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  1. Article ; Online: Management of biomedical waste in two medical laboratories in Bangui, Central African Republic

    Augustin Balekouzou / Christian Maucler Pamatika / Sylvain Wilfrid Nambei / Marceline Djeintote / Dahlia Mossoro / Kazambu Ditu / Bekolo Cavin / Etapelong Gerarld Sume / Marie Claire Okomo / Boniface Koffi / Yin Ping

    The Pan African Medical Journal, Vol 23, Iss

    2016  Volume 237

    Abstract: INTRODUCTION: This cross-sectional study was conducted among 73 healthcare workers in two laboratories in Bangui, using self administered questionnaire and scale grid to get information on knowledge and practice of management biomedical waste (BMW). ... ...

    Abstract INTRODUCTION: This cross-sectional study was conducted among 73 healthcare workers in two laboratories in Bangui, using self administered questionnaire and scale grid to get information on knowledge and practice of management biomedical waste (BMW). METHODS: Data were analyzed using SPSS software (version 20). Fisher chi-square test was used to investigate whether distributions of categorical variables differ from one another. RESULTS: Findings from this study shows that; a gap in legal framework on BMW. Seventy percent of waste generated was infectious. Segregation and color coding was inappropriate. Only 29% of the services used safety boxes. Transport of biomedical waste is manual. About 64 % of respondents have not received training on BMW. 44 of 73 (60%) didn't know certain diseases related to poor waste management and transmission routes. The surface technicians had significantly better knowledge about tetanus vaccine than the medical-technical staff (χ2=4.976, P=0.047).They had also a significantly higher risk of exposure to accidents due to waste handling than medical-technical (χ2=10.276, P=0.009). The 30-39 age group had a significantly higher risk of exposure to accidents related to the BMW compared to other ages groups (χ2=11.206, P=0.026).The National Laboratory personal has significantly higher knowledge about BCG and Meningitis vaccine than the Laboratory of Community Hospital personal (χ2=10.954, P=0.002 and χ2=4.304, P=0.05). CONCLUSION: BMW was poor. Collaboration between the City Hall and sanitation services with the support of partners will greatly reduce the risk of exposure faced by laboratory personnel and the population.
    Keywords management ; biomedical waste ; laboratory ; central african republic ; Medicine ; R
    Language English
    Publishing date 2016-04-01T00:00:00Z
    Publisher The Pan African Medical Journal
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Epidemiology of breast cancer

    Augustin Balekouzou / Ping Yin / Christian Maucler Pamatika / Ghose Bishwajit / Sylvain Wilfrid Nambei / Marceline Djeintote / Barbara Esther Ouansaba / Chang Shu / Minghui Yin / Zhen Fu / Tingting Qing / Mingming Yan / Yuanli Chen / Hongyu Li / Zhongyu Xu / Boniface Koffi

    BMC Public Health, Vol 16, Iss 1, Pp 1-

    retrospective study in the Central African Republic

    2016  Volume 10

    Abstract: Abstract Background Breast cancer is recognised as a major public health problem in developing countries; however, there is very limited evidence about its epidemiology in the Central African Republic. The aim of this study was to investigate the ... ...

    Abstract Abstract Background Breast cancer is recognised as a major public health problem in developing countries; however, there is very limited evidence about its epidemiology in the Central African Republic. The aim of this study was to investigate the epidemiological and histopathological characteristics of breast cancer in Bangui. Methods This is a retrospective study based on the data collected from pathological anatomy records from 2003 to 2015 in Bangui. A questionnaire was designed to collect information and data was analysed using descriptive and inferential statistical methods. Results The mean age was 45.83 (SD = 13.5) years. The age group of 45–54 years represented the majority of the study population (29.3%). Over 69.5% of the women were housewives with a moderate economic status (56.9%). Less than 14% of the study population had a level of academic degree and 85.6% lived in cities. The breast cancer prevalence was 15.27%. The age-standardized incidence and death by world population (ASW) were 11.19/100,000 and 9.97/100,000 respectively. 50–54 years were most affected. Left breast cancer is mainly common and the time between first symptoms and consultation is more than 48 months. Most (69%) of the samples analysed were lumpectomy. The most common morphology of breast cancer was invasive ductal carcinoma (64.9%). Scarff Bloom Richardson III was the main grade in both common pathological types, but their proportion showed no significant increase along with time (χ2 = 7.06, p = 0.54). Invasion of regional lymph node differed significantly among the pathological type of breast cancer (χ2 = 24.6, p = 0.02). Surgery and chemotherapy were appropriate treatment yet 84.5% of the cases died. Conclusion The findings of this study showed that breast cancer is common and mostly affected women. Epidemiological trends are more or less common to those of developing countries with a predominance of invasive ductal carcinoma. However, most of the women studied live in an urban area and developed the disease in advanced ...
    Keywords Breast cancer ; Women ; Epidemiology ; Histology ; Bangui ; Central African Republic ; Public aspects of medicine ; RA1-1270
    Subject code 616
    Language English
    Publishing date 2016-12-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Behavioral risk factors of breast cancer in Bangui of Central African Republic

    Augustin Balekouzou / Ping Yin / Henok Kessete Afewerky / Cavin Bekolo / Christian Maucler Pamatika / Sylvain Wilfrid Nambei / Marceline Djeintote / Antoine Doui Doumgba / Christian Diamont Mossoro-Kpinde / Chang Shu / Minghui Yin / Zhen Fu / Tingting Qing / Mingming Yan / Jianyuan Zhang / Shaojun Chen / Hongyu Li / Zhongyu Xu / Boniface Koffi

    PLoS ONE, Vol 12, Iss 2, p e

    A retrospective case-control study.

    2017  Volume 0171154

    Abstract: Breast cancer is recognized as a major public health problem in developing countries; however, there is very little evidence of behavioral factors associated with breast cancer risk. This study was conducted to identify lifestyles as risk factors for ... ...

    Abstract Breast cancer is recognized as a major public health problem in developing countries; however, there is very little evidence of behavioral factors associated with breast cancer risk. This study was conducted to identify lifestyles as risk factors for breast cancer among Central African women. A case-control study was conducted with 174 cases confirmed histologically by the pathology unit of the National Laboratory and 348 age-matched controls. Data collection tools included a questionnaire with interviews and medical records of patients. Data were analyzed using SPSS software version 20. Odd ratio (OR) and 95% confidence intervals (95% CI) were obtained by unconditional logistic regression. In total, 522 women were studied with a mean age of 45.8 (SD = 13.4) years. By unconditional logistic regression model, women with breast cancer were more likely to have attained illiterate and elementary education level [11.23 (95% CI, 4.65-27.14) and 2.40 (95% CI, 1.15-4.99)], married [2.09 (95% CI, 1.18-3.71)], positive family history [2.31 (95% CI, 1.36-3.91)], radiation exposure [8.21 (95% CI, 5.04-13.38)], consumption charcuterie [10.82 (95% CI, 2.39-48.90)], fresh fish consumption [4.26 (95% CI, 1.56-11.65)], groundnut consumption [6.46 (95% CI, 2.57-16.27)], soybean consumption [16.74 (95% CI, 8.03-39.84)], alcohol [2.53 (95% CI, 1.39-4.60)], habit of keeping money in bras[3.57 (95% CI, 2.24-5.69)], overweight [5.36 (95% CI, 4.46-24.57)] and obesity [3.11(95% CI, 2.39-20.42)]. However, decreased risk of breast cancer was associated with being employed [0.32 (95% CI, 0.19-0.56)], urban residence [0.16 (95% CI, 0.07-0.37)], groundnut oil consumption [0.05 (95% CI, 0.02-0.14)], wine consumption [0.16 (95% CI, 0.09-0.26)], non habit of keeping cell phone in bras [0.56 (95% CI, 0.35-0.89)] and physical activity [0.71(95% CI, 0.14-0.84)]. The study showed that little or no education, marriage, positive family history of cancer, radiation exposure, charcuterie, fresh fish, groundnut, soybean, alcohol, habit of keeping money in bras, overweight and obesity were associated with breast cancer risk among Central African women living in Bangui. Women living in Bangui should be more cautious on the behavioral risk associated with breast cancer.
    Keywords Medicine ; R ; Science ; Q
    Subject code 616 ; 610
    Language English
    Publishing date 2017-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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