Risk factors associated to multidrug-resistant tuberculosis in patients attending the deido district hospital of Douala - Cameroon.

Background: Multidrug-resistant tuberculosis (MDR-TB) is defined as resistance to at least isoniazid and rifampicin. In Cameroon, the prevalence is estimated at 150 cases/100,000 inhabitants or 6000 cases out of an estimated population of 3 million. Objective: The aim of the present study was to determine the risk factors associated with MDR-TB at Deido District Hospital located in the littoral region of Cameroon. Methods: This was a cross-sectional and analytical retrospective study. Our sample included all TB patients undergoing treatment at the Diagnostic and Treatment Center of the hospital from January 2019 to August 2020. Identified risk factors of MDR-TB were analyzed using the SPSS software version 20.0. Results: A total of 304 participants were enrolled with a predominance of 185 (60.8%) men. The average age was 35 years (29-43 years). About 122/304 (40%) of the patients suffered from MDR-TB. The significant factors associated with MDR-TB were occupation (adjusted odd ratio [aOR] = 61.46), monthly income (aOR = 0.11), history of TB (aOR = 5.3), alcohol consumption (aOR = 12.7); self-medication (aOR = 5.4) and consultation of traditional healers for any cure (aOR = 155.84). Conclusion: The emergence of MDR-TB associated with several risk factors in the study area is worrisome and can be prevented by improving the living conditions of patients and putting in place appropriate treatment strategies.

Dense macrophyte cover has significant structural and functional influence on planktonic microbial communities leading to bacterial success.

We intend to assess how macrophyte cover affects planktonic microbial communities by changing the physical and chemical environment, and how macrophyte-derived DOC affects the balance between autotrophy and heterotrophy/chemoorganotrophy in a shallow lake. The structure and production of phytoplankton and bacterioplankton in the open water of a large shallow lake and in the littoral zone were compared at two sampling stations with different macrophyte cover. According to the obtained results, uncoupling between bacterioplankton and phytoplankton was observed due to the high content of organic carbon of emergent macrophyte origin. While phytoplankton were regulated by TSS, bacterioplankton (in both heterotrophic and photoheterotrophic forms) were determined by dissolved organic carbon. As a result of these processes, the littoral and pelagic zones in the lake are completely separated from each other. In open water the autotrophic processes dominated, but at the sampling stations inside the reed belt, the metabolic processes shifted in the direction of chemoorganotrophy. Our results suggest that increase of macrophyte cover in shallow water bodies will increase the significance of microbe-based carbon pathways and weakens the efficiency of carbon transport from primary producers to higher trophic levels through the planktonic food chain.

Breast cancer awareness and screening practice amongst health personnel and general population of the littoral region of Cameroon.

Introduction: Late diagnosis has been observed as the hallmark of breast cancer in Cameroonian women where over 70% of patients report with either stage III or IV of the disease, with high mortality and dire socioeconomic consequences. The present study was undertaken to assess the awareness of breast cancer, warning signs and screening methods among Health professionals and general population of Douala. Methods: Participants included in this study were health practitioners and women randomly selected and enrolled in six health facilities in the city of Douala, Littoral Region, Cameroon. A self-administered questionnaire was designed for each group and aimed at assessing their knowledge about breast cancer, warning signs and screening practices. Then, 616 women underwent breast palpation, followed by fine needle aspiration (FNA) when a nodule was found. Results: Out of a total of 737 participants (121 health personnel and 616 women) interviewed, a majority (96.3%) were aware of the disease with the main source of information being the hospital (76.0%), media (47.1%) and vocational training schools (45.4%) for health personnel; medias (39.9%), health professionals (26.1%) and their entourage (21.9%) for the population. Health workforce presented suitable awareness of the risk factors for breast cancer and its clinical signs even though 37.1% of them had misconceptions and myth-based ideas on the origin of the disease. Both the population and health personnel were aware of the possibility of early screening for breast cancer and cited breast self-examination, clinical breast examination and mammography as screening techniques. Nonetheless, screening practice amongst all women is very poor and mainly due to ignorance, high cost of mammography, together with a lack of mastery of the BSE technique and the fear of actually discovering signs of the disease. Conclusion: Our findings show lack of awareness and low practice of breast cancer screening amongst women in Douala and highlight the need to raise awareness and provide the right information to the public for early detection of breast cancer.

Bacteriologically confirmed extra pulmonary tuberculosis and treatment outcome of patients consulted and treated under program conditions in the littoral region of Cameroon.

BACKGROUND: Extra-pulmonary tuberculosis (EPTB) is defined as any bacteriologically confirmed or clinically diagnosed case of TB involving organs other than the lungs. It is frequently a diagnostic and therapeutic challenge with paucity of data available. The aim of this study was to assess the prevalence of bacteriologically confirmed EPTB; to determine the most affected organs and to evaluate the therapeutic outcome of EPTB patients treated under program conditions in the littoral region of Cameroon. METHODS: A descriptive cross-sectional laboratory-based epidemiological survey was conducted from January 2016 to December 2017 and 109 specimens from 15 of the 39 diagnosis and treatment centers in the littoral region were obtained. Two diagnostic methods (Gene Xpert MTB and culture (LJ and MGIT) were used for EPTB diagnosis. Determine HIV1/2 and SD Biolinewere used for HIV diagnosis. Confirmed EPTB cases were treated following the national tuberculosis guide. RESULTS: The prevalence of bacteriologically confirmed EPTB was 41.3% (45). All 45 cases were sensitive to rifampicin. Males were predominately more infected [26 (57.8%)] likewise the age group 31-45 years with 15 (33.3%) cases. The overall prevalence for HIV was 33.6% (36). HIV infection was present in 28.9% (13) of patients with EPTB. The most affected sites with EPTB were: Lymph nodes (66.5%), pleural cavity (15.6%), abdominal organs (11.1%), neuromeningeal (2.2%), joints (2.2%) and heart (2.2%). Overall, 84.4% of the study participants had a therapeutic success with males responding better 57.9% (p = 0.442). Therapeutic success was better (71.7%) in HIV negative EPTB patients (p = 0.787). CONCLUSION: The prevalence of bacteriologically confirmed EPTB patients treated under program conditions in the littoral region of Cameroon is high with a therapeutic success of 84.4% and the lymph nodes is the most affected site.

Case Based Measles Surveillance Performance in 2010, Littoral Region of Cameroon.

The Littoral region of Cameroon met most of its routine immunization and surveillance objectives in 2010 but has not reiterated such a performance since then. We describe the case-based measles surveillance performance of 2010 by person, place, time and determine measles surveillance system delays. Descriptive statistics were performed using Epi Info 3.5.3. There were 130 suspected measles cases investigated by 17 (89.5%) health districts, 83 (64%) males and 99 (76%) ≤5 years. At least 4 cases were investigated per month with a peak of 23 cases in June. About 67 (51.5%) patients visited a hospital more than 48 h after disease onset, 34 (26.2%) health facilities informed the district service late after receiving a suspected case and 65 (50%) samples got to the reference laboratory more than 24 hours after reception by the specimen collection centre. More than 2 discarded measles/100,000 population were investigated but with health facilities, specimen collection centre and patients' ability to seek healthcare delays. All specimens got to the reference laboratory within 72 h. Patients' health seeking behavior need to be improved and personnel involved in surveillance sensitized on timeliness.

Composição taxonômica da assembleia de larvas de peixes no reservatório de Rosana, Rio Paranapanema, Brasil / Taxonomic composition of the assemblage of fish larvae in the Rosana reservoir, Paranapanema River, Brazil

Em reservatórios, são escassos os estudos que consideram as fases iniciais do ciclo de vida de peixes, sendo que informações sobre a ecologia de larvas de peixes são úteis para o entendimento da biologia das espécies, visto que os estágios iniciais representam um período crítico no ciclo de vida dos peixes. Neste contexto, o conhecimento a respeito das assembleias de larvas pode ser valioso para a predição e o entendimento do recrutamento, auxiliando desta maneira, no manejo do ambiente. Desta forma, o presente trabalho pretende verificar a composição da assembleia de larvas de peixes em diferentes regiões do reservatório. As coletas foram realizadas trimestralmente (março, junho, setembro e dezembro) no ano de 2002, nas regiões limnética e litorânea das zonas fluvial, transição e lacustre do reservatório de Rosana. No laboratório, o material foi triado e as larvas foram separadas e identificadas ao menor nível taxonômico possível. Os táxons que tiveram maior contribuição na região limnética foram Plagioscion squamosissimus (Perciformes), Hypophthalmus edentatus, Pimelodus maculatus (Siluriformes), Astyanax spp. e Roeboides descalvadensis (Characiformes), enquanto na região litorânea Bryconamericus stramineus e Apareiodon affinis (Characiformes). As regiões limnética e litorânea do reservatório, assim como suas respectivas zonas apresentaram diferenças na composição de espécies de larvas e a segregação das assembleias pode estar sendo influenciada pela preferência por habitats ou por questões evolutivas que envolvem as estratégias reprodutivas das espécies.

There are few studies in reservoirs that consider the Early Life Stages (ELS) of fish. Information on the ecology of fish larvae are useful for understanding the biology of the species, since ELS represent a critical period in fish life cycle. In this context, knowledge about the assemblages of larvae can be valuable for the prediction and understanding of recruitment, thus assisting in the management of the environment. Therefore, this study intends to investigate the composition of the assemblage of fish larvae in different regions of Rosana reservoir. Samples were collected quarterly (March, June, September and December) in 2002, in the limnetic and littoral regions of the zones fluvial, transition and lacustrine of reservoir. In the laboratory, the material was sorted and larvae were separated and identified to lowest possible taxonomic level. The taxa that were the major contributors in the limnetic region were Plagioscion squamosissimus (Perciformes), Hypophthalmus edentatus, Pimelodus maculatus (Siluriformes), Astyanax spp. and Roeboides descalvadensis (Characiformes), whereas in the coastal region Bryconamericus stramineus and Apareiodon affinis (Characiformes) prevailed. Limnetic and littoral regions of the reservoir, as well as their respective zones showed differences in larvae species composition and segregation of assemblages can be influenced by a preference for habitats or evolutionary questions involving reproductive strategies of species.

Species richness and geographic distribution of the genera Chydorus and Pseudochydorus (Cladocera, Chydoridae) in São Paulo State / Distribuição das espécies dos gêneros Chydorus e Pseudochydorus (Cladocera, Chydoridae) no estado de São Paulo

The Chydorus and Pseudochydorus genera are widely distributed around the world. Some species of Chydorus are among the commonest anomopods and Pseudochydorus globosus, the only species of the genus, is believed cosmopolitan. This study was part of the project " Zooplanktonic biodiversity and state of degradation of continental water ecosystems in São Paulo State" , itself a part of the FAPESP/BIOTA Program - The Virtual Institute of Biodiversity (www.biotasp.org.br), the aim being to make an inventory and analyze the distribution of species of the genera Chydorus and Pseudochydorus in São Paulo State, Brazil. In total, 373 samples were collected from 223 water bodies in the Water Resources Management Units of São Paulo State, between 9/9/1999 and 8/28/2002. The sampled sites varied from small streams, rivers, ponds, lakes up to big reservoirs. Six species of the genus Chydorus and one of the genus Pseudochydorus were recorded. The most common and widely distributed species were Chydorus eurynotus and Chydorus pubescens. The species Chydorus parvireticulatus occurred only in one Water Resources Management Unit of the state, and constituted the first recorded of this species in São Paulo State.

Os gêneros Chydorus e Pseudochydorus são de ampla distribuição geográfica. Algumas espécies de Chydorus estão entre os anomópodos mais comuns e Pseudochydorus globosus, a única espécie do gênero, é considerada cosmopolita. O presente estudo está inserido no projeto " Biodiversidade zooplanctônica e o estado de degradação dos ecossistemas aquáticos continentais do estado de São Paulo" , como parte do Programa BIOTA/FAPESP - O Instituto Virtual da Biodiversidade (www.biota.org.br) e teve como objetivo o inventário e a análise da distribuição das espécies dos gêneros Chydorus e Pseudochydorus no estado de São Paulo. Foram amostrados 223 corpos de água e 373 amostras das unidades de gerenciamento dos recursos hídricos do estado de São Paulo, entre 09/09/1999 e 28/08/2002. Os ambientes amostrados compreenderam desde pequenos córregos, rios, lagoas, lagos, até grandes reservatórios. Foram registradas seis espécies do gênero Chydorus e uma espécie do gênero Pseudochydorus. As espécies mais comuns e mais amplamente distribuídas foram Chydorus eurynotus e Chydorus pubescens. A espécie Chydorus parvireticulatus ocorreu em apenas uma unidade de gerenciamento recursos hídricos e constituiu o primeiro registro desta espécie no Estado de São Paulo.

Evaluation of sampling methods for periphytic fauna in macrophytes at the Espinhaço Mountain Range Biosphere Reserve, Minas Gerais State, Brazil - DOI: 10.4025/actascibiolsci.v30i3.377 / Avaliação dos métodos de amostragem para fauna perifítica em macrófitas na Reserva da Biosfera, Serra do Espinhaço, Estado de Minas Gerais, Brasil - DOI: 10.4025/actascibiolsci.v30i3.377

The methods Jar, Manual Removal and modified Ekman`s Dredge were evaluated for sampling periphyton fauna associated to aquatic macrophytes. Sixty three samples were collected from five lentic and three lotic water bodies at Espinhaço Mountain Range Biosphere Reserve (Minas Gerais, Brazil). ANOVA and Tukey statistical tests were performed for Protista, Rotifera and Crustacea richness, whilst Protista, Rotifera, Crustacea, Gastrotricha, Tardigrada and Nematoda, abundance were evaluate by percentage. Amongst the three methods, Dregde is less indicated for different water bodies systems when there is interested in analyzing various microinvertebrate groups. The Protista and Rotifera are both 80% of the total invertebrate community abundance and richness. In evaluated ecosystems, for Protista analysis all methods are relevant; on the other hand, Crustacea analysis demands Jar methods. The Manual Removal and Dregde methods are appropriated to Rotifera analysis. The abundance of Gastrotricha and Tardigrada demonstrated better results for Jar method, and Nematoda for Dregde method. The three methods are appropriated for periphytic fauna sampling in both water body systems, nevertheless is important to be aware that for each fauna community in a specified ecosystem there is a specific method for best performance.

Os métodos Jarra, Remocao Manual e Draga de Eckman modificada foram avaliados para amostrar a fauna perifitica associada a macrofitas aquaticas. Foram coletadas 63 amostras em cinco ambientes lenticos e tres loticos na reserva da biosfera da Serra do Espinhaco (Estado de Minas Gerais, Brasil). Os testes estatisticos Anova e Tukey foram feitos para riqueza de Protista, Rotifera e Crustacea, enquanto para a abundancia de Protista, Rotifera, Crustacea, Gastrotricha, Tardigrada e Nematoda foram avaliados os percentuais. Os protozoarios e rotiferos representaram 80% da abundancia e riqueza da comunidade. Nos ecossistemas avaliados todos os metodos foram relevantes para Protista, por outro lado, o metodo da Jarra foi o mais adequado para a analise de Crustacea. Entre os metodos, a Draga foi menos indicada para os grupos de microinvertebrados nos ecossistemas aquaticos. Os metodos Remocao Manual e Draga foram apropriados para analisar Rotifera. A abundancia de Gastrotricha e Tardigrada demonstrou melhores resultados pelo metodo da Jarra e Nematoda pelo metodo da Draga. Os tres metodos sao apropriados para amostragem da fauna perifitica em ambos os sistemas aquaticos. Entretanto, e importante estar ciente de que para cada tipo de ecossistema a amostragem da comunidade faunistica requer um metodo especifico para obter a melhor performance.

Distribución espacio-temporal de la meiofauna béntica en cuatro playas del Literal Norte de la Habana / Temporal spatial distribution of benthic meiofauna in four beaches of the northern Havana shore

The temporal-spatial distribution of benthic meiofauna was evaluated in four beaches at the north coast of Havana, Cuba, from March 2003 to February 2004. We studied two urban beaches (Santa Fe and La Concha) and two tourist beaches (Mar Azul and Canasi). Monthly meiofauna samplings were taken by scuba-diving using with a syringe (inner diameter 2.5 cm), and physico-chemical parameters (grain size, interstitial salinity and water column salinity were recorded with standard equipment). Statistical analysis (MDS and ANOSIM) were performed. Depth and biotope kind were the same in the four beaches. Highest densities were obtained in Santa Fe (7,133.48 ind/10 cm2) while the lowest mean densities were found in Canasí (892.12 ind/10 cm2). We recorded 13 taxa; the dominant organisms in Santa Fe and Mar Azul were free-living marine nematodes. Copepods were the dominant organisms in La Concha and Canasí.

Con el objetivo de evaluar la distribución espacio-temporal de la meiofauna béntica en la zona sublitoral del norte de la Habana, se realizaron muestreos mensuales en cuatro playas, dos al W de la ciudad (Santa Fe y La Concha) y dos al E (Mar Azul y Canasí), desde marzo del 2003 hasta febrero del 2004. Se mantuvo constante la profundidad de muestreo, biotopo y tipo de sedimento, observándose la relación con la salinidad en la columna de agua e intersticial. Para determinar la afinidad entre estaciones se realizó un análisis MDS y para establecer diferencias significativas entre éstas a nivel espacial ó temporal se realizó un análisis de similitud ANOSIM. Las densidades medias más altas se obtuvieron en Santa Fe (7 133. 48 ind/10 cm2) y las más bajas en Canasí (892.12 ind/10 cm2). Se registraron un total de 13 táxones en todas las áreas estudiadas, siendo los nemátodos de vida libre los organismos dominantes en las estaciones de Santa Fe y Mar Azul, y los copépodos los dominantes en La Concha y Canasí. Se detectaron dos picos de abundancia para los nemátodos y los copépodos durante el período de estudio, así como diferencias significativas entre las estaciones muestreadas, agrupándose así: Santa Fe - La Concha y Mar Azul - Canasí.