YIKI is an antimalarial phytomedicine used by a traditional healer to treat malaria in Bobo-Dioulasso. However, there is no scientific evidence to support its use by local populations. The aim of this study was to ide...YIKI is an antimalarial phytomedicine used by a traditional healer to treat malaria in Bobo-Dioulasso. However, there is no scientific evidence to support its use by local populations. The aim of this study was to identify the medicinal practices of the healer holder of YIKI and assess the clinical evidence of its phytomedicine in the uncomplicated malaria treatment. Ethnomedical survey based on a semi-structured and open questionnaire was conducted from October to December 2019 with the healer. Malaria knowledge and diagnosis methods, patient treatment and monitoring, and recipe formulation steps were surveyed. Moreover, thick and thin blood smears were taken, haemoglobin levels and temperature of consenting patients were measured before treatment, mid-treatment and at the end of treatment. The survey revealed that the healer has a good knowledge of malaria symptoms and his diagnosis is based on observation and physical examination of patients. The healer’s malaria diagnosis was rudimentary and had accuracy problems, with only 62.79% of malaria cases confirmed by microscopy. The formulation of YIKI and its use to treat malaria follow a standard process for plant harvesting, powder quantities and posology, but do not use any reproducible parameters for dose adjustment. Forty-three patients diagnosed and treated by the healer participated in the study. Laboratory results revealed 27 Plasmodium falciparum infection cases, including 2 with parasitaemia ≥ 200,000 p/µl blood. 25 patients were selected for therapeutic evidence assessment. There was a 48% elimination of parasites, a 28% parasitaemia decrease without complete cure, with gametocytogenesis in some patients, and a 24% parasitaemia increase. Haemoglobin and temperature results suggested that YIKI was not cytotoxic and reduced fever. Encouraging preliminary results have been obtained, but in view of the low number of patients, further YIKI efficacy and toxicity studies will be necessary for patient safety.展开更多
The objective of the Apollon project is the generation of 10 PW peak power pulses of 15 fs at 1 shot/minute. In this paper the Apollon facility design, the technological challenges and the current progress of the proj...The objective of the Apollon project is the generation of 10 PW peak power pulses of 15 fs at 1 shot/minute. In this paper the Apollon facility design, the technological challenges and the current progress of the project will be presented.展开更多
Background:The significant malaria burden in Africa has often eclipsed other febrile illnesses.Burkina Faso’s first dengue epidemic occurred in 1925 and the most recent in 2013.Yet there is still very little known ab...Background:The significant malaria burden in Africa has often eclipsed other febrile illnesses.Burkina Faso’s first dengue epidemic occurred in 1925 and the most recent in 2013.Yet there is still very little known about dengue prevalence,its vector proliferation,and its poverty and equity impacts.Methods:An exploratory cross-sectional survey was performed from December 2013 to January 2014.Six primary healthcare centers in Ouagadougou were selected based on previously reported presence of Flavivirus.All patients consulting with fever or having had fever within the previous week and with a negative rapid diagnostic test(RDT)for malaria were invited to participate.Sociodemographic data,healthcare use and expenses,mobility,health-related status,and vector control practices were captured using a questionnaire.Blood samples of every eligible subject were obtained through finger pricks during the survey for dengue RDT using SD BIOLINE Dengue Duo(NS1Ag and IgG/IgM)®and to obtain blood spots for reverse transcription polymerase chain reaction(RT-PCR)analysis.In a sample of randomly selected yards and those of patients,potential Aedes breeding sites were found and described.Larvae were collected and brought to the laboratory to monitor the emergence of adults and identify the species.Results:Of the 379 subjects,8.7%(33/379)had positive RDTs for dengue.Following the 2009 WHO classification,38.3%(145/379)had presumptive,probable,or confirmed dengue,based on either clinical symptoms or laboratory testing.Of 60 samples tested by RT-PCR(33 from the positive tests and 27 from the subsample of negatives),15 were positive.The serotypes observed were DENV2,DENV3,and DENV4.Odds of dengue infection in 15-to-20-year-olds and persons over 50 years were 4.0(CI 95%:1.0–15.6)and 7.7(CI 95%:1.6–37.1)times higher,respectively,than in children under five.Average total spending for a dengue episode was 13771 FCFA[1300–67300 FCFA](1$US=478 FCFA).On average,2.6 breeding sites were found per yard.Potential Aedes breeding sites were fou展开更多
Objectives: Our aim was to compare the effects of an unwanted intrusive thought on executive function in a group of people with Obsessive Compulsive Disorder (OCD) and in a healthy group. Method: The Behavior Rating I...Objectives: Our aim was to compare the effects of an unwanted intrusive thought on executive function in a group of people with Obsessive Compulsive Disorder (OCD) and in a healthy group. Method: The Behavior Rating Inventory of Executive Function Adult (BRIEF-A) was used to measure executive dysfunction in everyday life in people with OCD. The study participants underwent either an intrusive thought induction or neutral thought induction prior to the administration of three computer-based tests of executive function. Results: The BRIEF-A results confirmed the impairment of executive function in everyday life for patients with OCD. In the number-letter task, patients with OCD displayed a longer reaction time (relative to the controls). There were no intergroup differences in the local-global task. In the go/no-go task, there was a significant impairment (p = 0.03) in the OCD group (with more commission errors than controls). There was a non-significant trend towards an effect of thought induction in both groups in the number-letter task. However, intrusive thought induction did not have a greater effect than neutral thought induction on the OCD group in any of the tasks. Conclusions: Intrusive thought induction has no effect on executive function in the two groups. The two groups differed with regard to two executive tasks.展开更多
Background:Vector-borne diseases(VBDs)continue to represent a global threat,with“old”diseases like malaria,and“emergent”or“re-emergent”ones like Zika,because of an increase in international trade,demographic gro...Background:Vector-borne diseases(VBDs)continue to represent a global threat,with“old”diseases like malaria,and“emergent”or“re-emergent”ones like Zika,because of an increase in international trade,demographic growth,and rapid urbanization.In this era of globalization,surveillance is a key element in controlling VBDs in urban settings,but surveillance alone cannot solve the problem.A review of experiences is of interest to examine other solution elements.The objectives were to assess the different means of VBD surveillance in urban environments,to evaluate their potential for supporting public health actions,and to describe the tools used for public health actions,the constraints they face,and the research and health action gaps to be filled.Main body:For this scoping review we searched peer-reviewed articles and grey literature published between 2000 and 2016.Various tools were used for data coding and extraction.A quality assessment was done for each study reviewed,and descriptive characteristics and data on implementation process and transferability were analyzed in all studies.After screening 414 full-text articles,we retained a total of 79 articles for review.The main targets of the articles were arboviral diseases(65.8%)and malaria(16.5%).The positive aspects of many studies fit within the framework of integrated vector management.Public awareness is considered a key to successful vector control programs.Advocacy and legislation can reinforce both empowerment and capacity building.These can be achieved by collaboration within the health sector and with other sectors.Research is needed to develop well designed studies and new tools for surveillance and control.Conclusions:The need for surveillance systems in urban settings in both developing and developed countries was highlighted.Countries face the same challenges relating to human,financial,and structural resources.These findings also constitute a wake-up call for governments,academia,funders,and World Health Organization to strengthen control pr展开更多
Background:Several studies highlighted the impact of community-based interventions whose purpose was to reduce the vectors’breeding sites.These strategies are particularly interesting in low-and-middle-income countri...Background:Several studies highlighted the impact of community-based interventions whose purpose was to reduce the vectors’breeding sites.These strategies are particularly interesting in low-and-middle-income countries which may find it difficult to sustainably assume the cost of insecticide-based interventions.In this case study we determine the spatial distribution of a community-based intervention for dengue vector control using different entomological indices.The objective was to evaluate locally where the intervention was most effective,using spatial analysis methods that are too often neglected in impact assessments.Methods:Two neighbourhoods,Tampouy and Juvenat in Ouagadougou,Burkina Faso,were chosen among five after a survey was conducted,as part of an assessment related to the burden of dengue.As part of the communitybased intervention conducted in Tampouy between August and early October 2016,an entomological survey was implemented in two phases.The first phase consisted of a baseline entomological characterization of potential breeding sites in the neighbourhood of Tampouy as well as in Juvenat,the control area.This phase was conducted in October 2015 at the end of the rainy season.The mosquito breeding sites were screened in randomly selected houses:206 in Tampouy and 203 in Juvenat.A second phase took place after the intervention,in October 2016.The mosquito breeding sites were investigated in the same yards as during the baseline phase.We performed several entomological analyses to measure site productivity as well as before and after analysis using multilevel linear regression.We used Local Indicators of Spatial Association(LISAs)to analyse spatial concentrations of larvae.Results:After the intervention,it is noted that LISAs at Tampouy reveal few aggregates of all types and the suppression of those existing before the intervention.The analysis therefore reveals that the intervention made it possible to reduce the number of concentration areas of high and low values of pupae.Conclusions:The contr展开更多
Objectives: In the present study, we set out to establish whether executive function in everyday life is impaired in obsessive-compulsive disorder patients, and if it is more impaired (or not) in patients who relapsed...Objectives: In the present study, we set out to establish whether executive function in everyday life is impaired in obsessive-compulsive disorder patients, and if it is more impaired (or not) in patients who relapsed after cognitive behavioural therapy than in treatment-na?ve obsessive-compulsive disorder patients. Method: The Behavior Rating Inventory of Executive Function— Adult Version (BRIEF-A) was used to measure executive function in everyday life in three groups of 19 participants: treatment-na?ve obsessive-compulsive disorderpatients, obsessive-compulsive disorder patients having relapsed after CBT, and healthy controls. Results: The BRIEF-A results revealed an impairment in executive function in the treatment-na?ve and relapsed obsessive-compulsive disorder groups, relative to the healthy control group. There was no significant difference in executive function between the two groups of patients. Conclusions: These results show that impaired executive function is not associated with relapse in patients with obsessive-compulsive disorder having undergone cognitive behavioural therapy.展开更多
This paper highlights the critical importance of evidence on vector-borne diseases(VBD)prevention and control interventions in urban settings when assessing current and future needs,with a view to setting policy prior...This paper highlights the critical importance of evidence on vector-borne diseases(VBD)prevention and control interventions in urban settings when assessing current and future needs,with a view to setting policy priorities that promote inclusive and equitable urban health services.Research should produce knowledge about policies and interventions that are intended to control and prevent VBDs at the population level and to reduce inequities.Such interventions include policy,program,and resource distribution approaches that address the social determinants of health and exert influence at organizational and system levels.展开更多
Background:The goal of the present research was to study whether the presence of an artificial central scotoma resulted in changes in eye movement strategies over the course of multiple days of training.We wished to d...Background:The goal of the present research was to study whether the presence of an artificial central scotoma resulted in changes in eye movement strategies over the course of multiple days of training.We wished to determine how central vision loss,similar to age macular degeneration(AMD),affects eye movements,specifically the foveal-target alignment.We also wished to determine if an invisible compared to a visible scotoma led to delayed or different strategies,given that AMD patients are mostly unaware of their condition as they are unconscious of the presence of their central scotoma.Methods:Eleven healthy participants(6 females,M=22.18,SD=1.94)were asked to perform a discrimination task,where they responded whether the orientation of an eccentric target(Gabor,10 deg to the left of fixation)was clockwise or counter-clockwise.The target was surrounded by four distractor Gabors,thus making discrimination more difficult using peripheral vision.The target’s orientation varied 10°clockwise to 10°counter-clockwise in 1°intervals.Each participant performed four blocks of 75 trials each per day over 10 days,the first day being a baseline as the participant were tested without any scotoma.We measured discrimination performance and precision(position of the eye in X and Y).Results:Results showed similar patterns of discrimination reaction time and accuracy as well as changes to eye position for both the visible and the invisible scotoma conditions.Discrimination time significantly decreased on the last day of training compared to the first(first day M=2,965 ms,last day M=1,567 ms,P<0.05),while accuracy increased though not significantly so(first day=87.4%,last day=93.15%).There was no change in the final horizontal(X)position of first saccade relative to the target(first=−0.4°,last=−0.13°)but there was a significant upward shift(first=0.08°vs.last=0.58°,P<0.05);participants shifted their eye position on the Y axis so that they were looking at a point slightly above the target.Conclusions:These findings sugg展开更多
文摘YIKI is an antimalarial phytomedicine used by a traditional healer to treat malaria in Bobo-Dioulasso. However, there is no scientific evidence to support its use by local populations. The aim of this study was to identify the medicinal practices of the healer holder of YIKI and assess the clinical evidence of its phytomedicine in the uncomplicated malaria treatment. Ethnomedical survey based on a semi-structured and open questionnaire was conducted from October to December 2019 with the healer. Malaria knowledge and diagnosis methods, patient treatment and monitoring, and recipe formulation steps were surveyed. Moreover, thick and thin blood smears were taken, haemoglobin levels and temperature of consenting patients were measured before treatment, mid-treatment and at the end of treatment. The survey revealed that the healer has a good knowledge of malaria symptoms and his diagnosis is based on observation and physical examination of patients. The healer’s malaria diagnosis was rudimentary and had accuracy problems, with only 62.79% of malaria cases confirmed by microscopy. The formulation of YIKI and its use to treat malaria follow a standard process for plant harvesting, powder quantities and posology, but do not use any reproducible parameters for dose adjustment. Forty-three patients diagnosed and treated by the healer participated in the study. Laboratory results revealed 27 Plasmodium falciparum infection cases, including 2 with parasitaemia ≥ 200,000 p/µl blood. 25 patients were selected for therapeutic evidence assessment. There was a 48% elimination of parasites, a 28% parasitaemia decrease without complete cure, with gametocytogenesis in some patients, and a 24% parasitaemia increase. Haemoglobin and temperature results suggested that YIKI was not cytotoxic and reduced fever. Encouraging preliminary results have been obtained, but in view of the low number of patients, further YIKI efficacy and toxicity studies will be necessary for patient safety.
基金financial support from the ILE-APOLLON 07-CPER 017-01 contract
文摘The objective of the Apollon project is the generation of 10 PW peak power pulses of 15 fs at 1 shot/minute. In this paper the Apollon facility design, the technological challenges and the current progress of the project will be presented.
基金This research project is part of the“Community research studies and interventions for health equity in Burkina Faso”We thank the Canadian Institutes of Health Research(CIHR),who funded the program(ROH-115213).V.Ridde holds a CIHR-funded Research Chair in Applied Public Health(CPP-137901).
文摘Background:The significant malaria burden in Africa has often eclipsed other febrile illnesses.Burkina Faso’s first dengue epidemic occurred in 1925 and the most recent in 2013.Yet there is still very little known about dengue prevalence,its vector proliferation,and its poverty and equity impacts.Methods:An exploratory cross-sectional survey was performed from December 2013 to January 2014.Six primary healthcare centers in Ouagadougou were selected based on previously reported presence of Flavivirus.All patients consulting with fever or having had fever within the previous week and with a negative rapid diagnostic test(RDT)for malaria were invited to participate.Sociodemographic data,healthcare use and expenses,mobility,health-related status,and vector control practices were captured using a questionnaire.Blood samples of every eligible subject were obtained through finger pricks during the survey for dengue RDT using SD BIOLINE Dengue Duo(NS1Ag and IgG/IgM)®and to obtain blood spots for reverse transcription polymerase chain reaction(RT-PCR)analysis.In a sample of randomly selected yards and those of patients,potential Aedes breeding sites were found and described.Larvae were collected and brought to the laboratory to monitor the emergence of adults and identify the species.Results:Of the 379 subjects,8.7%(33/379)had positive RDTs for dengue.Following the 2009 WHO classification,38.3%(145/379)had presumptive,probable,or confirmed dengue,based on either clinical symptoms or laboratory testing.Of 60 samples tested by RT-PCR(33 from the positive tests and 27 from the subsample of negatives),15 were positive.The serotypes observed were DENV2,DENV3,and DENV4.Odds of dengue infection in 15-to-20-year-olds and persons over 50 years were 4.0(CI 95%:1.0–15.6)and 7.7(CI 95%:1.6–37.1)times higher,respectively,than in children under five.Average total spending for a dengue episode was 13771 FCFA[1300–67300 FCFA](1$US=478 FCFA).On average,2.6 breeding sites were found per yard.Potential Aedes breeding sites were fou
文摘Objectives: Our aim was to compare the effects of an unwanted intrusive thought on executive function in a group of people with Obsessive Compulsive Disorder (OCD) and in a healthy group. Method: The Behavior Rating Inventory of Executive Function Adult (BRIEF-A) was used to measure executive dysfunction in everyday life in people with OCD. The study participants underwent either an intrusive thought induction or neutral thought induction prior to the administration of three computer-based tests of executive function. Results: The BRIEF-A results confirmed the impairment of executive function in everyday life for patients with OCD. In the number-letter task, patients with OCD displayed a longer reaction time (relative to the controls). There were no intergroup differences in the local-global task. In the go/no-go task, there was a significant impairment (p = 0.03) in the OCD group (with more commission errors than controls). There was a non-significant trend towards an effect of thought induction in both groups in the number-letter task. However, intrusive thought induction did not have a greater effect than neutral thought induction on the OCD group in any of the tasks. Conclusions: Intrusive thought induction has no effect on executive function in the two groups. The two groups differed with regard to two executive tasks.
基金The Special Programme for Research and Training in Tropical Diseases(TDR)hosted at the World Health Organization(WHO)funded the VERDAS research Consortium,for“VEctor boRne DiseAses Scoping reviews”.
文摘Background:Vector-borne diseases(VBDs)continue to represent a global threat,with“old”diseases like malaria,and“emergent”or“re-emergent”ones like Zika,because of an increase in international trade,demographic growth,and rapid urbanization.In this era of globalization,surveillance is a key element in controlling VBDs in urban settings,but surveillance alone cannot solve the problem.A review of experiences is of interest to examine other solution elements.The objectives were to assess the different means of VBD surveillance in urban environments,to evaluate their potential for supporting public health actions,and to describe the tools used for public health actions,the constraints they face,and the research and health action gaps to be filled.Main body:For this scoping review we searched peer-reviewed articles and grey literature published between 2000 and 2016.Various tools were used for data coding and extraction.A quality assessment was done for each study reviewed,and descriptive characteristics and data on implementation process and transferability were analyzed in all studies.After screening 414 full-text articles,we retained a total of 79 articles for review.The main targets of the articles were arboviral diseases(65.8%)and malaria(16.5%).The positive aspects of many studies fit within the framework of integrated vector management.Public awareness is considered a key to successful vector control programs.Advocacy and legislation can reinforce both empowerment and capacity building.These can be achieved by collaboration within the health sector and with other sectors.Research is needed to develop well designed studies and new tools for surveillance and control.Conclusions:The need for surveillance systems in urban settings in both developing and developed countries was highlighted.Countries face the same challenges relating to human,financial,and structural resources.These findings also constitute a wake-up call for governments,academia,funders,and World Health Organization to strengthen control pr
基金This work was supported by the Canadian Institutes of Health Research,which funded the program(grant no.ROH-115213)S.O.received a postdoctoral fellowship from the Fonds des Recherches du Québec en Santé.V.R.holds a Canadian Institutes of Health Research–funded Research Chair in Applied Public Health(grant no.CPP-137901).
文摘Background:Several studies highlighted the impact of community-based interventions whose purpose was to reduce the vectors’breeding sites.These strategies are particularly interesting in low-and-middle-income countries which may find it difficult to sustainably assume the cost of insecticide-based interventions.In this case study we determine the spatial distribution of a community-based intervention for dengue vector control using different entomological indices.The objective was to evaluate locally where the intervention was most effective,using spatial analysis methods that are too often neglected in impact assessments.Methods:Two neighbourhoods,Tampouy and Juvenat in Ouagadougou,Burkina Faso,were chosen among five after a survey was conducted,as part of an assessment related to the burden of dengue.As part of the communitybased intervention conducted in Tampouy between August and early October 2016,an entomological survey was implemented in two phases.The first phase consisted of a baseline entomological characterization of potential breeding sites in the neighbourhood of Tampouy as well as in Juvenat,the control area.This phase was conducted in October 2015 at the end of the rainy season.The mosquito breeding sites were screened in randomly selected houses:206 in Tampouy and 203 in Juvenat.A second phase took place after the intervention,in October 2016.The mosquito breeding sites were investigated in the same yards as during the baseline phase.We performed several entomological analyses to measure site productivity as well as before and after analysis using multilevel linear regression.We used Local Indicators of Spatial Association(LISAs)to analyse spatial concentrations of larvae.Results:After the intervention,it is noted that LISAs at Tampouy reveal few aggregates of all types and the suppression of those existing before the intervention.The analysis therefore reveals that the intervention made it possible to reduce the number of concentration areas of high and low values of pupae.Conclusions:The contr
文摘Objectives: In the present study, we set out to establish whether executive function in everyday life is impaired in obsessive-compulsive disorder patients, and if it is more impaired (or not) in patients who relapsed after cognitive behavioural therapy than in treatment-na?ve obsessive-compulsive disorder patients. Method: The Behavior Rating Inventory of Executive Function— Adult Version (BRIEF-A) was used to measure executive function in everyday life in three groups of 19 participants: treatment-na?ve obsessive-compulsive disorderpatients, obsessive-compulsive disorder patients having relapsed after CBT, and healthy controls. Results: The BRIEF-A results revealed an impairment in executive function in the treatment-na?ve and relapsed obsessive-compulsive disorder groups, relative to the healthy control group. There was no significant difference in executive function between the two groups of patients. Conclusions: These results show that impaired executive function is not associated with relapse in patients with obsessive-compulsive disorder having undergone cognitive behavioural therapy.
基金Valery Ridde holds a CIHR-funded Research Chair in Applied Public Health(CPP-137901).
文摘This paper highlights the critical importance of evidence on vector-borne diseases(VBD)prevention and control interventions in urban settings when assessing current and future needs,with a view to setting policy priorities that promote inclusive and equitable urban health services.Research should produce knowledge about policies and interventions that are intended to control and prevent VBDs at the population level and to reduce inequities.Such interventions include policy,program,and resource distribution approaches that address the social determinants of health and exert influence at organizational and system levels.
文摘Background:The goal of the present research was to study whether the presence of an artificial central scotoma resulted in changes in eye movement strategies over the course of multiple days of training.We wished to determine how central vision loss,similar to age macular degeneration(AMD),affects eye movements,specifically the foveal-target alignment.We also wished to determine if an invisible compared to a visible scotoma led to delayed or different strategies,given that AMD patients are mostly unaware of their condition as they are unconscious of the presence of their central scotoma.Methods:Eleven healthy participants(6 females,M=22.18,SD=1.94)were asked to perform a discrimination task,where they responded whether the orientation of an eccentric target(Gabor,10 deg to the left of fixation)was clockwise or counter-clockwise.The target was surrounded by four distractor Gabors,thus making discrimination more difficult using peripheral vision.The target’s orientation varied 10°clockwise to 10°counter-clockwise in 1°intervals.Each participant performed four blocks of 75 trials each per day over 10 days,the first day being a baseline as the participant were tested without any scotoma.We measured discrimination performance and precision(position of the eye in X and Y).Results:Results showed similar patterns of discrimination reaction time and accuracy as well as changes to eye position for both the visible and the invisible scotoma conditions.Discrimination time significantly decreased on the last day of training compared to the first(first day M=2,965 ms,last day M=1,567 ms,P<0.05),while accuracy increased though not significantly so(first day=87.4%,last day=93.15%).There was no change in the final horizontal(X)position of first saccade relative to the target(first=−0.4°,last=−0.13°)but there was a significant upward shift(first=0.08°vs.last=0.58°,P<0.05);participants shifted their eye position on the Y axis so that they were looking at a point slightly above the target.Conclusions:These findings sugg
