Publications by authors named "Kabesha T"

Introduction: Sickle cell disease (SCD) is a global public health priority due to its high morbidity and mortality. In the Democratic Republic of the Congo (DRC), effective care for this disease depends on the availability of resources and the level of knowledge of healthcare workers (HCWs). However, in Bukavu, there is limited data available on these two crucial aspects, which are vital for enhancing the care of patients with SCD.

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  • - The Ebola virus disease (EVD) was first identified in the Democratic Republic of the Congo (DRC) in 1976, and a significant outbreak occurred between 2018 and 2020, complicated by security issues and high case numbers across a wide area.
  • - A program was initiated to provide eye care for EVD survivors, involving partnerships with health authorities, where 237 survivors were screened and a significant percentage reported ocular symptoms like itchy eyes and eye pain.
  • - The findings revealed various eye issues such as retinal scarring, uveitis, and cataracts among survivors, highlighting the need for ongoing monitoring and multidisciplinary care to address these post-EVD health challenges.
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  • Mining activities in South Kivu, Democratic Republic of Congo, may significantly contribute to an increased prevalence of visible birth defects (BDs) among newborns, with a recorded rate of 399 cases per 100,000 live births between 2016-2021.
  • A cross-sectional study involving 65,474 newborns found that those living in mining zones had more than double the risk of developing visible BDs compared to those in non-mining zones, with specific regions like Mwenga showing even higher risk.
  • Common types of birth defects included musculoskeletal and central nervous system issues, highlighting the need for further research to explore the relationship between mining activities and birth defects.
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Key Clinical Message: The use of negative pressure therapy in the management of gunshot wound have a favorable outcome, NPT is easy to build, accelerates wound budding, reduces patient's stay in hospital and its low cost. It showed reassuring results in the management of wound with soft tissue lost, comparatively to other dressing.

Abstract: Wounds due to gunshot injuries are common in east of Republic Democratic of Congo and its management should be well known by surgeons and other health practitioners.

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Background: In high-income countries, retinoblastoma is curable in more than 95% of cases, whereas in low-income countries, mortality remains high, especially when the diagnosis is made late or the treatment is discontinued.

Aims: To determine the factors associated with adherence to the treatment of retinoblastoma in the Ivory Coast and the Democratic Republic of Congo (DRC).

Methods And Results: A retro-prospective cohort study was carried out.

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Importance: Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale.

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Purpose: In most low-income countries, the diagnosis of retinoblastoma is delayed, resulting in a severe prognosis. The objectives of this study were to describe the access to diagnosis and care of children diagnosed with retinoblastoma and the challenges in two sub-Saharan African countries: the Republic of Côte d'Ivoire and the Democratic Republic of the Congo.

Patients And Methods: A descriptive cross-sectional study was conducted.

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Purpose: To evaluate the results of anti-VGEF with trabeculectomy in the treatment of neovascular glaucoma, a severe complication of retinal vein occlusion (RVO).

Patients And Methods: This is a prospective case series of consecutive patients with neovascular glaucoma secondary to retinal vein occlusion. All patients underwent panretinal photocoagulation and a mean of 3 anti-VEGF injections prior to trabeculectomy.

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Purpose: To evaluate the benefit of anti-VEGF in the treatment of anterior segment neovascularization (ASNV), a severe complication of ischemic central retinal vein occlusion (CRVO).

Patients And Methods: This is a retrospective case series of consecutive patients with ASNV secondary to CRVO treated with anti-VEGF. Ophthalmic parameters were recorded for each visit: measurement of best visual acuity (VA), intraocular pressure (IOP), iris examination, gonioscopy and fundus examination, and as necessary, fluorescein angiography and optical coherence tomography.

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