii, were screened simultaneously in patient blood samples using anti-pathogen IgM tests. Regression analysis was used to reveal correlations among the pathogens. Our results showed that one or more pathogens were identified in 10,206 patients, and that Mycoplasma pneumoniae, adenoviruses, and influenza B virus were the leading infectious agents. Mixed-infections of pathogens were detected in 2,391 cases, with Mycoplasma pneumoniae as the most frequent pathogen. The most common agents in the co-infections were Mycoplasma pneumoniae and influenza B virus. Regression analysis revealed a linear correlation between the proportion of mixed infections and the incidence of multi-pathogen infections. The prevalence of infectious agents in children with ARTIs was determined. Equations were established to estimate multiple infections by single-pathogen detection. This revealed a linear correlation for pathogens in children

  14. Prevalence and correlation of infectious agents in hospitalized children with acute respiratory tract infections in Central China.

    PubMed

    Liu, Jia; Ai, Hongwu; Xiong, Ying; Li, Fu; Wen, Zhou; Liu, Weiyong; Li, Tongya; Qin, Kai; Wu, Jianguo; Liu, Yingle

    2015-01-01

    Acute respiratory tract infections (ARTIs) are associated with significant morbidity and mortality worldwide, especially in children under the age of 5 years. Almost 2 million children die from ARTIs each year, and most of them are from developing countries. The prevalence and correlation of pathogens in ARTIs are poorly understood, but are critical for improving case prevention, treatment, and management. In this study, we investigated the prevalence and correlation of infectious agents in children with ARTIs. A total of 39,756 children with one or more symptoms, including fever, cough, sore throat, tonsillitis, pharyngitis, herpangina, pneumonia, and bronchiolitis, were enrolled in the study. All patients were hospitalized in Wuhan Children's Hospital between October 1, 2010 and September 30, 2012, and were evaluated for infectious agents. Pathogens, including Mycoplasma pneumoniae, influenza A virus, influenza B virus, adenoviruses, respiratory syncytial virus, parainfluenza virus, Legionella pneumophila, Chlamydophila pneumoniae, and Coxiella burnetii, were screened simultaneously in patient blood samples using anti-pathogen IgM tests. Regression analysis was used to reveal correlations among the pathogens. Our results showed that one or more pathogens were identified in 10,206 patients, and that Mycoplasma pneumoniae, adenoviruses, and influenza B virus were the leading infectious agents. Mixed-infections of pathogens were detected in 2,391 cases, with Mycoplasma pneumoniae as the most frequent pathogen. The most common agents in the co-infections were Mycoplasma pneumoniae and influenza B virus. Regression analysis revealed a linear correlation between the proportion of mixed infections and the incidence of multi-pathogen infections. The prevalence of infectious agents in children with ARTIs was determined. Equations were established to estimate multiple infections by single-pathogen detection. This revealed a linear correlation for pathogens in children with

  15. Etiology and Epidemiology of Diarrhea in Hospitalized Children from Low Income Country: A Matched Case-Control Study in Central African Republic

    PubMed Central

    Breurec, Sébastien; Vanel, Noémie; Bata, Petulla; Chartier, Loïc; Farra, Alain; Favennec, Loïc; Franck, Thierry; Giles-Vernick, Tamara; Gody, Jean-Chrysostome; Luong Nguyen, Liem Binh; Onambélé, Manuella; Rafaï, Clotaire; Razakandrainibe, Romy; Tondeur, Laura; Tricou, Vianney; Sansonetti, Philippe; Vray, Muriel

    2016-01-01

    Background In Sub-Saharan Africa, infectious diarrhea is a major cause of morbidity and mortality. A case-control study was conducted to identify the etiology of diarrhea and to describe its main epidemiologic risk factors among hospitalized children under five years old in Bangui, Central African Republic. Methods All consecutive children under five years old hospitalized for diarrhea in the Pediatric Complex of Bangui for whom a parent’s written consent was provided were included. Controls matched by age, sex and neighborhood of residence of each case were included. For both cases and controls, demographic, socio-economic and anthropometric data were recorded. Stool samples were collected to identify enteropathogens at enrollment. Clinical examination data and blood samples were collected only for cases. Results A total of 333 cases and 333 controls was recruited between December 2011 and November 2013. The mean age of cases was 12.9 months, and 56% were male. The mean delay between the onset of first symptoms and hospital admission was 3.7 days. Blood was detected in 5% of stool samples from cases. Cases were significantly more severely or moderately malnourished than controls. One of the sought-for pathogens was identified in 78% and 40% of cases and controls, respectively. Most attributable cases of hospitalized diarrhea were due to rotavirus, with an attributable fraction of 39%. Four other pathogens were associated with hospitalized diarrhea: Shigella/EIEC, Cryptosporidium parvum/hominis, astrovirus and norovirus with attributable fraction of 9%, 10%, 7% and 7% respectively. Giardia intestinalis was found in more controls than cases, with a protective fraction of 6%. Conclusions Rotavirus, norovirus, astrovirus, Shigella/EIEC, Cryptosporidium parvum/hominis were found to be positively associated with severe diarrhea: while Giardia intestinalis was found negatively associated. Most attributable episodes of severe diarrhea were associated with rotavirus

  16. Prevalence, correlates and pattern of Hepatitis B among antenatal clinic attenders in Yaounde-Cameroon: is perinatal transmission of HBV neglected in Cameroon?

    PubMed Central

    2013-01-01

    Background Few studies have evaluated the prevalence of HBV in the general Cameroonian population or among antenatal attendants. The aim of this study was to determine the prevalence, correlates and patterns of Hepatitis B surface antigen among pregnant women attending antenatal care in Yaounde-Cameroon. Methods This was a cross-sectional multicenter study carried out in a referral hospital and two secondary hospitals in Yaounde, the capital of Cameroon. The study lasted 15 months (March 2011 to June 2012), and recruited 959 pregnant women. Patient recruitment was consecutive. The HBsAg was tested using the Monalisa HBsAg Ultra ELISA kit. Other hepatitis B markers were equally tested. We used the statistical package for social sciences (SPSS) version 14.0 software to conduct a quantitative analysis of the derived data. Simple descriptive statistics such as means, standard deviations, and proportions were used to describe the data. We tested for association in categorical variables using the chi-squared (χ2) test. The odds ratio (OR) and the corresponding 95% confidence intervals (95% CI) were used to summarise the strength of association between specific binary exposure and outcome variables. The level of statistical significance for the study was set at p < 0.05. Results The prevalence of hepatitis B infection (HBsAg) among antenatal clinic attenders in our setting was 7.7%. Amongst these women, just 5.4% were previously aware of their HBsAg status. The rate of HBV infectivity was high, with 28% of HBsAg positive women having evidence of HBeAg in their plasma, and up to 45.8% of these women lacking antibodies against hepatitis B e antigen (anti-HBe). About 41% of the pregnant women had had previous contact with HBV as evidenced by the positive status for anti-HBc. Just 2.7% of the pregnant women had previously been vaccinated against HBV. The mean age for HBsAg positivity in our setting was 26.9 ±4.7 years, and the most affected age group was the 25 – 29

  17. A comprehensive review of clinical nurse specialist-led peripherally inserted central catheter placement in Korea: 4101 cases in a tertiary hospital.

    PubMed

    Park, Jeong Yun; Kim, Hyun Lim

    2015-01-01

    Peripherally inserted central catheters (PICCs) are expected to be convenient and reliable venous access devices. The purpose of this study was to analyze clinical nurse specialist (CNS)-led PICC placement and to describe its growth in a tertiary hospital. A computerized database identified 3508 patients who had PICCs placed between November 2001 and June 2010. One thousand, eight hundred ninety-eight of the 4101 PICCs were available for complete follow-up, and 791 of 1898 PICCs were still in place. The mean dwell time of 1898 PICCs was 27.4 days (1∼422 days). Most PICCs were removed after the completion of infusion therapy; the remainder were removed following death, occlusion, suspected infection, or phlebitis, or were removed by the patient. The study found that CNS-led PICC placement for infusion therapies was effective and safe with relatively low complication rates and that CNSs played important roles in the increased use of PICCs. PMID:25723834

  18. Implementation of routine counselor-initiated opt-out HIV testing on the adult medical ward at Kamuzu Central Hospital, Lilongwe, Malawi

    PubMed Central

    LaCourse, Sylvia M.; Chester, Frances M.; Matoga, Mitch; Munthali, Charles; Nsona, Dominic; Haac, Bryce; Hoffman, Irving F.; Hosseinipour, Mina C.

    2015-01-01

    The optimal approach of provider-initiated HIV testing and counseling (PITC) for inpatients in high-burden settings is unknown. We prospectively evaluated the implementation of task-shifting from clinician-referral to counselor-initiated PITC on the medical wards of Kamuzu Central Hospital, Malawi. The majority of patients (1905/3154, 60.4%) had an unknown admission HIV status. Counselors offered testing to 66.6% (1268/1905). HIV prevalence was 39.3%. Counselor-initiated PITC significantly increased HIV testing by 79% (643/2957 vs. 1228/3154), resulting in an almost 2-fold increase in patients with known HIV status (2447/3154 vs. 1249/3154) (both p<.0001), with 18.4% of those tested receiving a new diagnosis of HIV. PMID:25622063

  19. Why Are Nigeria-Cameroon Chimpanzees (Pan troglodytes ellioti) Free of SIVcpz Infection?

    PubMed Central

    Locatelli, Sabrina; Harrigan, Ryan J.; Sesink Clee, Paul R.; Mitchell, Matthew W; McKean, Kurt A.; Smith, Thomas B.; Gonder, Mary Katherine

    2016-01-01

    Simian immunodeficiency virus (SIV) naturally infects two subspecies of chimpanzee: Pan troglodytes troglodytes from Central Africa (SIVcpzPtt) and P. t. schweinfurtii from East Africa (SIVcpzPts), but is absent in P. t. verus from West Africa and appears to be absent in P. t. ellioti inhabiting Nigeria and western Cameroon. One explanation for this pattern is that P. t. troglodytes and P. t schweinfurthii may have acquired SIVcpz after their divergence from P. t. verus and P. t. ellioti. However, all of the subspecies, except P. t. verus, still occasionally exchange migrants making the absence of SIVcpz in P. t. ellioti puzzling. Sampling of P. t. ellioti has been minimal to date, particularly along the banks of the Sanaga River, where its range abuts that of P. t. troglodytes. This study had three objectives. First, we extended the sampling of SIVcpz across the range of chimpanzees north of the Sanaga River to address whether under-sampling might account for the absence of evidence for SIVcpz infection in P. t. ellioti. Second, we investigated how environmental variation is associated with the spread and prevalence of SIVcpz in the two chimpanzee subspecies inhabiting Cameroon since environmental variation has been shown to contribute to their divergence from one another. Finally, we compared the prevalence and distribution of SIVcpz with that of Simian Foamy Virus (SFV) to examine the role of ecology and behavior in shaping the distribution of diseases in wild host populations. The dataset includes previously published results on SIVcpz infection and SFVcpz as well as newly collected data, and represents over 1000 chimpanzee fecal samples from 41 locations across Cameroon. Results revealed that none of the 181 P. t. ellioti fecal samples collected across the range of P. t. ellioti tested positive for SIVcpz. In addition, species distribution models suggest that environmental variation contributes to differences in the distribution and prevalence of SIVcpz and

  20. Why Are Nigeria-Cameroon Chimpanzees (Pan troglodytes ellioti) Free of SIVcpz Infection?

    PubMed

    Locatelli, Sabrina; Harrigan, Ryan J; Sesink Clee, Paul R; Mitchell, Matthew W; McKean, Kurt A; Smith, Thomas B; Gonder, Mary Katherine

    2016-01-01

    Simian immunodeficiency virus (SIV) naturally infects two subspecies of chimpanzee: Pan troglodytes troglodytes from Central Africa (SIVcpzPtt) and P. t. schweinfurtii from East Africa (SIVcpzPts), but is absent in P. t. verus from West Africa and appears to be absent in P. t. ellioti inhabiting Nigeria and western Cameroon. One explanation for this pattern is that P. t. troglodytes and P. t schweinfurthii may have acquired SIVcpz after their divergence from P. t. verus and P. t. ellioti. However, all of the subspecies, except P. t. verus, still occasionally exchange migrants making the absence of SIVcpz in P. t. ellioti puzzling. Sampling of P. t. ellioti has been minimal to date, particularly along the banks of the Sanaga River, where its range abuts that of P. t. troglodytes. This study had three objectives. First, we extended the sampling of SIVcpz across the range of chimpanzees north of the Sanaga River to address whether under-sampling might account for the absence of evidence for SIVcpz infection in P. t. ellioti. Second, we investigated how environmental variation is associated with the spread and prevalence of SIVcpz in the two chimpanzee subspecies inhabiting Cameroon since environmental variation has been shown to contribute to their divergence from one another. Finally, we compared the prevalence and distribution of SIVcpz with that of Simian Foamy Virus (SFV) to examine the role of ecology and behavior in shaping the distribution of diseases in wild host populations. The dataset includes previously published results on SIVcpz infection and SFVcpz as well as newly collected data, and represents over 1000 chimpanzee fecal samples from 41 locations across Cameroon. Results revealed that none of the 181 P. t. ellioti fecal samples collected across the range of P. t. ellioti tested positive for SIVcpz. In addition, species distribution models suggest that environmental variation contributes to differences in the distribution and prevalence of SIVcpz and

  1. Expanding the use of manual vacuum aspiration for incomplete abortion in selected health institutions in Yaoundé, Cameroon.

    PubMed

    Tumasang, Florence; Leke, Robert J I; Aguh, Valentine

    2014-07-01

    Preference for manual vacuum aspiration (MVA) and its use for the treatment of incomplete abortion were evaluated among 52 healthcare professionals in 7 Yaoundé hospitals in Cameroon. All but one healthcare professional preferred MVA; however, this technique was available at all times in only two hospitals. In some hospitals, MVA use was only available during the day, while in others it was not available at all. Based on these findings, MVA kits were obtained from the International Federation of Gynecology and Obstetrics (FIGO) for training and to supply selected hospitals. The result was a dramatic increase in the use of MVA in all of the hospitals that received the kits. In one hospital, no kits were received; however, the staff had been sensitized to the problem and the equipment belonging to one of the physicians was put into service. The successful experience of this pilot project provides a rationale for expanding MVA use for incomplete abortion to the entire country. PMID:24786140

  2. Spontaneous intracerebral hemorrhage: Clinical and computed tomography findings in predicting in-hospital mortality in Central Africans

    PubMed Central

    Tshikwela, Michel Lelo; Longo-Mbenza, Benjamin

    2012-01-01

    Background and Purpose: Intracerebral hemorrhage (ICH) constitutes now 52% of all strokes. Despite of its deadly pattern, locally there is no clinical grading scale for ICH-related mortality prediction. The first objective of this study was to develop a risk stratification scale (Kinshasa ICH score) by assessing the strength of independent predictors and their association with in-hospital 30-day mortality. The second objective of the study was to create a specific local and African model for ICH prognosis. Materials and Methods: Age, sex, hypertension, type 2 diabetes mellitus (T2DM), smoking, alcohol intake, and neuroimaging data from CT scan (ICH volume, Midline shift) of patients admitted with primary ICH and follow-upped in 33 hospitals of Kinshasa, DR Congo, from 2005 to 2008, were analyzed using logistic regression models. Results: A total of 185 adults and known hypertensive patients (140 men and 45 women) were examined. 30-day mortality rate was 35% (n=65). ICH volume>25 mL (OR=8 95% CI: 3.1-20.2; P<0.0001), presence of coma (OR=6.8 95% CI 2.6-17.4; P<0.0001) and left hemispheric site of ICH (OR 2.6 95% CI: 1.1-6; P=0.027) were identified as significant and independent predictors of 30-day mortality. Midline shift > 7 mm, a consequence of ICH volume, was also a significant predictor of mortality. The Kinshasa ICH score was the sum of individual points assigned as follows: Presence of coma coded 2 (2 × 2 = 4), absence of coma coded 1 (1 × 2 = 2), ICH volume>25 mL coded 2 (2 × 2=4), ICH volume of ≤25 mL coded 1(1 × 2=2), left hemispheric site of ICH coded 2 (2 × 1=2), and right hemispheric site of hemorrhage coded 1(1 × 1 = 1). All patients with Kinshasa ICH score ≤7 survived and the patients with a score >7 died. In considering sex influence (Model 3), points were allowed as follows: Presence of coma (2 × 3 = 6), absence of coma (1 × 3 = 3), men (2 × 2 = 4), women (1 × 2 = 2), midline shift ≤7 mm (1 × 3 = 3), and midline shift >7 mm (2 × 3

  3. Occupational Post-Exposure Prophylaxis (PEP) against Human Immunodeficiency Virus (HIV) Infection in a Health District in Cameroon: Assessment of the Knowledge and Practices of Nurses

    PubMed Central

    Aminde, Leopold Ndemnge; Takah, Noah Fongwen; Dzudie, Anastase; Bonko, Neville Mengnjo; Awungafac, George; Teno, Divine; Mbuagbaw, Lawrence; Sliwa, Karen

    2015-01-01

    Background Health care providers are at risk of acquiring human immunodeficiency virus (HIV) infection from occupational exposure, with nurses being the most vulnerable. There is no data on the awareness of post-exposure prophylaxis (PEP) among nurses in Cameroon. This study aimed to assess the knowledge, practices of nurses regarding PEP for HIV and their determinants in Cameroon. Methods A cross-sectional study was conducted between April and July 2013, and involved 80 nurses in a rural health district in the North West Region of Cameroon. Data was collected using a structured questionnaire and analysed using the SPSS software version 20. Results In all, 73.7% of the participants had poor knowledge about PEP for HIV. Though many (83.8%) had heard about PEP, just 10 (12.5%) had received formal training on PEP for HIV. Only 24 (30%) and 20 (25%) knew the correct drug regimen and duration of treatment respectively. The majority (85%) considered themselves to be at risk of acquiring HIV at work, with 54 (67.5%) having experienced an exposure in the past, mainly while setting up intravenous lines (57.4%), recapping needles (37.0%) and during delivery (24.1%). Of those exposed, ten (18.9%) received PEP, which was started after 24 hours in 50%. In multivariable regression analyses, awareness of hospital policy [OR: 0.043 (0.005–0.404), p-value = 0.006] was associated with Good knowledge on PEP for HIV. Conclusions The knowledge and practice of nurses on PEP for HIV in Cameroon is low. There is urgent need for training programmes and workshops to increase awareness, improve practice, and reduce the risk of HIV acquisition from work related activities among health care providers. PMID:25879442

  4. Bars to jars: bamboo value chains in Cameroon.

    PubMed

    Ingram, Verina; Tieguhong, Julius Chupezi

    2013-04-01

    Bamboo is a well know and versatile material, which is a common sight across Cameroon's diverse ecosystems, from dry to humid tropical and Afromontane forests. Its numerous uses range from storage jars to decorating restaurant-bars, beehives to knives, fences, fodder, and fuel. Responding to the paucity of data on species and uses, the value chain for bamboo in Cameroon was analyzed. Based on 171 interviews and field observations, two African indigenous species (alpine Yushania alpina and savannah Oxytenanthera abyssinica) and exotic (Bambusa vulgaris spp.) bamboos were identified as most utilized. They were tracked from major production zones to final consumers. The ecological, socio-economic, institutional, and governance contexts and impacts are described and analyzed. Issues for research, conservation, and development are highlighted. These include the ambiguous regulatory status, the relationship between tenure and management, threats and conservation of African species and options to increase the sustainable livelihoods for stakeholders dependent upon bamboo. PMID:23015325

  5. Challenges in the Diagnosis and Management of Acquired Nontraumatic Urethral Strictures in Boys in Yaoundé, Cameroon

    PubMed Central

    Mouafo Tambo, F. F.; Fossi kamga, G.; Kamadjou, C.; Mbouche, L.; Nwaha Makon, A. S.; Birraux, J.; Andze, O. G.; Angwafo, F. F.; Mure, P. Y.

    2016-01-01

    Introduction. Urethral strictures in boys denote narrowing of the urethra which can be congenital or acquired. In case of acquired strictures, the etiology is iatrogenic or traumatic and rarely infectious or inflammatory. The aim of this study was to highlight the diagnostic and therapeutic difficulties of acquired nontraumatic urethral strictures in boys in Yaoundé, Cameroon. Methodology. The authors report five cases of nontraumatic urethral strictures managed at the Pediatric Surgery Department of the YGOPH over a two-year period (November 2012–November 2014). In order to confirm the diagnosis of urethral stricture, all patients were assessed with both cystourethrography and urethrocystoscopy. Results. In all the cases the urethra was inflammatory with either a single or multiple strictures. The surgical management included internal urethrotomy (n = 1), urethral dilatation (n = 1), vesicostomy (n = 2), and urethral catheterization (n = 3). With a median follow-up of 8.2 months (4–16 months) all patients remained symptoms-free. Conclusion. The authors report the difficulties encountered in the diagnosis and management of nontraumatic urethral strictures in boys at a tertiary hospital in Yaoundé, Cameroon. The existence of an inflammatory etiology of urethral strictures in boys deserves to be considered. PMID:27239364

  6. Chemical and isotopic characteristics of fluids along the cameroon volcanic line, cameroon

    USGS Publications Warehouse

    Tanyileke, G.Z.; Kusakabe, M.; Evans, William C.

    1996-01-01

    Results of the chemical and isotopic analysis of the water and gases discharged from volcanic crater lakes and soda springs located along the Cameroon Volcanic Line were used to characterize and infer their genetic relationships. Variations in the solute compositions of the waters indicate the dominant influence of silicate hydrolysis. Na+ (40-95%) constitutes the major cation in the springs while Fe2+ + Mg2+ (70%) dominate in the CO2-rich lakes. The principal anion is HCO3 (>90%), except in the coastal springs where Cl predominates. Lakes Nyos and Monoun have Fe-Mg-Ca-HCO3 type signatures; the soda springs are essentially Na-HCO3 type, while all other lakes show similar ionic compositions to dilute surface waters. Dissolved gases show essentially CO2 (>90%), with small amounts of Ar and N2, while CH4 constitutes the principal component in the non-gassy lakes. Active volcanic gases are generally absent, except in the Lobe spring with detectable H2S. Stable isotope ratio evidence indicates that the bicarbonate waters are essentially of meteoric origin. CO2 (??13C = -2 to -8???) and He (3He/4He = 1 to 5.6Ra) infer a mantle contribution to the total CO2. CH4 has a biogenic source, while Ar and N2 are essentially atmospheric in origin, but mixing is quite common.

  7. Adaptation of Regional Representative Soil Project and Soil Judging for Cameroon

    ERIC Educational Resources Information Center

    Che, Celestine Akuma

    2013-01-01

    Representative regional soils have agricultural, cultural, economic, environmental, and historical importance to Cameroon. Twenty seven regional representative soils have been identified in Cameroon. A set of laboratory exercises, assignments and exam questions have been developed utilizing the Regional Representative Soil Project (RRSP) that…

  8. High prevalence and predominance of hepatitis delta virus genotype 1 infection in Cameroon.

    PubMed

    Foupouapouognigni, Yacouba; Noah, Dominique Noah; Sartre, Michèle Tagni; Njouom, Richard

    2011-03-01

    Antibodies to the hepatitis delta virus (HDV) were found in 17.6% of 233 hepatitis B virus surface antigen-positive subjects in Cameroon. Phylogenetic analyses showed the presence of HDV-1, HDV-5, HDV-6, and HDV-7 genotypes. These results enrich the limited data on HDV prevalence and molecular diversity in Cameroon. PMID:21209162

  9. Teachers' Perceptions of Students with Special Education Needs in Cameroon Secondary Schools

    ERIC Educational Resources Information Center

    Arrah, Rosemary Oneke; Swain, Kristine D.

    2014-01-01

    This study examined teachers' perceptions of including students with special education needs in Cameroon secondary schools. Teachers (N = 130) from five secondary government, denominational or lay private schools in Buea subdivision of Cameroon, Africa, completed a 26-item survey. The survey was analyzed using descriptive statistics, t-tests,…

  10. Use of a tool-set by Pan troglodytes troglodytes to obtain termites (Macrotermes) in the periphery of the Dja Biosphere Reserve, southeast Cameroon.

    PubMed

    Deblauwe, Isra; Guislain, Patrick; Dupain, Jef; Van Elsacker, Linda

    2006-12-01

    At the northern periphery of the Dja Biosphere Reserve (southeastern Cameroon) we recorded a new use of a tool-set by Pan troglodytes troglodytes to prey on Macrotermes muelleri, M. renouxi, M. lilljeborgi, and M. nobilis. We recovered 79 puncturing sticks and 47 fishing probes at 17 termite nests between 2002 and 2005. The mean length of the puncturing sticks (n = 77) and fishing probes (n = 45) was 52 cm and 56 cm, respectively, and the mean diameter was 9 mm and 4.5 mm, respectively. Sixty-eight percent of 138 chimpanzee fecal samples contained major soldiers of four Macrotermes species. The chimpanzees in southeastern Cameroon appeared to be selective in their choice of plant material to make their tools. The tools found at our study site resemble those from other sites in this region. However, in southeastern Cameroon only one tool-set type was found, whereas two tool-set types have been reported in Congo. Our study suggests that, along with the different vegetation types and the availability of plant material around termite nests, the nest and gallery structure and foraging behavior of the different Macrotermes spp. at all Central African sites must be investigated before we can attribute differences in tool-use behavior to culture. PMID:17096418

  11. Molecular Phylogenetic Diversity of Dermatologic and Other Human Pathogenic Fusarial Isolates from Hospitals in Northern and Central Italy▿

    PubMed Central

    Migheli, Quirico; Balmas, Virgilio; Harak, Henry; Sanna, Silvana; Scherm, Barbara; Aoki, Takayuki; O'Donnell, Kerry

    2010-01-01

    Fifty-eight fusaria isolated from 50 Italian patients between 2004 and 2007 were subject to multilocus DNA sequence typing to characterize the spectrum of species and circulating sequence types (STs) associated with dermatological infections, especially onychomycoses and paronychia, and other fusarioses in northern and central Italy. Sequence typing revealed that the isolates were nearly evenly divided among the Fusarium solani species complex (FSSC; n = 18), the F. oxysporum species complex (FOSC; n = 20), and the Gibberella (Fusarium) fujikuroi species complex (GFSC; n = 20). The three-locus typing scheme used for members of the FSSC identified 18 novel STs distributed among six phylogenetically distinct species, yielding an index of discrimination of 1.0. Phylogenetic analysis of the FOSC two-locus data set identified nine STs, including four which were novel, and nine isolates of ST 33, the previously described widespread clonal lineage. With the inclusion of eight epidemiologically unrelated ST 33 isolates, the FOSC typing scheme scored a discrimination index of 0.787. The two-locus GFSC typing scheme, which was primarily designed to identify species, received the lowest discrimination index, with a score of 0.492. The GFSC scheme, however, was used to successfully identify 17 isolates as F. verticillioides, 2 as F. sacchari, and 1 as F. guttiforme. This is the first report that F. guttiforme causes a human mycotic infection, which was supported by detailed morphological analysis. In addition, the results of a pathogenicity experiment revealed that the human isolate of F. guttiforme was able to induce fusariosis of pineapple, heretofore its only known host. PMID:20107100

  12. Farmers' perception on the importance of variegated grasshopper (Zonocerus variegatus (L.)) in the agricultural production systems of the humid forest zone of Southern Cameroon

    PubMed Central

    Kekeunou, Sévilor; Weise, Stephan; Messi, Jean; Tamò, Manuel

    2006-01-01

    Background Zonocerus variegatus (Linnaeus, 1758) (Orthoptera: Pyrgomorphidae) is known as an agricultural pest in West and Central Africa. However, its importance in the agricultural production system in Cameroon has not been investigated. The study assesses farmers' perception on the importance of Z. variegatus in the agricultural production systems of the humid forest zone of Southern Cameroon. Methods Research was carried out in 5 villages of each of three Agro-Ecological, Cultural and Demographic Blocks (AECD-Blocks) of the Forest Margin Benchmark Area (FMBA). In each village, a semi-structured survey was used; male and female groups of farmers were interviewed separately. Results Z. variegatus is present throughout the humid forest zone of Southern Cameroon, where it is ranked as the third most economically important insect pest of agriculture. In the farmers' opinion, Z. variegatus is a polyphagous insect with little impact on young perennial crops. The length of the pre-farming fallow does not affect Z. variegatus pest pressure in the following crops. The increased impact of the grasshopper observed today in the fields, compared to what existed 10 years ago is as a result of deforestation and increase in surface of herbaceous fallow. The damage caused by Z. variegatus is higher in fields adjacent to C. odorata and herbaceous fallows than in those adjacent to forests and shrubby fallows. The fight against this grasshopper is often done through physical methods carried out by hand, for human consumption. The farmers highlight low usage of the chemical methods and a total absence of biological and ecological methods. Conclusion Farmers' perception have contributed to understanding the status of Z. variegatus in the humid forest zone of Southern Cameroon. The results are in general similar to those obtained in other countries. PMID:16573815

  13. Measurement of central corneal thickness by ultrasonic pachymeter and oculus pentacam in patients with well-controlled glaucoma: hospital-based comparative study

    PubMed Central

    Rashid, Riyam Faihan; Farhood, Qasim K

    2016-01-01

    Background The measurement of central corneal thickness (CCT) plays an important role in the diagnosis and treatment of glaucoma and many corneal diseases. Objective of the study To compare the measurement of CCT by ultrasonic pachymeter with that measured by oculus pentacam in both normal subjects and patients with well-controlled glaucoma. Patients and methods In 173 eyes of both controls and patients with open-angle glaucoma (normal intraocular pressure) attending Ibn Al Haitham Teaching Eye Hospital, CCT was measured by oculus pentacam and then by ultrasound pachymeter at the same morning by the same technicians. Results The results showed no significant difference in CCT readings measured by the two devices in both glaucoma and control groups (glaucoma group: 547.29±49.32 µm with pentacam vs 547.66±45.24 µm with ultrasound pachymeter; control group: 551.02±36.28 µm with pentacam vs 541.25±34.96 µm with ultrasound pachymeter). P-values were >0.05 in both groups (statistically not significant). Conclusion and recommendation Ultrasonic pachymeter and oculus pentacam can be used interchangeably in measuring CCT, and we recommend a nontouch method (in this study, pentacam Scheimpflug camera) for measuring CCT during assessment of patients with glaucoma or any ocular disease or surgery. PMID:27041982

  14. Neck masses in paediatric population: An experience with children attended the Central Teaching Hospital of Pediatrics in Baghdad 2008-2009

    PubMed Central

    Al-Mayoof, Ali F.

    2015-01-01

    Background: Pediatric neck mass is a frequent cause for surgical consultation. Neck masses can be simply classified into congenital, inflammatory, and neoplastic. Although most of the cases are due to benign processes, malignant causes must not be overlooked. The aim of this study is to assess the paediatric neck masses in Iraqi patients highlighting the distribution of cases according to their demographic characteristics and etiology. Patients and Methods: A cross-sectional observed study is conducted in the Department of Pediatric Surgery, at the Central Teaching Hospital of Pediatrics in Baghdad from April 2008 to March 2009. Sixty four patients with neck masses aged 14 years and below were examined and managed. The underlying causes of the neck masses were addressed and categorized. Results: Among the 64 patients, 42 (65.6%) were male. The inflammatory group represents 57% of the cases, while the malignant neoplasm accounts for approximately 10% of the conditions mainly due to lymphoma 5 (7.8%). Sixteen patients (25%) fall in the congenital group, in which the thyroglossal duct cyst was the commonest type. Wound infection developed in two patients, while one patient with cystic hygroma showed recurrence. Conclusion: Pediatrics neck masses are distributed in categories that similar in pattern and distribution in the world except the infectious/inflammatory category that shows variation in distribution in respect to the socioeconomic status. The surgical intervention and procedures are related to the facility as well as to the experience. PMID:26168753

  15. Coverage and costs of childhood immunizations in Cameroon.

    PubMed Central

    Waters, Hugh R.; Dougherty, Leanne; Tegang, Simon-Pierre; Tran, Nhan; Wiysonge, Charles Shey; Long, Kanya; Wolfe, Nathan D.; Burke, Donald S.

    2004-01-01

    OBJECTIVE: To quantify the association between household-level and provider-level determinants and childhood immunization rates in Cameroon while also calculating the cost of childhood immunizations. METHODS: This study uses multilevel regression analysis to calculate these relationships. The 1998 Cameroon Demographic and Health Survey and the 2000 Multiple Indicator Cluster Survey are the main sources of household-level data. These surveys are supplemented by data from a 2002 survey of health facilities conducted in three provinces. At the national level, immunization financing data were collected from the Ministry of Health and donors that support the national Expanded Programme on Immunization. FINDINGS: The 1998 survey found that nationally 37% of children were fully immunized; the 2000 survey found that nationally 34% were fully immunized. These results are strongly correlated with both the mother's level of education and the household's economic status. Multilevel logistic regression shows that maternal education level is a stronger predictor of positive immunization status than is relative economic status. Children of mothers with secondary education or higher education were 3 times more likely to be fully vaccinated than children whose mothers had not completed primary education. At the health-facility level, both having art immunization plan and regular supervisory visits from someone at the health-district level are strongly positively associated with immunization rates. The cost of routine vaccinations for each fully immunized child is 12.73 U.S. dollars when donors' contributions are included but not the costs of immunization campaigns. CONCLUSION: Studies conducted in the 1980s and 1990s found that costs per fully immunized child varied from 2.19 U.S. dollars to 26.59 U.S. dollars (not adjusted for inflation) in a range of low-income and middle-income countries. The relatively low rates of immunization coverage in Cameroon, and the strong influence of

  16. The situation of women in physics in Cameroon

    NASA Astrophysics Data System (ADS)

    Woulache, Rosalie Laure; Kom, Guillaume; Siebatcheu, Beatrice Couonang; Onana, Marthe Boyomo

    2013-03-01

    The progress of women in science has been widely discussed in recent years. Women have made great progress in the social sciences, but they lag in the field of physics. A survey of the situation of women in physics in Cameroon over the last three years shows some improvement and some areas of stagnation. For example, the statistics show an increase of women teaching physics in secondary school and a slight improvement in the numbers of women studying physics at the university level, but stagnation in the number of women lecturers in physics.

  17. [Concentrated red blood cells transfusion in Yaoundé, Cameroon: what quality?].

    PubMed

    Mbanya, D; Nouthe, B; Tayou Tagny, C; Moudourou, S; Ngogang, J

    2007-11-01

    As part of a quality assurance process in the transfusion service of a hospital blood bank of Yaoundé, Cameroon, a selection of units of red cell concentrates (RCC) were evaluated for volume, haemoglobin, and haematocrit levels as well as blood cell content. Blood samples were all collected into standard double blood bags containing an anticoagulant, citrate-phosphate-dextrose and adenine. During a three-month period, 35 bags intended for the preparation of the RCC were analysed. After relevant screening for transfusion transmissible infections ,and ABO and rhesus (RH1) blood grouping, the bags were centrifuged to obtain RCC. The resultant red cell bags were weighed and the volumes estimated. Full blood counts were performed on samples of the RCC using an electronic particle counter (DIANA 5, HYCEL Diagnostics, Reims, France). The results obtained showed that, based on ISO 9001: 2000 norms, there were 57, 66 and 80% of RCC respectively with volumes, hemoglobin levels as well as hematocrit that were in conformity with the norms. When the data was analysed based on the Algerian norms, 83, 66 and 95% respectively conformed. The significance of these findings and the need for establishing local norms for quality assurance in our community are discussed. PMID:18295526

  18. Viral Aetiology of Central Nervous System Infections in Adults Admitted to a Tertiary Referral Hospital in Southern Vietnam over 12 Years

    PubMed Central

    Tan, Le Van; Thai, Le Hong; Phu, Nguyen Hoan; Nghia, Ho Dang Trung; Chuong, Ly Van; Sinh, Dinh Xuan; Phong, Nguyen Duy; Mai, Nguyen Thi Hoang; Man, Dinh Nguyen Huy; Hien, Vo Minh; Vinh, Nguyen Thanh; Day, Jeremy; Chau, Nguyen Van Vinh; Hien, Tran Tinh; Farrar, Jeremy; de Jong, Menno D.; Thwaites, Guy; van Doorn, H. Rogier; Chau, Tran Thi Hong

    2014-01-01

    Background Central nervous system (CNS) infections are important diseases in both children and adults worldwide. The spectrum of infections is broad, encompassing bacterial/aseptic meningitis and encephalitis. Viruses are regarded as the most common causes of encephalitis and aseptic meningitis. Better understanding of the viral causes of the diseases is of public health importance, in order to better inform immunization policy, and may influence clinical management. Methodology/Principal Findings Study was conducted at the Hospital for Tropical Diseases in Ho Chi Minh City, a primary, secondary, and tertiary referral hospital for all southern provinces of Vietnam. Between December 1996 and May 2008, patients with CNS infections of presumed viral origin were enrolled. Laboratory diagnostics consisted of molecular and serological tests targeted at 14 meningitis/encephalitis-associated viruses. Of 291 enrolled patients, fatal outcome and neurological sequelae were recorded in 10% (28/291) and 27% (78/291), respectively. Mortality was especially high (9/19, 47%) amongst those with confirmed herpes simplex encephalitis which is attributed to the limited availability of intravenous acyclovir/valacyclovir. Japanese encephalitis virus, dengue virus, herpes simplex virus, and enteroviruses were the most common viruses detected, responsible for 36 (12%), 19 (6.5%), 19 (6.5%) and 8 (2.7%) respectively, followed by rubella virus (6, 2%), varicella zoster virus (5, 1.7%), mumps virus (2, 0.7%), cytomegalovirus (1, 0.3%), and rabies virus (1, 0.3%). Conclusions/Significance Viral infections of the CNS in adults in Vietnam are associated with high morbidity and mortality. Despite extensive laboratory testing, 68% of the patients remain undiagnosed. Together with our previous reports, the data confirm that Japanese encephalitis virus, dengue virus, herpes simplex virus, and enteroviruses are the leading identified causes of CNS viral infections in Vietnam, suggest that the

  19. Fungal microbiota in air-conditioning installed in both adult and neonatal intensive treatment units and their impact in two university hospitals of the central western region, Mato Grosso, Brazil.

    PubMed

    Simões, Sara de Almeida Alves; Leite Júnior, Diniz Pereira; Hahn, Rosane Christine

    2011-08-01

    To evaluate fungal microbiota in air-conditioning units installed in intensive care units in two university hospitals in Cuiaba city, Mato Grosso, central western region of Brazil, 525 solid environmental samples were collected, 285 from Hospital A and 240 from Hospital B. Collections were performed using sterile swabs on air-conditioning unit components: cooling coils, ventilators, and filters. Mycelial fungi identification was achieved by observation of the macroscopic and micromorphological characteristics in different culture mediums (maize meal, oatmeal and potato dextrose agars and malt extract) using the Ridell technique. Eleven genera and 27 distinct species belonging to the hyphomycetes and ascomycetes classes were isolated and identified. The most frequently detected genera in both hospitals were Aspergillus spp, Penicillium spp, and Cladosporium spp. Values for colony-forming units per gram were 64 and 75%, well above the limits recommended by Health Ministry resolution 176/00 at the locations selected for analysis in Hospitals A and B, respectively. In conclusion, evaluation of fungal microbiota in the air-conditioning units indirectly determined that the air quality was compromised in both university hospitals analyzed, which constitutes a risk factor for the acquisition of infection in the intensive care units. PMID:21424438

  20. A study of snake bite among children presenting to a paediatric ward in the main Teaching Hospital of North Central Province of Sri Lanka

    PubMed Central

    2014-01-01

    Background Snake bite is a common problem in the North Central province of Sri Lanka. Common krait (Bungarus careuleus), Ceylon krait (Bungarus ceylonicus), Cobra (Naja naja), Russell’s viper (Daboia russelii), Saw-scaled viper (Echis carinatus) and Hump-nosed pit viper (Hypnale hypnale) are the six species of venomous land snakes in Sri Lanka. A significant number of adults and children are bitten by snakes every year. However, the majority of research studies done in Sri Lanka and other countries show adults bitten by snakes and studies describing children bitten by snakes are very sparse. Methods A descriptive cross sectional study was performed in the Teaching Hospital Anuradhapura in the North Central Province of Sri Lanka from May 2010 to 2011 May to describe the characteristics associated with cases of snake bite. Results There were 24 males and 20 females. The highest numbers of bites (48%) were in the range of ages 6-12 years. The majority of the bites occurred between 6 pm to 6 am (59%).The foot was the most common bitten site (48%). Out of all the venomous bites, the Hump-nosed pit viper (Hypnale hypnale) accounted for the highest number (44%) and Russell’s viper (Daboia ruselii) accounted for the second highest number (27%). A significant number of venomous bites occurred indoors while sleeping (22%). Antivenom serum was given to (39%) of venomous bites. Deaths occurred in (11%) of the venomous bites. Conclusions Hump-nosed pit viper (Hypnale hypnale) accounted for the highest number of venomous bites. Majority of the bites occurred between 6 pm and 6 am. Foot was the most common bitten site. A significant number of venomous bites occurred indoor while sleeping. Antivenom serum was given to a significant number of venomous bites. Educating the public on making their houses snake proof and using a torch when going out during night time will help in the prevention of getting bitten by snakes. PMID:25073710

  1. Clinico-radiological profile and outcome of dengue patients with central nervous system manifestations: A case series in an Eastern India tertiary care hospital

    PubMed Central

    Pal, Souren; Sen, Kaushik; Biswas, Nirendra Mohan; Ghosal, Anirban; Rousan Jaman, S. K.; Yashavantha Kumar, K. Y.

    2016-01-01

    Background and Objective: Dengue, an acute viral disease, transmitted by Aedes mosquitoes, has a variable clinical spectrum ranging from asymptomatic infection to life-threatening dengue hemorrhagic fever and dengue shock syndrome. However, neurological complications, in general, are unusual but have been observed more frequently in the recent past, and some studies highlighted varied neurological complications during the course of illness. Although dengue is classically considered a nonneurotropic virus, there is increasing evidence for dengue viral neurotropism. In this study, we have evaluated clinico-radiological profile and outcome of nine serologically confirmed dengue patients having varied manifestations of central nervous system (CNS) involvement. Materials and Methods: All the consecutive patients presented with neurological complications with positive serology for dengue infection (IgM positivity) in Department of Medicine, in a tertiary care hospital in Eastern India from August 2013 to October 2014 were included in the study. These patients were subjected to a detailed clinical evaluation, laboratory assessment including complete hemogram, coagulation profile, liver function test, serum electrolytes, and routine CSF (Cerebrospinal Fluid) study with the exclusion of other common neuroinvasive pathogens. Results: Out of 9 patients with neurological complications associated with confirmed dengue infection, 2 (22%) patients had dengue encephalopathy, 5 (56%) patients have dengue encephalitis, 1 (11%) patient had dengue meningitis, and 1 (11%) patient had postdengue immune-mediated CNS involvement. Conclusion: This case series reaffirms the occurrence of varied CNS manifestations in dengue virus infection and underlines the importance of inclusion of dengue in the differential diagnosis of acute encephalitis syndrome. PMID:26933357

  2. Efficacy of insecticide impregnated bed-nets to control malaria in a rural forested area in southern Cameroon.

    PubMed

    Le Goff, G; Robert, V; Fondjo, E; Carnevale, P

    1992-01-01

    Due to current spreading of chemoresistant strains of Plasmodium falciparum malaria control must incorporate vector control programmes. Due to well known constraints house sprayings cannot be performed as before. Personal protection can be developed and a large scale use of insecticide treated bed-nets appeared to be very useful to reduce man-vector contact in Asia, South America and West and East Africa. No trial has been done in forest Central Africa where transmission is permanent. We performed such a trial in the southern part of Cameroon (using deltamethrin, at 25 mg/m2) and obtained similar data to those observed in The Gambia, Burkina Faso and Tanzania with a noteworthy reduction of both transmission and high parasitaemia of P. falciparum (respectively 78% and 75%) meaning a drop of malaria morbidity. PMID:1343714

  3. Geology of the Douala basin, offshore Cameroon, West Africa

    SciTech Connect

    Pauken, R.J.; Thompson, J.M.; Schumann, J.R. ); Cooke, J.C. )

    1991-03-01

    The Douala basin is predominantly an offshore basin extending from the Cameroon volcanic line in the north to the Corisco arch in the south near the Equatorial Guinea-Gabon border. The basin lies wholly within the territorial borders of Cameroon and Equatorial Guinea. The Douala basin is one of a series of divergent margin basins occurring along the southwest African coastline resulting from the rifting of Africa from South America. Continental rifting in the Doula basin was initiated at least by Aptian-Albian time and possibly as early as Jurassic. The rift stage persisted until Albian time when the onset of drifting occurred. The sedimentary section in the basin has a maximum thickness of 8-10 km, based on exploration drilling and gravity and magnetics modeling. The synrift section consists of Aptian-Albian sands and shales, deposited primarily as submarine fans, fan-deltas, and turbidite deposits. These are overlain by salt, thought to be equivalent to the Ezagna salt of Aptian age in the Gabon basin to the south. The synrift section is separated from the overlying postrift shale sequence of Late Cretaceous and Tertiary age by a major late Albian unconformity. The Douala basin has been explored for hydrocarbons intermittently over the last 25 years. Results show a distinct tendency for gas-proneness. The largest field recorded to date is the Sanaga Sud gas field, discovered in 1979, offshore, near the coastal city of Kribi.

  4. Young women's perceived ability to refuse sex in urban Cameroon.

    PubMed

    Hattori, Megan Klein; DeRose, Laurie

    2008-12-01

    In many sub-Saharan African countries, young women face decreasing educational opportunities, age asymmetries between sexual partners, and high prevalence of HIV infection. This study draws upon data from the 2002 Cameroon Adolescent Reproductive Health Survey to analyze the determinants of young women's perceived ability to refuse sex in urban Cameroon. Our findings are consistent with predictions of social exchange theory: young women's status characteristics predict their vulnerability differently under different circumstances, and, overall, young women report having a lower ability to refuse sex in their relationships with men who offer to pay their school fees than in their relationships with men in positions of power over them. The costs and benefits of sexual exchanges made in order to continue one's education increase simultaneously in a context of declining enrollments and spreading HIV infection. When educational aspirations exceed opportunities, policy supporting access to education could reduce young women's need to employ their sexual resources in order to invest in their future. PMID:19248717

  5. Overcoming Underrepresentation of Women Physics Teachers in Cameroon: Preliminary Study

    NASA Astrophysics Data System (ADS)

    Boyomo, M.; Kom, G. H.; Siebatcheu, B.; Asse, M. L.; Woulache, R.; Mvoudjo, E.

    2009-04-01

    At a time when much energy is being spent all over the world to bring women into the fast-developing world of science, it is regrettable that these efforts are still at their genesis in Cameroon. It is however, worth noting that efforts geared toward the education of the girl child are yielding fruit, even if much remains to be done in rural areas. The only unfortunate revelation is that increase in the number of young girls in scientific classes observed in high school is not reflected at the tertiary level in physics. Thus, young women are almost completely absent when it comes to recruiting lecturers and researchers in the subject. It is time a serious study is carried out on the status of the woman physicist in Cameroon. It is time to evaluate the importance of the woman physicist to our society and to the field of study as well. It is also necessary to develop a new policy geared toward encouraging young girls to take up a career in physics.

  6. Profile of cardiac disease in Cameroon and impact on health care services

    PubMed Central

    Butera, Gianfranco

    2013-01-01

    Background Cardiovascular diseases (CVD) have emerged as a major public health problem and impose an escalating burden on the health care system in Cameroon. The aim of the study was to investigate the preparedness of health care services for patients presenting with CVD in general and specifically, in St. Elizabeth catholic general hospital Shisong, cardiac centre. Patients and methods Between November 2009 and November 2011, a population of 8,389 adults and 706 children consulted the referral cardiac centre of St. Elizabeth Catholic General Hospital. The patients’ age ranges between 5 days and 103 years old, with a mean of 48.7±18 years. Female represented 54.2% of the total population. Results Hypertension was diagnosed in 41.5% of patients. Isolated systolic hypertension was rarely found (4.2%) and 45.2% of patients were classified as class II according to the JNC7. Congestive heart failure was diagnosed in 29.6%. Forty-four percent of patients were in class III and 7% in class IV heart failure (NYHA). Arrhythmia was seen in 12.2% cases, with atrial fibrillation in 35.2%, followed by ventricular ectopic beats in 20.3%. Stable angina was diagnosed in 1.5%, and acute myocardial infarction 0.9%. In children, the prevalence of congenital heart disease was (4.3%). The disease the most detected was isolated ventricular septal defect, followed by tetralogy of Fallot. Post rheumatic valvulopathies were the main cause of heart failure in teenagers and young adults. Valve replacement with a mechanical valve was performed in 110 patients, valvuloplasty in eight patients, and surgical correction of congenital heart diseases in 105 cases. Conclusions Our data, collected in a rural area, shows the high prevalence of hypertension in rural sub-Saharan Africa. Congestive heart failure mainly due to post rheumatic valvulopathies is common amongst children and young adults. PMID:24400207

  7. Zircon dating and mineralogy of the Mokong Pan-African magmatic epidote-bearing granite (North Cameroon)

    NASA Astrophysics Data System (ADS)

    Tchameni, R.; Sun, F.; Dawaï, D.; Danra, G.; Tékoum, L.; Nomo Negue, E.; Vanderhaeghe, O.; Nzolang, C.; Dagwaï, Nguihdama

    2015-12-01

    We present the mineralogy and age of the magmatic epidote-bearing granite composing most of the Mokong pluton, in the Central Africa orogenic belt (North Cameroon). This pluton intrudes Neoproterozoic (~830 to 700 Ma) low- to high-grade schists and gneisses (Poli-Maroua group), and is crosscut or interleaved with bodies of biotite granite of various sizes. The pluton is weakly deformed in its interior, but solid-state deformation increases toward its margins marked by narrow mylonitic bands trending NNE-SSW. The magmatic epidote granitic rocks are classified as quartz monzodiorite, granodiorite, monzogranite, and syenogranite. They are medium- to coarse-grained and composed of K-feldspar + plagioclase + biotite + amphibole + epidote + magnetite + titanite + zircon + apatite. In these granites, the pistacite component [atomic Fe+3/(Fe3+ + Al)] in epidote ranges from 16 to 29 %. High oxygen fugacity (log ƒO2 - 14 to -11) and the preservation of epidote suggest that the magma was oxidized. Al-in hornblende barometry and hornblende-plagioclase thermometry indicate hornblende crystallization between 0.53 and 0.78 GPa at a temperature ranging from 633 to 779 °C. Zircon saturation thermometry gives temperature estimates ranging from 504 to 916 °C, the latter being obtained on samples containing inherited zircons. U/Pb geochronology by LA-ICP-MS on zircon grains characterized by magmatic zoning yields a concordia age of 668 ± 11 Ma (2σ). The Mokong granite is the only known occurrence magmatic epidote in Cameroon, and is an important milestone for the comparison of the Central Africa orogenic belt with the Brasiliano Fold Belt, where such granites are much more abundant.

  8. Sex chromosome variation and cytotaxonomy of the onchocerciasis vector Simulium squamosum in Cameroon and Nigeria.

    PubMed

    Traore-Lamizana, M; Somiari, S; Mafuyai, H B; Vajime, C G; Post, R J

    2001-06-01

    On the basis of sex chromosome variation, three cytotypes of Simulium squamosum (Enderlein) (Diptera: Simuliidae) are described from Cameroon and Nigeria. Simulium squamosum A is the typical form as originally described by Vajime & Dunbar (1975) with chromosome I as the sex chromosome. It occurs throughout most of Cameroon and south-east Nigeria. A second cytotype, S. squamosum B, is described from the river Sanaga (Cameroon). It also has chromosome I as the sex chromosome, but the nature of the sex differential region is different. Simulium squamosum C has no sex-linked chromosomal rearrangements. It is widespread in Nigeria and occurs near Mount Cameroon, where it seems to hybridize with S. squamosum A. PMID:11434559

  9. Sustaining mother tongue medium education: An inter-community self-help framework in Cameroon

    NASA Astrophysics Data System (ADS)

    Chiatoh, Blasius A.

    2011-12-01

    Advocating mother tongue education implies recognising the centrality of linguistic and cultural diversity in quality and accessible education planning and delivery. In minority linguistic settings, this need becomes particularly urgent. Decades of exclusive promotion of foreign languages have rendered the educational system incapable of guaranteeing maximum quality, accessibility and equity. Also, due to long periods of marginalisation and disempowerment, most indigenous communities are unable to undertake viable self-reliant educational initiatives. As a result, planning and management of education is not adapted to the needs and realities of target populations. What such an educational approach has succeeded in achieving is to cultivate a culture of near-total dependence and consumerism. In minority language situations where mother tongue education is still primarily in the hands of private institutions and individuals, successful planning also means influencing the perceptions and attitudes of indigenous people and systematically integrating them into the educational process. This paper discusses grass-roots mother tongue education in Cameroon. It focuses on the inter-community self-help initiative as a local response framework and argues that this initiative is a strong indication of the desire of communities to learn and promote learning in their own languages.

  10. Sensitisation to mites in a group of patients with asthma in Yaounde, Cameroon: a cross-sectional study

    PubMed Central

    Pefura-Yone, Eric Walter; Kengne, André Pascal; Kuaban, Christopher

    2014-01-01

    Objectives Sensitisation of asthmatic patients to mites in sub-Saharan Africa has been less described. The aim of this study was to assess the prevalence and determinants of sensitisation to mites in asthmatic adolescents and adults in Yaounde, Cameroon. Design This was a cross-sectional study. Logistic regression models were employed to investigate the determinants of sensitisation to mites. Setting This study was carried out at the Jamot Hospital and CEDIMER private centre, in Yaounde, capital city of Cameroon. Participants All asthmatic patients received in consultations from January 2012 to June 2013 and in whom prick-skin tests for perennial aeroallergens were performed were included. Outcome measures Prevalence of sensitisation to mites and associated factors. Results In total, 201 patients (132 being women, 65.7%), with a median age of 36 (25th–75th centiles: 20–54) years were included, with 135 (67.2%) having a positive skin test for mites. Sensitisation to Dermatophagoïdes pteronyssinus, Dermatophagoides farinae and Blomia tropicalis was found in 53.2%, 49.8% and 47.8% of the patients, respectively. Intermittent rhinitis (16.3% vs 7.6%) and persistent rhinitis (43.0% vs 22.7%) were more frequent in sensitised patients than in the non-sensitised ones (p<0.010). Independent allergological determinants of sensitisation to mites were sensitisation to Alternaria alternata (adjusted OR 14.98 (95% CIs 1.96 to 114.4)) and sensitisation to Blattella germanica (3.48 (1.34 to 9.00)). Conclusions Sensitisation to mites was found in about two-thirds of asthmatic patients in this setting, with a frequent multiple sensitisations to A alternata and Blattella germanica. Systematically investigating asthmatic patients for mites' sensitisation and determinants will help optimising the care in this setting by combining the aetiological treatment for the allergy with symptomatic treatment for asthma, in order to modify the natural course of the disease. PMID:24390384

  11. Mapping of Bancroftian Filariasis in Cameroon: Prospects for Elimination

    PubMed Central

    Nana-Djeunga, Hugues C.; Tchatchueng-Mbougua, Jules B.; Bopda, Jean; Mbickmen-Tchana, Steve; Elong-Kana, Nathalie; Nnomzo’o, Etienne; Akame, Julie; Tarini, Ann; Zhang, Yaobi; Njiokou, Flobert; Kamgno, Joseph

    2015-01-01

    Background Lymphatic filariasis (LF) is one of the most debilitating neglected tropical diseases (NTDs). It still presents as an important public health problem in many countries in the tropics. In Cameroon, where many NTDs are endemic, only scant data describing the situation regarding LF epidemiology was available. The aim of this study was to describe the current situation regarding LF infection in Cameroon, and to map this infection and accurately delineate areas where mass drug administration (MDA) was required. Methodology The endemicity status and distribution of LF was assessed in eight of the ten Regions of Cameroon by a rapid-format card test for detection of W. bancrofti antigen (immunochromatographic test, ICT). The baseline data required to monitor the effectiveness of MDA was collected by assessing microfilariaemia in nocturnal calibrated thick blood smears in sentinel sites selected in the health districts where ICT positivity rate was ≥ 1%. Principal findings Among the 120 health districts visited in the eight Regions during ICT survey, 106 (88.3%) were found to be endemic for LF (i.e. had ICT positivity rate ≥ 1%), with infection rate from 1.0% (95% CI: 0.2–5.5) to 20.0% (95% CI: 10–30). The overall infection rate during the night blood survey was 0.11% (95% CI: 0.08–0.16) in 11 health districts out of the 106 surveyed; the arithmetic mean for microfilaria density was 1.19 mf/ml (95% CI: 0.13–2.26) for the total population examined. Conclusion/significance ICT card test results showed that LF was endemic in all the Regions and in about 90% of the health districts surveyed. All of these health districts qualified for MDA (i.e. ICT positivity rate ≥ 1%). Microfilariaemia data collected as part of this study provided the national program with baseline data (sentinel sites) necessary to measure the impact of MDA on the endemicity level and transmission of LF important for the 2020 deadline for global elimination. PMID:26353087

  12. Improving waste segregation while reducing costs in a tertiary-care hospital in a lower-middle-income country in Central America.

    PubMed

    Johnson, Kyle M; González, Miriam L; Dueñas, Lourdes; Gamero, Mario; Relyea, George; Luque, Laura E; Caniza, Miguela A

    2013-07-01

    Healthcare waste (HCW) management and segregation are essential to ensure safety, environmental protection and cost control. Poor HCW management increase risks and costs for healthcare institutions. On-going surveillance and training are important to maintain good HCW practices. Our objectives were to evaluate and improve HCW practices at Hospital Bloom, San Salvador, El Salvador. We studied HCW disposal practices by observing waste containers, re-segregating waste placed in biohazardous waste bags, and administering a seven-itemsknowledge survey before and after training in waste management at Hospital Bloom. The training was based on national and international standards. We followed total biohazardous waste production before and after the training. The hospital staff was knowledgeable about waste segregation practices, but had poor compliance with national policies. Re-segregating waste in biohazardous waste bags showed that 61% of this waste was common waste, suggesting that the staff was possibly unaware of the cost of mis-segregating healthcare waste. After staff training in HCW management, the correct responses increased by 44% and biohazardous waste disposal at the hospital reduced by 48%. Better segregation of biohazardous waste and important savings can be obtained by HCW management education of hospital staff. Hospitals can benefit from maximising the use of available resources by sustaining best practices of HCW, especially those in hospitals in lower-middle-income countries. PMID:23592758

  13. Parameter Identification in a Tuberculosis Model for Cameroon

    PubMed Central

    Moualeu-Ngangue, Dany Pascal; Röblitz, Susanna; Ehrig, Rainald; Deuflhard, Peter

    2015-01-01

    A deterministic model of tuberculosis in Cameroon is designed and analyzed with respect to its transmission dynamics. The model includes lack of access to treatment and weak diagnosis capacity as well as both frequency- and density-dependent transmissions. It is shown that the model is mathematically well-posed and epidemiologically reasonable. Solutions are non-negative and bounded whenever the initial values are non-negative. A sensitivity analysis of model parameters is performed and the most sensitive ones are identified by means of a state-of-the-art Gauss-Newton method. In particular, parameters representing the proportion of individuals having access to medical facilities are seen to have a large impact on the dynamics of the disease. The model predicts that a gradual increase of these parameters could significantly reduce the disease burden on the population within the next 15 years. PMID:25874885

  14. Parameter identification in a tuberculosis model for Cameroon.

    PubMed

    Moualeu-Ngangue, Dany Pascal; Röblitz, Susanna; Ehrig, Rainald; Deuflhard, Peter

    2015-01-01

    A deterministic model of tuberculosis in Cameroon is designed and analyzed with respect to its transmission dynamics. The model includes lack of access to treatment and weak diagnosis capacity as well as both frequency- and density-dependent transmissions. It is shown that the model is mathematically well-posed and epidemiologically reasonable. Solutions are non-negative and bounded whenever the initial values are non-negative. A sensitivity analysis of model parameters is performed and the most sensitive ones are identified by means of a state-of-the-art Gauss-Newton method. In particular, parameters representing the proportion of individuals having access to medical facilities are seen to have a large impact on the dynamics of the disease. The model predicts that a gradual increase of these parameters could significantly reduce the disease burden on the population within the next 15 years. PMID:25874885

  15. Abattoir-based estimates of mycobacterial infections in Cameroon

    PubMed Central

    Egbe, N. F.; Muwonge, A.; Ndip, L.; Kelly, R. F.; Sander, M.; Tanya, V.; Ngwa, V. Ngu; Handel, I. G.; Novak, A.; Ngandalo, R.; Mazeri, S.; Morgan, K. L.; Asuquo, A.; Bronsvoort, B. M. de C.

    2016-01-01

    Mycobacteria cause major diseases including human tuberculosis, bovine tuberculosis and Johne’s disease. In livestock, the dominant species is M. bovis causing bovine tuberculosis (bTB), a disease of global zoonotic importance. In this study, we estimated the prevalence of Mycobacteria in slaughter cattle in Cameroon. A total of 2,346 cattle were examined in a cross-sectional study at four abattoirs in Cameroon. Up to three lesions per animal were collected for further study and a retropharyngeal lymph node was collected from a random sample of non-lesioned animals. Samples were cultured on Lowenstein Jensen media and the BACTEC MGIT 960 system, and identified using the Hain® Genotype kits. A total of 207/2,346 cattle were identified with bTB-like lesions, representing 4.0% (45/1,129), 11.3% (106/935), 23.8% (38/160) and 14.8% (18/122) of the cattle in the Bamenda, Ngaoundere, Garoua and Maroua abattoirs respectively. The minimum estimated prevalence of M. bovis was 2.8% (1.9–3.9), 7.7% (6.1–9.6), 21.3% (15.2–28.4) and 13.1% (7.7–20.4) in the four abattoirs respectively. One M. tuberculosis and three M. bovis strains were recovered from non-lesioned animals. The high prevalence of M. bovis is of public health concern and limits the potential control options in this setting without a viable vaccine as an alternative. PMID:27075056

  16. Lead concentrations and labeling of new paint in cameroon.

    PubMed

    Gottesfeld, P; Kuepouo, G; Tetsopgang, S; Durand, K

    2013-01-01

    In spite of the availability of substitutes for lead compounds used in paints, manufacturers continue to produce these paints for decorative and industrial applications. We report here on the concentration of lead in new paint sold in Cameroon and provide a summary of labeling practices on paints available in the country, based on a market survey. Investigators visited 76 retail and wholesale paint suppliers in Cameroon to collect information from paint product labels and to collect samples of paints to analyze for lead content. Only 8.5% of paints had labels identifying any of the ingredients, and none of the lead paints included any warning language. Based on a convenience sample (weighted to include multiple colors from the most common brands), 61 mostly enamel paints were purchased from retail outlets and analyzed for lead content (median: 2150 ppm; range: <21-500,000 ppm). Sixty-six percent of the new paint samples had concentrations exceeding the U.S. standard of 90 ppm total lead. All but one of the samples with lead concentrations greater than 90 ppm were also greater than 600 ppm. The largest manufacturer in the country-Seigneurie, a subsidiary of the U.S.-based company PPG-had significant lead concentrations in 9 out of 22 (41%) paints tested. There is an immediate need to adopt mandatory standards to limit the lead content of paint manufactured, imported, and sold in the country. To promote safer paint products we recommend the development of a third-party certification program for paints without added lead. These recommendations are consistent with the objectives of the Global Alliance to Eliminate Lead Paint established under the auspices of the United Nations to address this problem on a global scale. PMID:23472856

  17. Anxiolytic activity evaluation of four medicinal plants from Cameroon.

    PubMed

    Bum, E Ngo; Soudi, S; Ayissi, E R; Dong, C; Lakoulo, N H; Maidawa, F; Seke, P F E; Nanga, L D; Taiwe, G S; Dimo, T; Njikam, Njifutie; Rakotonirina, A; Rakotonirina, S V; Kamanyi, A

    2011-01-01

    Afrormosia laxiflora (A. laxiflora), Chenopodium ambrosioides (C. ambrosioides), Microglossa pyrifolia (M. pyrifolia) and Mimosa pudica (M. pudica) are plants used in traditional medicine in Cameroon to treat insomnia, epilepsy, anxiety, and agitation. They were evaluated for their anxiolytic like activity in mice. Animal models (elevated plus maze and stress-induced hyperthermia tests) were used. The four plants showed anxiolytic activity. In stress-induced hyperthermia test, A. laxiflora, C. ambrosioides, M. pyrifolia and M. pudica significantly antagonised the increase of temperature. ΔT° decreased from 0.75°C in the control group to 0.36°C at the dose of 110 mg/kg for A. laxiflora; from 1°C in the control group to -1.1°C at the dose of 120 mg/kg for C. ambrosioides; from 1.7°C in the control group to 0.2°C at the dose of 128 mg/kg for M. pyrifolia and from 1.3°C in the control group to 0.5°C at the dose of 180 mg/kg for M. pudica. In the elevated plus maze test, the four plants increased the number of entries into, percentage of entries into, and percentage of time in open arms. A. laxiflora, C. ambrosioides and M. pudica also reduced the percentage of entries and time in closed arms. In addition, C. ambrosioides, M. pyrifolia and M. pudica showed antipyretic activity by reducing the body temperature. The results suggested that C. ambrosioides, M. pyrifolia and M. pudica posses anxiolytic-like and antipyretic activities while A. laxiflora possesses only anxiolytic-like properties. These plants could be helpful in the treatment of anxiety and fever in traditional medicine in Cameroon. PMID:22754066

  18. Abattoir-based estimates of mycobacterial infections in Cameroon.

    PubMed

    Egbe, N F; Muwonge, A; Ndip, L; Kelly, R F; Sander, M; Tanya, V; Ngwa, V Ngu; Handel, I G; Novak, A; Ngandalo, R; Mazeri, S; Morgan, K L; Asuquo, A; Bronsvoort, B M de C

    2016-01-01

    Mycobacteria cause major diseases including human tuberculosis, bovine tuberculosis and Johne's disease. In livestock, the dominant species is M. bovis causing bovine tuberculosis (bTB), a disease of global zoonotic importance. In this study, we estimated the prevalence of Mycobacteria in slaughter cattle in Cameroon. A total of 2,346 cattle were examined in a cross-sectional study at four abattoirs in Cameroon. Up to three lesions per animal were collected for further study and a retropharyngeal lymph node was collected from a random sample of non-lesioned animals. Samples were cultured on Lowenstein Jensen media and the BACTEC MGIT 960 system, and identified using the Hain® Genotype kits. A total of 207/2,346 cattle were identified with bTB-like lesions, representing 4.0% (45/1,129), 11.3% (106/935), 23.8% (38/160) and 14.8% (18/122) of the cattle in the Bamenda, Ngaoundere, Garoua and Maroua abattoirs respectively. The minimum estimated prevalence of M. bovis was 2.8% (1.9-3.9), 7.7% (6.1-9.6), 21.3% (15.2-28.4) and 13.1% (7.7-20.4) in the four abattoirs respectively. One M. tuberculosis and three M. bovis strains were recovered from non-lesioned animals. The high prevalence of M. bovis is of public health concern and limits the potential control options in this setting without a viable vaccine as an alternative. PMID:27075056

  19. Lithospheric instability and the source of the Cameroon Volcanic Line: Evidence from Rayleigh wave phase velocity tomography

    NASA Astrophysics Data System (ADS)

    Adams, Aubreya N.; Wiens, Douglas A.; Nyblade, Andrew A.; Euler, Garrett G.; Shore, Patrick J.; Tibi, Rigobert

    2015-03-01

    The Cameroon Volcanic Line (CVL) is a 1800 km long volcanic chain, extending SW-NE from the Gulf of Guinea into Central Africa, that lacks the typical age progression exhibited by hot spot-related volcanic tracks. This study investigates the upper mantle seismic structure beneath the CVL and surrounding regions to constrain the origin of volcanic lines that are poorly described by the classic plume model. Rayleigh wave phase velocities are measured at periods from 20 to 182 s following the two-plane wave methodology, using data from the Cameroon Seismic Experiment, which consists of 32 broadband stations deployed between 2005 and 2007. These phase velocities are then inverted to build a model of shear wave velocity structure in the upper mantle beneath the CVL. Results show that phase velocities beneath the CVL are reduced at all periods, with average velocities beneath the CVL deviating more than -2% from the regional average and +4% beneath the Congo Craton. This distinction is observed for all periods but is less pronounced for the longest periods measured. Inversion for shear wave velocity structure indicates a tabular low velocity anomaly directly beneath the CVL at depths of 50 to at least 200 km and a sharp vertical boundary with faster velocities beneath the Congo Craton. These observations demonstrate widespread infiltration or erosion of the continental lithosphere beneath the CVL, most likely caused by mantle upwelling associated with edge-flow convection driven by the Congo Craton or by lithospheric instabilities that develop due to the nearby edge of the African continent.

  20. Batrachochytrium dendrobatidis in amphibians of Cameroon, including first records for caecilians.

    PubMed

    Doherty-Bone, T M; Gonwouo, N L; Hirschfeld, M; Ohst, T; Weldon, C; Perkins, M; Kouete, M T; Browne, R K; Loader, S P; Gower, D J; Wilkinson, M W; Rödel, M O; Penner, J; Barej, M F; Schmitz, A; Plötner, J; Cunningham, A A

    2013-02-28

    Amphibian chytrid fungus Batrachochytrium dendrobatidis (Bd) has been hypothesised to be an indigenous parasite of African amphibians. In Cameroon, however, previous surveys in one region (in the northwest) failed to detect this pathogen, despite the earliest African Bd having been recorded from a frog in eastern Cameroon, plus one recent record in the far southeast. To reconcile these contrasting results, we present survey data from 12 localities across 6 regions of Cameroon from anurans (n = 1052) and caecilians (n = 85) of ca. 108 species. Bd was detected in 124 amphibian hosts at 7 localities, including Mt. Oku, Mt. Cameroon, Mt. Manengouba and lowland localities in the centre and west of the country. None of the hosts were observed dead or dying. Infected amphibian hosts were not detected in other localities in the south and eastern rainforest belt. Infection occurred in both anurans and caecilians, making this the first reported case of infection in the latter order (Gymnophiona) of amphibians. There was no significant difference between prevalence and infection intensity in frogs and caecilians. We highlight the importance of taking into account the inhibition of diagnostic qPCR in studies on Bd, based on all Bd-positive hosts being undetected when screened without bovine serum albumin in the qPCR mix. The status of Bd as an indigenous, cosmopolitan amphibian parasite in Africa, including Cameroon, is supported by this work. Isolating and sequencing strains of Bd from Cameroon should now be a priority. Longitudinal host population monitoring will be required to determine the effects, if any, of the infection on amphibians in Cameroon. PMID:23446968

  1. The epidemiology of soil-transmitted helminth and protozoan infections in south-west Cameroon.

    PubMed

    Mbuh, J V; Ntonifor, N H; Ojong, J

    2012-03-01

    A cross-sectional study of the prevalence, intensity and effects of soil-transmitted helminth and protozoan infections was undertaken among patients at the Buea Hospital Annex located in Buea sub-division of Cameroon. Stool samples from 356 subjects (174 males and 182 females) were collected and processed using standard concentration methods. Our results showed that 31.0% of subjects were infected with intestinal helminths and the prevalence was higher in females (32.4%) than in males (30.5%). A significantly higher prevalence was observed in rural (47.2%) than in urban areas (21.0%); significance < 0.1%. Prevalence was highest among those aged between 6 and 12 years (41.4%). The total prevalence of intestinal helminth infections were 19.3% for Ascaris lumbricoides, 14.0% for hookworm and 11.8% for Trichuris trichiura. The intensity of infection was unevenly distributed, with very heavy loads concentrated in a few individuals. Data also showed that 28.1% (100/356) of the subjects were infected with protozoans. Females showed a higher prevalence (28.6%; 52/182) than males (20.7%; 36/174). Also, there was a significantly higher prevalence in rural (34.0%; 49/144) than urban areas (18.4%; 39/212); significance < 0.1%. The age group 6-12 years again had a higher prevalence (37.1%; 26/70). The total prevalence of intestinal protozoans was: Entamoeba histolytica (24.4%), Entamoeba coli (11.2%) and Giardia lamblia (0.6%). These relatively heavy prevalences in patients may be reduced by appropriate medication and maintaining strict personal hygiene. Health education, clean water supply, good sewage management and a congenial environment will all help to minimize infection. PMID:21281528

  2. Psychosocial burden of sickle cell disease on parents with an affected child in Cameroon.

    PubMed

    Wonkam, Ambroise; Mba, Caryl Zameyo; Mbanya, Dora; Ngogang, Jeanne; Ramesar, Raj; Angwafo, Fru F

    2014-04-01

    The chronicity of Sickle Cell Disease (SCD) could impair the quality of life of caregivers. We performed a quantitative study to assess various indices of psychosocial burden on Cameroonian parents (N = 130) with at least one living SCD-affected child. Demographic and medical information were obtained from the participants and the review of the patients' medical records. The survey instrument included a 38-item stress factors scale using Likert-type statements, evaluating general perceptions of stress and five main specific stressors: disease factors (clinical severity), hospital factors, financial factors, family factors (life/dynamic) and SCD-child factors (perceived quality of life). The items pertaining to burden involved four response options with increasing severity: 0, 1, 2 or 3. Descriptive statistics and non-parametric tests were used for analysis. Participants were typically aged 38 years, urban dwellers (89%), female (80%), married (60.2%), employed (61.7%) and had secondary/tertiary education (82%). Median age of SCD-affected children was 9 years. The median age at diagnosis of SCD was 6 months; 47.8% had more than 3 painful crises per year. The majority of participants (88.3%) experienced moderate to severe difficulty coping with SCD. On a 0-3 scale, median score of SCD clinical severity was the major factor to undermine the coping ability of parents (2.2); vaso-occlusive painful events (>3 per year) was the disease-related stressor that most impacted their coping ability. The family life dynamic was the least stressful (0.7). Unemployment affected all the stressors' categories. Stressors scores also increased with female, single, low education level, age of SCD-affected children or more than 3 children in the family. In Cameroon, there is an urgent need to implement practices that ensure affordable access to health-care and activities that would reduce SCD morbidity. PMID:23881472

  3. The Fallacy of Promoting Non Native Varieties of English in Postcolonial Multilingual Settings: The Case of Cameroon English (CamE) in Cameroon

    ERIC Educational Resources Information Center

    Essossomo, Serges Moïse

    2015-01-01

    This research endeavour is a major contribution to the current debate on the integration of non-native varieties into the school curriculum in non-native settings. Taking the specific case of Cameroon, this work rests on the solid assumption that the promotion of CamE to the detriment of Standard British English accent is definitely a fallacy. The…

  4. Development of the Oil Industry in Cameroon and Its Implications for Education and Training. IIEP Research Report No. 79.

    ERIC Educational Resources Information Center

    Sanyal, Bikas C.; And Others

    A study analyzed how the oil industry in Cameroon developed and influenced the expansion, structure, and content of Cameroon's formal and nonformal education and training system. A survey of 213 employees and 8 enterprises was supplemented by a review of government reports and official published and unpublished documents. The economy of Cameroon…

  5. Central and southern Africa

    SciTech Connect

    McGrew, H.J.

    1981-10-01

    Exploration in central and southern Africa continued to expand during 1980. The greatest concentration of activity was in Nigeria. However, there was considerable increase in the level of exploratory work in Cameroon and Congo. Significant new finds have been made in Ivory Coast. Geological and geophysical activity was carried out in 18 of the countries, with those in the western part having the largest share. Seismic work involved 225 party months of operation. Most of this time was spent on land, but marine operations accounted for 73,389 km of new control. Gravity and magnetic data were recorded during the marine surveys, and several large aeromagnetic projects were undertaken to obtain a total of 164,498 line km of data. Exploratory and development drilling accounted for a total of 304 wells and 2,605,044 ft (794,212 m) of hole. The 92 exploratory wells that were drilled resulted in 47 oil and gas discoveries. In development drilling 89% of the 212 wells were successful. At the end of the year, 27 exploratory wells were underway, and 34 development wells were being drilled for a total of 61. Oil production from the countries that this review covers was 918,747,009 bbl in 1980, a drop of about 9% from the previous year. Countries showing a decline in production were Nigeria, Gabon, Cabinda, and Zaire. Increases were recorded in Cameroon, Congo, and Ghana. A new country was added to the list of producers when production from the Belier field in Ivory Coast came on stream. 33 figures, 15 tables.

  6. Using weight-for-age for predicting wasted children in Cameroon

    PubMed Central

    Nguefack-Tsague, Georges; Kien, Agatha Tanya Nguti; Fokunang, Charles Ntungwen

    2013-01-01

    Introduction The equipment for taking body weights (scales) are more frequently used in Cameroon health centres than measuring boards for heights. Even when the later exist there are some difficulties inherent in their qualities; thus the height measurement is not always available or accurate. Our objective for this study was to construct statistical models for predicting wasting from weight-for-age. Methods 3742 children aged 0 to 59 months were enrolled in a cross-sectional household survey (2004 Cameroon Demographic and Health Surveys (DHS)) covering the entire Cameroon national territory. Results There were highly significant association between underweight and wasting. For all discriminant statistical methods used, the test error rates (using an independent testing sample) were less than 5%; the Area Under Curve (AUC) using the Receiver Operating Characteristic (ROC) was 0.86. Conclusion The study showed that weight-for-age can be used for accurately classifying a child whose wasting status is unknown. The result is useful in Cameroon as too often the height measurements may not be feasible, thus the need for estimating wasted children. This study provides baseline information that will help to design a preliminary pivotal study on an immediate nutrition intervention for acute undernutrition. Its complications that could lead to morbidity and mortality can be greatly reduced or set up a management control strategy that will go a long way in reducing the cost of health care in Cameroon. PMID:23717712

  7. 40Ar/39Ar dating of basaltic dykes swarm in Western Cameroon: Evidence of Late Paleozoic and Mesozoic magmatism in the corridor of the Cameroon Line

    NASA Astrophysics Data System (ADS)

    Tchouankoue, Jean Pierre; Simeni Wambo, Nicole Armelle; Kagou Dongmo, Armand; Li, Xian-Hua

    2014-05-01

    40Ar/39Ar ages of three basalt dykes that intrude the Precambrian basement in the southern continental part of the Cretaceous Cameroon Line are presented. Specimen were sampled at Dschang, Maham and Kendem (Cameroon). The ages obtained are 421.3 ± 3.5 Ma (Dschang), 404.22 ± 3.51 Ma (Maham), and 192.10 ± 7.45 Ma (Kendem). The Dschang and Maham samples yield a relatively undisturbed spectrum while the Kendem sample shows an excess of argon but with plateau ages in the frame of the Mesozoic. Plateau ages at Dschang, Maham and Kendem represent more than 80% of the total 39Ar released and are interpreted as emplacement ages. 40Ar/39Ar dating results confirm Devonian and Jurassic K/Ar ages obtained from similar dykes of the same region. Geochemically, the basalt dykes are subalkaline in composition with 45-50 wt.% SiO2. Incompatible trace elements and rare earth elements are lower than that of the Cameroon Line basalts. Overall geochemical characteristics of the basalt dykes much more closely resemble those of tholeiites of the Benue Through in Nigeria that are interpreted as related to the opening of the Atlantic Ocean. The combination of 40Ar/39Ar ages, major, trace and rare earth elements geochemistry data demonstrate a magmatic phase that is significantly older and different of that of the Cretaceous Cameroon Line and younger than the dominantly granitic Neoproterozoic to early Paleozoic magmatism in the region. These findings offer new clues for a better understanding of the tectonic history of the region, particularly the origin of the Cameroon Line and Africa-South America pre-drift reconstitutions.

  8. FASTER (Face, Arm, Speech, Time, Emergency Response): experience of Central Coast Stroke Services implementation of a pre-hospital notification system for expedient management of acute stroke.

    PubMed

    O'Brien, W; Crimmins, D; Donaldson, W; Risti, R; Clarke, T A; Whyte, S; Sturm, J

    2012-02-01

    Despite benefit in acute ischaemic stroke, less than 3% of patients receive tissue plasminogen activator (tPA) in Australia. The FASTER (Face, Arm, Speech, Time, Emergency Response) protocol was constructed to reduce pre-hospital and Emergency Department (ED) delays and improve access to thrombolysis. This study aimed to determine if introduction of the FASTER protocol increases use of tPA using a prospective pre- and post-intervention cohort design in a metropolitan hospital. A pre-hospital assessment tool was used by ambulance services to screen potential tPA candidates. The acute stroke team was contacted, hospital bypass allowed, triage and CT radiology alerted, and the patient rapidly assessed on arrival to ED. Data were collected prospectively during the first 6 months of the new pathway and compared to a 6-month period 12 months prior to protocol initiation. In the 6 months following protocol introduction, 115 patients presented within 24 hours of onset of an ischaemic stroke: 22 (19%) received thrombolysis, significantly greater than five (7%) of 67 patients over the control period, p=0.03. Overall, 42 patients were referred via the FASTER pathway, with 21 of these receiving tPA (50%). One inpatient stroke was also treated. Only two referrals (<5%) were stroke mimics. Introduction of the FASTER pathway also significantly reduced time to thrombolysis and time to admission to the stroke unit. Therefore, fast-track referral of potential tPA patients involving the ambulance services and streamlined hospital assessment is effective and efficient in improving patient access to thrombolysis. PMID:22118794

  9. Survey of gorillas (Gorilla gorilla gorilla) and chimpanzees (Pan troglodytes troglodytes) in Southwestern Cameroon.

    PubMed

    Matthews, Adele; Matthews, Andreas

    2004-01-01

    A study on the distribution and population density of the western lowland gorilla (Gorilla g. gorilla) and the central chimpanzee (Pan t. troglodytes) was undertaken between December 1997 and August 2000 in the Campo and Ma'an Forests in southwestern Cameroon. The aim of this survey was to estimate the densities of the apes in different parts of the area, to assess the importance of the region for the conservation of these endangered species and to determine the influence of human activities such as logging and hunting. The survey was based on night nest counts on a total of 665.5 km of line transects. The overall density in the Campo Forest was estimated at 0.2 gorillas/km(2) and at 0.63-0.78 chimpanzees/km(2). The overall density of chimpanzees in the Ma'an Forest was estimated at 0.8-1 individuals/km(2). Gorilla density in this area was too low to allow an estimation. The highest gorilla nest density was found in secondary forest. The gorilla density in unlogged forest was significantly lower. Chimpanzees showed a clear preference for less disturbed areas. In unlogged forest, old secondary forests (logging more than 23 years ago) and areas of recent logging with large remaining patches of primary forest, significantly higher densities were calculated than inside the more heavily exploited logging concession. In areas with both logging and high hunting pressure both species were rare or even absent. The Campo Ma'an area is considered a very important area for the conservation of gorillas and chimpanzees. Conservation measures are urgently required to reduce the impact of logging and hunting. The creation of the Campo Ma'an National Park in January 2000 is an important measure to preserve the unique biodiversity in this so far hardly protected area. PMID:14586801

  10. Rural Development in Africa: A Bibliography. (Part I: General, Central, East). Training & Methods Series Number 16 (Supplement), March 1973.

    ERIC Educational Resources Information Center

    Anderson, Teresa, Comp.; Strey, Gerry, Comp.

    A supplement to the bibliography of materials dealing with Africa in the Land Tenure Center Library at the University of Wisconsin, this bibliography on rural development in Africa is divided into three major sections as follows: (1) General (400 entries); (2) Central Africa including a general section (2 entries); Cameroon (26 entries); Central…

  11. The application of hospitality elements in hospitals.

    PubMed

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

    In the last decade, many hospital designs have taken inspiration from hotels, spurred by factors such as increased patient and family expectations and regulatory or financial incentives. Increasingly, research evidence suggests the value of enhancing the physical environment to foster healing and drive consumer decisions and perceptions of service quality. Although interest is increasing in the broader applicability of numerous hospitality concepts to the healthcare field, the focus of this article is design innovations, and the services that such innovations support, from the hospitality industry. To identify physical hotel design elements and associated operational features that have been used in the healthcare arena, a series of interviews with hospital and hotel design experts were conducted. Current examples and suggestions for future hospitality elements were also sought from the experts, academic journals, and news articles. Hospitality elements applied in existing hospitals that are addressed in this article include hotel-like rooms and decor; actual hotels incorporated into medical centers; hotel-quality food, room service, and dining facilities for families; welcoming lobbies and common spaces; hospitality-oriented customer service training; enhanced service offerings, including concierges; spas or therapy centers; hotel-style signage and way-finding tools; and entertainment features. Selected elements that have potential for future incorporation include executive lounges and/or communal lobbies with complimentary wireless Internet and refreshments, centralized controls for patients, and flexible furniture. Although the findings from this study underscore the need for more hospitality-like environments in hospitals, the investment decisions made by healthcare executives must be balanced with cost-effectiveness and the assurance that clinical excellence remains the top priority. PMID:23424818

  12. Laying down the knife may decrease risk of HIV transmission: cultural practices in Cameroon with implications for public health and policy.

    PubMed

    Ndiwane, Abraham

    2008-01-01

    The risk of HIV transmission may be increased by certain cultural practices. In Cameroon, these practices include group circumcision of boys using unsterile knives during rites of passage, skin cutting or tribal markings, group breast feeding practices and nose shaving rituals. Since traditional healers and circumcisers have a vital role in these practices at the village level, their collaboration is needed by government and biomedical communities to engage in health education and prevention efforts to stem HIV incidence and prevalence. Such efforts should include comprehensive education on HIV counseling, testing, condom use and male circumcision in health centers, clinics and hospitals. As more people emigrate to the U.S. from sub-Saharan countries where such cultural practices (including female circumcision) are endemic, health care providers need to identify and follow up potential health problems of these immigrants. PMID:18649445

  13. Norovirus - hospital

    MedlinePlus

    Gastroenteritis - norovirus; Colitis - norovirus; Hospital acquired infection - norovirus ... fluids ( dehydration ). Anyone can become infected with norovirus. Hospital patients who are very old, very young, or ...

  14. Perspectives in genetics and sickle cell disease prevention in Africa: beyond the preliminary data from Cameroon

    PubMed Central

    Wonkam, Ambroise; Bitoungui, Valentina Josiane Ngo; Ngogang, Jeanne

    2015-01-01

    Cameroon is a country of 20 million inhabitants with a carrier frequency of Sickle Cell Disease (SCD) ranging from 8 to 34 % [1]. Despite the exceptional severity, illustrated by a high prevalence of stroke (6·7%) among SCD patients [2], there are no specialized centres for lifelong medical care in Cameroon. Therefore, management needs to be accompanied by various preventive strategies. Prevention also extends to early detection with the aim to identify SCD in the foetus, provide reproductive options and options for treatment and prognosis. PMID:26044545

  15. Investigation of a possible yellow fever epidemic and serosurvey for flavivirus infections in northern Cameroon, 1984

    PubMed Central

    Tsai, T. F.; Lazuick, J. S.; Ngah, R. W.; Mafiamba, P. C.; Quincke, G.; Monath, T. P.

    1987-01-01

    A cluster of fatal hepatitis cases in northern Cameroon in 1984 stimulated a field investigation to rule out an epidemic of yellow fever. A serosurvey of villages in the extreme north of the country, in a Sudan savanna (SS) phytogeographical zone, disclosed no evidence of recent yellow fever infection. However, further south, in a Guinea savanna (GS) phytogeographical zone, serological evidence was found of endemic yellow fever virus transmission. The results indicate a potential for epidemic spread of yellow fever virus from the southern GS zone to the nothern SS zone of Cameroon, where immunity in the population was low. PMID:3501739

  16. Origin and age of the Lake Nyos maar, Cameroon

    USGS Publications Warehouse

    Lockwood, J.P.; Rubin, M.

    1989-01-01

    Lake Nyos occupies a young maar crater in the Precambrian granitic terrane of northwest Cameroon. The lake is partly surrounded by poorly consolidated, ultramafic nodule-bearing pyroclastic surge deposits that were explosively ejected from the Nyos crater at the time of its formation. Radiocarbon dates show that the maar probably formed about 400 years ago. Field evidence suggests that carbon dioxide could have been the principal volatile involved in the formation of the Nyos maar, and that the role of water may have been minor. The formation of the Nyos maar was preceded by a brief period of effusive basaltic volcanism, but the maar itself may have largely formed by cold, 'dry' explosive processes. Carbon dioxide may still be trapped interstitially in a diatreme inferred to underlie Lake Nyos; its gradual release into the waters of Lake Nyos may have set the stage for the tragic gas-release event of August 21, 1986. Only young maar lakes such as Nyos may pose a danger of future lethal gas releases. ?? 1989.

  17. Snakebite in northern Cameroon: 134 victims of bites by the saw-scaled or carpet viper, Echis ocellatus.

    PubMed

    Einterz, Ellen M; Bates, Myra E

    2003-01-01

    Echis ocellatus is one of the most deadly snakes known to humans, yet the procurement of antivenom for the treatment of these snakebites in Africa has become increasingly difficult and expensive. There is no consensus for the management of victims, and little is known of actual recent experiences with these cases in ordinary health care settings in Africa. All cases of snakebite reliably identified as bites of E. ocellatus and admitted to Kolofata District Hospital, northern Cameroon, from January 1993 to December 2002 were described retrospectively or prospectively. Of 134 cases admitted, 63% were male, three-quarters were aged < 30 years, and 85% survived. Pasteur polyvalent antivenom for Africa was administered intravenously in all but 1 case, but patients rarely received more than 10 mL. In most cases, appropriate antivenom can be administered effectively at a fraction of the recommended dose (20-60 mL), even in patients with serious complications presenting days after having been bitten; however, death is more likely in late presenters. PMID:16117965

  18. Magnitude and determinants of diabetic retinopathy among persons with diabetes registered at employee health department of a tertiary Eye Hospital of central Saudi Arabia

    PubMed Central

    Khandekar, Rajiv; Al Hassan, Arif; Al Dhibi, Hassan; Al Bahlal, Abdullah; Al-Futais, Muneera

    2015-01-01

    Background: To estimate the magnitude and determinants of diabetic retinopathy (DR) among persons with diabetes registered at the employee health department of King Khaled Eye Specialist Hospital (KKESH). Methods: A retrospective review of medical records was conducted in 2013–14 at KKESH. The case record review extracted demographic, profile of diabetes, diabetic complications, and different blood indices to determine the status of potential risk factors. Ocular profile, especially DR was also noted. Results: Our cohort had 94 staff with diabetes. Eye examination was carried out in 51 (54.8%) of them. The rate of DR was 52% (95% confidence interval (CI) 28–66). Sight-threatening diabetic retinopathy (STDR) (proliferative DR and/or diabetic macular edema) was present in 40% of those examined. Good glycemic control was noted in 42% of participants. Duration of diabetes was associated with DR (P = 0.04). Good glycemic control was negatively associated to DR (odds ratio = 0.2 [95% CI 0.04–0.6]). The coverage of eye screening was 55% only. Laser treatment was given to 80% of STDR cases. The lens opacity and glaucoma rate was 15% and 8.3%, respectively. Conclusions: Low coverage for eye screening and laser treatment to diabetics among the staff of an eye hospital is a matter of concern. The underlying causes of low coverage of screening, digital fundus photography as a screening tool and management should be addressed. PMID:26903721

  19. Risk factors of nasal carriage of Staphylococcus aureus and methicillin-resistant Staphylococcus aureus among health care staff in a teaching hospital in central Saudi Arabia

    PubMed Central

    Al-Humaidan, Ohoud S.; El-Kersh, Talat A.; Al-Akeel, Raid A.

    2015-01-01

    Objectives: To investigate possible risk factors of Staphylococcus aureus (S. aureus) and methicillin-resistant S. aureus (MRSA) nasal carriage associated with various health troubles among healthcare workers (HCWs) at King Khalid University Hospital (KKUH). Method: This prospective study was conducted between May 2012 and January 2013 in KKUH, Riyadh, Saudi Arabia. A total of 200 nasal swabs were collected from HCWs. Identification was carried out based on morphology, Gram stain, catalase and coagulase test, Staphaurex PlusH test, chromogenic medium, oxacillin, and cefoxitin test using disc diffusion method. Characterization was carried out using disk diffusion method and E-test. Polymerase chain reaction was carried out to confirm using GeneXpert® Dx System (Cepheid) to detect mecA gene. Results: Among the 200 isolates, 80 (40%) were S. aureus carriers, and 36 (18%) of all HCWs were identified as MRSA carriers. There was a significant difference of S. aureus according to gender with male carriers (p=0.012), occupation particularly among nurses (p=0.006), and duration of working years in the hospital among 4-6 years group (p=0.002). Moreover, none of the risk factors assessed were significantly associated with the carriage rate of MRSA (p>0.05). Conclusion: The current study revealed that nursing staff was the potential colonizers of S. aureus and MRSA compared with other HCWs. Regular screening of carriers is required for prevention of nosocomial infections. PMID:26318466

  20. Effect of sampling methods, effective population size and migration rate estimation in Glossina palpalis palpalis from Cameroon.

    PubMed

    Mélachio, Tanekou Tito Trésor; Njiokou, Flobert; Ravel, Sophie; Simo, Gustave; Solano, Philippe; De Meeûs, Thierry

    2015-07-01

    Human and animal trypanosomiases are two major constraints to development in Africa. These diseases are mainly transmitted by tsetse flies in particular by Glossina palpalis palpalis in Western and Central Africa. To set up an effective vector control campaign, prior population genetics studies have proved useful. Previous studies on population genetics of G. p. palpalis using microsatellite loci showed high heterozygote deficits, as compared to Hardy-Weinberg expectations, mainly explained by the presence of null alleles and/or the mixing of individuals belonging to several reproductive units (Wahlund effect). In this study we implemented a system of trapping, consisting of a central trap and two to four satellite traps around the central one to evaluate a possible role of the Wahlund effect in tsetse flies from three Cameroon human and animal African trypanosomiases foci (Campo, Bipindi and Fontem). We also estimated effective population sizes and dispersal. No difference was observed between the values of allelic richness, genetic diversity and Wright's FIS, in the samples from central and from satellite traps, suggesting an absence of Wahlund effect. Partitioning of the samples with Bayesian methods showed numerous clusters of 2-3 individuals as expected from a population at demographic equilibrium with two expected offspring per reproducing female. As previously shown, null alleles appeared as the most probable factor inducing these heterozygote deficits in these populations. Effective population sizes varied from 80 to 450 individuals while immigration rates were between 0.05 and 0.43, showing substantial genetic exchanges between different villages within a focus. These results suggest that the "suppression" with establishment of physical barriers may be the best strategy for a vector control campaign in this forest context. PMID:25917495

  1. Outbreak by Ventilator-Associated ST11 K. pneumoniae with Co-production of CTX-M-24 and KPC-2 in a SICU of a Tertiary Teaching Hospital in Central China

    PubMed Central

    Hu, Longhua; Liu, Yanling; Deng, Linqiang; Zhong, Qiaoshi; Hang, Yaping; Wang, Zengzeng; Zhan, Lingling; Wang, Liangxing; Yu, Fangyou

    2016-01-01

    The emergence of carbapenem-resistant Klebsiella pneumoniae (CRKP) often responsible for numerous hospital-associated outbreaks has become an important public health problem. From January 2013 to February 2014, a total of 41 non-duplicate K. pneumoniae isolates with carbapenem resistance, were collected at a tertiary teaching hospital in Nanchang, central China. Among 41 K. pneumoniae isolates, 28 were isolated from hospitalized patients including 19 from the patients in surgery intensive care unit (SICU) and 13 were isolated from ventilators. Twenty-four of 28 patients infected by CRKP have been submitted to mechanical ventilation using ventilator. More than 95% of the CRKP isolates were resistant to 13 antimicrobials tested. All CRKP isolates were confirmed as carbapenemase producer and were positive for blaKPC-2, with one positive for both blaKPC-2 and blaNDM-1. All carbapenemase-producing isolates harbored at least one of extended spectrum β-lactamase genes tested, among which 95.1% (39/41) of the tested isolates were found to harbor both blaCTX-M-24 and blaKPC-2, Of note, one isolate harbored simultaneously two carbapenemase genes (blaKPC-2 and blaNDM-1) and two ESBL genes (blaCTX-M-3 and blaTEM-104). To the best of our knowledge, coexistence of blaKPC-2 and blaCTX-M-24 in one isolate is first reported. MLST results showed that 41 CRKP isolates belonged to four sequence types (STs) including ST11, novel ST1854, novel ST1855, and ST1224. PFGE results displayed three PFGE clusters. Thirty-eight ST11 CRKP isolates (92.7%, 38/41) including all 13 isolates from ventilators and 25 isolates from patients from seven wards (18 from SICU) belonged to same PFGE cluster, indicating these isolates were clonally related. Fifteen isolates have an identical undistinguished pattern (100% similarity) forming a single clonal population. Moreover, this clone was exclusively linked to the cases attended in SICU and linked to the Ventilators. Additionally, the other SICU cases

  2. Language Ideology and the Colonial Legacy in Cameroon Schools: A Historical Perspective

    ERIC Educational Resources Information Center

    Nana, Genevoix

    2016-01-01

    Cameroon prior to colonization had many languages, with none having precedence over the other. With the development of trade and the installation of missionaries along its coast, a number of local and European languages gained prominence. English became the most widely used western language. It established itself as the language of trade and of…

  3. Buruli Ulcer in Cameroon: The Development and Impact of the National Control Programme

    PubMed Central

    Tabah, Earnest Njih; Nsagha, Dickson Shey; Bissek, Anne-Cécile Zoung-Kanyi; Njamnshi, Alfred Kongnyu; Bratschi, Martin W.; Pluschke, Gerd; Um Boock, Alphonse

    2016-01-01

    Background Cameroon is endemic for Buruli ulcer (BU) and organised institutional BU control began in 2002. The objective was to describe the evolution, achievements and challenges of the national BU control programme (NBUCP) and to make suggestions for scaling up the programme. Methods We analysed collated data on BU from 2001 to 2014 and reviewed activity reports NBUCP in Cameroon. Case-detection rates and key BU control indicators were calculated and plotted on a time scale to determine trends in performance. A linear regression analysis of BU detection rate from 2005–2014 was done. The regression coefficient was tested statistically for the significance in variation of BU detection rate. Principal findings In 14 years of BU control, 3700 cases were notified. The BU detection rate dropped significantly from 3.89 to 1.45 per 100 000 inhabitants. The number of BU endemic health districts rose from two to 64. Five BU diagnostic and treatment centres are functional and two more are planned for 2015. The health system has been strengthened and BU research and education has gained more interest in Cameroon. Conclusion/Significance Although institutional BU control Cameroon only began 30 years after the first cases were reported in 1969, a number of milestones have been attained. These would serve as stepping stones for charting the way forward and improving upon control activities in the country if the major challenge of resource allocation is dealt with. PMID:26760499

  4. [An inventory of activities related to the collection of demographic data concerning households in Cameroon].

    PubMed

    Fotso, E

    1984-01-01

    The author attempts to list, following a brief introduction, all the projects undertaken since 1921 that have included the collection of demographic data concerning Cameroon. Information is included on the title of the census or survey, date, geographic coverage, executing agency, and publication of results. PMID:12339838

  5. Fish Pond Aquaculture in Cameroon: A Field Survey of Determinants for Farmers' Adoption Behaviour

    ERIC Educational Resources Information Center

    Ndah, Hycenth Tim; Knierim, Andrea; Ndambi, Oghaiki Asaah

    2011-01-01

    Although fish farming in Cameroon started in the late 1940s, currently the country meets only half of its domestic demand for fish. This article examines the complex issue of farmers' adoption decisions and attempts to answer why there is a lag in the diffusion process. The theory of behaviour modification and key variables of adoption form the…

  6. Strengthening human resources for health through multisectoral approaches and leadership: the case of Cameroon

    PubMed Central

    Kingue, S; Rosskam, E; Bela, AC; Adjidja, A

    2013-01-01

    Abstract Problem Cameroon has a severe shortage of human resources for health (HRH) and those that are available are concentrated in urban areas. Approach As the result of a national emergency plan for the years 2006–2008, innovative strategies and a multisectoral partnership – led by the Ministry of Public Health and supported by diverse national and international organizations – were developed to address the shortages and maldistribution of HRH in Cameroon. Local setting At the time that the emergency plan was developed, Cameroon had health services of poor quality, an imbalance between HRH training and employment, a maldistribution of HRH between urban and rural areas and a poor allocation of financial resources for HRH. It also lacked an accreditation system for use in the training of health workers. Relevant changes Between 2007 and 2009, the number of active health workers in Cameroon increased by 36%, several new institutions for higher education in health care and training schools for paramedical staff and midwives were opened, and a national strategy for universal health coverage was developed. Lessons learnt In the improvement of HRH, strong leadership is needed to ensure effective coordination and communication between the many different stakeholders. A national process of coordination and facilitation can produce a consensus-based view of the main HRH challenges. Once these challenges have been identified, the stakeholders can plan appropriate interventions that are coordinated, evidence-based and coherent. PMID:24347711

  7. Dieback due to Lasiodiplodia theobromae, a new phytosanitary constraint to cocoa culture in Cameroon.

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Since the introduction of cocoa (Theobroma cacao L.) in Cameroon in 1886, the only serious disease has been Phytophthora pod rot. Recently, cocoa orchards have been subjected to an increasingly important decline due to an uncommon dieback disease. Irrespective of age, affected cocoa trees manifest ...

  8. An Emerging Donor in Education and Development: A Case Study of China in Cameroon

    ERIC Educational Resources Information Center

    Nordtveit, Bjorn H.

    2011-01-01

    This paper analyzes China's new approaches of education aid to Africa through a case study of Cameroon. China's cooperation has been characterized by different discourses and different historic relationships with recipient countries than those of traditional donors. Sino-African policies have gone through different stages, each connected to wider…

  9. The Emotional World of Kinship: Children's Experiences of Fosterage in East Cameroon

    ERIC Educational Resources Information Center

    Notermans, Catrien

    2008-01-01

    This article focuses on children's narrated experiences of fosterage in East Cameroon. It seeks to complement the predominantly adult approaches to fosterage with children's views of the intimate, emotional and competitive aspects of kinship in everyday life. As kinship evolves in homes through sharing food and intimacy, children directly…

  10. Parentage analysis and outcrossing patterns in cacao (Theobroma cacao L.) farms in Cameroon

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The present study investigates the parentage of farm accessions in Cameroon using data from 12 microsatellite loci. Bayesian analysis suggests that 25.5% of the 400 farm accessions studies are still closely related to the traditinal Amelonado variety called 'German Cocoa' by the farmers. Another 46....