395 results match your criteria: "Universite de Kinshasa[Affiliation]"

Cognitive Disorders In Acquired Sensorineural Hearing Loss, At The Ent Department Of The "Village Bondeko" Center, In Kinshasa.

Neuropsychiatr Dis Treat

January 2025

Department of Specialties, Otolaryngology Department, University Clinics of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo.

Context: Several data from the literature have focused on the relationship between congenital sensorineural hearing loss, as well as acquired hearing loss, and their impact on cognition and the risk of dementia. However, few studies have been conducted on this subject in countries where access to hearing rehabilitation measures is limited. Thus, the objective of the present study was to investigate the relationship between sensorineural hearing loss and cognitive disorders in a correlational approach.

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Ebola Outbreak Response in the DRC with rVSV-ZEBOV-GP Ring Vaccination.

N Engl J Med

December 2024

From the Institut National de Recherche Biomédicale and Faculté de Médecine, Université de Kinshasa (J.-J.M., P.M.-K., S.M., S.A.-M.), and the Ministry of Public Health (S.H.B.M., N.T., E.M.M.) - both in Kinshasa, Democratic Republic of Congo; the Nuffield Department of Population Health, University of Oxford, Oxford (H.P., R.P.), and the London School of Hygiene and Tropical Medicine, London (C.H.R., M.M.) - both in the United Kingdom; University of Florida, Gainesville (I.M.L.); and the World Health Organization, Geneva (A.D., A.T., G.E., P.-S.G., X.R.B., M.N.K.Y., A.S.G., I.-S.F., P.S., M.J.R., A.M.H.-R.).

Background: At the beginning of the 2018-2020 outbreak of Ebola virus disease (EVD) in eastern Democratic Republic of Congo (DRC), no vaccine had been licensed. However, cluster-randomized evidence from Guinea in 2015 had indicated that ring vaccination around new cases (targeting contacts and contacts-of-contacts) with the use of single-dose live-replicating rVSV-ZEBOV-GP vaccine reduced EVD rates starting 10 days after vaccination. Thus, ring vaccination was added to the standard control measures for that outbreak.

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Article Synopsis
  • Transforaminal lumbar interbody fusion (TLIF) is commonly used to treat degenerative spinal issues like disc herniations and spinal stenosis but can lead to rare complications such as vision loss.
  • A case is highlighted involving a 70-year-old man who underwent TLIF and experienced complete vision loss in his left eye post-surgery, which was later confirmed as irreversible optic nerve damage.
  • This incident emphasizes the critical need for careful intraoperative positioning and assessment in patients with existing eye conditions to prevent potential complications like postoperative vision loss (POVL).
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Concurrent outbreaks of mpox in Africa-an update.

Lancet

January 2025

Skin Neglected Tropical Diseases and Sexually Transmitted Infections Section, Fight Infectious Diseases Foundation, University Hospital Germans Trias i Pujol, Badalona, Spain; Department of Medicine, Universitat Autónoma de Barcelona, Bellaterra, Spain; Infectious Diseases Department, Universitat de Vic-Universitat Central de Catalunya, Vic, Spain. Electronic address:

In this Review, we examine the concurrent outbreaks of mpox in Africa, focusing on clade 1a, the newly emerged clade 1b, and clade 2b lineage A, and how they differ from the 2022 global outbreak caused by clade 2b lineage B.1. Historically, clades 1a and 2a have caused sporadic, small outbreaks in central and west Africa, respectively, primarily through zoonotic transmission.

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Arginine supplementation improves lactate dehydrogenase levels in steady-state sickle cell patients: preliminary findings from Kinshasa, the Democratic Republic of Congo.

Front Pain Res (Lausanne)

November 2024

Département de Pédiatrie, Cliniques Universitaires de Kinshasa, Faculté de Médecine, Université de Kinshasa (UNIKIN), Kinshasa, The Democratic Republic of Congo.

Background: Sickle cell disease (SCD) disrupts oxygen transport due to the abnormal shape and rigidity of red blood cells, leading to hemolysis. Hemolysis, a major co-morbidity in SCD, is indicated by elevated levels of lactate dehydrogenase (LDH). Arginine depletion, which is essential for nitric oxide (NO) synthesis, contributes to various complications in SCD.

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[Clinical signs of thermal skin burns in the acute phase in black-skinned patients. Results of a prospective study of 214 burn victims].

Ann Chir Plast Esthet

December 2024

Service de chirurgie plastique reconstructive et esthétique et chirurgie de la main, faculté de médecine, cliniques universitaires de Kinshasa, université de Kinshasa, B.P. 834, Kinshasa XI, Congo. Electronic address:

Article Synopsis
  • The study is the first to analyze clinical signs of thermal skin burns specifically in black-skinned patients, involving observations from 214 burn victims in the acute phase.
  • The majority of the participants were males and children under 5 years old, with boiling liquids being the primary cause of burns.
  • Clinical assessments revealed differences in burn depth appearance on black skin compared to white skin, suggesting a need to adapt burn classification criteria based on skin color.
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Article Synopsis
  • The 2022 mpox outbreak in Belgium involved extensive genomic analysis, revealing 248 complete monkeypox virus genomes related to the MPXV Clade IIb B.1.
  • Researchers identified at least 79 introduction events of the virus into Belgium, but local transmission remained limited.
  • Tecovirimat showed the strongest in vitro effectiveness against the 2022 MPXV strain, indicating its potential as a treatment option.
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Municipal solid waste (MSW) management poses substantial challenges in rapidly urbanizing areas, with implications for both the environment and public health. This study focuses on the city of Kinshasa in the Democratic Republic of Congo, investigating whether the presence or absence of solid waste collection services results in varying health and economic impacts, and additionally, seeking to establish a correlation between residing in proximity to dumpsites and the prevalence of diseases like malaria and typhoid, thereby providing a comprehensive understanding of the health implications tied to waste exposure. Health data were collected through survey questionnaires, and the geospatial distribution of 19 dumpsites was analyzed using Google Earth Pro 7.

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Introduction: Cerebral malaria (CM) is a devastating disease and better understanding of etiologies of the resulting neurologic injury is needed. The purpose of this study is to describe the day-to-day (DTD) pulsatility index (PI) change measured by transcranial Doppler ultrasound (TCD), a novel measure of cerebral and vascular changes, in children with CM.

Methods: A retrospective analysis of 122 children in sub-Saharan Africa with CM and 3 or more sequential TCD measurements was performed.

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Article Synopsis
  • - The study focuses on the barriers and facilitators to accessing healthcare facilities during an Ebola outbreak in North Kivu, highlighting how insecurity and misinformation impacted non-Ebola patients' care.
  • - Qualitative interviews with families of deceased patients and healthcare workers revealed that fear, mistrust, and perceptions about the Ebola crisis significantly influenced healthcare decisions, leading many to seek informal care options.
  • - Despite challenges like funding shortages and delays in care, community engagement and introducing a free care policy helped increase healthcare facility visits, emphasizing the importance of trust and support in future health crises.
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Article Synopsis
  • Understanding climate dynamics is crucial as they significantly impact water cycles and ecosystems, yet the reasons behind the recurring hydrological droughts in the Congo River tributaries remain unexplained.
  • This study suggests that climate dynamics, rather than human activity, are key players in these drought phenomena, with a 10-year cycle of climate disturbances identified from 1940-2020.
  • Future research should aim to further investigate the time lag in effects between meteorological and hydrological droughts to better understand the cyclical nature of these climate impacts.
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Clade I mpox virus genomic diversity in the Democratic Republic of the Congo, 2018-2024: Predominance of zoonotic transmission.

Cell

January 2025

Institut National de Recherche Biomédicale (INRB), Kinshasa, Democratic Republic of the Congo; Service de Microbiologie, Département de Biologie Médicale, Cliniques Universitaires de Kinshasa, Université de Kinshasa, Kinshasa, Democratic Republic of the Congo. Electronic address:

Recent reports raise concerns on the changing epidemiology of mpox in the Democratic Republic of the Congo (DRC). High-quality genomes were generated for 337 patients from 14/26 provinces to document whether the increase in number of cases is due to zoonotic spillover events or viral evolution, with enrichment of APOBEC3 mutations linked to human adaptation. Our study highlights two patterns of transmission contributing to the source of human cases.

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Immunisation is a high priority for improving health outcomes. Yet, in many low-income and middle-income countries, achieving coverage targets independently is hindered by lack of domestic resources and reliance on partners' support. Both the 2001 Abuja Declaration and 2016 Addis Declaration were key political commitments to improving immunisation coverage; however, many signatories have yet to meet international targets.

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Article Synopsis
  • An analysis of mpox cases in Burundi from July to September 2024 revealed 154 PCR-positive samples out of 607 suspected cases, primarily affecting children under 15.
  • Among the positive cases, a notable proportion were female children, highlighting a gender disparity in infections.
  • The majority of cases were concentrated in Bujumbura Mairie, underlining the need for age- and sex-specific public health interventions and community engagement for effective outbreak containment.
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Introduction Et Objectif: Une réponse efficace aux crises sanitaires telle la maladie à virus Ebola (MVE) nécessite l'engagement des communautés. Cette étude explore les enjeux psychosociaux influant sur la réponse des communautés congolaises aux épidémies de MVE, et comment la détresse et la résilience communautaire s'intègrent dans l'approche « Une seule santé » selon les perceptions des communautés.

MÉthodes: Cette étude de cas qualitative inclut des entretiens individuels ( = 36) avec des informateurs clés et trois groupes de discussion avec des participants ( = 28) issus de diverses associations locales, Cette étude de cas qualitative menée au Nord-Kivu inclut.

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BODIPY dyes for optical limiting applications on the nanosecond timescale.

Dalton Trans

November 2024

Institute of Nanotechnology Innovation, Rhodes University, Makhanda 6140, South Africa.

Since 2017, the Institute for Nanotechnology Innovation at Rhodes University has studied the optical limiting properties of boron dipyrromethene (BODIPY) dyes with respect to high-intensity nanosecond timescale laser pulses. Concerns over the irresponsible use of laser pointers in the context of aviation safety have provided a need for materials that can readily transmit light under ambient conditions while rapidly attenuating intense incident laser pulses. The structural flexibility of the BODIPY chromophore facilitates the red shift of the main BODIPY spectral band that typically lies at 500 nm to the red end of the visible and the near-infrared through the introduction of vinylene groups at the 3,5-positions or an aza-nitrogen atom.

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Article Synopsis
  • The emergence of Clade Ib monkeypox virus (MPXV), known for sustained human-to-human transmission, has raised public health concerns as it spreads beyond endemic regions, first identified in South Kivu province.
  • Recent cases of Clade Ib in North Kivu province highlight the need for public health efforts to address non-sexual transmission, especially involving children under 15, and to adapt community messaging accordingly.
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Article Synopsis
  • Between January and August 2024, nearly all provinces of the Democratic Republic of the Congo reported cases of mpox.
  • Genome sequencing from 11 cases in Kinshasa revealed the presence of two subclades, Ia and Ib, co-circulating in the Limete health zone.
  • Phylogenetic analyses indicated that these subclades have multiple introductions in Kinshasa, highlighting the increasing complexity of mpox outbreaks in the DRC.
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Non-Ebola Filoviruses: Potential Threats to Global Health Security.

Viruses

July 2024

Division of Global Epidemiology, International Institute for Zoonosis Control, Hokkaido University, Sapporo 001-0020, Japan.

Article Synopsis
  • * Research has predominantly focused on Ebola, leading to under-researched filoviruses like Sudan and Marburg, which have re-emerged in nonendemic areas and pose a risk for future outbreaks.
  • * There is a critical need for further research to understand the ecology, zoonotic transmission, and host range of various filoviruses, as well as developing specific medical countermeasures against emerging threats.
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Revising the Interpretation of Transcranial Doppler Ultrasound Examinations in Pediatric Cerebral Malaria.

Am J Trop Med Hyg

October 2024

Hopital Pediatrique de Kalembe Lembe, Universite de Kinshasa, Kinshasa, Democratic Republic of the Congo.

Cerebral malaria (CM) is a devastating disease globally. Transcranial Doppler ultrasound (TCD) has identified five different phenotypes of deranged cerebrovascular hemodynamics in children with CM, each associated with different outcomes. For TCD to be used as a point of care neurodiagnostic and neuromonitoring tool in CM patients, proper interpretation of examinations is paramount.

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The 2023 - 2024 multi-source mpox outbreaks of Clade I MPXV in sub-Saharan Africa: Alarm bell for Africa and the World.

Int J Infect Dis

September 2024

International Society for Infectious Diseases; Division of Public Health Surveillance and Response, Centre for Emerging Zoonotic and Parasitic Diseases, National Institute for Communicable Diseases a Division of the National Health Laboratory Services, Sandringham, Johannesburg, South Africa. Electronic address:

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The objective of this study was to evaluate maize production and the economic profitability of weed management techniques. Field trials were conducted at the Kasapa farm during the 2021/22 growing seasons using a split-plot design with three repetitions. The main factor was the herbicides applied in pre-emergence alone (2L ha: acetochlor, bentazon, imazethapyr and 60 g ha chlorimuron-ethyl), then mixed (1L ha: acetochlor plus bentazon plus imazethapyr plus 30g hachlorimuron-ethyl), manual hoeing (3-5WAS) including the non-weeding.

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Article Synopsis
  • Several African governments, including the DRC, implemented strict COVID-19 health measures that likely lowered infection rates, but information on public knowledge and adherence is limited.
  • This study surveyed 1,269 adults in Matadi using a structured questionnaire to evaluate their knowledge, perception, attitudes, and practices related to COVID-19 precautions, as well as factors influencing these aspects.
  • Results showed that while 76.5% of respondents had good knowledge of preventive measures, only 40% demonstrated a positive attitude, and just 5.8% practiced the measures effectively, highlighting significant gaps in adherence.
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From the root barks of a Central African tree Millettia dubia De Wild. (Fabaceae), ten previously undescribed oleanane-type glycosides were isolated by various chromatographic protocols. Their structures were elucidated by spectroscopic methods, mainly 2D NMR experiments and mass spectrometry, as mono- and bidesmosidic glycosides of mesembryanthemoidigenic acid, hederagenin and oleanolic acid.

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