Evaluation de deux trousses de dosage de l'érythropoïétine : comparaison avec la technique IRMA Epo Coatria (BioMérieux)

Evaluation of two assays of erythropoïetin: comparison with the IRMA coated kit Epo Coatria (BioMérieux). The aim of this work is to present the results obtained in two groups of patients, with the chemiluminescence method (Advantage automate) and with the ELISA Quantikine IVD kit in comparison with the IRMA (BioMérieux) coated assay, which is the reference method of the laboratory. The statistic tests show an important overlap between the reference group values and those of the polycytemia group (p = 0,45) with the chemiluminescence test. The correlation between ELISA and IRMA methods is quite good (r² = 0,714) and allows us to ensure the transfer of our results, especially in the case of polycytemia vera.     

Les leishmanioses diagnostiquées au CHU Benbadis de Constantine (Algérie): bilan de cinq années (2006–2010)

In Algeria, leishmaniasis evolves in an endemoepidemic way. A peak of 30,227 cases of alert was reached in 2005. Our retrospective study was conducted over a period of five years (2006 to 2010), during which we examined 352 skin samples and 892 marrow aspirate smears. The distribution of cutaneous leishmaniasis cases by age shows that all ages are affected with extremes of 10 months and 95 years. The model class is between 20 and 30 years with 67 cases. Lesions are usually single, reaching the face; the most common is seen in 53% of cases. About visceral leishmaniasis, the child pays the heaviest price. A rate of 87% of visceral leishmaniasis is listed under 14 years. The youngest is an infant of 8 months, which shows a high incidence of the disease. The evolution of the disease in these five years shows a real regression of visceral leishmaniasis cases, from 13 cases in 2006 to 5 cases in 2010. This leishmaniasis is clearly declining in Algeria, but the prevalence remains high, mainly in rural areas.     

Evidencias psicométricas iniciales de una Escala de Maltrato al Asesorado de Tesis (EMAT)

IntroductionThe creation of measurement instruments are significant contributions to the measurement and advancement of scientific research.ObjectiveTo design and validate a Thesis Advisor Abuse Scale (EMAT) in a sample of Peruvian thesis students.MethodsInstrumental design study where a scale of 20 items distributed in 3 factors (advisor, jury and administrative) was designed and validated. It had the participation of 274 thesis students (61.7% women). The Aiken V coefficient was used to analyze the evidence of content-based validity, the confirmatory factor analysis was used for construct validity, and reliability was studied through the Omega coefficient.ResultsAdequate psychometric properties were obtained. The 20 items of the EMAT received a favorable evaluation through expert judgment, the confirmatory factor analysis supports the internal structure of 3 factors, reporting satisfactory goodness-of-fit índices, in addition, the correlation between factors was significant (P<.05) and the reliability acceptable.ConclusionThe EMAT is valid and reliable for measuring mistreatment of the thesis advisor.     

étude préliminaire de la faune ophidienne de la forêt classée de la Lama, Sud Bénin

The following study aims at assessing the ophidian diversity of the Lama Forest, a classified area, situated in the South of Benin. One can distinguish three types of habitat according to the degree of human activity: the remaining dense forest at the centre, the intermediate plantation area, and finally the area around the edge which has been entirely subjected to human habitation. Each day for two weeks we have been working on various plots of study (by day), patrolled along transect routes (by night), and installed a trap in the central area. As a result, we were able to observe 32 snake specimens, 24 of which we captured. Nearly all were able to be identified, and have been classified into 13 genera and 17 species.     

Étude de la préférence des usagers sur les stratégies de développement de la couverture sanitaire universelle à travers les mutuelles de santé dans la région de Ziguinchor au sud-ouest du Sénégal

In Senegal, the informal and rural sector that accounts for over 80% of the population is covered only up to 7% by a health insurance system. That is why, for the implementation of development strategy of the universal health coverage (UHC) through mutual health insurance providers, the Government of Senegal has focused on this sector. The objective of this study was to assess the consumer’s preference on the UHC development strategies through mutual health insurance providers. This was a qualitative and exploratory study based on a literature review, and indepth interview with the heads of households. It was also based on focus groups of people with and without health mutual membership, and the Expert Committee meetings. The results showed that the most critical attributes in the decision-making of consumers to join the health mutual in Ziguinchor were the membership units; the content of the benefit package, the payment modalities of the premium, the premium amount, the availability of transportation, the co-payment level, convention arrangement with health facilities, and health mutual governance. For a successful implementation of the UHC development strategy through health mutual organizations, policymakers should explore the possibility of introducing the modality of payment in kind, the revision of the co-payment amount, and the promotion of equity through the introduction of a differentiated premium contribution by income. They should also establish a crossborder strategy with The Gambia and Guinea-Bissau to improve health care access to people living in the borders. The promotion of innovative funding and risk equalization between health insurance schemes is also recommended. In areas where the microfinance institutions are well organized and structured their substitution to health mutuals should be an option the decision-makers have to explore.     

Profil de l’hémogramme et intérêt de la mesure de l’hémoglobine pré-don chez des donneurs de sang de la région Nord-Ouest du Maroc

Background

Blood donation in Morocco and more particularly in the northwest region is carried out without prior determination of the pre-donation hemoglobin. In addition, we note the lack of scientific research that reports data on the red blood cells, leukocytes and platelet lines in donated blood at the regional or even national level.

Prévention de l’anémie chez les donneurs de sang

The prevention of anemia of blood donor is a main issue for donor safety and self-supplying. This prevention is done in one hand by donor deferral whose haemoglobin level is under defined threshold and in other hand by preventing iron deficiency. Some subgroups of donors are at increased risk for developing iron deficiency and adverse effects of iron deficiency: premenopausal females; donors with haemoglobin values near the minimum for eligibility and frequent donors. Different interventions could be used: lengthening the inter-donational interval and/or decreasing the number of donations per year; donor ferritin testing to evaluate iron store and at least donor iron supplementation.