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OALib Journal期刊

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Sexual Violence among Street Children in Urban Areas (Case of the City of Lubumbashi in 2021)  [PDF]
John Mwanza Lukusa,Franck Dikala Otete,Justin Kanda Kabeya,Adrien Mazanga Nakunyi,Jeannot Mpanya Mpanya,Bienfait Mwarabu Much’apa,Simon Ilunga Kandolo
Open Access Library Journal (OALib Journal) , 2024, DOI: 10.4236/oalib.1111175
Abstract: Introduction: Endemic poverty and the consequences of multiple armed conflicts, the number of street children is constantly increasing throughout the Democratic Republic of the Congo and the sexual violence they suffer is becoming more and more common. This presents a real public health problem in the DRC in general and in Lubumbashi in particular. This study consists of establishing the societal state of street children, more particularly by assessing the sexual violence they suffer. Methods: To achieve this, we carried out a cross-sectional descriptive study accompanied by a survey questionnaire on 250 street children of mixed ages and sexes. Results: At the end of our study, the prevalence of sexual violence was 53.6%. The different types of sexual violence to which street children have been exposed are rape (79.8%), sexual harassment (32.8%), forced pregnancy (23.8%), forced prostitution (23.1%) and the initiation of minors into debauchery (18.6%). The main reasons for family breakdown were the prophecy of witchcraft (25%), the death of one or both parents (25%) as well as other reasons (mistreatment, divorce, family exclusion for witchcraft, influence of friends) having 25%. Conclusion: From the above, street children suffer violence of all kinds, from desired sexuality to imposition, overall, it is an alarming sit-uation which endangers the physical and mental health of children.
From Health Advice to Taboo: Community Perspectives on the Treatment of Sleeping Sickness in the Democratic Republic of Congo, a Qualitative Study
Alain Mpanya,David Hendrickx?,Sylvain Baloji?,Crispin Lumbala?,Raquel Inocêncio da Luz?,Marleen Boelaert?,Pascal Lutumba
PLOS Neglected Tropical Diseases , 2015, DOI: 10.1371/journal.pntd.0003686
Abstract: Background Socio-cultural and economic factors constitute real barriers for uptake of screening and treatment of Human African Trypanosomiasis (HAT) in the Democratic Republic of Congo (DRC). Better understanding and addressing these barriers may enhance the effectiveness of HAT control. Methods We performed a qualitative study consisting of semi-structured interviews and focus group discussions in the Bandundu and Kasa? Oriental provinces, two provinces lagging behind in the HAT elimination effort. Our study population included current and former HAT patients, as well as healthcare providers and program managers of the national HAT control program. All interviews and discussions were voice recorded on a digital device and data were analysed with the ATLAS.ti software. Findings Health workers and community members quoted a number of prohibitions that have to be respected for six months after HAT treatment: no work, no sexual intercourse, no hot food, not walking in the sun. Violating these restrictions is believed to cause serious, and sometimes deadly, complications. These strong prohibitions are well-known by the community and lead some people to avoid HAT screening campaigns, for fear of having to observe such taboos in case of diagnosis. Discussion The restrictions originally aimed to mitigate the severe adverse effects of the melarsoprol regimen, but are not evidence-based and became obsolete with the new safer drugs. Correct health information regarding HAT treatment is essential. Health providers should address the perspective of the community in a constant dialogue to keep abreast of unintended transformations of meaning.
Should I Get Screened for Sleeping Sickness? A Qualitative Study in Kasai Province, Democratic Republic of Congo
Alain Mpanya equal contributor,David Hendrickx equal contributor ,Mimy Vuna,Albert Kanyinda,Crispin Lumbala,Valéry Tshilombo,Patrick Mitashi,Oscar Luboya,Victor Kande,Marleen Boelaert,Pierre Lefèvre,Pascal Lutumba
PLOS Neglected Tropical Diseases , 2012, DOI: 10.1371/journal.pntd.0001467
Abstract: Background Control of human African trypanosomiasis (sleeping sickness) in the Democratic Republic of Congo is based on mass population active screening by mobile teams. Although generally considered a successful strategy, the community participation rates in these screening activities and ensuing treatment remain low in the Kasai-Oriental province. A better understanding of the reasons behind this observation is necessary to improve regional control activities. Methods Thirteen focus group discussions were held in five health zones of the Kasai-Oriental province to gain insights in the regional perceptions regarding sleeping sickness and the national control programme's activities. Principal Findings Sleeping sickness is well known among the population and is considered a serious and life-threatening disease. The disease is acknowledged to have severe implications for the individual (e.g., persistence of manic periods and trembling hands, even after treatment), at the family level (e.g., income loss, conflicts, separations) and for communities (e.g., disruption of community life and activities). Several important barriers to screening and treatment were identified. Fear of drug toxicity, lack of confidentiality during screening procedures, financial barriers and a lack of communication between the mobile teams and local communities were described. Additionally, a number of regionally accepted prohibitions related to sleeping sickness treatment were described that were found to be a strong impediment to disease screening and treatment. These prohibitions, which do not seem to have a rational basis, have far-reaching socio-economic repercussions and severely restrict the participation in day-to-day life. Conclusions/Significance A mobile screening calendar more adapted to the local conditions with more respect for privacy, the use of less toxic drugs, and a better understanding of the origin as well as better communication about the prohibitions related to treatment would facilitate higher participation rates among the Kasai-Oriental population in sleeping sickness screening and treatment activities organized by the national HAT control programme.
Cardiac Alterations in Human African Trypanosomiasis (T.b. gambiense) with Respect to the Disease Stage and Antiparasitic Treatment
Johannes A. Blum ,Caecilia Schmid,Christian Burri,Christoph Hatz,Carol Olson,Blaise Fungula,Leon Kazumba,Patrick Mangoni,Florent Mbo,Kambau Deo,Alain Mpanya,Amadeo Dala,Jose R. Franco,Gabriele Pohlig,Michael J. Zellweger
PLOS Neglected Tropical Diseases , 2009, DOI: 10.1371/journal.pntd.0000383
Abstract: Background In Human African Trypanosomiasis, neurological symptoms dominate and cardiac involvement has been suggested. Because of increasing resistance to the available drugs for HAT, new compounds are desperately needed. Evaluation of cardiotoxicity is one parameter of drug safety, but without knowledge of the baseline heart involvement in HAT, cardiologic findings and drug-induced alterations will be difficult to interpret. The aims of the study were to assess the frequency and characteristics of electrocardiographic findings in the first stage of HAT, to compare these findings to those of second stage patients and healthy controls and to assess any potential effects of different therapeutic antiparasitic compounds with respect to ECG changes after treatment. Methods Four hundred and six patients with first stage HAT were recruited in the Democratic Republic of Congo, Angola and Sudan between 2002 and 2007 in a series of clinical trials comparing the efficacy and safety of the experimental treatment DB289 to the standard first stage treatment, pentamidine. These ECGs were compared to the ECGs of healthy volunteers (n = 61) and to those of second stage HAT patients (n = 56). Results In first and second stage HAT, a prolonged QTc interval, repolarization changes and low voltage were significantly more frequent than in healthy controls. Treatment in first stage was associated with repolarization changes in both the DB289 and the pentamidine group to a similar extent. The QTc interval did not change during treatment. Conclusions Cardiac involvement in HAT, as demonstrated by ECG alterations, appears early in the evolution of the disease. The prolongation of the QTC interval comprises a risk of fatal arrhythmias if new drugs with an additional potential of QTC prolongation will be used. During treatment ECG abnormalities such as repolarization changes consistent with peri-myocarditis occur frequently and appear to be associated with the disease stage, but not with a specific drug.
Innovative digital technologies for quality assurance of diagnosis of human African trypanosomiasis
Alain Mpanya,Dieudonné Mumba Ngoyi,Epco Hasker,Erick Mwamba Miaka,Jacquies Makabuza,Jean Kwete,Jérémie Ilunga,Marleen Boelaert,Nicolas Bebronne,Philippe Büscher,Raquel Inocencio da Luz,Veerle Lejon,Yves Claeys
- , 2018, DOI: 10.1371/journal.pntd.0006664
Abstract:
Getting to FP2020: Harnessing the private sector to increase modern contraceptive access and choice in Ethiopia, Nigeria, and DRC
Arsène Binanga,Bryan Shaw,Christina Riley,Danielle Garfinkel,Endale Workalemahu,Godéfroid Mpanya,Jane Bertrand,Jen Pope,Jennifer Anyanti,Katherine Thanel,Keith Esch,Kim Longfield,on behalf of the FPwatch Group
- , 2018, DOI: 10.1371/journal.pone.0192522
Abstract:
Innovative digital technologies for quality assurance of diagnosis of human African trypanosomiasis
Alain Mpanya,Dieudonné Mumba Ngoyi,Epco Hasker,Erick Mwamba Miaka,Jacquies Makabuza,Jean Kwete,Jérémie Ilunga,Marleen Boelaert,Nicolas Bebronne,Philippe Büscher,Raquel Inocencio da Luz,Veerle Lejon,Yves Claeys
- , 2018, DOI: 10.1371/journal.pntd.0006664
Abstract:
Established Corruption in the Demand for Public Services by Congolese: Associated Factors  [PDF]
Mantempa Nzinunu Jocelyn, Nsita Zaya Nsita Bienvenu, Kamanga Ngolusungu Jean Pierre, Lothape Mandimbo Nelson, Mavula Banda Nicaise, Bambula Mudiasa Jean Pierre, Nkangi Mbadika Olivier, Oyaya Mundala Joseph, Bokana Mpanya Richard
Open Journal of Social Sciences (JSS) , 2022, DOI: 10.4236/jss.2022.1011014
Abstract: The established corruption in this research concerns the person who offered the bribe or who gave it after requesting it in order to obtain a public service. The present study, which analyzed data from the 2016 Unified Core Welfare Indicator Questionnaire national survey, made it possible to determine the socio-demographic and economic profile of corruptible Congolese as well as the factors associated with corruption in the demand for a public service in the DRC. Using descriptive and explanatory analyses, a close link was established between corruption and certain socio-demographic and socio-economic characteristics. Indeed, corruption is more prevalent among males who live in urban areas and provincial capitals and who are between 25 and 34 years of age. This predominance of corruption is also established for people with secondary and university education and for the most part owners of their own businesses.
Reliability of the MPPT Control on the Energy Parameters of a Photovoltaic Generator  [PDF]
Batassou Guilzia Jeannot, Mandeng Jean Jacques, Mane Mane Jeannot
World Journal of Engineering and Technology (WJET) , 2020, DOI: 10.4236/wjet.2020.83038
Abstract: This article describes a technique that allows a photovoltaic (PV) production unit to obtain the maximum power at all times. Here, we use the MPPT control via fuzzy logic on a DC/DC boost-type converter. In order to achieve our goals, we first proceeded to model a PV panel. The resulting model offers the possibility to better account for the influence of different physical quantities such as temperature, irradiation, series resistance, shunt resistance and diode saturation current. Thus, the maximum power to be provided by the PV system is acquired by fuzzification and defuzzification of the input and output variables of the converter. Subsequently, a virtual model of an 800 Watt PV prototype is implemented in the Matlab environment. The simulation results obtained and presented, show the feasibility and efficiency of the proposed technology. Indeed, for a disturbance caused by a variation in brightness, our system guarantees the maximum stable power after 1.4s. While for a load variation, the maximum power is continuous.
De las fallas del mercado a las fallas de las organizaciones
Fernando Jeannot
Análisis Económico , 2000,
Abstract:
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