60 research outputs found
Evaluation of CRP as a marker for bacterial infection and malaria in febrile children at the Douala Gyneco-Obstetric and Pediatric Hospital.
No full textBackgroundC reactive protein (CRP), a marker for the presence of inflammation, has been extensively studied for distinguishing bacterial from non-bacterial infection in febrile patients, but its role in excluding malaria in the febrile child has not been thoroughly evaluated.MethodThis was a cross-sectional study at the Douala Gyneco-Obstetric and Pediatric Hospital which included all patients between the ages of one month and 16 years presenting with fever. Consenting patients received complete clinical examinations, then venous blood samples were collected and tested for CRP values, bacterial infection and malaria.ResultsSamples of 220 children were analyzed. 142/220 had viral infections, 50/220 had malaria and 49/220 had bacterial infections. 7/220 had both malaria and bacterial infection. There was no significant difference between mean CRP values in malaria and bacterial infection (p = 1), but CRP means were significantly higher in malaria/bacterial infection than in viral infection (pConclusionCRP can effectively exclude malaria and bacterial infection in febrile children in low-resource settings without the need for additional tests
The new enfant du siècle: Joseph de Maistre as a writer
No full textThe essays contained within this volume were first presented at Reappraisals/Reconsidérations, the Fifth International Colloquium on Joseph de Maistre, held at Jesus College, Cambridge on 4 and 5 December 2008.Series editor-in-chief: Guy Rowlands, University of St AndrewsJoseph de Maistre's reputation as a writer is legendary. His style, unique and alive, moulded the French language anew. It sabotaged his attempts at anonymous publication and earned him, through the centuries, the praises of enemies and admirers. Yet the relationship between Maistre's thought and writing remains ill-known. This collection is the first to examine how Maistre's ideas – including his denunciation of the written word – intersected with his writing practices and personas. The essays disclose an author formed by duty and affectionate relationships, by the conventions of public combat, by an intense sense of history, and by the imperatives of Revolution.Introduction: assessing Maistre's style and rhetoric / Richard A. Lebrun -- Joseph de Maistre as pamphleteer / Richard A. Lebrun -- Joseph de Maistre, letter writer / Pierre Glaudes ; translated by Kevin Michael Erwin and Richard A. Lebrun -- Joseph de Maistre: the paradox of the writer / Benjamin Thurston -- Epilogue: the forced inhabitant of history / Carolina ArmenterosPublisher PD
Flexible pavement damage during spring thaw: a field study using the falling weight deflectometer
No full textSpring thaw creates critical performance conditions for pavement networks. The increase of water content in the pavement environment is significant during spring thaw. Combined with poor drainage conditions, materials condition variations are triggering factors that accentuate the effect of heavy vehicle loading on pavement response and damage. Two experimental pavement sections were monitored in 2014 and 2015 for temperature and deflections. the section with the lowest structural capacity was found to be more sensitive to thaw weakening. Fatigue damage calculated for this section was found to be 31 % higher than the section with the highest structural capacity. Moreover, it was shown that a load reduction in the range of 20 % can decrease the total yearly damage by about 7 to 10 % for the considered test sections. In general, fatigue damage was found to increase from spring onset to the warmest conditions of the yearly cycle, in July.The accepted manuscript in pdf format is listed with the files at the bottom of this page. The presentation of the authors' names and (or) special characters in the title of the manuscript may differ slightly between what is listed on this page and what is listed in the pdf file of the accepted manuscript; that in the pdf file of the accepted manuscript is what was submitted by the author
Evaluation des activités anti-inflammatoire et antiradicalaire de l’extrait au vin de palme des feuilles de <i>Phragmanthera capitata</i> (Sprengel) S. Balle (Loranthaceae) récoltées sur <i>Psidium guajava</i> au Cameroun
No full textS1 Database -
No full textBackgroundC reactive protein (CRP), a marker for the presence of inflammation, has been extensively studied for distinguishing bacterial from non-bacterial infection in febrile patients, but its role in excluding malaria in the febrile child has not been thoroughly evaluated.MethodThis was a cross-sectional study at the Douala Gyneco-Obstetric and Pediatric Hospital which included all patients between the ages of one month and 16 years presenting with fever. Consenting patients received complete clinical examinations, then venous blood samples were collected and tested for CRP values, bacterial infection and malaria.ResultsSamples of 220 children were analyzed. 142/220 had viral infections, 50/220 had malaria and 49/220 had bacterial infections. 7/220 had both malaria and bacterial infection. There was no significant difference between mean CRP values in malaria and bacterial infection (p = 1), but CRP means were significantly higher in malaria/bacterial infection than in viral infection (pConclusionCRP can effectively exclude malaria and bacterial infection in febrile children in low-resource settings without the need for additional tests.</div
Distribution of CRP levels according to final diagnosis.
No full textDistribution of CRP levels according to final diagnosis.</p
Influence of ABO Blood Groups on Plasmodium falciparum Parasitaemia and Malaria Clinical Types in Outpatients in a Government Hospital of Douala, Cameroon
No full textFacteurs de risque de mortalité chez les patients tuberculeux surinfectés par le VIH à Douala (Cameroun).
No full textDespite prevention efforts, and free treatment, TB-HIV co-infection still occurs in Cameroon. The objective of this work is to present the risk factors for mortality in patients co-infected with TB and HIV in Douala from 2009 to 2014. This transversal, analytic, and retrospective study took place from November 2014 to May 2015 in the Laquintinie Hospital in Douala. A review of our records identified patients aged at least 15 years, with this co-infection who received TB treatment, with or without antiretroviral agents. The bivariate analysis compared qualitative variables with Pearson's Chi2 test. In the multivariate analysis, we determined the risk factors for mortality by backward stepwise logistic regression. Model fit was tested with the Hosmer-Lemeshow test. The study identified 394 patients, 213 (54.1%) of whom were women (sex ratio 0.84). The mean age was 39 ± 10 years. All patients received drugs to treat tuberculosis drugs; 351 (89%) also received antiretroviral drugs, 78.2% of them including efavirenz; and 320 (81.2%) received cotrimoxazole prophylaxis. During the study period, 67.3% were cured of tuberculosis and 15.7% died. The multivariate regression results show that hepatitis B (P <0.0009), absence of cotrimoxazole prophylaxis (P <0.005), poor treatment adherence (P <0.0001), and a CD4 count <50 (P <0.0001) were risk factors for mortality. The cure rate for patients co-infected with TB and HIV in Cameroon remains low, and their mortality high. Comorbidities and the presence of opportunistic diseases are risk factors for death. Appropriate measures to prevent this co-infection and the systematic use of cotrimoxazole should reduce this mortality rate.SCOPUS: ar.jinfo:eu-repo/semantics/publishe
Devenir des Patients Tuberculeux Transférés / Référés d’un Centre de Pneumo-phtisiologie vers des Centres de Traitement Périphériques :Une étude de 359 patients à Douala
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