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Assessment of the Physical Capabilities of Heart Failure Patients before and after Cardiovascular Rehabilitation: A Study of 125 Patients from West Africa, Dakar, Senegal
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作者 Aliou Alassane Ngaide Ngoné Diaba Gaye +6 位作者 Joseph Salvador Mingou Mahugbe L. C. Houenassi Aminata Mbaye Aime Mbaye Sy Fatou Aw Alassane Mbaye Abdoul Kane 《World Journal of Cardiovascular Diseases》 CAS 2024年第8期490-501,共12页
Background: Cardiac rehabilitation represents a critical therapeutic strategy for patients suffering from chronic heart failure. The physical capacity of patients with heart failure, assessed using the exercise test a... Background: Cardiac rehabilitation represents a critical therapeutic strategy for patients suffering from chronic heart failure. The physical capacity of patients with heart failure, assessed using the exercise test and the 6-minute walk test, is the measure of the patient’s overall functional ability to perform physical activities and tolerate exercise loads. The objective of this study was to assess the impact of cardiac rehabilitation on patients’ physical capabilities and to conduct a thorough comparison of data obtained via exercise testing and the 6-minute walk test before and after the rehabilitation programme. Methods: This was a descriptive and analytical cross-sectional study, conducted from 1 February 2021 to 31 June 2022. Included were heart failure patients who had participated in an outpatient cardiovascular rehabilitation programme. The collected data included anamnestic, clinical, paraclinical data, and the 6-minute walk test. Informed consent was obtained. Data analysis, word processing, and charting were performed using Microsoft Word 2016, Excel 2013, and Sphinx version 5.1.0.2. Data analysis was performed using SPSS (Statistical Package for Social Sciences) version 24.0. Any difference less than 0.05 was considered statistically significant. Results: In a Senegalese study, heart failure patients undergoing rehabilitation in a cardiac unit represented 45.59% of all cases, with a prevalence rate of 3.21%. The average participant was 57.97 years old, with those aged 61 to 70 forming the largest group (35.5%). The study noted a male predominance (sex ratio of 2.1) and identified dyslipidaemia (80.6%) and sedentarism (71%), as prevalent cardiovascular risk factors. All participants initially suffered from NYHA stage 2 or 3 dyspnoea, yet 80.65% showed no symptoms following rehabilitation. Significant improvements were recorded in resting heart rate (from 79 to 67 bpm), and the 6-minute walk test distance (from 328 m to 470 m). Enhanced exercise tolerance and walking test outcomes were particularly notable in patients with LVEF ≥ 50%, women, non-obese individuals, those initially walking less than 300 m, achieving more than 3 METs, and non-smokers. Conclusion: The findings underscore the effectiveness of cardiovascular rehabilitation in improving symptoms, physical capability, and overall quality of life for heart failure patients in Senegal. 展开更多
关键词 Cardiovascular Rehabilitation Heart Failure Physical Capabilities Quality of Life Improvement west africa
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A systematic review of climate change impacts,adaptation strategies,and policy development in West Africa
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作者 Camillus Abawiera WONGNAA Alex Amoah SEYRAM Suresh BABU 《Regional Sustainability》 2024年第2期13-25,共13页
Climate change studies are diverse with no single study giving a comprehensive review of climate change impacts,adaptation strategies,and policy development in West Africa.The unavailability of an all-inclusive study ... Climate change studies are diverse with no single study giving a comprehensive review of climate change impacts,adaptation strategies,and policy development in West Africa.The unavailability of an all-inclusive study to serve as a guide for practitioners affects the effectiveness of climate change adaptation strategies proposed and adopted in the West African sub-region.The purpose of this study was to review the impacts of climate change risks on the crop,fishery,and livestock sectors,as well as the climate change adaptation strategies and climate-related policies aimed at helping to build resilient agricultural production systems in West Africa.The review process followed a series of rigorous stages until the final selection of 56 articles published from 2009 to 2023.Generally,the results highlighted the adverse effects of climate change risks on food security.We found a continuous decline in food crop production.Additionally,the livestock sector experienced morbidity and mortality,as well as reduction in meat and milk production.The fishery sector recorded loss of fingerlings,reduction in fish stocks,and destruction of mariculture and aquaculture.In West Africa,climate-smart agriculture technologies,physical protection of fishing,and inclusion of gender perspectives in programs appear to be the major adaptation strategies.The study therefore recommends the inclusion of ecosystem and biodiversity restoration,weather insurance,replacement of unsafe vessels,and strengthening gender equality in all climate change mitigation programs,as these will help to secure enough food for present and future generations. 展开更多
关键词 Climate change Climate extreme events Food security Adaptation strategies Climate-smart AGRICULTURE west africa
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Socioenvironmental Drivers of Farmers’ Perceptions of Climate Change Risk in Agroforestry Parklands of West Atacora in Benin (West Africa)
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作者 Amos Baninwain Nambima Thierry Dèhouégnon Houehanou +3 位作者 Narcisse Yehouenou Dowo Michée Adjacou Abdul Sodick Alassiri Gérard Gouwakinnou 《Open Journal of Ecology》 2024年第1期54-65,共12页
Throughout the world, climate change is threatening the human population. In West Africa, smallholder farmers in indigenous agricultural societies typically hold considerable knowledge. Therefore, this study was condu... Throughout the world, climate change is threatening the human population. In West Africa, smallholder farmers in indigenous agricultural societies typically hold considerable knowledge. Therefore, this study was conducted in West Atacora of Benin Republic to assess the drivers of farmers’ perceptions of climate change risk. We used a random sampling technique to select 360 households’ heads who were interviewed regarding different climate change risks perception. Binomial logistic regression was used to assess the drivers of farmers’ perceptions of climate change risks. The results showed that the farmers in drier areas had a higher perception of the global risk of climate change than those in humid areas. The same trend was observed for the seven different individual’s climate change risk investigated. The study identified also membership of farm organizations as main sociodemographic characteristic that explains farmers’ perception of climate change risk perception. These findings are helpful tools to sensitize the local people on climate change risk and cope with the risk in agricultural lands. 展开更多
关键词 Climate Change Risk Local Ecological Knowledge Socio-Demographic Characteristics BENIN west africa
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Control of the Dust Vertical Distribution over Western Africa by Convection and Scavenging
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作者 H.Senghor R.Pilon +7 位作者 B.Diallo J.Escribano F.Hourdin J.Y.Grandpeix O.Boucher M.Gueye A.T.Gaye E.Machu 《Journal of Atmospheric Science Research》 2024年第1期19-39,共21页
Saharan dust represents more than 50%of the total desert dust emitted around the globe and its radiative effect significantly affects the atmospheric circulation at a continental scale.Previous studies on dust vertica... Saharan dust represents more than 50%of the total desert dust emitted around the globe and its radiative effect significantly affects the atmospheric circulation at a continental scale.Previous studies on dust vertical distribution and the Saharan Air Layer(SAL)showed some shortcomings that could be attributed to imperfect representation of the effects of deep convection and scavenging.The authors investigate here the role of deep convective transport and scavenging on the vertical distribution of mineral dust over Western Africa.Using multi-year(2006-2010)simulations performed with the variable-resolution(zoomed)version of the LMDZ climate model.Simulations are compared with aerosol amounts recorded by the Aerosol Robotic Network(AERONET)and with vertical profiles of the Cloud-Aerosol Lidar with Orthogonal Polarization(CALIOP)measurements.LMDZ allows a thorough examination of the respective roles of deep convective transport,convective and stratiform scavenging,boundary layer transport,and advection processes on the vertical mineral dust distribution over Western Africa.The comparison of simulated dust Aerosol Optical Depth(AOD)and distribution with measurements suggest that scavenging in deep convection and subsequent re-evaporation of dusty rainfall in the lower troposphere are critical processes for explaining the vertical distribution of desert dust.These processes play a key role in maintaining a well-defined dust layer with a sharp transition at the top of the SAL and in establishing the seasonal cycle of dust distribution.This vertical distribution is further reshaped offshore in the Inter-Tropical Convergence Zone(ITCZ)over the Atlantic Ocean by marine boundary layer turbulent and convective transport and wet deposition at the surface. 展开更多
关键词 DUST Vertical distribution SAHARA SAHEL west africa Climate model CONVECTION SCAVENGING ITCZ
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Assessment of ERA5 and ERA-Interim in Reproducing Mean and Extreme Climates over West Africa
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作者 Imoleayo Ezekiel GBODE Toju Esther BABALOLA +1 位作者 Gulilat Tefera DIRO Joseph Daniel INTSIFUL 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2023年第4期570-586,共17页
In situ data in West Africa are scarce,and reanalysis datasets could be an alternative source to alleviate the problem of data availability.Nevertheless,because of uncertainties in numerical prediction models and assi... In situ data in West Africa are scarce,and reanalysis datasets could be an alternative source to alleviate the problem of data availability.Nevertheless,because of uncertainties in numerical prediction models and assimilation methods,among other things,existing reanalysis datasets can perform with various degrees of quality and accuracy.Therefore,a proper assessment of their shortcomings and strengths should be performed prior to their usage.In this study,we examine the performance of ERA5 and ERA-interim(ERAI)products in representing the mean and extreme climates over West Africa for the period 1981-2018 using observations from CRU and CHIRPS.The major conclusion is that ERA5 showed a considerable decrease in precipitation and temperature biases and an improved representation of inter-annual variability in much of western Africa.Also,the annual cycle is better captured by ERA5 in three of the region’s climatic zones;specifically,precipitation is well-reproduced in the Savannah and Guinea Coast,and temperature in the Sahel.In terms of extremes,the ERA5 performance is superior.Still,both reanalyses underestimate the intensity and frequency of heavy precipitations and overestimate the number of wet days,as the numerical models used in reanalyses tend to produce drizzle more often.While ERA5 performs better than ERAI,both datasets are less successful in capturing the observed long-term trends.Although ERA5 has achieved considerable progress compared to its predecessor,improved datasets with better resolution and accuracy continue to be needed in sectors like agriculture and water resources to enable climate impact assessment. 展开更多
关键词 west africa ERAI ERA5 REANALYSIS PRECIPITATION temperature EXTREMES
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NDVI-Derived Vegetation Trends and Driving Factors in West African Sudanian Savanna
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作者 Benewindé J.-B. Zoungrana Kangbeni Dimobé 《American Journal of Plant Sciences》 2023年第10期1130-1145,共16页
The Sudanian savanna is a key vegetation biome in West Africa providing food and vital ecosystem services. Recently, it has been reported alarming vegetation loss in this biome, calling for more investigation, relevan... The Sudanian savanna is a key vegetation biome in West Africa providing food and vital ecosystem services. Recently, it has been reported alarming vegetation loss in this biome, calling for more investigation, relevant to tackle land degradation and ensure food security. However, vegetation dynamics in this area remains a matter of debate, and one of the main challenges is to document consistently the underlying driving factors. This study aimed at assessing vegetation trends and driving factors from 2000 to 2022. NDVI trend, detected using the Mann-Kendall’s monotonic trend test, was used as proxy to express vegetation dynamics. In addition to the non-parametric Spearman correlation analysis, variables importance scores, derived from Random Forest (RF) classifications, were used to determine key driving factors among climatic, topographic, edaphic, accessibility and demographic factors. During 2000-2022, no significant trends largely characterised the vegetation cover of the study area. However, patterns of strong (weak) browning and strong (weak) greening affected 7.1% (10.6%) and 12.8% (19.1%) of the study area respectively. According to the driving factors analysis, the observed vegetation trends were mainly driven by rainfall dynamics (trend and mean annual), population growth and anthropogenic activities. The results of this study can support the development of efficient strategies for safeguarding vegetation cover in the Sudanian savanna of Burkina Faso. 展开更多
关键词 Vegetation Trends NDVI Sudanian Savanna Burkina Faso west africa
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Rainfall Variability and Trends in West Africa
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作者 Anoumou Réné Tano François-Xavier Djézia Bella Bouo +3 位作者 Justin Koffi Kouamé Yao Tchétché Sylvain Djédjé Zézé Bafétigué Ouattara 《Atmospheric and Climate Sciences》 CAS 2023年第1期72-83,共12页
Rainfall variability associated with climate change has enormous impacts on ecosystems, agriculture and people in West Africa but few studies have been devoted to it. Monthly rainfall data from 1901 to 2013, provided ... Rainfall variability associated with climate change has enormous impacts on ecosystems, agriculture and people in West Africa but few studies have been devoted to it. Monthly rainfall data from 1901 to 2013, provided by the Global Precipitation Climatology Center dataset, were analyzed using segmentation and empirical modal decomposition (EMD) methods to increase our knowledge on past and recent spatio-temporal rainfall trends and their impacts on the West African region. The results obtained showed that the peak of rainfall during the short rainy season is observed in September in C&#244;te d’Ivoire, Ghana and Liberia. The temporal variability of this rainfall is marked by several breakpoints whose durations range from 2 to 70 years. The periods of change in the rainfall regime, characterized by the appearance of breakpoints, vary from one country to another and are of unequal duration. The main breakpoint appears after 1960. Periods of relative or normal increase or decrease in precipitation are observed before and after 1960. The long-term variability of this rainfall is characterized by a decrease in the amount of rainfall over all West African countries. The results of this study can be used as a tool to help raise awareness among populations for sustainable management of water resources in response to climate change and its adverse effects. 展开更多
关键词 RAINFALL VARIABILITY Segmentation Method Empirical Mode Decomposition Method west africa
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Effects of Bush Fires on Biodiversity in West Africa Sahel: A Review
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作者 Sani Ousmane Aboul-Hadi Nouhou Mossi Omoul-kaïrou Moussa Soulé 《Research in Ecology》 2023年第2期40-50,共11页
Bush fire is one of the drivers of biodiversity loss worldwide.However,the impact of bush fires on biodiversity in the West Africa Sahel is not well documented.Therefore,this study reviewed the effects of bush fires o... Bush fire is one of the drivers of biodiversity loss worldwide.However,the impact of bush fires on biodiversity in the West Africa Sahel is not well documented.Therefore,this study reviewed the effects of bush fires on biodiversity,the typology of the bush fire drivers and bush fires solutions in the West Africa Sahel via a systematic review.The authors used many research engines such as Google Scholar and Mendeley from 2010 to 2022 with some keywords in French and English.It comes from the analysis of the data that Mali is the most country affected by bush fires with an average of 35,000,000 ha burned.In Burkina Faso,bush fires burned more than 2 million hectares each year.The analysis showed also a loss of 1,675,157 ha in Niger and 56,568.10 ha in Senegal.The study recommends that climate actions should target bush fires prevention and fighting as climate response in order to promote sustainable biodiversity management in the West Africa Sahel.The study recommends also that West Africa Sahel countries develop bushfire community education programs for fire prevention. 展开更多
关键词 Bushfires BIODIVERSITY SAHEL Firebreaks west africa
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Hydrogeochemical and multi-tracer investigations of arsenic-affected aquifers in semi-arid West Africa 被引量:2
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作者 Anja Bretzler Lucien Stolze +5 位作者 Julien Nikiema Franck Lalanne Elaheh Ghadiri Matthias S. Brennwald Massimo Rolle Mario Schirmer 《Geoscience Frontiers》 SCIE CAS CSCD 2019年第5期1685-1699,共15页
The semi-arid Sahel regions ofWest Africa rely heavily on groundwater from shallow to moderately deep (<100 m b.g.l.) crystalline bedrock aquifers for drinking water production.Groundwater quality may be affected b... The semi-arid Sahel regions ofWest Africa rely heavily on groundwater from shallow to moderately deep (<100 m b.g.l.) crystalline bedrock aquifers for drinking water production.Groundwater quality may be affected by high geogenic arsenic (As) concentrations (>10 μg/L) stemming from the oxidation of sulphide minerals (pyrite,arsenopyrite) in mineralised zones.These aquifers are still little investigated,especially concerning groundwater residence times and the influence of the annual monsoon season on groundwater chemistry.To gain insights on the temporal aspects of As contamination,we have used isotope tracers (noble gases,3H,stable water isotopes (2H,18O)) and performed hydrochemical analyses on groundwater abstracted from tube wells and dug wells in a small study area in southwestern Burkina Faso.Results revealed a great variability in groundwater properties (e.g.redox conditions,As concentrations,water level,residence time) over spatial scales of only a few hundred metres,characteristic of the highly heterogeneous fractured underground.Elevated As levels are found in oxic groundwater of circum-neutral pH and show little relation with any of the measured parameters.Arsenic concentrations are relatively stable over the course of the year,with little effect seen by the monsoon.Groundwater residence time does not seem to have an influence on As concentrations,as elevated As can be found both in groundwater with short (<50 a) and long (>10^3 a) residence times as indicated by 3He/4He ratios spanning three orders of magnitude.These results support the hypothesis that the proximity to mineralised zones is the most crucial factor controlling As concentrations in the observed redox/pH conditions.The existence of very old water portions with residence times >10^3 years already at depths of <50 m b.g.l.is a new finding for the shallow fractured bedrock aquifers of Burkina Faso,suggesting that overexploitation of these relatively low-yielding aquifers may be an issue in the future. 展开更多
关键词 Arsenic Groundwater chemistry west africa Fractured aquifers RESIDENCE time NOBLE gases
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The <i>Helicobacter pylori</i>Eradication Rate in a High Prevalence Area (West Africa): Three Triple Therapy Comparative Study 被引量:3
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作者 Adjéka Stanislas Doffou Koffi Alain Attia +8 位作者 Mamert Fulgence Yao Bathaix Aboubacar Demba Bangoura Ya Henriette Kissy-Anzouan Hartrydt Dimitri Kouamé Kouamé Alassan Mahassadi Kouamé Justin N’Da Mohamed Kouyaté Constant Assi Aya Thérèse N’dri-Yoman 《Open Journal of Gastroenterology》 2015年第12期200-206,共7页
In Western countries, the current trend is to use sequential quadruple therapy or bismuth-based instead of triple therapy for the eradication of Helicobacter pylori (H. pylori). In sub-Saharan Africa, high prevalence ... In Western countries, the current trend is to use sequential quadruple therapy or bismuth-based instead of triple therapy for the eradication of Helicobacter pylori (H. pylori). In sub-Saharan Africa, high prevalence area of the H. pylori infection, the effectiveness of these triple therapies widely used in routine has been little evaluated. The purpose of this study was to evaluate and compare the effectiveness of three patterns of first-line triple therapy based on combining a proton pump inhibitors (PPI), and 3 types of antibiotics: omeprazole (O), amoxicillin (A), clarythromycin (C) and metronidazole (M). Patients and Methods: This is a randomized clinical trial opened on 3 parallel arms: OAM (group 1 or G1), OAC (group 2 or G2) or OCM (group 3 or G3). The primary endpoint was H. pylori eradication rate after seven days triple therapy. H. pylori diagnosis infection was based on bacterium detection on the histological examination of the gastric biopsies. Histological control was performed 4 weeks after the end of treatment to assess H. pylori eradication rate. Results: The average age of our 153 patients included in the study (86 men) was 44.33 ± 11.72 years. The main reason of the endoscopy was the dyspeptic syndrome (75.16%). The gastroscopy was normal in 28.76%. A Gastric or duodenal peptic ulcer was found in 17% of cases and gastropathy in 45.75%. Histologically, the GC was active in 90.9% of cases, follicular in 35.3% of cases, atrophic in 22.5% of cases and was associated with intestinal metaplasia (IM) in 5.2% of cases. Patients of these three groups (n = 64 for G1, n = 56 for G2 and n = 33 for G3) were comparable for age, gender, endoscopy indications, alcohol consumption history or smoking, and anti-inflammatory drugs taking. Approximately 23% of patients experienced adverse reactions. The overall H. pylori eradication rate was 22.3%. There was no significant difference H. pylori eradication rate depending on the treatment used (28.1%, 21.4% and 15.1% for G1, G2 and G3, p = 0.34). Conclusion: The H. pylori eradication rate was poor regardless of the triple therapy used. It is desirable in the absence of bacteriological data on the primary and secondary resistance levels to optimize the eradication rate advocating the use of quadruple therapy at outset in first-line. 展开更多
关键词 HELICOBACTER PYLORI Triple Therapy Eradication west africa
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Ebola in West Africa:an international medical emergency 被引量:1
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作者 Yasir Waheed 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2014年第9期673-674,共2页
West Africa is facing the worst Ebola outbreak with 3685 cases and 1841 deaths reported from Liberia,Cuinea,Senegal,Sierra Leona and Nigeria.There is no vaccine or direct treatment available to treat the patients with... West Africa is facing the worst Ebola outbreak with 3685 cases and 1841 deaths reported from Liberia,Cuinea,Senegal,Sierra Leona and Nigeria.There is no vaccine or direct treatment available to treat the patients with Ebola.World Health Organization(WHO) has approved the use of experimental drugs for Ebola patients.Health workers are at high risk.The governments and WHO are responsible to provide necessary protective equipment to health workers dealing with Ebola.There is a strong need to identify the invisible chains of virus transmission.World Bank pledges $200 million to fight against Ebola,while WHO said $430 million are needed to control the Ebola outbreak.Ebola can be contained by early detection and isolation of case,contact tracing,monitoring of contacts and adaptation of rigorous procedures for virus control. 展开更多
关键词 EBOLA west africa THERAPEUTICS HEALTH workers
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Port Logistics in West and Central Africa: A Strategic Development under Globalization 被引量:5
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作者 Regine Adele Ngono Fouda Nana Darcis Romeo +1 位作者 Muhammad Azizi S. Rick Fernandez 《Open Journal of Applied Sciences》 2014年第2期76-84,共9页
The main idea of this study is to provide help to West and Central Africa port logistics authorities in making, evaluating and realizing their decisions on port development/management, all in an effort to guaranty por... The main idea of this study is to provide help to West and Central Africa port logistics authorities in making, evaluating and realizing their decisions on port development/management, all in an effort to guaranty port efficiency and operational brilliance to profit the different ports, their hinterlands and their related clients. Consequently, an examination is made as far as port sector is concerned, with an ever more demanding enhancement in operational efficiency. Moreover, a past research on West and Central Africa Ports, as well as an overview on port logistics was made, making it possible to determine what has been done (prospects) and what is still to be done (ineffectiveness), in prospective of a more reformed and efficient port. One of the principles of this paper is also to confer all the aspects that operate as obstacles to the WCA port’s improvement and development;using thus the evaluation model called EWCA (Evaluation of West and Central Africa Ports), which gives a descriptive analysis of the present situation of the latter’s port logistics, including the aid of multiple regression model to determine an impact of explanatory variables on the study probability. Applying the method of strategic development, this paper thus deals with exploring typical problems and quandaries of West and Central Africa ports. The findings suggested how to fight back or overcome the constrictions and strangulations;enabling West and Central Africa port logistics attain their desired strategic development aims, despite the ineffectiveness. Tremendous efforts were made, giving a vital shoot on African economy and development;even though there is still a lot to do, for the data and variables showed how the port logistics augment and descend frequently without a long period of stability. 展开更多
关键词 Port LOGISTICS west & Central africa Multiple Regression Analysis Strategy DEVELOPMENT
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Site Ranking and Potential Assessment for Concentrating Solar Power in West Africa 被引量:2
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作者 Emmanuel Wendsongre Ramdé Yao Azoumah +2 位作者 Abeeku Brew-Hammond Anselme Rungundu Gildas Tapsoba 《Natural Resources》 2013年第1期146-153,共8页
Access to electricity is poor in the Economic Community of West African States (ECOWAS). Concentrating Solar Power (CSP) presents better opportunities for increasing access to electricity and for diversifying sources ... Access to electricity is poor in the Economic Community of West African States (ECOWAS). Concentrating Solar Power (CSP) presents better opportunities for increasing access to electricity and for diversifying sources of energy in the ECOWAS region;however, to date, except for Burkina Faso, no site evaluation pertaining to the region has ever been performed for CSP. This study provides potential assessment and site ranking for large-scale CSP projects in the ECOWAS region. It computes the nominal potential power and gives the corresponding energy yield with many scenarios. By considering only 1% of the suitable land area with daily DNI greater or equal to 5 kWh/m2, a land slope less or equal to 5% and distance to transmission line not more than 100 km, the study showed, for example, that West Africa has a potential nominal capacity of 21.3 GW for parabolic trough technology. 展开更多
关键词 CONCENTRATING Solar Power POTENTIAL west africa
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Mortality of HIV-Infected Patients on Antiretroviral Therapy in a Large Public Cohort in West Africa, Burkina Faso: Frequency and Associated Factors 被引量:1
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作者 Armel Poda Arsène Hema +7 位作者 Jacques Zoungrana Nongodo Firmin Kaboré Bebar Euloges Kamboulé Ibrahim Soré Guillaume Bado Abdoul-Salam Ouédraogo Nicolas Meda Adrien Bruno Sawadogo 《Advances in Infectious Diseases》 2013年第4期281-289,共9页
Background: In sub Saharan Africa, small size surveys have demonstrated early high mortality among infected patients on antiretroviral therapies (ART). Few studies have been conducted in large cohorts of HIV-patients ... Background: In sub Saharan Africa, small size surveys have demonstrated early high mortality among infected patients on antiretroviral therapies (ART). Few studies have been conducted in large cohorts of HIV-patients in public health care system in West Africa. Objectives: Our study aims to determine mortality rate and its predictors in a cohort of patients on ART in a public daycare hospital in Burkina Faso. Methods: We have carried out a retrospective cohort study. All HIV-infected patients on ART between January 1st 2008 and December 31st 2011 were included in the study. Survival probability was estimated by the Kaplan-Meier method. Cox regression analysis was used to identify associated factors to mortality. Results: A total of 2243 HIV-infected patients were included in the study. During the follow-up, 218 patients representing 9.7% were lost. About 104 patients representing 4.6% were transferred and 1691 representing 75.4% were still in the therapeutic cohort. There were 230 death cases for a total of 4282 persons-years, (5.4 deaths for 100 persons-years;95% CI: 4.8 -6.3). The survival probabilities after 6 months, 1 year and 2 years were 92.6%, 91% and 88.9% respectively. For the multivariate analysis, the following factors were independently associated to death: male gender, BMI .5 kg/m2, WHO stage 3 and 4, HIV-2, T-CD4 lymphocytes < 200/μl, haemoglobin rate g/dl and creatinine clearance 2. Conclusions: Our study provides for the first time mortality rates and its predictors among HIV-patients on antiretroviral treatment in a large cohort in public health sector in Burkina Faso. It highlights the importance of early HIV screening to limit ART initiation at advanced HIV infection stages. 展开更多
关键词 ANTIRETROVIRAL Therapy Burkina Faso HIV MORTALITY west africa
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Vulnerability Assessment of West African Countries to Climate Change and Variability 被引量:1
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作者 Bobadoye Ayodotun Sylla Bamba Aderonke Adio 《Journal of Geoscience and Environment Protection》 2019年第6期13-15,共3页
This study was conducted to assess vulnerability of West African countries to climate change using selected indicators for adaptive capacity, exposure and sensitivity to generate vulnerability index for West African c... This study was conducted to assess vulnerability of West African countries to climate change using selected indicators for adaptive capacity, exposure and sensitivity to generate vulnerability index for West African countries. Vulnerability index was calculated as the net effect of adaptive capacity, sensitivity and exposure to climate change. Principal Component Analysis (PCA) was used to assign weights to the vulnerability indicators used in this study. A total of thirteen (13) indicators were used to generate vulnerability index and vulnerability maps were produced using the GIS software package ArcGIS 10.2. The result shows that Niger, Mali and Mauritania have the highest levels of vulnerability to climate change in West Africa. The countries with the least levels of vulnerability to climate change are Ghana, Cape Verde and Gambia. Generally, this study shows that most countries in West Africa are vulnerable to climate change with ten countries (Niger, Mauritania, Mali, Burkina-Faso, Liberia, Senegal, Guinea Bissau, Guinea, Benin and Sierra Leone) having vulnerability levels higher than 50%. We conclude that there is the need for well planned integrated adaptation measures to reduce the impact of climate change in the region. 展开更多
关键词 west africa VULNERABILITY Index CLIMATE Change
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Interannual Variability of Rainfall over the West Africa Sahel 被引量:1
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作者 Aichetou Dia-Diop Sinclaire Zebaze +4 位作者 Malick Wade Rinelle Ngongang Djiondo Bouya Diop Eric Efon Andre Lenouo 《Journal of Geoscience and Environment Protection》 2020年第3期85-101,共17页
Interannual variability of the precipitation over West Africa Sahel is analyzed based on 32 years (1979-2010) from monthly and daily database of the Global Precipitation Climatology Project (GPCP). In this region, we ... Interannual variability of the precipitation over West Africa Sahel is analyzed based on 32 years (1979-2010) from monthly and daily database of the Global Precipitation Climatology Project (GPCP). In this region, we found that there is a link between the West Africa Monsoon (WAM) and the daily means of the precipitation in the summer, unseasonal rains can occur in the transition seasons and even in the heart of the dry season. Rainfall is the most important element for agro-pastoral activities in this region. The 850-hPa wind and wind divergence structure show a maximum convection over Mountain region (Fouta-Djalon and Mont-Cameroon) which corresponds to the high precipitation and OLR observed in these regions. The trend and empirical orthogonal function (EOF) of the precipitation are presented, including the mid-July variability of the precipitation. The dominant EOF of GPCP precipitation accounts for around 25.3% of the variance with slightly large amplitude in the north while relatively small in the equatorial band respectively. The second and third EOF which accounts for 20.5% and 14%, describes a longitudinal contrast with a zonal gradient. 展开更多
关键词 GPCP Precipitation west africa MONSOON Inter Tropical Convergence Zone Trend
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Suicidal Ideation among Depressed People Living with HIV/AIDS in Nigeria, West Africa 被引量:1
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作者 Rasaki O. Shittu Moradeyo K. Alabi +5 位作者 Louis O. Odeigah Musa A. Sanni Baba A. Issa Abdulganiyu T. Olanrewaju Abdullateef G. Sule Sunday A. Aderibigbe 《Open Journal of Medical Psychology》 2014年第3期262-270,共9页
Objective: Transient suicide thoughts are common to some people throughout the course of HIV disease and often do not indicate significant risk of suicide. However, persistent suicidal thoughts with associated feeling... Objective: Transient suicide thoughts are common to some people throughout the course of HIV disease and often do not indicate significant risk of suicide. However, persistent suicidal thoughts with associated feelings of hopelessness and intent to die are very serious and must be assessed promptly and carefully. The aim of this study, therefore, was to examine the relationship between depression, hopelessness, psychosocial stressors and suicidal ideation in PLWHAs. Methods: This was a hospital based, cross sectional, descriptive study, of one hundred and seventy depressed adult HIV/AIDS patients of Kwara State Specialist Hospital, Ilorin. Depression and suicidal assessment were evaluated using the PHQ-9 scale. A score of >9 or any affirmative response to question 9 of the PHQ-9 scale necessitated suicidal risk assessment. The social determinant questionnaire was used to evaluate social cohesion and negative life events. Results: The prevalence of depression among the HIV/AID patient was 56.7%. Twenty nine (17.1%) were hopeless, twenty eight (16.5%) had at one time or the other thought of taking their lives, six (3.5%) had plan to take their lives. There was strong statistical association between depression, hopelessness (p-value = 0.000) thought of taking life (p-value = 0.000) and plan to take their lives (p-value = 0.030). Conclusion: The significant correlations between hopelessness, depression and suicidal ideation are important markers that should alert clinicians to underlying suicide risk in HIV-positive patients. In addition, low social cohesion and stressful life events were found to be risk factors for depression and suicide. Clinicians should routinely enquire about suicidality in PLWHAs to assist early diagnosis and intervention. 展开更多
关键词 SUICIDAL Ideation DEPRESSION HIV/AIDS NIGERIA west africa
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The Characteristics and Distribution Pattern of Seafloor Sinuous Pockmark Train in the Niger Delta Basin,West Africa 被引量:2
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作者 JIANG Li WU Shenghe +1 位作者 HU Guangyi ZHANG Jiajia 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2016年第3期1057-1058,共2页
Objective The term "pockmark" was introduced by King and MacLean (1970) to describe small "circular" on echosounder records in Nova Scotia. described as circular, near Pockmarks are usually circular or elongated... Objective The term "pockmark" was introduced by King and MacLean (1970) to describe small "circular" on echosounder records in Nova Scotia. described as circular, near Pockmarks are usually circular or elongated depressions, generally 10--400 m in diameter and 30-50 m in deep. Pockmarks are normally regarded to be manifestations of fluids escape through the seabed. Pockmarks are valuable features on the seafloor and are useful in constraining the hydrodynamics of sedimentary basins. Since then pockmarks have been recognized in many areas around the world. They occur predominantly in fine-grained siliciclastic depositional settings, although a few case studies have been reported in carbonate settings. In this paper we illustrate a suite of fluid escape features, discovered during the course of petroleum exploration on the West Africa continental margin (Fig. 1). They are particularly of interest to the oil and gas industry because they could be potential indicators of deeply buried hydrocarbon reservoirs, and fluid flow phenomena in the deep water oilfield are important for the safe and efficient exploration, development and production of hydrocarbons in the area. 展开更多
关键词 The Characteristics and Distribution Pattern of Seafloor Sinuous Pockmark Train in the Niger Delta Basin west africa
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Rainfall Variability Patterns in West Africa: Case of Cote d'lvoire and Ghana 被引量:2
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作者 K.Y. Kouadio A. Aman A.D. Ochou K.E. Ali P.A. Assamoi 《Journal of Environmental Science and Engineering》 2011年第9期1229-1238,共10页
This study is focused first on the rainfall variability in C6te d'Ivoire and in Ghana; second, on the determination of the climatic zones of these areas. Monthly rainfall heights recorded in 43 weather stations from ... This study is focused first on the rainfall variability in C6te d'Ivoire and in Ghana; second, on the determination of the climatic zones of these areas. Monthly rainfall heights recorded in 43 weather stations from 1964 to 2000 is carried out. This study suggests a sudivision in three climatic zones which are: the littoral zone that borders the tropical Atlantic, the center zone that is located in the central region of both countries, and the northern zone whose seasonal cycle is close to that of the Sahel of West Africa. The study of the interannual variability of the rainfall shows some patterns which are differently influenced by sea surface temperature. Such work could be useful for agricultural activities and to better quantify the role of the vegetation dynamics. 展开更多
关键词 Rainfall variability climatic zoning west africa Cote d'Ivoire Ghana.
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The Fintech Revolution: An Opportunity for the West African Financial Sector 被引量:4
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作者 Hua Wilfried Serge Koffi 《Open Journal of Applied Sciences》 2016年第11期771-782,共12页
Fintech provides alternative solutions and business models that could render traditional banking processes obsolete. This paper assesses the opportunity that could be taken to West Africa by using Fintech’s financial... Fintech provides alternative solutions and business models that could render traditional banking processes obsolete. This paper assesses the opportunity that could be taken to West Africa by using Fintech’s financial system. It describes the current West African financial sector, the way of digitization settlement, and lastly, the financial market segments of Fintech. Financial sector creates a massive amount of data exploiting by Fintech companies that are using to segment customer populations, identify opportunities for new products and services and optimize pricing. In this segment, products may use data and analytics to computerize the decision- making processes. Innovative start-ups, retailers, established banks, card companies and other payment services providers are the Payment systems that underpin the services that enable funds to be transferred between people and institutions. For the financial system (banking), Fintech offers sustainable and realistic opportunities by enhancing the value proposition and driving sales, reducing operating costs, making easy access to loans, and lowering interest rates. After showing the advantages of using Fintech services, the findings are that Fintech could improve both financial services and access to services in the West African economy. 展开更多
关键词 BANKING Fintech Revolution Financial Services west africa Economy Monetary Union (WAEMU)
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