Santé (Montrouge, France)
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Santé (Montrouge, France) · Apr 2006
["Street" medication in Burkina Faso: local names, social relationships, and alleged therapeutic effects].
This qualitative assessment, based on discussions and discourse collected in interviews with members of the general population, addresses the popular view of pharmaceutical drugs in Burkina Faso. The main results demonstrate a strong preference for drugs sold in the street and their largely "off-label" uses. ⋯ Furthermore, the links between the legal and illegal street markets, related in part to the legal status of different drugs, also leads to questions about good and bad, true and false. These distinctions, considered as labels, influence the population's behavior and attitude concerning street medication.
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Santé (Montrouge, France) · Apr 2006
[Topography of ischemic strokes in Abidjan (Côte d'Ivoire): a computed tomographic approach].
The authors used computed tomography (CT) to assess and categorize the topography of ischemic strokes (IS) among blacks living in Abidjan, the commercial and administrative center of Côte d'Ivoire, in West Africa. ⋯ Our study included IS of all types and typography. Stroke registries in Africa would provide useful data for better assessment of prevalence for specific topographic and etiologic types of stroke.
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Santé (Montrouge, France) · Oct 2005
[Child malnutrition and maternal overweight in same households in poor urban areas of Benin].
The coexistence of child malnutrition and maternal overweight in the same households typifies rapid nutrition transition in developing countries (DCs). It is reportedly less common in Africa than in Latin America or Asia, but the phenomenon is still little documented. The purpose of our study in poor urban neighbourhoods of the capital city of Benin (West Africa) was to assess the magnitude of the overlap of child protein-energy malnutrition (PEM) and maternal overweight within households, and to compare these households with other nutritional phenotypes in terms of socio-economic circumstances and diet quality. ⋯ Food diversity appeared significantly associated with a lower likelihood of dual burden in all types of households. The study highlights the importance of addressing the double burden of malnutrition and overweight even in poor areas of low income countries of West Africa. It suggests that prevention efforts should be aimed at improving diet quality and sanitation in poor urban households.
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Santé (Montrouge, France) · Jul 2005
[Study of access to health care and drugs in Cameroon: 1. Methods and validation].
During the 1980s, an economic depression and the concomitant decrease in the national health budget modified the population's health behavior. Improvement of the economy since the late 1990s makes it possible to renew the national health policy. To prepare the highly indebted and poor countries' program (HIPC), the Minister of Health and its partners commissioned a survey to measure the population's real access to health care and the factors that determine this accessibility and to propose concrete corrective actions. ⋯ However, the retrospective demographic and statistic evaluation shows that the samples are representative of their population and that the data quality can be considered good. This article describes the background of this study and justifies its methodological choices. Future publications will analyze the data collected.
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Santé (Montrouge, France) · Apr 2005
Case Reports[Treating pain related to inoperable pancreatic cancer in tropical areas: the advantage of CT-guided celiac plexus block and splanchnic nerves neurolysis].
Many sub-Saharan African countries have recently acquired computed tomography scanners that make interventional radiology possible, especially for the treatment of cancer pain. We report the case of a patient with severe abdominal pain related to advanced pancreas cancer. After unsuccessful morphine treatment, he underwent CT-guided alcohol injection for neurolysis of the celiac plexus and splanchnic nerves. This report describes the technique and discusses its potential applications in tropical countries.