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RESUMO O artigo trata dos limites e potencialidades das instituições republicanas e democráticas no que diz respeito às relações da Epistemologia, da Política e da Educação/Educação Física. Enfatiza a necessidade de reafirmar, ante as novas gerações, os valores fundantes e a necessidade de manter uma relação crítica com seus modos de objetivação. Conclui com a aposta em uma Educação/Educação Física que promova o desenvolvimento de uma cultura democrática capaz de resistir às tentações autoritárias, à direita e à esquerda, de "cortar caminho", e em uma cultura científica que sirva de anteparo crítico ao charlatanismo, sem mistificar a ciência.
ABSTRACT This article deals with the limits and potentialities of republican and democratic institutions with regard to the relations between Epistemology, Politics, and Education/Physical Education. It emphasizes the need to reaffirm, before the new generations, the founding values and the necessity of maintaining a critical relationship with its modes of objectification. It concludes with a commitment to an Education/Physical Education that promotes the development of a democratic culture capable of resisting authoritarian temptations, on the right and the left, to "cut corners", and a scientific culture that serves as a critical shield against charlatanism, without mystifying science.
RESUMEN El artículo tematiza acerca de los límites y las potencialidades de las instituciones republicanas y democráticas en lo que respecta a las relaciones de la Epistemología, la Política y la Educación Física. Pone énfasis en la necesidad de reafirmar, frente a las nuevas generaciones, los valores fundantes de este modo específico de sociabilidad como así también de mantener una relación crítica con sus modos de objetivación. Concluye con la apuesta en una Educación/Educación Física que promueva el desenvolvimiento de una cultura democrática, que resista a las tentaciones autoritarias, a la derecha y a la izquierda, de "cortar camino", y en una cultura científica que sirva de amparo crítico al charlatanismo, sin que ello genere una mistificación de la ciencia.
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Introduction: Little information is available regarding the characteristics of patients attending the emergency centre (EC) in the Democratic Republic of Congo. This study aims to provide some epidemiological and clinical aspects of patients admitted to the emergency centre at Beni General Referral Hospital. Methodology: For a year, from January to December 2021, a cross-sectional study was conducted. Data regarding patients' characteristics, admission modality, stay duration, reason for admission, and discharge modality was anonymously collected from patients' registers. A descriptive analysis was done with Epi-Info 7. Result: A total of 1404 patients were admitted to the EC, with a male-to-female ratio of 1.2 to 1. The age group below 18 years accounted for 35.4%. Most of the patients (75.7%) originated from urban areas. In 83% of cases, there was no recommendation from another medical facility for EC admission. The most common reasons for admission are non-traumatic gathering on top of neuropsychiatric and non-specific symptoms. Road traffic accidents are the most frequent causes of trauma symptoms. Few patients (14.7%) spent less than 12 hours in the EC. Globally, 7.3% of patients admitted to the EC were discharged after being managed, and 89% were transferred to different wards. The intra-emergency centre mortality rate was 11.8% among admitted patients in the ER at Beni General Referral Hospital. Conclusion: This epidemiology database underlines the need for developing globalizing and multi-sectoral interventions (diagnosis, therapeutic strategy, organization, health program, or health policies) in the perspective of bringing change and/or taking action in the Democratic Republic of Congo's emergency medical system.
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Humans , Male , Female , Patient Admission , Wounds and Injuries , Emergencies , Emergency Medical Services , Health Policy , Accidents, TrafficABSTRACT
Background and Aims: Manotes expansa Sol. ex Planch. and Aframomum alboviolaceum (Ridl.) Schum. are two plants belonging respectively to the family Connaraceae R.Br. and Zingiberaceae Martino widely used in traditional medicine for the treatment of eye diseases, fever, headaches, gastritis as well as asthma. The aim of the present study is the valorization of these two plants collected in the Democratic Republic of Congo by a quantitative and qualitative analysis of secondary metabolites and mineral elements in their leaves. Materials and Methods: The determination of secondary metabolites in the leaves of Manotes expansa and Aframomum alboviolaceum was carried out by UV-Visible spectrophotometry and X-ray fluorescence spectrophotometry for the identification and quantitative analysis of mineral elements. Results: The results showed that the leaves of these two plants are rich in phenolic compounds, i.e. 442.2 mgEqAG/g for the leaves of A. alboviolaceum, 370.64 mgEqAG/g for the red leaves and 282.64 mgEqAG/g green leaves of M. expansa. Although being part of the same plant, the red and green leaves of M. expansa presented a totally different phytochemical profile. The contents of condensed tannins, anthocyanins and flavonoids are respectively 0.3%, 0.68% and 3.29% for the leaves of A. alboviolaceum; 0.58%, 0.36% and 6.89% for the red leaves, and 0.65%, 0.26% and 7.55% for the green leaves of M. expansa. The mineral content in the leaves of both plants remains dominated by the high concentration of potassium (K), calcium (Ca), Magnesium (Mg), Manganese (Mn) and Iron (Fe). Conclusion: The high content of phenolic compounds and essential trace elements makes the leaves of M. expansa and A. alboviolaceum potential candidates to alleviate several health problems in Africa in general and particularly in the Democratic Republic of Congo.
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Aim: To study the distribution of two invasive alien plants and associated plants as well as their distribution in the Malebo Pool eco-region. Methodology: The study was carried out by direct observation by circulating on a motorized canoe. Plant samples were randomly harvested (n=6) in August 2020 depends on the sites. Plant species identification was performed on the field, and those species of which the identification was difficult, were brought to the laboratory for proper identification according to APG III. Results: 19 species, including two Pteridophytes and 17 Angiosperms, belonging to 19 families and 12 orders were identified. The site of Molondo was the most diversified with 15 plant species, followed respectively by the sites of Mipongo (13 species), Japon (12 species) and Kingabwa (07 species). The plant species Ludwigia abyssinica A. Rich., Ipomoea aquatica Forsk, Eichhornia crassipes (Mart), Pistia stratiotes L, Echinochloa pyramidalis (Lam) and Salvinia molesta D.S. Mitchell were present in all four prospected sites. E. pyramidalis and E. crassipes constitute a serious threat for the environment and are source of erosion/loss of aquatic biodiversity. Physiologically, these species form a mono-specific carpet and eliminate native or autochthonous species of aquatic flora.Conclusions and Suggestions: The invasion of alien species is a consequence of human activities and a concern, as it affects all sectors of society. These plants can alter, disrupt, and degrade many ecosystem services like the disturbing of habitats and the alteration of the environmental and biological conditions around them. They can also reduce light and diversity of native aquatic plant species. Controlling invasive alien species is thus a challenge for the Congolese society. Political decision-makers are therefore invited to take appropriate measures for managing and protecting the local aquatic flora and valorize the invasive plants as potential medicinal remedy.
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Aims of the Study: To identify plant species traditionally used to treat anemia in Yakoma territory and to evaluate their chemical composition. Place and Duration: Yakoma Territory (survey) and University of Kinshasa (Phytochemical study), from August and October 2019. Methods: Ethnobotanical survey according to the "snowball" sampling technique among traditional healers (based on the free consent of the respondents), chemical analyses of plant materials (chemical screening, TLC, phytomarkers content, minerals composition) according to standard methods. ED-XRF was used for mineral analysis. Microsoft Excel version 2010, Origin version 8.5 Pro and IBM SPSS statistics version 20 software packages were used for data processing and analysis. Results and Discussion: The survey showed that 18 plant species are traditionally used by Ngbandi traditional healers to treat anemia in Yakoma territory. They belong to 16 families and 17 genera. The most used organs are the leaves (68.4%) and the roots (10.5%). Decoction and infusion are the most used mode of preparation (33.3% each), followed by cooking (22.2%) and maceration (11.1%). The oral route (77.8%) is the most used mode of administration followed by the enema (16.7%) and the anal route (5.6%). Morphological types consist of herbs and trees (33.3% each) and shrubs and lianas (16.7% each). The biotope types consist of forest plants (44.4%), cultivated plants/Crops (38.9%), marshy ground plants (11.1%) and ruderal plants (5.6%). These plants belonging to five biological types: erected therophytes (44.4%), mesophanerophytes (27.8%), microphanerophytes and climbing phanerophytes (11.1% each) and lianescent phanerophytes (5.56%). These anti-anemic plant species are mostly Pantropical and Afro-tropical (39% of species each) followed by Guineo-Congolese (17% of species) and American (5%). Chemical analysis revealed the presence of alkaloids, anthocyanins, flavonoids, anthraquinones and terpenoids and various minerals including iron, zinc, copper, calcium, magnesium and manganese. Conclusion: In the current state of knowledge, the survey of anemic plants from this part of the Democratic Republic of the Congo is reported for the first time.
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Objective:To analyze the epidemiological characteristics, diagnosis and treatment of malaria in the peacekeeping mission area of the Democratic Republic of the Congo (DRC), and to evaluate the efficacy of artemisinin based combination therapy (ACT), to provide clinical basis for the diagnosis and treatment of malaria.Methods:The clinical data of malaria-infected peacekeepers admitted to the Chinese Secondary Hospital of the United Nations Stabilization Mission in DRC (MONUSCO) from January 2014 to September 2020 were collected, and the general information, incidence characteristics, treatment and clinical outcomes of the patients were retrospectively analyzed.Results:From January 2014 to September 2020, 362 peacekeepers were hospitalized with malaria, the average annual incidence case was 54 cases per year, and the annual incidence was 9.5/1 000, with a median of 2.5 days (1 - 9 days) from onset to diagnosis. Severe malaria accounted for 7.73% (28/362) and uncomplicated malaria accounted for 92.27% (334/362). The incidence rate was 37.57% (136/362) in the dry season (April to September) and 62.43% (226/362) in the rainy season (October to March of the following year). After ACT antimalarial treatment, all patients were cured clinically. Eight cases recurred and were cured clinically after drug conversion ACT retreatment.Conclusions:In the peacekeeping mission area of DRC, peacekeepers are generally susceptible to malaria. ACT has a high cure rate, safety and efficiency in clinical treatment.
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OBJECTIVES: This study aims to evaluate the economic efficiency of a nutrition management program for children under 5 years of age in Kenge, Kwango District, Democratic Republic of the Congo (DR Congo) from 2014 to 2016. METHODS: The economic efficiency of a nutrition management program for children under 5 years of age who have recovered from malnutrition status was evaluated using a cost-benefit analysis. The costs were analyzed according to the executed budget incurred during the project period. The benefits were estimated as the monetary value of the saved lives of children under 5 years of age. The economic efficiency of the program was determined by the Benefit-Cost Ratio (BCR). The BCR was calculated by dividing the total discounted benefit by the total discounted costs. The project is economically efficient when the BCR is greater than 1. RESULTS: The costs of the nutrition management program were calculated as 1,677,609,648 Korean Won (KRW). A total of 2,466 children survived with improved malnutrition status through this program. The benefit for the reduction of mortality for children under 5 years of age was estimated to be 6,814,354,467 KRW, the estimated value of life for 2,466 children. The BCR was 4.06. CONCLUSIONS: The nutrition management program for children under 5 years of age in DR Congo was found to be a cost-effective project. Successful and efficient Official Development Assistance (ODA) for a health project requires integrated and comprehensive strategies and specialized international development consulting to improve efficiency. Future nutrition management programs should take into account the national health program to maintain the sustainability of the project.
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Child , Humans , Budgets , Congo , Cost-Benefit Analysis , Democratic Republic of the Congo , Malnutrition , Mortality , National Health Programs , Value of LifeABSTRACT
OBJECTIVES: This study aims to evaluate the economic efficiency of a nutrition management program for children under 5 years of age in Kenge, Kwango District, Democratic Republic of the Congo (DR Congo) from 2014 to 2016. METHODS: The economic efficiency of a nutrition management program for children under 5 years of age who have recovered from malnutrition status was evaluated using a cost-benefit analysis. The costs were analyzed according to the executed budget incurred during the project period. The benefits were estimated as the monetary value of the saved lives of children under 5 years of age. The economic efficiency of the program was determined by the Benefit-Cost Ratio (BCR). The BCR was calculated by dividing the total discounted benefit by the total discounted costs. The project is economically efficient when the BCR is greater than 1. RESULTS: The costs of the nutrition management program were calculated as 1,677,609,648 Korean Won (KRW). A total of 2,466 children survived with improved malnutrition status through this program. The benefit for the reduction of mortality for children under 5 years of age was estimated to be 6,814,354,467 KRW, the estimated value of life for 2,466 children. The BCR was 4.06. CONCLUSIONS: The nutrition management program for children under 5 years of age in DR Congo was found to be a cost-effective project. Successful and efficient Official Development Assistance (ODA) for a health project requires integrated and comprehensive strategies and specialized international development consulting to improve efficiency. Future nutrition management programs should take into account the national health program to maintain the sustainability of the project.
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Child , Humans , Budgets , Congo , Cost-Benefit Analysis , Democratic Republic of the Congo , Malnutrition , Mortality , National Health Programs , Value of LifeABSTRACT
Contexte et objectifs. La RDC a un écosystème favorable à la survenue des maladies d'origine zoonotique à l'interface homme-animal dont la maladie à virus Ebola (MVE). Face à une létalité reconnue être élevée pour cette dernière, cette étude s'est focalisée sur les épidémies survenues à Mweka (2007 et 2008), à Isiro (2012), à Boende (2014) et à Likati (2017) afin de décrire les différents éléments de réponse mis en place lors de chacune de ces épidémies et identifier ceux qui ont une influence significative sur l'ampleur de l'épidémie. Méthodes. Une étude documentaire analytique sur les données secondaires recueillies lors de la gestion de ces cinq épidémies de la MVE survenues en RDC. Les statistiques descriptives ont été réalisées pour caractériser chaque épidémie. Les analyses univariées de chaque élément de réponse ont été menées en rapport avec la létalité. Résultats. Un total de 422 cas a été enregistré avec 282 décès soit 66,8 % de létalité. La grande majorité de cas se trouve dans la tranche d'âge de 15 à 49 ans. Le sexe féminin est le plus représenté. Parmi tous les éléments de la réponse, dans un modèle univarié, le déploiement du laboratoire mobile (p=0,002), la fonctionnalité des commissions (p=0,001), le déploiement d'une équipe multidisciplinaire et le système de surveillance performant (p=0,001) sont associés significativement à la létalité. Conclusion. Le déploiement rapide du laboratoire mobile sur le terrain, le déploiement des équipes multidisciplinaires, la bonne fonctionnalité des commissions et le système de surveillance fonctionnel ont permis de réduire significativement la létalité
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Democratic Republic of the Congo , Epidemics , Hemorrhagic Fever, Ebola/classification , Hemorrhagic Fever, Ebola/epidemiology , Hemorrhagic Fever, Ebola/mortalityABSTRACT
Objective To improve knowledge and practice of health staff as well as the availability of material resources for diagnosis and management of schistosomiasis in two endemic provinces of DRC (Kinshasa and Bas-Congo). Methods Structured interviews were performed using questionnaires with staff from 35 healthcare facilities in 9 health zones (HZ) of Kinshasa and 2 HZ in Bas-Congo. Results Schistosomiasis was reported to be present in all the included HZ. Health staff knew the most important symptoms of schistosomiasis, but advanced symptoms were more accurately reported in Bas-Congo. Knowledge of symptoms related to schistosomiasis such as anemia (P = 0.0 115) and pollakiuria (P = 0.0 260) was statistically different in both two provinces. Kato-Katz technique and urine filtration were unavailable in both provinces. Parasitological diagnosis was mostly performed using the direct smear method. PZQ was available in 70% of the health facilities, all situated in Bas-Congo. Diagnosis and treatment mostly relied on symptoms and cost more in urban area than in rural. Conclusions Though knowledge on schistosomiasis among health staff appears sufficient, substantial efforts still must be made to improve the availability of diagnostic tools and treatment in the health facilities in DRC.
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Objective To analyze the feasibility of detecting Ph
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Objective:To analyze the feasibility of detecting Ph1 in leukemia patients in the Kinshasa University Clinics in the Democratic Republic of Congo,at KU Leuven,Belgium.Methods:Bone marrow and peripheral blood samples with chronic myeloid leukemia,acute myeloid leukemia or acute leukocytes leukemia were obtained from 32 patients in Kinshasa University clinics in the Democratic Republic of Congo and transferred to KU Leuven in Belgium for iFISH feasibility.Ph1 was detected by using a remote analysis of interphase fluorescence in situ hybridization (iFISH).Results:Out of the 32 patients involved in this study,65.6％ (n =21) of the cases were successfully tested,of which 52.4％ (n =11) were iFISH positives for the variant t(9;22)(presence of Ph1) in chronic myeloid leukemia samples and 47.6％ (n =10) negatives in all subtypes of hematological malignancies.However,there was a female predominance in chronic myeloid leukemia samples Phi-positives by iFISH,whereas no sexual influence was observed on acute subtypes of leukemia.Conclusions:iFISH analysis is feasible on samples obtained from remote sites in the Democratic Republic of Congo.However,the optimization of the sample storage is necessary to further improve iFISH's performance.
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Objective:To improve knowledge and practice of health staff as well as the availability of material resources for diagnosis and management of schistosomiasis in two endemic provinces of DRC (Kinshasa and Bas-Congo).Methods:Structured interviews were performed using questionnaires with staff from 35 healthcare facilities in 9 health zones (HZ) of Kinshasa and 2 HZ in Bas-Congo.Results:Schistosomiasis was reported to be present in all the included HZ.Health staff knew the most important symptoms of schistosomiasis,but advanced symptoms were more accurately reported in Bas-Congo.Knowledge of symptoms related to schistosomiasis such as anemia (P =0.0115) and pollakiuria (P =0.0260) was statistically different in both two provinces.Kato-Katz technique and urine filtration were unavailable in both provinces.Parasitological diagnosis was mostly performed using the direct smear method.PZQ was available in 70％ of the health facilities,all situated in Bas-Congo.Diagnosis and treatment mostly relied on symptoms and cost more in urban area than in rural.Conclusions:Though knowledge on schistosomiasis among health staff appears sufficient,substantial efforts still must be made to improve the availability of diagnostic tools and treatment in the health facilities in DRC.
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PURPOSE: This study aims to identify factors affecting more than four times prenatal care utilization among reproductive aged women in Democratic Republic of Congo. METHODS: This was a cross sectional study conducted in Democratic Republic of Congo in July, 2014. Survey was done among 494 respondents, data were analyzed using SPSS 21.0. RESULTS: Multiple logistic regression showed an association between age (OR:1.037) in predisposing factor, women who have health insurance in their household (OR:2.876) and timing of first prenatal visit (OR:7.148) in enabling factors and number of delivery 3~5 times (OR:0.587) more than 6 times (OR:0.357) in need factor with more than four times prenatal visits. CONCLUSION: Maternal health improvement interventions should focus on education for women who are younger and multiparous. Early detection of pregnancy and encourage to visit in first trimester are needed. Finally, introduction of the health insurance system is important to minimize cost of out of pocket.
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Female , Humans , Pregnancy , Causality , Congo , Education , Family Characteristics , Insurance, Health , Logistic Models , Maternal Health , Pregnancy Trimester, First , Prenatal Care , Surveys and QuestionnairesABSTRACT
Aims: Our study is aimed at determining the risk factors of Human African Trypanosomiasis (HAT) in Mbuji Mayi, Eastern Kasai Province, Democratic Republic of the Congo. Study Design: We used a case-control design with a ratio of 2 controls for every HAT case. Place and Duration of Study: Our multidisciplinary research team collected primary data on cases of HAT patients treated at the Referral and Treatment Center of Dipumba in Mbuji Mayi in 2012 and on their controls of similar gender and age, living in Mbuji Mayi, but free of HAT infection. Methodology: We analyzed data, using both descriptive and analytical statistical procedures such univariate and multivariate methods of logistic regression. The association between the different factors studied and HAT infection has been determined by estimating the odds-ratio (OR) with a confidence interval (CI) of 95% and a P-value of less than 0.05. We interviewed 180 subjects (60 cases and 120 controls). Results: The 60 cases were predominantly male (male-female ratio of 2.2:1) with the majority (53%) in the age group of 20-40 years. Subjects in the age group of over 40 represented 28.3% of the patients. The same patterns were seen in the control group. The age of interviewees varies from 11 to 65 years. HAT cases reported drawing water from wells (16.7% vs 6.7%; P > .05), walking along the river bed and in the peat lands (11.7% vs 9.2%; P > .05) at a higher rate than controls. The HAT cases reported involvement in various activities that put them in much closer proximity with water sources: bathing (8.3% vs 6.6%; P >.05), dishwashing and laundry (20% vs 37.5%), fetching household water (50% vs 24.2%; P<.0001), cassava retting roots (1,7% vs 7.5%), diamond digging in the mines (51.7% vs 21.6%; P < .0001), trafficking or buying diamond from diggers (13,3% vs 8.3% ; P > .05). Conclusion: Involvement in activities that connect with water sources increases the risk of acquiring HAT infection in Mbuji Mayi.
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PURPOSE: The Lee Jong-Wook Seoul Project, which began in 2011, is a training program that aims to educate faculty members of Lao University of Health Sciences in medical knowledge and skills. The project has tremendous significance, attempting to apply the Korean health care developmental model to developing countries. Precise evaluation of the project outcome must be performed to enhance the effectiveness, improve the shortcomings, and adjust the future direction of the program. METHODS: Trainers and exchange professors were asked to fill out questionnaires in the middle and at the end of the program. Eight months after its completion, an evaluation team visited Lao and interviewed each exchange professor individually. Also, 360-degree feedback was obtained from their colleagues. We analyzed the answers to the questionnaires, based on Kirkpatrick's 4-level model. RESULTS: The trainers and exchange professors had positive reactions to the program. All participants felt that their knowledge and skills improved (in their respective fields), although the actual improvement was not extensive, according to their trainers' assessments. The 360-degree feedback demonstrated that the participants actively passed on their experience, knowledge, and skills to their colleagues on returning to work. CONCLUSION: Although a 4-level evaluation was not conducted and despite the limitations in examining academic achievement, interviewing Lao professors, and acquiring quantitative data at Lao University of Health Sciences, this project has demonstrated its value in the development of individual professors and their colleagues.
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Delivery of Health Care , Developing Countries , Education , Seoul , Surveys and QuestionnairesABSTRACT
Aims: This study aims at investigating the antibacterial activity of crude methanolic and aqueous extracts of leaves and root barks of Jatropha curcas against Gram-positive and Gram-negative bacteria isolated from urinary tract infections (UTIs) and to confirm the effective use of this plant against the uropathogenic strains in traditional medicine in Democratic Republic of Congo (D.R.C). Study Design: Laboratory experimental tests; Extraction of J. curcas leaf and root bark, susceptibility tests (zones of inhibition) and minimum inhibitory concentration (MIC) determination and phytochemical screening and high performance liquid chromatography (HPLC) analysis. Place and Duration of the Study: Department of Phytobiology, Department of Biotechnology and Department of Microbiology, General Atomic Energy Commission. Regional Center of Nuclear Studies of Kinshasa P.O BOX 868 Kin. XI DRC during October and November 2011. Methodology: Fresh leaves and root barks of J. curcas were collected, oven- dried at 45ºC, powdered and extracted with water and methanol. The aqueous extracts were lyophilized. Agar disc diffusion method was used to test antibacterial activity of the crude extracts of J. curcas against Staphylococcus aureus, Staphylococcus epidermidis, Bacillus subtilis, Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa and Citrobacter diversus isolated from UTIs. The extracts were subjected to phytochemical tests. HPLC method was used to screen phenolic compounds. Results: The crude extracts exhibited a significant antibacterial activity against four of seven tested bacterial isolates. MIC values ranged from 1.0 to 7.5 mg/L. The extracts phytochemical screening revealed the presence of saponins, tannins, alkaloids, steroids and flavonoids. The presence of phenolic compounds was screened by HPLC analysis. Conclusion: The inhibitory effects of the crude extracts from leaves and root barks against uropathogenic strains have justified the usefulness of J. curcas for the treatment of UTIs and sexually transmitted Infections (STIs) in traditional medicine of D.R.C.
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Por meio da descrição de dois exemplos de intervenções de saúde mental em emergências humanitárias, esta reflexão visa problematizar o trabalho do psicólogo nestas situações. Os conceitos de "humanitário" e de "emergência" são discutidos à luz dos trabalhos realizados na República Democrática do Congo e no Haiti. Em ambos os países, as intervenções de saúde mental se deram por meio de uma organização humanitária internacional e nos dois casos, o objetivo era oferecer apoio psicológico à população em conjunto com uma equipe nacional formada por profissionais de diferentes áreas. Em ambos os casos, as especificidades culturais, assim como os desafios teóricos e metodológicos da ação do psicólogo são apresentados, notadamente as questões morais, de gênero e de inscrição do trabalho psicológico em contextos de grande carência de redes e de seguridade social. Por fim, são apresentadas considerações a respeito de algumas teorias e técnicas já descritas para este tipo de atuação psicológica, enfatizando-se a importância da escuta e da ressignificação dentro do contexto cultural de cada sujeito.
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Altruism , Psychology , Mental Health , Emergency Relief , Haiti , Democratic Republic of the CongoABSTRACT
<b>Objectives</b><br> Many ethnic groups live in northern hilly area in Lao people’s Democratic Republic. We can find some delays of development by the geographical and cultural reasons. This research clarified what kind of awareness about children’s health among the minority people living with their specificlifestyles and circumstances.<br><b>Methods</b><br> The participatory research for health problems was conducted to Khamu people at C-village in northern Laos. Data were analyzed qualitatively. Mothers who have children aged less than 10 years, were interviewed about illness of children and its treatment. The author interviewed about health problems with some key persons who were important position in the village.<br><b>Results</b><br> At C-village, they produced sticky rice which was their staple food. They depended on other food from forests. Mothers are aware that their children were always healthy when children were vigorous. Mothers brought their children to the hospital in spite of its long way when children got illness. Children had some experiences of malaria, diarrhea and other illnesses. Villagers stored up the knowledge of illness by themselves with their experience that children getting serious by specific illness. The key persons were also aware of health problems, for example malaria or parasite diseases.<br><b>Conclusion</b><br> At C-village, in recent years they didn’t suffer serious starving. Houses were comfortable because of its well-ventilated against hotness but structure of their houses can’t prevent children’s health by the aggression of mosquito, and smoke from kitchen. Their lives were exposed to some harmful influence; by malaria and pastured animals. About children’s health, mothers were aware of some specific illness and brought children to hospital. Mothers thought that their children had not any problems of health when they were vigorous and active. Many children had suffered some illness and villagers stored up the knowledge of illness by themselves with their experience that children got serious situation by specific illness.<br>The key-persons and villagers expected infrastructural developments such as the high-way which was under construction at that time.
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Objective To clarify malaria infection and the incidence in first Chinese medical team of United Nation peacekeeping mission in Democratic Republic of Congo and evaluate the effect of prevention measures so that provide reference for studying on malaria prevention and the precautionary measures for the follow-up personnel in Africa. Methods 43 cases (male 30, female 13) were observed between Apr. and Dec. 2003 when they were deployed in D.R.of Congo. Eliminating mosquito was used to decrease the density, including the usage of driving mosquito machine, killing mosquito lamp and chlorine cyanogens chrysanthemum ester, ”Prevent malaria-3”and COTECXIN as the precautionary medicines. Plasmodiums in blood were checked periodically. The cases with positive result of blood test and without clinical symptom was considered as infection, otherwise as disease with symptom appeared. Results The density of mosquito in house decreased. 3 cases (male 2, female 1) suffering from malaria, the incidence was 6.98%. Plasmodium was found in 39 individuals (male 26, female 13), the infection rate was 90.70%. The incidence was the lowest compared with contingents from other countries. Conclusion It was effective that these measures taken by reducing mosquito density and ”Prevent malaria-3”and COTECXIN usage in Chinese medical team during peacekeeping mission .