Suchergebnisse

Background From pediatricians' and public health experts' point of view, early delayed growth of children affects their physical and mental development. This delay in growing may be due to perinatal infection but, most frequently, it is secondary to nutritional causes and infection, while lack of nutrients aggravates the infectious process Despite several efforts undertaken par the DR Congo's Government and its partners in the fight for the children's nutritional improvement, the prevalence of acute malnutrition has not reduced and still affects two millions children between 6 and 59 months in its severe form This study aims at examining the fundamental reasons for this controversial situation. It was initiated in order to propose an epidemiological survey based system, standard, simple and cost effective approach that could quickly detect changes in the children and environment and provoke early alarm leading to appropriate actions. Methods We engaged a descriptive and transversal epidemiological survey targeting the nutritional status of under-five year old children and their breastfeeding mothers in relation to food security in the randomized sanitary districts of the Southern Austrian former Katanga province in the DR of Congo, between 1st September 2012 and 31st March 2013 . Nutritional data related to children, mothers and environmental food availability were collected using pre-established questionnaires during three precise periods of the year. We sourced for data through three types of exercises and at three precise periods; then the data was analyzed to determine changes in children and families that lead to nutritional status classification and to specific actions The study followed laid down criteria for inclusion and exclusion, and encompassed subjects sampled in rural and urban sites. Twelve health centers sites were identified: three urban (25%): two in Katuba commune: namely Katuba, Kisanga health centers, one in Kamalondo, kamalondo Health centre) and nine rural centres (75%): four in Malemba ...

For many reasons, laparoscopic surgery has been performed worldwide. Due to logistical constraints its first steps occurred in Lubumbashi only in 2008. The aim of this presentation was to report authors' ten-month experience of laparoscopic surgery at Lubumbashi Don Bosco Missionary Hospital (LDBMH): problems encountered and preliminary results. The study was a transsectional descriptive work with a convenient sampling. It only took in account patients with abdominal surgical condition who consented to undergo laparoscopic surgery and when logistical constraints of the procedure were found. Independent variables were patients' demographic parameters, staff, equipments and consumable. Dependent parameters included surgical abdominal diseases, intra-operative circumstances and postoperative short term mortality and morbidity. Between 1(st)April 2009 and 28(th) February 2010, 75 patients underwent laparoscopic surgery at the LDBMH making 1.5% of all abdominal surgical activities performed at this institution. The most performed procedure was appendicectomy for acute appendicitis (64%) followed by exploratory laparoscopy for various abdominal chronic pain (9.3%), adhesiolysis for repeated periods of subacute intestinal obstruction in previously laparotomised patients (9.3%), laparoscopic cholecystectomy for post acute cholecystitis on gall stone (5.3%) and partial colectomy for symptomatic redundant sigmoid colon (2.7%). There were 4% of conversion to laparotomy. Laparoscopic surgery consumed more time than laparotomy, mostly when dealing with appendicitis. However, postoperatively, patients did quite well. There was no death in this series. Nursing care was minimal with early discharge. These results are encouraging to pursue laparoscopic surgery with DRC Government and NGO's supports. ; Peer reviewed