Sacred forests play a valuable role in the conservation of local biodiversity and provide numerous ecosystem services in Cameroon. The aim of this study was to estimate floristic diversity, stand structures and carbon...Sacred forests play a valuable role in the conservation of local biodiversity and provide numerous ecosystem services in Cameroon. The aim of this study was to estimate floristic diversity, stand structures and carbon stocks in the sacred forests of Bandrefam and Batoufam (western Cameroon). The floristic inventory and the stand structures were carried out in 25 m × 25 m plots for individuals with diameters greater than 10 cm;5 m × 5 m for individuals with diameters less than 10 cm. Carbon stocks were estimated using the non-destructive method and allometric equations. The floristic inventory identified 65 species divided into 57 genera and 30 families in the Bandrefam sacred forest and 45 species divided into 42 genera and 27 families in the Batoufam sacred forest. In the Bandrefam, the most important families are Phyllanthaceae (53.98%), Moraceae (21.69%), Lamiaceae (20.15%). At Batoufam, the most important families are Phyllanthaceae (39.73%), Fabaceae (28.47%), Araliaceae (23.77%). Malacantha alnifolia (55.14%), Vitex grandifolia (18.43%), Bosqueia angolensis (15.06%) were the most important species in Bandrefam. Otherwise, Malacantha alnifolia (28%), Polyscias fulva (22.73%), Psychotria sp. (21.28%) were the most important in Batoufam. The Bandrefam sacred forest has the highest tree density (2669 stems/ha). Total carbon stock is 484.88 ± 2.28 tC/ha at Batoufam and 313.95 ± 0.93 tC/ha at Bandrefam. The economic value varies between 5858.04 ± 27.62 USD/ha in Batoufam sacred forest and 3788.51 ± 11.26 USD/ha in Bandrefam sacred forest. The number of individuals and small-diameter trees has little influence on the carbon stocks in the trees. Medium-diameter trees store the most carbon, and very large-diameter trees, which are very poorly represented, store less carbon. In another way, wood density and the basal areas influence the carbon storage of the trees.展开更多
Pheochromocytoma (PHEO) is a rare endocrine tumor from the chromaffin cells in the adrenomedullary gland and sympathetic/parasympathetic ganglia, secreting one or more catecholamines. It is frequently associated with ...Pheochromocytoma (PHEO) is a rare endocrine tumor from the chromaffin cells in the adrenomedullary gland and sympathetic/parasympathetic ganglia, secreting one or more catecholamines. It is frequently associated with hypertension and described in the literature as a cause of secondary diabetes mellitus. In patients with known persistent uncontrolled diabetes, PHEO is rarely mentioned as the cause of uncontrolled diabetes. The authors report a rare case of PHEO diagnosed in a 64-year-old female patient treated for 10 years with type 2 diabetes mellitus and hypertension. She was treated using a combination of insulin (2 injections) and Metformin 1000 mg twice a day. The glycemic control was poor (HbA1c-11%), and persistent High Blood Pressure (HBP). She presented with unexplained weight loss associated with permanent hyperhidrosis (sweating), affecting her quality of life and diffuse abdominal pain. The investigations confirmed the diagnosis of PHEO, which resection led to improvement of glycemic control and hypertension.展开更多
In order to contribute to a better understanding of the biodiversity of local chicken populations, this study focused on the description of the essential qualitative parameters in the phenotypic characterization of lo...In order to contribute to a better understanding of the biodiversity of local chicken populations, this study focused on the description of the essential qualitative parameters in the phenotypic characterization of local species. Conducted in 6 localities in the Far North Region of Cameroon (Doukoula, Yagoua, Guidiguis, Dziguilao, Maroua 3rd and Méri), a population of 240 local chickens, including 172 hens and 68 cocks were characterized in family farms. The choice of localities was made on the basis of their strong potential local chicken flocks in the region. To this end, each animal was the subject of a qualitative description based on the identification of the sex of the animal, the description of the colorations of the plumage and extremities, and the description of the types of format, plumage and crests. All observations were made with the naked eye and in daylight and then photographed. The main results show that the plumage colors are multiple and dominated by the White-Pied-Black (21.7%) and the Mille-fleur (20.8%);the wattles are dominated by the red (60%) and the pink (35.4%);the tarsi are dominated by the white (43.8%) and the black (32.08%);the white skin (92.5%) dominates over the pink skin (7.5%);the “Smooth-uniform” feather is dominant (97.08%), followed by the smooth-crested type (2.08%) and the fries type (0.82%);the medium size of the chickens is dominant (86.66%), followed by the dwarf size (9.58%) and the large size (3.75%). The results of this study demonstrate that there is a strong phenotypic diversity within the local chicken population. This diversity can serve as a basis for the development of selection, conservation and genetic potential improvement programs based on rational exploitation of the local chicken.展开更多
Background:Cardiovascular rehabilitation(CR)enhances the functional capacity of patients with heart failure(HF),but its effectiveness remains understudied in low-resource settings such as Cameroon.This study aimed to ...Background:Cardiovascular rehabilitation(CR)enhances the functional capacity of patients with heart failure(HF),but its effectiveness remains understudied in low-resource settings such as Cameroon.This study aimed to evaluate the impact of CR on the functional capacity of HF patients at YaoundéGeneral Hospital(YGH).Methods:A mixed retrospective and prospective cohort study was conducted at the Cardiovascular and Metabolic Rehabilitation Unit(CMRU)of YGH from February 2024 to May 2025.It included adults(≥21 years)diagnosed with HF according to the 2021 ESC criteria,who completed at least 10 CR sessions.The primary outcome was 6-minute walk test(6 MWT)distance.Secondary outcomes included VO_(2)max estimated from 6 MWT(VO_(2)max_6 MWT=distance×0.1+3.5;the most objective VO_(2)max estimate),VO_(2)max estimated from the Duke Activity Status Index(DASI)questionnaire(VO_(2)max_DASI=0.43×DASI+9.6),Metabolic Equivalents(METs),and DASI score.These functional parameters were assessed before and after CR,and factors associated with changes(delta)in outcomes post CR were identified via linear regression.Results:Thirty-three patients(mean age 59±12 years;60.6%male)were included.CR significantly improved 6 MWT distance(456 to 571 m),VO_(2)max_6 MWT(11.02 to 13.02 mL/kg/min),VO_(2)max_DASI(15.7 to 22.3 mL/kg/min),METs(5.08 to 8.6),and DASI score(13.3 to 29.5)(all p<0.001).Reductions in resting heart rate and systolic blood pressure,as well as improvements in dyspnoea(100%NYHA stage I post-CR),were also observed.Older age was associated with less improvement in VO_(2)max_DASI,while higher baseline heart rate and a greater number of sessions were linked to better 6 MWT performance.Conclusion:CR significantly improves functional capacity and haemodynamic parameters in HF patients in a low-resource setting.Integrating CR into universal health coverage and tailoring programmes for older patients could optimise outcomes.展开更多
Existing knowledge on degraded mountain landscapes does not shed sufficient light on the socio-economic and ecological opportunities essential for successful restoration initiatives.To address this knowledge lacuna,a ...Existing knowledge on degraded mountain landscapes does not shed sufficient light on the socio-economic and ecological opportunities essential for successful restoration initiatives.To address this knowledge lacuna,a study was conducted on the Bamboutos Mountains landscape in Cameroon with the main objective being to analyse the opportunities for restoring this landscape in line with local,national and international development goals and to minimise the negative effects of land-use decisions.Following the Restoration Opportunity Assessment Methodology(ROAM)approach,five participatory reflection workshops were organized in the five target clusters of the landscape for data collection.The results of the study led to the development of a restoration map that presents five interventions:grassland management on an area of 4,720 ha currently occupied by shrub savannah;the practice of fruit-based agroforestry on 3,221 ha of agricultural fields;the planting of riparian forests on 451 ha of degraded watercourses;the revegetation and conservation of the Bamboutos Mountains forest reserve,sacred forests and relics of degraded forests on 435 ha of area;and the revegetation of 6 ha of degraded water sources.The carbon stocks vary from 2.66 to 345.15 tC/ha depending on the type of restoration intervention with a total carbon stock of 247,367.45 tC/ha on the 8,834 ha of area to be restored.This presents a very satisfactory economic cost-benefit,because for an investment of USD 5,991,269.84,a gain of USD 100,439,519.13 could be achieved after 20 years,i.e.,an estimated profit of USD 94,448,249.29.These results provide an understanding of the types of restoration interventions possible in this landscape,a solid basis for planning a restoration initiative.The results equally provide guidance on priority areas from a social,economic,and ecological perspective.展开更多
Acute rheumatic fever(ARF)and its sequela,rheumatic heart disease(RHD),remain major causes of morbidity and mortality in low-and middle-income countries,particularly in sub-Saharan Africa.In Cameroon,RHD accounts for ...Acute rheumatic fever(ARF)and its sequela,rheumatic heart disease(RHD),remain major causes of morbidity and mortality in low-and middle-income countries,particularly in sub-Saharan Africa.In Cameroon,RHD accounts for a considerable share of pediatric and adolescent heart disease.Severe valvular involvement often requires surgical intervention,but access to cardiac surgery is critically constrained.Since the 1980s,cardiac surgery in Cameroon has evolved from sporadic humanitarian missions to structured initiatives at the Douala and YaoundéGeneral Hospital and also the Shisong Cardiac Center.This article sheds light on the historical development and current state of cardiac surgery in Cameroon,emphasizing RHD as the leading surgical indication.It highlights both achievements and persistent gaps,and outlines perspectives for sustainability,including national training pathways,diaspora engagement,research and innovation,public-private partnerships,and South-South collaboration.Strengthening local capacity,securing sustainable financing mechanisms such as universal health coverage,and fostering regional cooperation are essential to build autonomous,resilient cardiac surgery programs in Cameroon.Addressing these priorities will be critical to improving access to timely surgical care and reducing preventable mortality from rheumatic heart disease.展开更多
Background: Chronic low back pain is a leading cause of morbidity and disability globally. Low and Middle-Income Countries (LMICs) tend to be more affected, with chronic low back pain (CLBP) being among the leading pr...Background: Chronic low back pain is a leading cause of morbidity and disability globally. Low and Middle-Income Countries (LMICs) tend to be more affected, with chronic low back pain (CLBP) being among the leading presenting complaints at specialist consultation. The exact burden of this disease is sparingly known in our setting. Objective: To evaluate the burden of chronic low back pain at the Yaounde Central Hospital. Methods: This was a descriptive cross-sectional study for a period of 3 months, from March 2022 to May 2022. After obtaining ethical clearance and research authorisations, data was collected using structured questionnaires from patients with chronic low back pain presenting at the Yaounde Central Hospital during the aforementioned time frame. This data was then tabulated with the Statistical Package for Social Sciences (SPSS 23.0), and disability was assessed using the modified Roland Morris Disability Questionnaire and the Oswestry Disability Index. Data analysis was done using the International Business Machines Statistical Package for Social Sciences (IBM-SPSS) VERSION 23.0. Results: 115 cases of CLBP were included. The mean age was 52.62 years, and the sex ratio was 0.3. The average monthly income was less than 50,000 frs CFA, in 37.4% of cases. In 57.9%, patients had a job that involved physical labour. The patients had a secondary level of education in 40.9%, and alcohol consumption was observed in 36%. The average number of days of a work stoppage due to LBP was 12.75 days (±12SD), and the median duration of CLBP was 7.15 (7.5SD) years. The median pain intensity was 7 (±2SD), with leg pain and sensory neuropathy observed in 67.8% and 63.5% respectively. Lumbar X-ray was done in 45.2% and revealed lumbar osteoarthrosis in 62.4%. Hypertension as a comorbidity was observed in 26.1%. Medical treatment was used at least once in 98.3% of cases. The average cost of management per month was assessed, and the median was 52,000 FCFA (±20,876 SD). Using the Oswestry Disability Questionnaire, 46 patients, that is 40% of the study population, were classified as severely disabled with a median ODI score of 40%. The factors which were independently associated with disability were level of education, alcohol consumption, treatment modality, pain intensity, body mass index (BMI), psychological wellbeing and number of sick leave days. Conclusion: Chronic low back pain is common in our setting. There is a female predominance with the mean age of the study population situated in the 5th decade. Low-income earners and patients with a job involving physical labour were the most affected. Medical treatment was the main therapeutic modality, with the average cost of management per month being above the average monthly income of the greater majority of the patients. Several factors influenced disability, some of which were independently associated with it, such as level of education, alcohol consumption and treatment modality.展开更多
Introduction: The use of radioactive radiations in healthcare facilities must comply with radioprotection safety rules in order to avoid threatening the health of workers and patients. This study aimed to assess the w...Introduction: The use of radioactive radiations in healthcare facilities must comply with radioprotection safety rules in order to avoid threatening the health of workers and patients. This study aimed to assess the working conditions, the protective measures and the medical monitoring of workers directly involved in X-ray work at hospitals in Douala, Cameroon. Materials and Methods: A descriptive cross-sectional study was carried out during the 1st quarter of 2018, across various state and private health facilities of the city of Douala. Sampling was non-random, based on convenience and all the willing participants that fulfilled the inclusion criteria were enrolled. Quantitative analyses were conducted using EPI INFO 7.0 software and the results were presented in both univariate and bivariate forms. Results: The sample consisted of 56 men and 31 women with a mean age of 34.75 ± 8.77 years. X-ray technicians were over-represented (41.38%). Day/night shift work was the main work pattern (68.96%). The distribution of work zones A&B was known by 87.5% of the participants. Hazard warning signs were effective in work zones A and B (75.86%), and the walls of the premises were also reinforced in these work zones (88.51%), but the use of radiation dosimeters was rare (9.20%). Radiation aprons (94.30%) and hand-held dosimeters (63.20%) were the most commonly used personal protective equipment. The majority of the participants did not benefit from medical follow-up by an occupational health specialist (62.1%). Conclusion: The implementation of radiation protection measures remains a significant concern in Douala based health facilities, and requires stricter administrative controls and sanctions to prevent serious health consequences for exposed staff.展开更多
Maize value-added products play a crucial role in reducing post-harvest losses, enhancing food security, and generating income. While extensive research has focused on maize production in Cameroon, the exploration of ...Maize value-added products play a crucial role in reducing post-harvest losses, enhancing food security, and generating income. While extensive research has focused on maize production in Cameroon, the exploration of its value-added products and their profitability in the North-West Region remains underexplored. This study examined the profitability of maize value-added products in Mezam Division, with the objectives to: 1) identify various maize-based products, 2) assess the diversity of these products, 3) conduct a cost-benefit analysis of selected products, 4) examine the relationship between profitability and product diversity, and 5) identify key constraints impacting profitability. To achieve these objectives, structured questionnaires were administered to 500 small-scale maize entrepreneurs randomly selected from five subdivisions. Descriptive statistics were used to analyze objective 1 and 5, while the Shannon Diversity Index was employed to assess product diversity. Additionally, a cost-benefit analysis was conducted on four selected products namely pap, parched corn, peeled parboiled corn, and corn beer, and a correlation analysis was used to examine objective 4. In total, 13 maize value-added products were identified, with a diversity index of 4.4. The total cost of processing the four selected products per entrepreneur using 18 kg of maize per product was FCFA 83631.5 (US $132.75), while the total revenue was FCFA 121864.5 (US $193.43), resulting in an economic profit of FCFA 38,233 (US $60.69). Pap emerged as the most profitable product, with an economic profit of FCFA 27,875 (US $44.24), while corn beer was the least profitable, with an economic profit of FCFA 2133.46 (US $3.39). The correlation analysis revealed a strong negative relationship between product diversity and profitability (r = −0.91), indicating that entrepreneurs can maximize profitability by focusing on a few high-demand products like pap and parched corn. Key constraints to profitability included fluctuating market prices, high production costs, limited access to finance, and inadequate storage facilities. Despite these challenges, our findings indicate that maize value addition is profitable in Mezam Division. Entrepreneurs can leverage this data for informed decision-making and future investments. It is recommended that the government promote maize value addition and provide financial support for modern processing equipment to boost profitability and income generation.展开更多
This study was carried out with the aim of investigating the effect of indigenous microorganism (IMO), effective (EM) and mineral fertilizers (NPK) on the yield and nutritional value of groundnut (Arachis hypogaea) in...This study was carried out with the aim of investigating the effect of indigenous microorganism (IMO), effective (EM) and mineral fertilizers (NPK) on the yield and nutritional value of groundnut (Arachis hypogaea) in Western Cameroon (Baboutcha-Fongam). The study was conducted during two consecutive years, using a completely randomized block design of 8 treatments repeated three times in each subblock. The sub-plots were enriched with 0, 10, 20 and 40 g corresponding to the treatment of EM and IMO respectively and 3.2 g of NPK in 2019. Subsequently, the best dose that resulted in excellent yields was repeated for the rest of the experiment in 2020. The yield parameters and nutritional value of the two varieties of Arachis hypogaea used in the two consecutive years increase with the contribution of the different doses compared to the control. Overall, a significant increase (p A. hypogaea plants fertilized with EM 20 g (2.15 ± 0.24 and 2.01 ± 0.23 t/ha) and plants fertilized with NPK 3.2 g (2.36 ± 0.65 and 2.04 ± 0.17 t/ha) was not significant. On the other hand, there was a significant difference (P ≤ 0.05) between plants fertilized with IMO 10 g (2.65 ± 0.17 and 2.24 ± 0.2 t/ha) and plants fertilized with EM 20 g and plants fertilized with NPK 3.2 g for both varieties during the two years combined. In addition to being local and therefore adapted to environmental conditions, IMOs could be a promising biological means for improving soil fertility in Cameroon.展开更多
Background: Erectile dysfunction (ED) is a common, bothersome and relatively under diagnosed complication of diabetes mellitus. This study was aimed to determine the prevalence of erectile dysfunction and its determin...Background: Erectile dysfunction (ED) is a common, bothersome and relatively under diagnosed complication of diabetes mellitus. This study was aimed to determine the prevalence of erectile dysfunction and its determinants. Methods: A cross-sectional hospital-based study was carried out in the Diabetology Units of the Buea and Limbe Regional Hospitals involving 332 male patients with diabetes and aged over 21 years. Data was analyzed using Stata and R version 3.5.3. Results: The mean age of the participants was 55years. Most participants (64.46%) were married. About half (50.60%) of the participants actively consumed alcohol, 11.45% were smokers and 57.83% were sedentary. 18 participants (5.42%) recorded high risk sexual behaviour. 54.32% of participants had a comorbidity and 43.90% were overweight. The prevalence of diabetic ED was 78.92%. Age, Fasting Blood Sugar and Glycated hemoglobin were found to be positive determinants of diabetic ED (odds ratio (OR) = 0.77, 95% CI −0.1 - 0.07). Conclusion: The prevalence of diabetic ED in this hospital population study is high, and both physician and patient—initiated measures are needed to reduce this prevalence and improve awareness, recognition and care of this condition.展开更多
Irrigated agriculture in Cameroon is practiced on a large scale by large private firms and parastatals, and on a small scale by individual producers in different production areas of the country. Although small-scale i...Irrigated agriculture in Cameroon is practiced on a large scale by large private firms and parastatals, and on a small scale by individual producers in different production areas of the country. Although small-scale irrigation can supply local and sub-regional markets with food in the off-season, it has received little research and its challenges are therefore rarely addressed. In order to contribute to the knowledge of these small-scale irrigation systems, with a view to improving their structure and the management of irrigation water and energy, an assessment of small-scale irrigation in the southern slopes of the Bamboutos Mountains has been done. After direct observations, field measurements, surveys of 100 irrigators with questionnaires and interviews with administrative managers, analyses were carried out using Xlstat software. It was found out that about 226 small-scale irrigation systems designed and managed by producers have been installed on this slope between the end of December 2022 and mid-March 2023. Intended for market garden crops, 84.96% of these irrigation systems use sprinklers and 15.04% surface irrigation (furrow irrigation). Surface or underground water is mobilized using gravity (50%), fossil fuels (34.51%), electricity (14.6%) or solar energy (0.9%). Sprinkler irrigation is mainly carried out using locally manufactured hydraulic turnstiles. There is a lack of formal associations of irrigators in an environment marked by conflicts between water users, when there is not allocation for water withdrawal. Apart from the high cost of pumping energy ($1.32 per liter of fuel), the main constraint identified, which has become more acute over the years, is the lack of irrigation water during the water shortage period (from mid-January to mid-March). These constraints have led to a transition from surface irrigation to sprinkler irrigation, and the adoption of new energy supply and water mobilization technologies. The construction of collective surface and groundwater catchment structures with solar-powered pumping systems, the setting up of formal irrigators’ associations and an irrigation support service, could improve the availability of water throughout the irrigation season, thereby helping to improve the income generated by irrigated market-garden farming on the southern slopes of the Bamboutos Mountains.展开更多
Introduction: Diabetes remains a real public health problem today, due to its associated morbidity and mortality. It induces numerous metabolic, biochemical, hematological, and immunological changes, responsible for m...Introduction: Diabetes remains a real public health problem today, due to its associated morbidity and mortality. It induces numerous metabolic, biochemical, hematological, and immunological changes, responsible for multiple complications. The objective of this study was to characterize clinically and biologically type 2 diabetic patients followed at the National Center for Diabetology and Arterial Hypertension of the Central Hospital of Yaoundé. Method: This prospective, cross-sectional, and analytical study took place from April 5 to July 31, 2023 (4 months) on 100 diabetic patients of both sexes (61 women and 39 men), aged from 31 to 88 years. Body Mass Index, systolic and diastolic blood pressure, and cardiac frequency were measured on each of the patients. Subsequently, blood was collected from the patients for the determination of the complete blood count, HBA1c, lipid profile, serum albumin, TNF-α, and IL-6 levels. The data were analyzed using SPSS 17.0 software. Results: The age average of our population was 56.99 ± 11.51 years, the population was primarily female (61%) and primarily between the ages of 55 and 88. 67% of respondents were married. 59% went to secondary school. 73% of them lived in urban areas. 30% were obese and 40% were overweight, with an average BMI of 28.75 kg/m2. 76% of patients took oral antidiabetic medications. HbA1c level average was 8.65%, with 60% having readings above 6.5%. Low hemoglobin and hypochromia were among the abnormalities of red blood cells observed. Lipid profiles revealed low HDL-cholesterol and high triglycerides and cholesterol. Elevated levels of TNF-α and IL-6 indicated inflammation and cardiovascular risk. Conclusion: These results indicate the necessity of focused diabetic care and management on diabetic patients attending the central hospital of Yaoundé, Cameroon.展开更多
Introduction: Multiple endocrine and metabolic abnormalities, particularly overweight and obesity, have emerged as significant global public health concerns. This paper examines the impact of these conditions on healt...Introduction: Multiple endocrine and metabolic abnormalities, particularly overweight and obesity, have emerged as significant global public health concerns. This paper examines the impact of these conditions on health outcomes and underscores the necessity for comprehensive strategies to address them. Background: Overweight and obesity have been observed in patients with human immunodeficiency virus (HIV) both before and after the initiation of antiretroviral therapy. This study investigates the risk factors associated with overweight and obesity in HIV-infected patients. Methods: A total of 492 HIV-infected patients, both treatment-naïve and those undergoing treatment, were recruited from Yaoundé Central Hospital in Cameroon. Demographic, anthropometric, and biochemical data were collected from each patient. Blood pressure and abdominal fat measurements were also taken. Metabolic syndrome was defined according to IDF criteria. Patients were categorized into two weight status groups: underweight/normal weight and overweight/obese. Results: The prevalence of overweight and obesity was found to be 27.5% and 8.5%, respectively, with only 6.1% of patients being underweight. Abdominal obesity, systolic/diastolic blood pressure, metabolic syndrome, and CD4 cell counts were associated with risk factors in overweight and obese patients. These parameters should be considered when investigating metabolic disorders in HIV-infected patients, as in the general population. Conclusion: Our study indicates a high risk of developing metabolic syndrome among overweight/obese individuals, who were 5.7 times more likely to have metabolic syndrome compared to those of normal weight/underweight. These findings support the hypothesis that overweight and obesity are also prevalent in HIV-infected patients and they are risk factors that have to be taken into consideration to better manage this issue. These results may provide essential information on the fact that being underweight is not the only issue to take into consideration in these patients but that overweight/obesity is now present. Prevention and management strategies should consider both aspects.展开更多
Aims and objectives: The frequent and unprescribed use of antibiotics has led to the development of resistance by microorganisms responsible for urinary tract infection (UTI). In order to facilitate the follow-up of t...Aims and objectives: The frequent and unprescribed use of antibiotics has led to the development of resistance by microorganisms responsible for urinary tract infection (UTI). In order to facilitate the follow-up of this microbial resistance, the aim of this study was to determine the bacteria resistant phenotypes. Method: To achieve the following objectives, this study was conducted from June to August 2023. The isolation and identification were performed by standard methods why susceptibility testing was done by Kirby-Bauer disk diffusion technique according to CLSI guidelines. Double-disk synergy test was applied to determine the presence of extended-spectrum β-lactamase (ESBL) produced by bacteria. The Imipenem EDTA Combined Disc Test (CDT) for Metallo beta lactamase (MBL) screening, the D-zone test to detect macrolides, lincosamides and streptogramins type B (MLSB) and Meticillin resistant Staphylococcus aureus (MRS A) which was assessed using a Cefoxitin (30 µg) disc. Results: A total of 40 bacteria were identified with a prevalence of 37.03%. Overall, E. coli was the predominant isolate 14 (35%), followed by Staphylococcus aureus 10 (25%) and Klesbsiella pneumonia 4 (10%). Pseudomonas aeruginosa, Salmonella arinosa and Enterobacter were the most sensible (100%) bacteria against ciprofloxin, ceftriaxone and cefixime. Almost all bacteria were resistant to Amoxicillin/clavulanic acid (>50%). The isolates were in the majority resistant to imipenem. ESBL-producing Enterobacteriaceae represented 25.92%, with a higher rate among E. coli. No MBL production was found among the isolates while 38.46% represented cMLSB, 15.38% represented iMLSB, 23.07% represented MSB and 23.07% represented MRSA. Conclusion: Clinical strains of UTI from Protestant Hospital of Ngaoundere exhibiting ESBL, cMLSB, iMLSB, MSB and MRSA. The regular updating of antibiotic resistance statistics of isolated strains allows for a better adaptation of probabilistic antibiotic therapy.展开更多
Background: Diabetes mellitus (DM) is one of the leading causes of Erectile Dysfunction (ED) in men of all ages. The unawareness, coupled with common myths surrounding ED, confound the attempts of patients to seek and...Background: Diabetes mellitus (DM) is one of the leading causes of Erectile Dysfunction (ED) in men of all ages. The unawareness, coupled with common myths surrounding ED, confound the attempts of patients to seek and receive treatment and the attempts of doctors to help them. Objective: The study was aimed to assess the quality of care sought and received by Diabetic patients with ED. Methods: A cross-sectional hospital-based study was carried out in the Diabetic Units of the Limbe and Buea Regional Hospitals involving 322 male diabetic patients and aged over 21 years. Data analysis was done using Stata and R version 3.5.3. Results: The mean age of the participants was 55 years with a prevalence of ED of 78.92%. Only 37.40% of participants with ED sought care for it. Main barriers to care-seeking were health ignorance, health misinformation and fear of stigma. Majority (85.71%) of those who sought care sought medical care. Respondents correctly informed about diabetic ED and those regularly screened by their physician were more likely to seek medical care over non-medical care (p = 0.0021, p = 0.0013). Those who sought medical care reported higher improvement in ED symptoms over those who sought non-medical or combined forms of care (p = 0.0183). Conclusion: Both physician and patient-initiated measures are needed to reduce the prevalence and improve awareness, recognition and medical care of this condition.展开更多
Background: Conventional radiation therapy is a technique that uses ionizing radiation to destroy tumor cells. Along with surgery, chemotherapy, hormonotherapy and target therapy, it plays a crucial role in the manage...Background: Conventional radiation therapy is a technique that uses ionizing radiation to destroy tumor cells. Along with surgery, chemotherapy, hormonotherapy and target therapy, it plays a crucial role in the management of breast cancer by reducing its overall mortality and recurrences. Methods: We conducted a retrospective and descriptive study by using the records of patients treated in the radiotherapy department of the Douala General Hospital from January 2015 to December 2019. Data concerning radiation-induced toxicities were collected using a pre-established and pre-tested survey and transferred to the CTCAE Version 4.0 software. Data analysis was performed using SPSS version 20.0. Results: A total of 206 records were selected. The average age was 46.7 ± 8.2 years. The most represented histological type was invasive ductal carcinoma (n = 187, 90.7%). Multimodality treatment was used in every patient in our series with chemotherapy, surgery, and adjuvant radiation therapy (n = 88, 42.7%) been the most represented. More than half of the participants (n = 108, 52.4%) received a total dose >50 grays, only 89 (43.2%) received the classical fractionation of 2 grays/cession, and the average duration of radiation therapy was 36.8 ± 15.4 days. We encountered 155 (75.2%) side effects. There were more acute toxicities than late toxicities, at 115 (74.1%) versus 40 (25.8%). The main acute lesions were radiodermatitis (68.6%), breast pain (16.5%), radiation pneumonitis (12.2%), and acute pericarditis (2.6%). As late lesions, we identified radiodermatitis (52.5%), radiation pneumonitis (32.5%), and lymphoedema (15%). A total dose >50 grays [p 0.001, OR: 2.7 (1.58 - 4.9)], and conservative surgery [p = 0.04, OR: 2.3 (1.3 - 4.1)], seemed to increase the occurrence of early side effects on bivariate analysis. However, after multivariate logistic regression, only a total dose >50 grays [p = 0.005, OR: 2.1 (1.1 - 6.7)] remained a predictive factor associated to early side effects. We found no factors related to late side effect occurrences. Conclusion: The frequency of side effects of radiation therapy for breast cancer at the Douala General Hospital remains relatively high. Both early and late lesions remained present with early toxicities been the most common. Meticulous strategies along with an enhancement of both human and materials resources are paramount in order to reduce their frequency and morbidity.展开更多
This study, which took place around the Boumba-Bek National Park (BBNP) in Cameroon, was based on identifying and characterizing stakeholders in forest resources management, as well as determining the relationships be...This study, which took place around the Boumba-Bek National Park (BBNP) in Cameroon, was based on identifying and characterizing stakeholders in forest resources management, as well as determining the relationships between them, with the goal of encouraging collaborative forest resources management. Purposive sampling was adopted, in which focus group discussions, key informant interviews, semi-structured interviews, and snowball sampling were used for data collection. Focus group discussions were conducted with a total of 20 local associations involved in forest and wildlife management, Bantu traditional councils and the Baka community. Key informant interviews were conducted with local and international NGOs, forest exploitation and Sport hunting (Safari) enterprises and local public administrations that had working rapports with village communities around the BBNP. Information was generally sought on the role of stakeholders in forest management, in terms of use, protection, policy enforcement, challenges encountered in their activities and their relationships with other stakeholders. Actor linkage matrix was used to establish the relationships between different stakeholders. The identified stakeholder groups included the local community, State, international and local NGOs, economic operators (forest exploitation and sport hunting enterprises), and also the rules guiding their activities. Conflicts were rife between the community and the other stakeholders with regard to resource accessibility and use, whereas intra-community conflicts mostly resulted from cases of corruption and embezzlement linked to benefits sharing. Cases of collaboration among all the stakeholders were mostly related to anti-poaching patrols and setting of forest concession limits. There is a need to bring all stakeholders on the same platform, such as in a consultation workshop, to get their perceptions on building trust, conflict resolution and genuine collaboration in resources management.展开更多
Agriculture has become the backbone of most developing countries in the world, especially Tubah Sub-Division North West region, Cameroon. Following the COVID-19 pandemic and socio-political crisis that hit Cameroon’s...Agriculture has become the backbone of most developing countries in the world, especially Tubah Sub-Division North West region, Cameroon. Following the COVID-19 pandemic and socio-political crisis that hit Cameroon’s economy, there has been a steady increase in food insecurity, which has paved the way for farmers to adopt some sustainable strategies to boost agricultural productivity. Therefore, in trying to find models for survival and the pursuit of growth, farmers adopted some traditional farming methods and the use of local input as a means of sustainability. This study specifically seeks to analyze the effect of sustainability strategies on agricultural productivity in Tubah sub-division North West Region, Cameroon. The data was elicited via a survey questionnaire administered to 202 participating farmers selected from the different farmer organizations in the Tubah sub-division. Using cluster-sampling approach, proximity villages were grouped into four clusters of villages, and stratified sampling was used to select farmers to participate in the study. The objective of the study was achieved using OLS and quantile regression estimation techniques. The result showed evidence that the sustainability strategies implemented by the farmers decreased agricultural productivity in the 25th quantile, and at the 50th and 75th quantile, agricultural productivity still declined. This decline is because of unsustainable agricultural strategies like the use of slash and burn, the use of chemical fertilizers, inadequate capital, low level of education, inadequate farming experience, inadequate income, inadequate farm size, and the type of technology used for farming. Based on the findings, this study recommends that the government should organize training programs and seminars, subsidize farm inputs, grant agricultural loans to farmers, and initiate and support mechanized agriculture to boost agricultural productivity.展开更多
Background: Laparoscopic surgery has many advantages among which are, decrease post operatory pain and complications. It’s practice in the capital of Cameroon is still a luxury and it is almost non-existent in periph...Background: Laparoscopic surgery has many advantages among which are, decrease post operatory pain and complications. It’s practice in the capital of Cameroon is still a luxury and it is almost non-existent in peripheral zones. The aim of this study is to present the results of the first laparoscopy surgeries done at the Yokadouma district hospital located in the east region at 600 km from Yaoundé. Methods: This is a descriptive prospective study carried out from march 2020 to march 2021 in the general surgery department of the Yokadouma district hospital. Patients operated by laparoscopy during this period were included in the study giving a sample size of 40 patients. The data collected were analyzed by “Census software and Survey Processing System” (CSPRO). Results: Majority of patients, 57.5% were males and aged between 16 and 30 years (32.5% of cases). Most patients (30% of patients) were farmers. Transabdominal preperitoneal prosthesis plasty for hernia represented 55% of interventions followed by appendicectomy (15%) and cholecystectomy (7.5%). Two procedures (0.8%) required conversion into open surgery. Post-operative complications were very rare and were encountered just by one patient who presented a parietal suppuration. Interventions in 77% of cases cost less than 200,000 CFA FRANCS (400$). Conclusion: The example of Yokadouma shows that laparoscopy should be developed in peripheral zones so that its residents can benefit from its multiple advantages.展开更多
文摘Sacred forests play a valuable role in the conservation of local biodiversity and provide numerous ecosystem services in Cameroon. The aim of this study was to estimate floristic diversity, stand structures and carbon stocks in the sacred forests of Bandrefam and Batoufam (western Cameroon). The floristic inventory and the stand structures were carried out in 25 m × 25 m plots for individuals with diameters greater than 10 cm;5 m × 5 m for individuals with diameters less than 10 cm. Carbon stocks were estimated using the non-destructive method and allometric equations. The floristic inventory identified 65 species divided into 57 genera and 30 families in the Bandrefam sacred forest and 45 species divided into 42 genera and 27 families in the Batoufam sacred forest. In the Bandrefam, the most important families are Phyllanthaceae (53.98%), Moraceae (21.69%), Lamiaceae (20.15%). At Batoufam, the most important families are Phyllanthaceae (39.73%), Fabaceae (28.47%), Araliaceae (23.77%). Malacantha alnifolia (55.14%), Vitex grandifolia (18.43%), Bosqueia angolensis (15.06%) were the most important species in Bandrefam. Otherwise, Malacantha alnifolia (28%), Polyscias fulva (22.73%), Psychotria sp. (21.28%) were the most important in Batoufam. The Bandrefam sacred forest has the highest tree density (2669 stems/ha). Total carbon stock is 484.88 ± 2.28 tC/ha at Batoufam and 313.95 ± 0.93 tC/ha at Bandrefam. The economic value varies between 5858.04 ± 27.62 USD/ha in Batoufam sacred forest and 3788.51 ± 11.26 USD/ha in Bandrefam sacred forest. The number of individuals and small-diameter trees has little influence on the carbon stocks in the trees. Medium-diameter trees store the most carbon, and very large-diameter trees, which are very poorly represented, store less carbon. In another way, wood density and the basal areas influence the carbon storage of the trees.
文摘Pheochromocytoma (PHEO) is a rare endocrine tumor from the chromaffin cells in the adrenomedullary gland and sympathetic/parasympathetic ganglia, secreting one or more catecholamines. It is frequently associated with hypertension and described in the literature as a cause of secondary diabetes mellitus. In patients with known persistent uncontrolled diabetes, PHEO is rarely mentioned as the cause of uncontrolled diabetes. The authors report a rare case of PHEO diagnosed in a 64-year-old female patient treated for 10 years with type 2 diabetes mellitus and hypertension. She was treated using a combination of insulin (2 injections) and Metformin 1000 mg twice a day. The glycemic control was poor (HbA1c-11%), and persistent High Blood Pressure (HBP). She presented with unexplained weight loss associated with permanent hyperhidrosis (sweating), affecting her quality of life and diffuse abdominal pain. The investigations confirmed the diagnosis of PHEO, which resection led to improvement of glycemic control and hypertension.
文摘In order to contribute to a better understanding of the biodiversity of local chicken populations, this study focused on the description of the essential qualitative parameters in the phenotypic characterization of local species. Conducted in 6 localities in the Far North Region of Cameroon (Doukoula, Yagoua, Guidiguis, Dziguilao, Maroua 3rd and Méri), a population of 240 local chickens, including 172 hens and 68 cocks were characterized in family farms. The choice of localities was made on the basis of their strong potential local chicken flocks in the region. To this end, each animal was the subject of a qualitative description based on the identification of the sex of the animal, the description of the colorations of the plumage and extremities, and the description of the types of format, plumage and crests. All observations were made with the naked eye and in daylight and then photographed. The main results show that the plumage colors are multiple and dominated by the White-Pied-Black (21.7%) and the Mille-fleur (20.8%);the wattles are dominated by the red (60%) and the pink (35.4%);the tarsi are dominated by the white (43.8%) and the black (32.08%);the white skin (92.5%) dominates over the pink skin (7.5%);the “Smooth-uniform” feather is dominant (97.08%), followed by the smooth-crested type (2.08%) and the fries type (0.82%);the medium size of the chickens is dominant (86.66%), followed by the dwarf size (9.58%) and the large size (3.75%). The results of this study demonstrate that there is a strong phenotypic diversity within the local chicken population. This diversity can serve as a basis for the development of selection, conservation and genetic potential improvement programs based on rational exploitation of the local chicken.
文摘Background:Cardiovascular rehabilitation(CR)enhances the functional capacity of patients with heart failure(HF),but its effectiveness remains understudied in low-resource settings such as Cameroon.This study aimed to evaluate the impact of CR on the functional capacity of HF patients at YaoundéGeneral Hospital(YGH).Methods:A mixed retrospective and prospective cohort study was conducted at the Cardiovascular and Metabolic Rehabilitation Unit(CMRU)of YGH from February 2024 to May 2025.It included adults(≥21 years)diagnosed with HF according to the 2021 ESC criteria,who completed at least 10 CR sessions.The primary outcome was 6-minute walk test(6 MWT)distance.Secondary outcomes included VO_(2)max estimated from 6 MWT(VO_(2)max_6 MWT=distance×0.1+3.5;the most objective VO_(2)max estimate),VO_(2)max estimated from the Duke Activity Status Index(DASI)questionnaire(VO_(2)max_DASI=0.43×DASI+9.6),Metabolic Equivalents(METs),and DASI score.These functional parameters were assessed before and after CR,and factors associated with changes(delta)in outcomes post CR were identified via linear regression.Results:Thirty-three patients(mean age 59±12 years;60.6%male)were included.CR significantly improved 6 MWT distance(456 to 571 m),VO_(2)max_6 MWT(11.02 to 13.02 mL/kg/min),VO_(2)max_DASI(15.7 to 22.3 mL/kg/min),METs(5.08 to 8.6),and DASI score(13.3 to 29.5)(all p<0.001).Reductions in resting heart rate and systolic blood pressure,as well as improvements in dyspnoea(100%NYHA stage I post-CR),were also observed.Older age was associated with less improvement in VO_(2)max_DASI,while higher baseline heart rate and a greater number of sessions were linked to better 6 MWT performance.Conclusion:CR significantly improves functional capacity and haemodynamic parameters in HF patients in a low-resource setting.Integrating CR into universal health coverage and tailoring programmes for older patients could optimise outcomes.
基金the material and logistical support provided by the Environmental Geomatics Laboratory of the Forestry Department of the University of Dschang
文摘Existing knowledge on degraded mountain landscapes does not shed sufficient light on the socio-economic and ecological opportunities essential for successful restoration initiatives.To address this knowledge lacuna,a study was conducted on the Bamboutos Mountains landscape in Cameroon with the main objective being to analyse the opportunities for restoring this landscape in line with local,national and international development goals and to minimise the negative effects of land-use decisions.Following the Restoration Opportunity Assessment Methodology(ROAM)approach,five participatory reflection workshops were organized in the five target clusters of the landscape for data collection.The results of the study led to the development of a restoration map that presents five interventions:grassland management on an area of 4,720 ha currently occupied by shrub savannah;the practice of fruit-based agroforestry on 3,221 ha of agricultural fields;the planting of riparian forests on 451 ha of degraded watercourses;the revegetation and conservation of the Bamboutos Mountains forest reserve,sacred forests and relics of degraded forests on 435 ha of area;and the revegetation of 6 ha of degraded water sources.The carbon stocks vary from 2.66 to 345.15 tC/ha depending on the type of restoration intervention with a total carbon stock of 247,367.45 tC/ha on the 8,834 ha of area to be restored.This presents a very satisfactory economic cost-benefit,because for an investment of USD 5,991,269.84,a gain of USD 100,439,519.13 could be achieved after 20 years,i.e.,an estimated profit of USD 94,448,249.29.These results provide an understanding of the types of restoration interventions possible in this landscape,a solid basis for planning a restoration initiative.The results equally provide guidance on priority areas from a social,economic,and ecological perspective.
文摘Acute rheumatic fever(ARF)and its sequela,rheumatic heart disease(RHD),remain major causes of morbidity and mortality in low-and middle-income countries,particularly in sub-Saharan Africa.In Cameroon,RHD accounts for a considerable share of pediatric and adolescent heart disease.Severe valvular involvement often requires surgical intervention,but access to cardiac surgery is critically constrained.Since the 1980s,cardiac surgery in Cameroon has evolved from sporadic humanitarian missions to structured initiatives at the Douala and YaoundéGeneral Hospital and also the Shisong Cardiac Center.This article sheds light on the historical development and current state of cardiac surgery in Cameroon,emphasizing RHD as the leading surgical indication.It highlights both achievements and persistent gaps,and outlines perspectives for sustainability,including national training pathways,diaspora engagement,research and innovation,public-private partnerships,and South-South collaboration.Strengthening local capacity,securing sustainable financing mechanisms such as universal health coverage,and fostering regional cooperation are essential to build autonomous,resilient cardiac surgery programs in Cameroon.Addressing these priorities will be critical to improving access to timely surgical care and reducing preventable mortality from rheumatic heart disease.
文摘Background: Chronic low back pain is a leading cause of morbidity and disability globally. Low and Middle-Income Countries (LMICs) tend to be more affected, with chronic low back pain (CLBP) being among the leading presenting complaints at specialist consultation. The exact burden of this disease is sparingly known in our setting. Objective: To evaluate the burden of chronic low back pain at the Yaounde Central Hospital. Methods: This was a descriptive cross-sectional study for a period of 3 months, from March 2022 to May 2022. After obtaining ethical clearance and research authorisations, data was collected using structured questionnaires from patients with chronic low back pain presenting at the Yaounde Central Hospital during the aforementioned time frame. This data was then tabulated with the Statistical Package for Social Sciences (SPSS 23.0), and disability was assessed using the modified Roland Morris Disability Questionnaire and the Oswestry Disability Index. Data analysis was done using the International Business Machines Statistical Package for Social Sciences (IBM-SPSS) VERSION 23.0. Results: 115 cases of CLBP were included. The mean age was 52.62 years, and the sex ratio was 0.3. The average monthly income was less than 50,000 frs CFA, in 37.4% of cases. In 57.9%, patients had a job that involved physical labour. The patients had a secondary level of education in 40.9%, and alcohol consumption was observed in 36%. The average number of days of a work stoppage due to LBP was 12.75 days (±12SD), and the median duration of CLBP was 7.15 (7.5SD) years. The median pain intensity was 7 (±2SD), with leg pain and sensory neuropathy observed in 67.8% and 63.5% respectively. Lumbar X-ray was done in 45.2% and revealed lumbar osteoarthrosis in 62.4%. Hypertension as a comorbidity was observed in 26.1%. Medical treatment was used at least once in 98.3% of cases. The average cost of management per month was assessed, and the median was 52,000 FCFA (±20,876 SD). Using the Oswestry Disability Questionnaire, 46 patients, that is 40% of the study population, were classified as severely disabled with a median ODI score of 40%. The factors which were independently associated with disability were level of education, alcohol consumption, treatment modality, pain intensity, body mass index (BMI), psychological wellbeing and number of sick leave days. Conclusion: Chronic low back pain is common in our setting. There is a female predominance with the mean age of the study population situated in the 5th decade. Low-income earners and patients with a job involving physical labour were the most affected. Medical treatment was the main therapeutic modality, with the average cost of management per month being above the average monthly income of the greater majority of the patients. Several factors influenced disability, some of which were independently associated with it, such as level of education, alcohol consumption and treatment modality.
文摘Introduction: The use of radioactive radiations in healthcare facilities must comply with radioprotection safety rules in order to avoid threatening the health of workers and patients. This study aimed to assess the working conditions, the protective measures and the medical monitoring of workers directly involved in X-ray work at hospitals in Douala, Cameroon. Materials and Methods: A descriptive cross-sectional study was carried out during the 1st quarter of 2018, across various state and private health facilities of the city of Douala. Sampling was non-random, based on convenience and all the willing participants that fulfilled the inclusion criteria were enrolled. Quantitative analyses were conducted using EPI INFO 7.0 software and the results were presented in both univariate and bivariate forms. Results: The sample consisted of 56 men and 31 women with a mean age of 34.75 ± 8.77 years. X-ray technicians were over-represented (41.38%). Day/night shift work was the main work pattern (68.96%). The distribution of work zones A&B was known by 87.5% of the participants. Hazard warning signs were effective in work zones A and B (75.86%), and the walls of the premises were also reinforced in these work zones (88.51%), but the use of radiation dosimeters was rare (9.20%). Radiation aprons (94.30%) and hand-held dosimeters (63.20%) were the most commonly used personal protective equipment. The majority of the participants did not benefit from medical follow-up by an occupational health specialist (62.1%). Conclusion: The implementation of radiation protection measures remains a significant concern in Douala based health facilities, and requires stricter administrative controls and sanctions to prevent serious health consequences for exposed staff.
文摘Maize value-added products play a crucial role in reducing post-harvest losses, enhancing food security, and generating income. While extensive research has focused on maize production in Cameroon, the exploration of its value-added products and their profitability in the North-West Region remains underexplored. This study examined the profitability of maize value-added products in Mezam Division, with the objectives to: 1) identify various maize-based products, 2) assess the diversity of these products, 3) conduct a cost-benefit analysis of selected products, 4) examine the relationship between profitability and product diversity, and 5) identify key constraints impacting profitability. To achieve these objectives, structured questionnaires were administered to 500 small-scale maize entrepreneurs randomly selected from five subdivisions. Descriptive statistics were used to analyze objective 1 and 5, while the Shannon Diversity Index was employed to assess product diversity. Additionally, a cost-benefit analysis was conducted on four selected products namely pap, parched corn, peeled parboiled corn, and corn beer, and a correlation analysis was used to examine objective 4. In total, 13 maize value-added products were identified, with a diversity index of 4.4. The total cost of processing the four selected products per entrepreneur using 18 kg of maize per product was FCFA 83631.5 (US $132.75), while the total revenue was FCFA 121864.5 (US $193.43), resulting in an economic profit of FCFA 38,233 (US $60.69). Pap emerged as the most profitable product, with an economic profit of FCFA 27,875 (US $44.24), while corn beer was the least profitable, with an economic profit of FCFA 2133.46 (US $3.39). The correlation analysis revealed a strong negative relationship between product diversity and profitability (r = −0.91), indicating that entrepreneurs can maximize profitability by focusing on a few high-demand products like pap and parched corn. Key constraints to profitability included fluctuating market prices, high production costs, limited access to finance, and inadequate storage facilities. Despite these challenges, our findings indicate that maize value addition is profitable in Mezam Division. Entrepreneurs can leverage this data for informed decision-making and future investments. It is recommended that the government promote maize value addition and provide financial support for modern processing equipment to boost profitability and income generation.
文摘This study was carried out with the aim of investigating the effect of indigenous microorganism (IMO), effective (EM) and mineral fertilizers (NPK) on the yield and nutritional value of groundnut (Arachis hypogaea) in Western Cameroon (Baboutcha-Fongam). The study was conducted during two consecutive years, using a completely randomized block design of 8 treatments repeated three times in each subblock. The sub-plots were enriched with 0, 10, 20 and 40 g corresponding to the treatment of EM and IMO respectively and 3.2 g of NPK in 2019. Subsequently, the best dose that resulted in excellent yields was repeated for the rest of the experiment in 2020. The yield parameters and nutritional value of the two varieties of Arachis hypogaea used in the two consecutive years increase with the contribution of the different doses compared to the control. Overall, a significant increase (p A. hypogaea plants fertilized with EM 20 g (2.15 ± 0.24 and 2.01 ± 0.23 t/ha) and plants fertilized with NPK 3.2 g (2.36 ± 0.65 and 2.04 ± 0.17 t/ha) was not significant. On the other hand, there was a significant difference (P ≤ 0.05) between plants fertilized with IMO 10 g (2.65 ± 0.17 and 2.24 ± 0.2 t/ha) and plants fertilized with EM 20 g and plants fertilized with NPK 3.2 g for both varieties during the two years combined. In addition to being local and therefore adapted to environmental conditions, IMOs could be a promising biological means for improving soil fertility in Cameroon.
文摘Background: Erectile dysfunction (ED) is a common, bothersome and relatively under diagnosed complication of diabetes mellitus. This study was aimed to determine the prevalence of erectile dysfunction and its determinants. Methods: A cross-sectional hospital-based study was carried out in the Diabetology Units of the Buea and Limbe Regional Hospitals involving 332 male patients with diabetes and aged over 21 years. Data was analyzed using Stata and R version 3.5.3. Results: The mean age of the participants was 55years. Most participants (64.46%) were married. About half (50.60%) of the participants actively consumed alcohol, 11.45% were smokers and 57.83% were sedentary. 18 participants (5.42%) recorded high risk sexual behaviour. 54.32% of participants had a comorbidity and 43.90% were overweight. The prevalence of diabetic ED was 78.92%. Age, Fasting Blood Sugar and Glycated hemoglobin were found to be positive determinants of diabetic ED (odds ratio (OR) = 0.77, 95% CI −0.1 - 0.07). Conclusion: The prevalence of diabetic ED in this hospital population study is high, and both physician and patient—initiated measures are needed to reduce this prevalence and improve awareness, recognition and care of this condition.
文摘Irrigated agriculture in Cameroon is practiced on a large scale by large private firms and parastatals, and on a small scale by individual producers in different production areas of the country. Although small-scale irrigation can supply local and sub-regional markets with food in the off-season, it has received little research and its challenges are therefore rarely addressed. In order to contribute to the knowledge of these small-scale irrigation systems, with a view to improving their structure and the management of irrigation water and energy, an assessment of small-scale irrigation in the southern slopes of the Bamboutos Mountains has been done. After direct observations, field measurements, surveys of 100 irrigators with questionnaires and interviews with administrative managers, analyses were carried out using Xlstat software. It was found out that about 226 small-scale irrigation systems designed and managed by producers have been installed on this slope between the end of December 2022 and mid-March 2023. Intended for market garden crops, 84.96% of these irrigation systems use sprinklers and 15.04% surface irrigation (furrow irrigation). Surface or underground water is mobilized using gravity (50%), fossil fuels (34.51%), electricity (14.6%) or solar energy (0.9%). Sprinkler irrigation is mainly carried out using locally manufactured hydraulic turnstiles. There is a lack of formal associations of irrigators in an environment marked by conflicts between water users, when there is not allocation for water withdrawal. Apart from the high cost of pumping energy ($1.32 per liter of fuel), the main constraint identified, which has become more acute over the years, is the lack of irrigation water during the water shortage period (from mid-January to mid-March). These constraints have led to a transition from surface irrigation to sprinkler irrigation, and the adoption of new energy supply and water mobilization technologies. The construction of collective surface and groundwater catchment structures with solar-powered pumping systems, the setting up of formal irrigators’ associations and an irrigation support service, could improve the availability of water throughout the irrigation season, thereby helping to improve the income generated by irrigated market-garden farming on the southern slopes of the Bamboutos Mountains.
文摘Introduction: Diabetes remains a real public health problem today, due to its associated morbidity and mortality. It induces numerous metabolic, biochemical, hematological, and immunological changes, responsible for multiple complications. The objective of this study was to characterize clinically and biologically type 2 diabetic patients followed at the National Center for Diabetology and Arterial Hypertension of the Central Hospital of Yaoundé. Method: This prospective, cross-sectional, and analytical study took place from April 5 to July 31, 2023 (4 months) on 100 diabetic patients of both sexes (61 women and 39 men), aged from 31 to 88 years. Body Mass Index, systolic and diastolic blood pressure, and cardiac frequency were measured on each of the patients. Subsequently, blood was collected from the patients for the determination of the complete blood count, HBA1c, lipid profile, serum albumin, TNF-α, and IL-6 levels. The data were analyzed using SPSS 17.0 software. Results: The age average of our population was 56.99 ± 11.51 years, the population was primarily female (61%) and primarily between the ages of 55 and 88. 67% of respondents were married. 59% went to secondary school. 73% of them lived in urban areas. 30% were obese and 40% were overweight, with an average BMI of 28.75 kg/m2. 76% of patients took oral antidiabetic medications. HbA1c level average was 8.65%, with 60% having readings above 6.5%. Low hemoglobin and hypochromia were among the abnormalities of red blood cells observed. Lipid profiles revealed low HDL-cholesterol and high triglycerides and cholesterol. Elevated levels of TNF-α and IL-6 indicated inflammation and cardiovascular risk. Conclusion: These results indicate the necessity of focused diabetic care and management on diabetic patients attending the central hospital of Yaoundé, Cameroon.
文摘Introduction: Multiple endocrine and metabolic abnormalities, particularly overweight and obesity, have emerged as significant global public health concerns. This paper examines the impact of these conditions on health outcomes and underscores the necessity for comprehensive strategies to address them. Background: Overweight and obesity have been observed in patients with human immunodeficiency virus (HIV) both before and after the initiation of antiretroviral therapy. This study investigates the risk factors associated with overweight and obesity in HIV-infected patients. Methods: A total of 492 HIV-infected patients, both treatment-naïve and those undergoing treatment, were recruited from Yaoundé Central Hospital in Cameroon. Demographic, anthropometric, and biochemical data were collected from each patient. Blood pressure and abdominal fat measurements were also taken. Metabolic syndrome was defined according to IDF criteria. Patients were categorized into two weight status groups: underweight/normal weight and overweight/obese. Results: The prevalence of overweight and obesity was found to be 27.5% and 8.5%, respectively, with only 6.1% of patients being underweight. Abdominal obesity, systolic/diastolic blood pressure, metabolic syndrome, and CD4 cell counts were associated with risk factors in overweight and obese patients. These parameters should be considered when investigating metabolic disorders in HIV-infected patients, as in the general population. Conclusion: Our study indicates a high risk of developing metabolic syndrome among overweight/obese individuals, who were 5.7 times more likely to have metabolic syndrome compared to those of normal weight/underweight. These findings support the hypothesis that overweight and obesity are also prevalent in HIV-infected patients and they are risk factors that have to be taken into consideration to better manage this issue. These results may provide essential information on the fact that being underweight is not the only issue to take into consideration in these patients but that overweight/obesity is now present. Prevention and management strategies should consider both aspects.
文摘Aims and objectives: The frequent and unprescribed use of antibiotics has led to the development of resistance by microorganisms responsible for urinary tract infection (UTI). In order to facilitate the follow-up of this microbial resistance, the aim of this study was to determine the bacteria resistant phenotypes. Method: To achieve the following objectives, this study was conducted from June to August 2023. The isolation and identification were performed by standard methods why susceptibility testing was done by Kirby-Bauer disk diffusion technique according to CLSI guidelines. Double-disk synergy test was applied to determine the presence of extended-spectrum β-lactamase (ESBL) produced by bacteria. The Imipenem EDTA Combined Disc Test (CDT) for Metallo beta lactamase (MBL) screening, the D-zone test to detect macrolides, lincosamides and streptogramins type B (MLSB) and Meticillin resistant Staphylococcus aureus (MRS A) which was assessed using a Cefoxitin (30 µg) disc. Results: A total of 40 bacteria were identified with a prevalence of 37.03%. Overall, E. coli was the predominant isolate 14 (35%), followed by Staphylococcus aureus 10 (25%) and Klesbsiella pneumonia 4 (10%). Pseudomonas aeruginosa, Salmonella arinosa and Enterobacter were the most sensible (100%) bacteria against ciprofloxin, ceftriaxone and cefixime. Almost all bacteria were resistant to Amoxicillin/clavulanic acid (>50%). The isolates were in the majority resistant to imipenem. ESBL-producing Enterobacteriaceae represented 25.92%, with a higher rate among E. coli. No MBL production was found among the isolates while 38.46% represented cMLSB, 15.38% represented iMLSB, 23.07% represented MSB and 23.07% represented MRSA. Conclusion: Clinical strains of UTI from Protestant Hospital of Ngaoundere exhibiting ESBL, cMLSB, iMLSB, MSB and MRSA. The regular updating of antibiotic resistance statistics of isolated strains allows for a better adaptation of probabilistic antibiotic therapy.
文摘Background: Diabetes mellitus (DM) is one of the leading causes of Erectile Dysfunction (ED) in men of all ages. The unawareness, coupled with common myths surrounding ED, confound the attempts of patients to seek and receive treatment and the attempts of doctors to help them. Objective: The study was aimed to assess the quality of care sought and received by Diabetic patients with ED. Methods: A cross-sectional hospital-based study was carried out in the Diabetic Units of the Limbe and Buea Regional Hospitals involving 322 male diabetic patients and aged over 21 years. Data analysis was done using Stata and R version 3.5.3. Results: The mean age of the participants was 55 years with a prevalence of ED of 78.92%. Only 37.40% of participants with ED sought care for it. Main barriers to care-seeking were health ignorance, health misinformation and fear of stigma. Majority (85.71%) of those who sought care sought medical care. Respondents correctly informed about diabetic ED and those regularly screened by their physician were more likely to seek medical care over non-medical care (p = 0.0021, p = 0.0013). Those who sought medical care reported higher improvement in ED symptoms over those who sought non-medical or combined forms of care (p = 0.0183). Conclusion: Both physician and patient-initiated measures are needed to reduce the prevalence and improve awareness, recognition and medical care of this condition.
文摘Background: Conventional radiation therapy is a technique that uses ionizing radiation to destroy tumor cells. Along with surgery, chemotherapy, hormonotherapy and target therapy, it plays a crucial role in the management of breast cancer by reducing its overall mortality and recurrences. Methods: We conducted a retrospective and descriptive study by using the records of patients treated in the radiotherapy department of the Douala General Hospital from January 2015 to December 2019. Data concerning radiation-induced toxicities were collected using a pre-established and pre-tested survey and transferred to the CTCAE Version 4.0 software. Data analysis was performed using SPSS version 20.0. Results: A total of 206 records were selected. The average age was 46.7 ± 8.2 years. The most represented histological type was invasive ductal carcinoma (n = 187, 90.7%). Multimodality treatment was used in every patient in our series with chemotherapy, surgery, and adjuvant radiation therapy (n = 88, 42.7%) been the most represented. More than half of the participants (n = 108, 52.4%) received a total dose >50 grays, only 89 (43.2%) received the classical fractionation of 2 grays/cession, and the average duration of radiation therapy was 36.8 ± 15.4 days. We encountered 155 (75.2%) side effects. There were more acute toxicities than late toxicities, at 115 (74.1%) versus 40 (25.8%). The main acute lesions were radiodermatitis (68.6%), breast pain (16.5%), radiation pneumonitis (12.2%), and acute pericarditis (2.6%). As late lesions, we identified radiodermatitis (52.5%), radiation pneumonitis (32.5%), and lymphoedema (15%). A total dose >50 grays [p 0.001, OR: 2.7 (1.58 - 4.9)], and conservative surgery [p = 0.04, OR: 2.3 (1.3 - 4.1)], seemed to increase the occurrence of early side effects on bivariate analysis. However, after multivariate logistic regression, only a total dose >50 grays [p = 0.005, OR: 2.1 (1.1 - 6.7)] remained a predictive factor associated to early side effects. We found no factors related to late side effect occurrences. Conclusion: The frequency of side effects of radiation therapy for breast cancer at the Douala General Hospital remains relatively high. Both early and late lesions remained present with early toxicities been the most common. Meticulous strategies along with an enhancement of both human and materials resources are paramount in order to reduce their frequency and morbidity.
文摘This study, which took place around the Boumba-Bek National Park (BBNP) in Cameroon, was based on identifying and characterizing stakeholders in forest resources management, as well as determining the relationships between them, with the goal of encouraging collaborative forest resources management. Purposive sampling was adopted, in which focus group discussions, key informant interviews, semi-structured interviews, and snowball sampling were used for data collection. Focus group discussions were conducted with a total of 20 local associations involved in forest and wildlife management, Bantu traditional councils and the Baka community. Key informant interviews were conducted with local and international NGOs, forest exploitation and Sport hunting (Safari) enterprises and local public administrations that had working rapports with village communities around the BBNP. Information was generally sought on the role of stakeholders in forest management, in terms of use, protection, policy enforcement, challenges encountered in their activities and their relationships with other stakeholders. Actor linkage matrix was used to establish the relationships between different stakeholders. The identified stakeholder groups included the local community, State, international and local NGOs, economic operators (forest exploitation and sport hunting enterprises), and also the rules guiding their activities. Conflicts were rife between the community and the other stakeholders with regard to resource accessibility and use, whereas intra-community conflicts mostly resulted from cases of corruption and embezzlement linked to benefits sharing. Cases of collaboration among all the stakeholders were mostly related to anti-poaching patrols and setting of forest concession limits. There is a need to bring all stakeholders on the same platform, such as in a consultation workshop, to get their perceptions on building trust, conflict resolution and genuine collaboration in resources management.
文摘Agriculture has become the backbone of most developing countries in the world, especially Tubah Sub-Division North West region, Cameroon. Following the COVID-19 pandemic and socio-political crisis that hit Cameroon’s economy, there has been a steady increase in food insecurity, which has paved the way for farmers to adopt some sustainable strategies to boost agricultural productivity. Therefore, in trying to find models for survival and the pursuit of growth, farmers adopted some traditional farming methods and the use of local input as a means of sustainability. This study specifically seeks to analyze the effect of sustainability strategies on agricultural productivity in Tubah sub-division North West Region, Cameroon. The data was elicited via a survey questionnaire administered to 202 participating farmers selected from the different farmer organizations in the Tubah sub-division. Using cluster-sampling approach, proximity villages were grouped into four clusters of villages, and stratified sampling was used to select farmers to participate in the study. The objective of the study was achieved using OLS and quantile regression estimation techniques. The result showed evidence that the sustainability strategies implemented by the farmers decreased agricultural productivity in the 25th quantile, and at the 50th and 75th quantile, agricultural productivity still declined. This decline is because of unsustainable agricultural strategies like the use of slash and burn, the use of chemical fertilizers, inadequate capital, low level of education, inadequate farming experience, inadequate income, inadequate farm size, and the type of technology used for farming. Based on the findings, this study recommends that the government should organize training programs and seminars, subsidize farm inputs, grant agricultural loans to farmers, and initiate and support mechanized agriculture to boost agricultural productivity.
文摘Background: Laparoscopic surgery has many advantages among which are, decrease post operatory pain and complications. It’s practice in the capital of Cameroon is still a luxury and it is almost non-existent in peripheral zones. The aim of this study is to present the results of the first laparoscopy surgeries done at the Yokadouma district hospital located in the east region at 600 km from Yaoundé. Methods: This is a descriptive prospective study carried out from march 2020 to march 2021 in the general surgery department of the Yokadouma district hospital. Patients operated by laparoscopy during this period were included in the study giving a sample size of 40 patients. The data collected were analyzed by “Census software and Survey Processing System” (CSPRO). Results: Majority of patients, 57.5% were males and aged between 16 and 30 years (32.5% of cases). Most patients (30% of patients) were farmers. Transabdominal preperitoneal prosthesis plasty for hernia represented 55% of interventions followed by appendicectomy (15%) and cholecystectomy (7.5%). Two procedures (0.8%) required conversion into open surgery. Post-operative complications were very rare and were encountered just by one patient who presented a parietal suppuration. Interventions in 77% of cases cost less than 200,000 CFA FRANCS (400$). Conclusion: The example of Yokadouma shows that laparoscopy should be developed in peripheral zones so that its residents can benefit from its multiple advantages.
