[Value of single-dose ivermectin in the treatment of cutaneous larva migrans syndrome].
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Biomedical subjects
Publications and source records attributed to F J Louis.
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A sero-epidemiological survey was conducted on Wallis Island, in the South Pacific, from July 1988 to May 1989. A random sample from the general population was examined. 672 sera were tested for HBs antigen and anti-HBc antibody. Analysis of the data showed that there was little, if any, transmission from mother to newborn; serological markers seemed to be acquired during the first years of life, before the age of 15 years. After 15 years, seropositivity rate is stabilized at 85% for one and/or the other of the two markers. The seropositivity rate is 39% for the HBs antigen alone. A protocol to vaccinate infants less than one year is proposed.
Increasing frequency and severity of cerebral malaria have become a major problem in the area of Yaoundé (Cameroon, Central Africa). Based on recent findings in pharmacokinetic parameters in cerebral malaria, a quinine infusion regimen (8 mg of quinine base/kg of body weight over 1 h followed by 8 mg of base/kg over 7 h, then 8 mg/kg over 8 h 3 times daily for 3 days) was randomly allocated to 10 patients; 10 others received a more classical regimen currently used in Cameroon of 8 mg of base/kg over 8 h, 3 times daily for 3 days. In the loading dose group, there was a significant decrease in the duration of coma (48%), and the parasite clearance times were reduced by 33%. This regimen has been safe and effective: it is recommended in Yaoundé.
The feasibility of using impregnated bednets in a malaria control strategy has been evaluated in a rural area of Cameroon. The benefit is well perceived by the population in terms of protection against nuisance but not in terms of prevention of the disease. The correct use of bednets is, however, unsatisfactory. The material should be adapted to the various sleeping accommodations, and efforts for education and information directed towards the potential users should be intensified.
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From simplified in vivo tests, authors set up a cartography of the sensitivity of Plasmodium falciparum to amino-4-quinolines in Cameroon; they also evaluated the clinical and parasitological efficacy of different therapeutic protocols which make use of amino-4-quinolines, quinine, mefloquine and halofantrine. All these drugs are administered orally. They recommend maintaining home medication with chloroquine at the dose of 25 mg/kg over 3 days, conserving quinine for use in the case of a possible failure. The use of most recent antimalarials can be proposed only as a last resort.
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In this study, we have attempted to correlate optical density measurements of amniotic fluids with L/S ratios. We may conclude, with over a 98 per cent accuracy, that fluids having optical density readings of 0.15 and above, at 650 nm. will have an L/S ratio over 2.0. Fluids having optical density readings up to 0.05 will have L/S ratios of about 1.3. Finally, amniotic fluids having optical densities greater than 0.05 and less than 0.15 will have L/S ratios of approximately 1.5.
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