HIV prevalence appears to be relatively low, and condom use is high among clients of female sex workers in Abidjan. Existing HIV prevention efforts among female sex workers and among the general population should be sustained and reinforced.
This descriptive retrospective study ran from August 2003 to December 2003 at the Rabies Center of the National Institute of Public Health in Abidjan. It covers subjects at risk of rabies transmission during 2004. Identification of participants in the study was made via a census of patients consulting the rabies clinic: a total of 533 subjects were included, predominantly male (54.6%), without gainful employment (57%), with an average age of 26.7 years. Those who lived outside the city of Abidjan accounted for 21.6%. In 88.2% of cases, they were exposed due to a bite. Dogs (90.8%) represented the main species responsible for this kind of exposure. Only 3.2% of these animals had a current valid rabies vaccine. The owner of the animal was not known in 71% of cases. The observance of the recommended immunization schedule for 4 doses was 53.1%. Of the 533 patients registered in the study, 46.9% had stopped treatment vaccine. Some factors have been identified as adversely affecting adherence, such as the vaccination treatment plan of 5 doses, exposure outside the city of Abidjan, unemployment, incurrence of superficial injuries, exposure from an animal bite and lack of immunization of the animal. The results show that the strategies against rabies must focus increasingly on the importance of adherence to treatment and education of the population vis-à-vis the risk of rabies.
Summaryobjectives To assess the quality of sexually transmitted infections (STI) care in health care facilities in Abidjan attended by female sex workers.methods A cross-sectional study was conducted in June 2000 in the 29 health care facilities and 10 pharmacies, which were reported as points of first encounter for STI care by female sex workers in a previous study on health seeking behaviour. Evaluation components included: (1) checklists of equipment and STI drugs in the facilities; (2) interviews with health care providers and pharmacists; (3) direct observation of the provider/client interaction; (4) exit interviews with women attending with STI or genital problems.results Private health care facilities were more expensive, had fewer clients, and had less equipment and medical staff than public facilities, with the exception of the special female sex worker clinic. A total of 60 health care providers and 29 pharmacists were interviewed. There was no difference in their scoring on syndromic approach case studies, with the exception of the nurse assistants, who scored less.Overall scores for correct treatment were lowest for the pharmacists. We observed 513 provider-client interactions, of which 161 related to STIs or genital problems in women. Questions about recent sexual contacts were asked in only 20% and preventive messages were given in only 9% of the cases with STI/genital problems. Of 161 clients interviewed, 44% complained about a long waiting time, and 39% thought the health care provider had adequately explained the problem to them.conclusions The opportunity for improvement of STI case management in health care facilities in Abidjan where female sex workers go for STI care is enormous. Public and private health care facilities should be made more accessible for sex workers, and their services should be upgraded to better respond to the sexual health needs of high risk women.keywords sexually transmitted infections, female sex workers, quality of care, Africa
Objective: This study aims at determining the total phenol content and antioxidant potency of traditional juices consumed as soft beverages in Côte d'Ivoire. Methodology and Results: The total polyphenol content (TPC) of juices of baobab fruit pulp, passion fruit pulp, lemon, tamarind pulp, also Roselle calices and ginger roots was determined by the Folin-Ciocalteu (FC). Their antioxidant capacity was assessed as ability to scavenge 2,2-diphenyl-1-picrylhydrazyl (DPPH) free radical and the radical-cation ABTS •+ , and the ferric reducing antioxidant power (FRAP). An overall antioxidant composite index (ACI) of each juice was determined by calculating an index score referring to an index value of 100, assigned to the best score of antioxidant capacity for each test and the index value of the juice. TPC ranged from 3.7 ± 2.49 mg of gallic acid equivalents/mL of juice for lemon to 50.1 ± 15.5 mg of gallic acid equivalents/mL of juice for baobab. The rank order of TPC of the investigated juices was baobab > Roselle > tamarind > ginger > passion > lemon. Baobab fruit juice and Roselle calices juices exhibited the highest antioxidant potency with the three DPPH, FRAP and ABTS methods and had the highest antioxidant composite index (89.5 and 96.1 respectively). These juices are followed by tamarind fruit juice with values of TPC and ACI equal to 22.92 mg of gallic acid equivalents/mL of juice and 74.4 respectively. Conclusions and application of findings: This study shows that baobab juice contains the highest total polyphenol amount, followed by Roselle juice. Although all the investigated juices exhibit an antioxidant activity, these two beverages present the highest antioxidant capacities. Regarding these findings, Roselle baobab and Tamarind juice juices are the most promising antioxidant sources and should be promoted as functional beverages to fight against chronic diseases in Côte d'Ivoire.
Albertisia cordifolia and Albertisia scandens are medicinal plants of Menispermaceae family, used in traditional medicine in Côte d’Ivoire. Both species were evaluated in vitro for antioxidant activity and contents of total polyphenols, flavonoids and condensed tannins. In the present study, six extracts (aqueous, ethyl acetate and ethanolic) were prepared from the leaves of A. cordifolia and the whole plant of A. scandens. The antioxidant assays were performed using the DPPH free radical scavenging and FRAP tests. Total polyphenols, flavonoids and condensed tannins were determined by spectrophotocolorimetric method. The results revealed that the yields of extraction are between 4.69-12.27%. The percentages of DPPH inhibition European Scientific Journal October 2018 edition Vol.14, No.30 ISSN: 1857 – 7881 (Print) e - ISSN 1857- 7431 129 were between 33.84 and 69.21% while ascorbic acid and trolox gave 93.66% and 59.77% respectively. The IC50 values ranged from 20 to 280 μg ml-1 for DPPH. The ethyl acetate extract of A. cordifolia was the most active (IC50 = 20 μg ml-1 ) compared to the other extracts and trolox (28 μg ml-1 ). The antioxidant capacities (DPPH) varied between 1.90 and 7.18 mg ET g -1MS. For FRAP, the extracts showed a dose-dependent activity with antioxidant capacities between 0.80 and 2.71 mg ET g -1MS. The best iron reducing powers were obtained for the aqueous extract of A. scandens (2.71 ± 0.59 mg ET g -1MS) and ethanolic extract of A. cordifolia. These results show that these two species may play a role in the prevention of oxidative stress related diseases.
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