127 research outputs found

    Etude de la cinĂ©tique de l’hĂ©molyse dans les poches de concentrĂ©s Ă©rythrocytaires des donneurs de sanghĂ©tĂ©rozygotes AS et son implication transfusionnelle

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    Introduction: Le don de sang par le sujet drĂ©panocytaire hĂ©tĂ©rozygote AS constitue un champ d’investigation peu explorĂ©.Objectif: Contribuer Ă  la dĂ©finition des conditions du don de sang par les sujets AS.Methodologie: Il s’agissait d’une Ă©tude prospective horizontale qui s’est dĂ©roulĂ©e au Centre National de Transfusion Sanguine (CNTS) Ă  Abidjan-Treichville sur une durĂ©e de 02 mois d’octobre 2010 Ă  novembre 2010. Nous avons sĂ©lectionnĂ© 11 donneurs AS dans une population de donneurs de sang rĂ©guliers et 11 donneurs tĂ©moins AA. Tous rĂ©pondaient aux critĂšres d’ap tude au don. Une NumĂ©ration Formule Sanguine (NFS) et un dosage de la kaliĂ©mie ont Ă©tĂ© rĂ©alisĂ©s Ă  Jour 0 Jour 10 Jour 20 et Jour 30. Les dosages ont Ă©tĂ© faits de façon comparative.Resultats: Le taux d’hĂ©moglobine moyen de nos donneurs avant le don Ă©tait supĂ©rieur ou Ă©gal Ă  12g/dl. On observait une diminution du taux d’hĂ©moglobine dans le temps Ă  par r de Jour 10 chez les AS. Chez les AA, aprĂšs une diminution brĂšve Ă  Jour 10, le taux restait stable dans le temps. Le poids moyen en hĂ©moglobine des poches issues de donneurs AS Ă©tait proche des normes de production des ConcentrĂ©s de Globules Rouges Ă  Jour 0 et Jour 10 mais le poids baissait Ă  partir de Jour 20. Le poids en hĂ©moglobine des poches AS Ă©tait infĂ©rieur Ă  celui des poches AA. La kaliĂ©mie augmentait dans le temps, ceci traduisait indirectement l’hĂ©molyse. Cette augmentation de la kaliĂ©mie Ă©tait paradoxalement plus importante chez les AA que les AS.Conclusion: Cette Ă©tude montre une cinĂ©tique de l’hĂ©molyse plus importante dans les poches AS Ă  partir de Jour 10.Mots ClĂ©s: CinĂ©tique, HĂ©molyse, Trait drĂ©panocytaireEnglish AbstractEnglish Title: Study of the kinetics of hemolysis in red cell concentrated blood units from heterogenous AS sickle cell blood donors and its transfusion implication.Introduction: Blood donation from heterogeneous AS sickle cell donors represents a little explored field of research.Objective: To contribute to define of blood donation conditions by AS subjects.Methodology: This was a prospective and cross-sectional study held at the National Blood Transfusion Center (CNTS) Abidjan-Treichville over a period of 02 months from October 2010 to November 2010. We selected 11 AS donors in a population of repeat blood donors and 11 AA donors who served as controls. All met the suitability criteria for donation. A full blood count (FBC) and a monitoring of serum potassium were done at Day 0, Day 10 Day 20 and Day 30. The results of assays were done compared.Results: The mean hemoglobin levels of our donors before donation was greater than or equal to 12g / dl. We observed a decrease in hemoglobin levels over the me from Day 10 in AS. In AA, after a brief decline at Day 10, the rate remained stable over the time. The average weight of hemoglobin AS donors in blood bags was close to those of standards of Red Cell Concentrates on Day 0 and Day 10 but the weight felt from Day 20. Weights of hemoglobin AS blood bags were lower than those of AA. Serum potassium levels increased over the time, it indirectly reflected hemolysis. The increase in serum potassium was paradoxically higher in the AA than in AS blood units.Conclusion: This study shows that hemolysis kinetic is more important in AS blood units from Day 10

    Entomological Surveillance of Behavioural Resilience and Resistance in Residual Malaria Vector Populations.

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    The most potent malaria vectors rely heavily upon human blood so they are vulnerable to attack with insecticide-treated nets (ITNs) and indoor residual spraying (IRS) within houses. Mosquito taxa that can avoid feeding or resting indoors, or by obtaining blood from animals, mediate a growing proportion of the dwindling transmission that persists as ITNs and IRS are scaled up. Increasing frequency of behavioural evasion traits within persisting residual vector systems usually reflect the successful suppression of the most potent and vulnerable vector taxa by IRS or ITNs, rather than their failure. Many of the commonly observed changes in mosquito behavioural patterns following intervention scale-up may well be explained by modified taxonomic composition and expression of phenotypically plastic behavioural preferences, rather than altered innate preferences of individuals or populations. Detailed review of the contemporary evidence base does not yet provide any clear-cut example of true behavioural resistance and is, therefore, consistent with the hypothesis presented. Caution should be exercised before over-interpreting most existing reports of increased frequency of behavioural traits which enable mosquitoes to evade fatal contact with insecticides: this may simply be the result of suppressing the most behaviourally vulnerable of the vector taxa that constituted the original transmission system. Mosquito taxa which have always exhibited such evasive traits may be more accurately described as behaviourally resilient, rather than resistant. Ongoing national or regional entomological monitoring surveys of physiological susceptibility to insecticides should be supplemented with biologically and epidemiologically meaningfully estimates of malaria vector population dynamics and the behavioural phenotypes that determine intervention impact, in order to design, select, evaluate and optimize the implementation of vector control measures

    Pharyngeal Carriage of Beta-Haemolytic Streptococcus Species and Seroprevalence of Anti-Streptococcal Antibodies in Children in BouakĂ©, CĂŽte d’Ivoire

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    The pharynx of the child may serve as a reservoir of pathogenic bacteria, including beta-haemolytic group A streptococci (GAS), which can give rise to upper airway infections and post-streptococcal diseases. The objective of this study was to determine the prevalence of beta-haemolytic Streptococcus spp. in pharyngeal samples stemming from children aged 3–14 years in BouakĂ©, central CĂŽte d’Ivoire. Oropharyngeal throat swabs for microbiological culture and venous blood samples to determine the seroprevalence of antistreptolysin O antibodies (ASO) were obtained from 400 children in March 2017. Identification was carried out using conventional bacteriological methods. Serogrouping was performed with a latex agglutination test, while an immunological agglutination assay was employed for ASO titres. The mean age of participating children was 9 years (standard deviation 2.5 years). In total, we detected 190 bacteria in culture, with 109 beta-haemolytic Streptococcus isolates, resulting in an oropharyngeal carriage rate of 27.2%. Group C streptococci accounted for 82.6% of all isolates, whereas GAS were rarely found (4.6%). The ASO seroprevalence was 17.3%. There was no correlation between serology and prevalence of streptococci (p = 0.722). In conclusion, there is a high pharyngeal carriage rate of non-GAS strains in children from BouakĂ©, warranting further investigation

    Global malaria predictors at a localized scale

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    Malaria is a life-threatening disease caused by Plasmodium parasites transmitted by Anopheles mosquitoes. In 2022, more than 249 million cases of malaria were reported worldwide, with an estimated 608,000 deaths. While malaria incidence has decreased globally in recent decades, some public health gains have plateaued, and many endemic hotspots still face high transmission rates. Understanding local drivers of malaria transmission is crucial but challenging due to the complex interactions between climate, entomological and human variables, and land use. This study focuses on highly climatically suitable and endemic areas in Cîte d’Ivoire to assess the explanatory power of coarse climatic predictors of malaria transmission at a fine scale. Using data from 40 villages participating in a randomized controlled trial of a household malaria intervention, the study examines the effects of climate variation over time on malaria transmission. Through panel regressions and statistical modeling, the study investigates which variable (temperature, precipitation, or entomological inoculation rate) and its form (linear or unimodal) best explains seasonal malaria transmission and the factors predicting spatial variation in transmission. The results highlight the importance of temperature and rainfall, with quadratic temperature and all precipitation models performing well, but the causal influence of each driver remains unclear due to their strong correlation. Further, an independent, mechanistic temperature-dependent R0 model based on laboratory data, which predicts that malaria transmission peaks at 25°C and declines at lower and higher temperatures, aligns well with observed malaria incidence rates, emphasizing the significance and predictability of temperature suitability across scales. By contrast, entomological variables, such as entomological inoculation rate, were not strong predictors of human incidence in this context. Finally, the study explores the predictors of spatial variation in malaria, considering land use, intervention, and entomological variables. The findings contribute to a better understanding of malaria transmission dynamics at local scales, aiding in the development of effective control strategies in endemic regions

    Semi-field studies to better understand the impact of eave tubes on mosquito mortality and behaviour

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    Background: Eave tubes are a type of housing modification that provide a novel way of delivering insecticides to mosquitoes as they attempt to enter the house. The current study reports on a series of semi-field studies aimed at improving the understanding of how eave tubes might impact mosquito mortality and behaviour. Methods: Experiments were conducted using West African style experimental huts at a field site in M'be, CĂŽte d'Ivoire. Huts were modified in various ways to determine: (i) whether mosquitoes in this field setting naturally recruit to eave tubes; (ii) whether eave tubes can reduce house entry even in the absence of screening; (iii) whether mosquitoes suffer mortality if they attempt to exit a house via treated eave tubes; and, (iv) whether screening and eave tubes might deflect mosquitoes into neighbouring houses without the intervention. Results: Ninety percent more mosquitoes (Anopheles gambiae sensu lato, and other species) entered huts through open eaves tubes compared to window slits. The addition of insecticide-treated eave tubes reduced mosquito entry by 60%, even when windows remained open. Those mosquitoes that managed to enter the huts exhibited a 64% reduction in blood feeding and a tendency for increased mortality, suggesting contact with insecticide-treated inserts prior to hut entry. When An. gambiae mosquitoes were deliberately introduced into huts with treated eave tubes, there was evidence of six times increase in overnight mortality, suggesting mosquitoes can contact treated eave tube inserts when trying to exit the hut. There was no evidence for deflection of mosquitoes from huts with screening, or screening plus eave tubes, to adjacent unmodified huts. Conclusions: Eave tubes are a potentially effective way to target Anopheles mosquitoes with insecticides. That treated eave tubes can reduce mosquito entry even when windows are open is a potentially important result as it suggests that eave tubes might not need to be combined with household screening to have an impact on malaria transmission. The absence of deflection is also a potentially important result as coverage of eave tubes and/or screening is unlikely to be 100% and it is important that households that do not have the technology are not disadvantaged by those that do

    An overview of anti-diabetic plants used in Gabon: Pharmacology and Toxicology

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    © 2017 Elsevier B.V. All rights reserved.Ethnopharmacological relevance: The management of diabetes mellitus management in African communities, especially in Gabon, is not well established as more than 60% of population rely on traditional treatments as primary healthcare. The aim of this review was to collect and present the scientific evidence for the use of medicinal plants that are in currect by Gabonese traditional healers to manage diabetes or hyperglycaemia based here on the pharmacological and toxicological profiles of plants with anti-diabetic activity. There are presented in order to promote their therapeutic value, ensure a safer use by population and provide some bases for further study on high potential plants reviewed. Materials and methods: Ethnobotanical studies were sourced using databases such as Online Wiley library, Pubmed, Google Scholar, PROTA, books and unpublished data including Ph.D. and Master thesis, African and Asian journals. Keywords including ‘Diabetes’ ‘Gabon’ ‘Toxicity’ ‘Constituents’ ‘hyperglycaemia’ were used. Results: A total of 69 plants currently used in Gabon with potential anti-diabetic activity have been identified in the literature, all of which have been used in in vivo or in vitro studies. Most of the plants have been studied in human or animal models for their ability to reduce blood glucose, stimulate insulin secretion or inhibit carbohydrates enzymes. Active substances have been identified in 12 out of 69 plants outlined in this review, these include Allium cepa and Tabernanthe iboga. Only eight plants have their active substances tested for anti-diabetic activity and are suitables for further investigation. Toxicological data is scarce and is dose-related to the functional parameters of major organs such as kidney and liver. Conclusion: An in-depth understanding on the pharmacology and toxicology of Gabonese anti-diabetic plants is lacking yet there is a great scope for new treatments. With further research, the use of Gabonese anti-diabetic plants is important to ensure the safety of the diabetic patients in Gabon.Peer reviewedFinal Accepted Versio

    Dental calculus evidence of TaĂŻ Forest Chimpanzee plant consumption and life history transitions

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    Dental calculus (calcified dental plaque) is a source of multiple types of data on life history. Recent research has targeted the plant microremains preserved in this mineralised deposit as a source of dietary and health information for recent and past populations. However, it is unclear to what extent we can interpret behaviour from microremains. Few studies to date have directly compared the microremain record from dental calculus to dietary records, and none with long-term observation dietary records, thus limiting how we can interpret diet, food acquisition and behaviour. Here we present a high-resolution analysis of calculus microremains from wild chimpanzees (Pan troglodytes verus) of TaĂŻ National Park, CĂŽte d"Ivoire. We test microremain assemblages against more tan two decades of field behavioural observations to establish the ability of calculus to capture the composition of diet. Our results show that some microremain classes accumulate as long-lived dietary markers. Phytolith abundance in calculus can reflect the proportions of plants in the diet, yet this pattern is not true for starches. We also report microremains can record information about other dietary behaviours, such as the age of weaning and learned food processing techniques like nutcracking
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