The management of pediatric medical emergencies is a focus of WHO's strategy to reduce child and adolescent morbidity and mortality worldwide. It requires the synergy of several inputs including infrastructure, equipment and a sufficiently trained staff. The aim of our study was to present the epidemiological aspects of pediatric medical emergencies at Kindu General Reference Hospital in order to facilitate the projection of the actions to be carried out. To do this, we undertook a cross-sectional, descriptive and retrospective study by collecting the data in the pediatric ward of Kindu General Reference Hospital from January 1st to December 31st, 2017 with age, sex, month of admission, emergency sign, diagnostic hypothesis, treatment, length of stay and discharge modality as study's variables in children with an emergency sign (difficulty breathing, convulsion, coma, shock and severe dehydration). After processing data on Excel 2010 and SPSS 23 software, the analysis by descriptive statistical measures shows that the frequency of signs of medical emergency in children is 21.4% among which 52.3% are male, over 70% of children with emergency signs are under the age of five with an average age of 2.1 years, the high frequency of signs of urgency was observed in June, the decreasing order of frequency of various emergency signs is severe dehydration (58.9%), seizures (24.1%), difficulty breathing (10.3%), coma (5.6%

Purpose: In view of the resurgence of confirmed COVID-19 cases in the North Kivu province, particularly in Goma city, the epicenter of the disease, it is necessary to study the knowledge, attitudes, and practices of the population of Goma city on COVID-19 infection.Methods: A cross-sectional study was conducted from July 15 to August 15, 2021. A 3-degree cluster survey was conducted in Goma city, in the Democratic Republic of the Congo. Bivariate and multivariate analyzes were performed by the STATA 15 software.Results: 1,194 individuals responded to the survey and had heard of COVID-19; 74.62% of the respondents had good knowledge, 77.39% had a positive attitude, and 45.48% practiced preventive measures against COVID-19. Determinants of good knowledge were the age groups 30-39 years and 40-49 years, secondary and higher/university educational levels, and not having suffered from COVID-19. Determinants of positive attitude were female sex, having a professional occupation, having a family member or close relative who had suffered from COVID-19, and living in the Karisimbi municipality. Determinants of better practice were female sex, secondary and higher/university educational levels, not having a professional occupation, and having a family member or close relative who had suffered from COVID-19.Conclusion: To effectively control this epidemic, it is essential to strengthening risk communication with full community participation. This strategy must be coupled with measures to make prevention methods available to the benefit of the entire population.

2 Open Access Library Journal Results The results showed that 53.8% of careers were between the ages of 41-60; 69.8% of the male caregivers were compared to 30.8% female, 69.8% were the A3 nurses and 34.6% of these nurses had a seniority of 31-40 years. The study shows also that working conditions of carers characterized by the lack of means of transportation at 96.2%, the crisis turnover at 92.3%. There are significant differences enter some socio-professional characteristics (qualifications and seniority) and the implementation by caregivers of standards-based patient care and the advancement of mental health, since all p values of X 2 are less than 0.05. Therefore, being older and more qualified influences this application. Conclusion There are several laws around the world, including the Public Health Codes which include in their objectives the organization of a mental health service and the fight against mental illnesses, which implies the setting up of a Committee for the fight against mental illnesses and a structure that can take care of patients aftercare.

Every year, the number of people using commercial aircraft is estimated at two billion, and more than 300 million people take long-haul flights. Sickle cell patients may be at risk during the air journey because significant hypobaric hypoxia may occur at cruising altitude. This literature review reports complications related to air travel such as painful crises, serious spleen complications (spleen infarcts) requiring a splenectomy, or even sudden death. Prevention of these complications includes environmental protection (maintaining pressure inside the aircraft cabin in a hypobaric condition) and individual prophylaxis (general recommendations for all travelers and specific measures for sickle-cell patients). In order to assess complications associated with air travel in sickle-cell patients, an assessment of their ability to fly is necessary. In addition, the flight fitness assessment identifies patients who will need additional oxygen during flight. When prescribed by the passenger’s physician, additional oxygen is provided by most airlines. Knowing these elements makes it possible to anticipate problems and provide appropriate responses to patients.