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  1. Article ; Online: Inter-arm difference in systolic blood pressure

    Gwladys Nadia Gbaguidi / Audrey Kaboure / Yessito Corine Houehanou / Salimanou Ariyo Amidou / Dismand Stephan Houinato / Victor Aboyans / Philippe Lacroix

    PLoS ONE, Vol 17, Iss 8, p e

    Prevalence and associated factors in an African population.

    2022  Volume 0272619

    Abstract: Objectives Inter-arm blood pressure difference (IABPD) can lead to underdiagnosis and poor management of hypertension, when not recognized and are associated with increased cardiovascular mortality and morbidity. However, the prevalence and associated ... ...

    Abstract Objectives Inter-arm blood pressure difference (IABPD) can lead to underdiagnosis and poor management of hypertension, when not recognized and are associated with increased cardiovascular mortality and morbidity. However, the prevalence and associated risk factors of IABPD in sub-Saharan Africa are unknown. This study aims to determine the prevalence and associated risk factors of IABPD among Tanve Health Study (TAHES) participants, a cohort about cardiovascular diseases in a rural area in Benin. Methods The cohort was conducted since 2015 among adults aged 25 years and over in Tanve village. Data were collected from February to March, 2020. Brachial blood pressure were recorded at rest on both arm with an electronic device. Systolic IABPD (sIABPD) was defined as the absolute value of the difference in systolic blood pressure between left and right arms ≥ 10 mmHg. A multivariate logistic regression models identified factors associated with sIABPD. Results A total of 1,505 participants (women 59%) were included. The mean age was 45.08 ±15.65 years. The prevalence of sIABPD ≥ 10 mmHg was 19% (95%CI: 17-21). It was 19% (95%CI: 16-22) in men and 20% (95%CI: 17-22) in women. In final multivariable model, the probability of sIABPD ≥ 10 mmHg increased significantly with age (adjusted OR (aOR) = 1.1; 95%CI: 1.02-1.20 per 10-years), hypertension (aOR = 2.33; 95%CI: 1.77-3.07) and diabetes (aOR = 1.96; 95%CI: 1.09-3.53). Conclusion Almost quarter of sample have a sIABPD ≥ 10 mmHg, with an increased risk with older age and hypertension and diabetes.
    Keywords Medicine ; R ; Science ; Q
    Subject code 610
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Covid-19 infection in known epileptic and non-epileptic children

    Hugues Ghislain Atakla / Aïtchéou Cadnel Wilfried Houedenou Noudohounsi / Lounceny Fatoumata Barry / Mahugnon Maurel Ulrich Dénis Noudohounsi / Lauréano Déo-gratias Legba / Ibrahima Sory Souare / Fatoumata Kaba / Dismand Stephan Houinato

    The Pan African Medical Journal, Vol 37, Iss

    what is the place of chloroquine sulfate? a case report

    2020  Volume 177

    Abstract: The coronavirus 19 (Covid-19) disease, which was declared in China in December 2019, very early on became a pandemic, claiming more than 28 million victims worldwide to date. Its impact on the central nervous system is still poorly understood. The ... ...

    Abstract The coronavirus 19 (Covid-19) disease, which was declared in China in December 2019, very early on became a pandemic, claiming more than 28 million victims worldwide to date. Its impact on the central nervous system is still poorly understood. The objective of this work is to assess the involvement of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-Cov-2) in the aggravation of seizures in children known to have epilepsy and in the epileptogenesis of children hitherto seizure-free. Prior to conducting this work, we had obtained informed consent from patients and parents. We report three (3) patients, one known epileptic and the other two apparently healthy, who presented a febrile seizure in a context of Covid-19 infection. The aggravation of the epileptic seizure was indicative of an SARS-Cov-2 infection in the first patient, while the seizure occurred after induction of chloroquine sulfate treatment in the 2 other patients. Although our current concern is to limit the spread of the disease to COVID-19, it is crucial to address its possible complications. Notably, the worsening of seizures in children with epilepsy and the occurrence of first seizures in children without epilepsy following drug treatment. Equipping our covid-19 patient management facilities with electroencephalogram (EEG) equipment could facilitate continuous electroencephalographic monitoring of children for proper management.
    Keywords epileptic seizures ; coronavirus ; epileptic malaise ; chloroquine sulfate ; Medicine ; R
    Subject code 572
    Language English
    Publishing date 2020-10-01T00:00:00Z
    Publisher The Pan African Medical Journal
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Magnitude of cardiovascular risk factors in rural and urban areas in Benin

    Yessito Corine Nadège Houehanou / Philippe Lacroix / Gbedecon Carmelle Mizehoun / Pierre-Marie Preux / Benoit Marin / Dismand Stephan Houinato

    PLoS ONE, Vol 10, Iss 5, p e

    findings from a nationwide steps survey.

    2015  Volume 0126441

    Abstract: To describe and compare the prevalences of CVRF in urban and rural populations of Benin.Subjects were drawn from participants in the Benin Steps survey, a nationwide cross-sectional study conducted in 2008 using the World Health Organisation (WHO) ... ...

    Abstract To describe and compare the prevalences of CVRF in urban and rural populations of Benin.Subjects were drawn from participants in the Benin Steps survey, a nationwide cross-sectional study conducted in 2008 using the World Health Organisation (WHO) stepwise approach to surveillance of chronic disease risk factors. Subjects aged above 24 and below 65 years were recruited using a five-stage random sampling process within households. Sociodemographic data, behavioral data along with medical history of high blood pressure and diabetes mellitus were collected in Step 1. Anthropometric parameters and blood pressure were measured in Step 2. Blood glucose and cholesterol levels were measured in Step 3. CVRF were defined according to WHO criteria. The prevalences of CVRF were assessed and the relationships between each CVRF and the area of residence (urban or rural), were evaluated using multivariable logistic regression models.Of the 6762 subjects included in the study, 2271 were from urban areas and 4491 were from rural areas. High blood pressure was more prevalent in urban than in rural areas, 29.9% (95% confidence intervals (95% CI): 27.4, 32.5) and 27.5% (95% CI: 25.6, 29.5) respectively, p = 0.001 (p-value after adjustment for age and gender). Obesity was more prevalent in urban than in rural areas, 16.4% (95% CI: 14.4, 18.4) and 5.9% (95% CI: 5.1, 6.7), p<0.001. Diabetes was more prevalent in urban than in rural areas, 3.3% (95% CI: 2.1, 4.5) and 1.8% (95% CI: 1.2, 2.4), p = 0.004. Conversely, daily tobacco smoking was more prevalent in rural than in urban areas, 9.3% (95% CI: 8.1, 10.4) and 4.3% (95% CI: 3.1, 5.6), p<0.001. No differences in raised blood cholesterol were noted between the two groups.According to our data, CVRF are prevalent among adults in Benin, and variations between rural and urban populations are significant. It may be useful to take account of the heterogeneity in the prevalence of CVRF when planning and implementing preventive interventions.
    Keywords Medicine ; R ; Science ; Q
    Subject code 910
    Language English
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Prévalence de l'hépatite B chronique selon le statut sérologique VIH à Parakou au Bénin

    Salimanou Ariyoh Amidou / Comlan Albert Dovonou / Corine Houehanou / Arsène Amadohoué Kpangon / Rhonel Ahanhanzo-Glele / Julie Hounnouga Kpangon / Khadidjatou Saké Alassan / Attinsounon Cossi Angelo / Blaise Tchaou / Kabibou Salifou / Thierry Adoukonou / Djimon Marcel Zannou / Dismand Stephan Houinato

    The Pan African Medical Journal, Vol 30, Iss

    2018  Volume 180

    Abstract: INTRODUCTION: la prévalence de l’hépatite B est très variable à travers les espaces géographiques et semble influencée par l’infection à VIH. La présente étude vise à comparer la prévalence de l’hépatite B en fonction du statut sérologique VIH en milieu ... ...

    Abstract INTRODUCTION: la prévalence de l’hépatite B est très variable à travers les espaces géographiques et semble influencée par l’infection à VIH. La présente étude vise à comparer la prévalence de l’hépatite B en fonction du statut sérologique VIH en milieu hospitalier à Parakou au Bénin.Méthodes: il s’agissait d’une étude transversale incluant les adultes de 18 ans et plus reçus au Centre Hospitalier Universitaire et Départemental de Parakou entre Mai 2011 et Juin 2012. Le diagnostic de l’hépatite B a été fait par la recherche de l’antigène HBs et celui du VIH par des tests rapides sur des prélèvements de sang veineux. Les données ont été analysées avec le logiciel EpiInfo. Un modèle de régression logistique multivariable a été développé pour explorer les facteurs associés à la présence de l’hépatite B.Résultats: sur un total de 1516 sujets inclus, 744 étaient séropositifs au VIH. L’âge moyen était de 31,3 +/- 11,1 ans et 65,1% étaient des femmes. La prévalence de l’hépatite B dans l’ensemble de l’échantillon a été estimée à 13,9% [IC95%: 12,2%-15,7%]. Cette prévalence était plus élevée chez les sujets séropositifs au VIH (16,9% vs 10,9%; p = 0,0006), mais la différence n’est cependant plus significative en analyse multivariée, en dehors du groupe des sujets originaires du Borgou/Alibori (p = 0,02). Une association constante a toutefois été observée entre la tranche d’âge de 24 à 44 ans (p = 0,03), le sexe masculin (p =0,01), le niveau d’étude primaire (p = 0,02) et une prévalence élevée de l’hépatite B.Conclusion: la prévalence de l’hépatite B était plus élevée chez les sujets séropositifs au VIH. Elle est influencée par l’âge, le sexe, le niveau d’instruction et l’origine géographique.
    Keywords vih ; hépatite b ; prévalence ; parakou ; bénin ; Medicine ; R
    Language English
    Publishing date 2018-06-01T00:00:00Z
    Publisher The Pan African Medical Journal
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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