http://hdl.handle.net/10144/10942 Wed, 19 Jun 2013 07:27:45 GMT 2013-06-19T07:27:45Z http://hdl.handle.net/10144/269514 Title: Causes of pediatric mortality and case-fatality rates in eight Médecins Sans Frontières-supported hospitals in Africa Authors: van den Boogaard, W.; Manzi, M.; Harries, A. D.; Reid, A. J. Sat, 01 Dec 2012 00:00:00 GMT http://hdl.handle.net/10144/269514 2012-12-01T00:00:00Z http://hdl.handle.net/10144/279017 Title: Effectiveness of blood transfusions and risk factors for mortality in children aged from 1 month to 4 years at the Bon Marche Hospital, Bunia, Democratic Republic of Congo Authors: Mueller, Yolanda; Bastard, Mathieu; Ehounou, Geneviève; Itama, Jeff; Quéré, Michel; de la Tour, Roberto; Vala, Louis; Etard, Jean-François; Bottineau, Marie-Claude Abstract: Objective  To assess the effectiveness of blood transfusions in a hospital of north-eastern Democratic Republic of the Congo. Methods  Prospective study of children admitted for severe anaemia. During admission, data were collected on clinical condition and haemoglobin levels, before and after blood transfusion. A linear regression model was built to explore factors associated with haemoglobin level after transfusion. Risk factors for mortality were explored through multivariate logistic regression. Results  Haemoglobin level (Hb) was below 4 g/dl in 35% (230/657), between 4 and 6 g/dl in 58% (348/657) and at least 6 g/dl in another 6% (43/657) of the transfused children. A transfusion of 15 ml/kg of whole blood increased the Hb from 4.4 to 7.8 g/dl. Haemoglobin level after transfusion was associated with baseline Hb, quantity of delivered blood and history of previous transfusions. Overall case-fatality rate was 5.6% (37/657). Risk factors for deaths were co-morbidities such as chest infection, meningitis or malnutrition, Hb ≥ 6 g/dl, impaired consciousness or jugular venous distention on admission, and provenance. Conclusion  Transfusion was a frequent practice, the use of which could clearly have been rationalised. While indications should be restricted, quantities of transfused blood should be adapted to needs. Thu, 11 Oct 2012 00:00:00 GMT http://hdl.handle.net/10144/279017 2012-10-11T00:00:00Z http://hdl.handle.net/10144/272010 Title: Bridging the gap from knowledge to delivery in the control of Childhood Diarrhoea Authors: Isanaka, Sheila; Elder, Greg; Schaefer, Myrto; Vasset, Brigitte; Baron, Emmanuel; Grais, Rebecca F Sat, 01 Sep 2012 00:00:00 GMT http://hdl.handle.net/10144/272010 2012-09-01T00:00:00Z http://hdl.handle.net/10144/245392 Title: Practicing medicine without borders: tele-consultations and tele-mentoring for improving paediatric care in a conflict setting in Somalia? Authors: Zachariah, R.; Bienvenue, B.; Ayada, L.; Manzi, M.; Maalim, A.; Engy, E.; Jemmy, J. P.; Ibrahim Said, A.; Hassan, A.; Abdulrahaman, F.; Abdulrahman, O.; Bseiso, J.; Amin, H.; Michalski, D.; Oberreit, J.; Draguez, B.; Stokes, C.; Reid, T.; Harries, A. D. Sat, 01 Sep 2012 00:00:00 GMT http://hdl.handle.net/10144/245392 2012-09-01T00:00:00Z