Informal Waste Recovery and Recycling: Alleviating Poverty, Environmental Pollution and Unemployment in Douala, Cameroon

Mbeng, Lawrence O.

doi:10.9734/jsrr/2013/4436

Cited by 12 publications

(7 citation statements)

References 9 publications

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“…Douala, the economic capital of Cameroon, is the largest urban area in the country and has an estimated population of 2 445 945. 15 Its coastal location and good landscape have attracted several business settlements, making it one of the country's most populated cities with increasing healthcare needs. Douala has a total surface area of about 210 km 2 .…”

Section: Study Design Setting and Study Participantsmentioning

confidence: 99%

The Epidemiology, Therapeutic Patterns, Outcome, and Challenges in Managing Septic Shock in a Sub-Saharan African Intensive Care Unit: A CrossSectional Study

et al. 2019

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Background: Septic shock (SS) is a health priority in sub-Saharan Africa. However, there is a dearth of data in this regard. Objective: This study aimed to determine the epidemiology, therapeutic patterns, outcome, and challenges in managing SS in a tertiary intensive care unit (ICU) of sub-Saharan Africa. Methods: The hospital files of 36 consecutive patients admitted to the ICU of the Douala General Hospital (DGH), Cameroon over the year 2018 were reviewed for SS. SS was diagnosed based on Sepsis-3 definition. Demographic and clinical characteristics, treatment details, and outcomes of patients with SS were reviewed. Data was analyzed using the chi-square or Fisher exact tests and Bonferroni correction. Results: SS accounted for 36 (9.4%) ICU admissions. The majority of patients were males (63.9%). The most common site of infection was the lungs. The mean age, average mean arterial pressure (MAP), and mean sequential organ failure assessment (SOFA) score of patients were 52.9±25.2 years, 52±18 mm Hg, and 9.2 ±2.3, respectively. Noradrenaline was the sole vasopressor used. Therapeutic challenges included the inability to have a specific antibiogram before a mean duration of 7 days. The mortality rate was 39% and associated with age ≤1 year, MAP ≤ 65 mm Hg, Glasgow Coma Score (GCS) ≤8, and mechanical ventilation, which were not attenuated after Bonferroni correction. Conclusion: SS is a frequent cause of ICU admission and is associated with a high mortality rate. SS mortality-related factors can be screened during SS management for more aggressive ICU management geared at preventing death.

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Section: Study Design Setting and Study Participantsmentioning

confidence: 99%

The Epidemiology, Therapeutic Patterns, Outcome, and Challenges in Managing Septic Shock in a Sub-Saharan African Intensive Care Unit: A CrossSectional Study

et al. 2019

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“…Recycling is a popular and cost-effective mitigation strategy from climate change that offers job creation and economic developmental opportunities simultaneously [8,9]. Recycling operations have emerged as one of the major strategies both for waste management and poverty reduction worldwide because they offer sustainable techniques for creating new jobs locally and reducing the amount of municipal solid waste disposed at landfill sites [10]. In Malaysia, the perception on recycling, as a creditable solution to environmental and poverty issues is not different.…”

Section: Introductionmentioning

confidence: 99%

Recycling Intention and Behavior among Low-Income Households

et al. 2018

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To improve our knowledge of how to protect the environment, this study examined the factors that influence recycling intention and behavior among low-income households. The study adopted a cross-sectional design that relied on 380 low-income households who live in coastal Peninsular Malaysia. The findings revealed a positive effect of eco-literacy, environmental concern, and self-efficacy on the attitude towards environmentally friendly products. Subsequently, the findings also illustrated a positive effect of normative beliefs on subjective norms. Moreover, the results revealed a positive effect of attitude towards environmentally friendly products and perceived behavioral control (PBC) on recycling intention. Finally, there was a positive effect of both PBC and recycling intention on recycling behavior. Although this study's focus on a specific income group from a single country could limit generalizability; the findings nevertheless provide scholars and policymakers with significant insights into promoting recycling activities, which are expected to contribute to the environment and reduce the environmental and economic vulnerability among low-income households. Therefore, environmental and socioeconomic development organizations should assess the feasibility of recycling materials and develop a supportive system that facilitates and encourages recycling activities.

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“…Considering the large amount of hemoperitoneum, open surgery appeared to be the preferred surgical approach in our patient. Most gravid rudimentary horn ruptures occur between first and second trimester as a result of insidious myometrial thinning with advancing gestational age [ 8 ]. Hence, resection of the gravid rudimentary horn, ipsilateral salpingectomy and conserving the ovary are the recommended surgical management for women desiring to maintain their fertility potential [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Most gravid rudimentary horn ruptures occur between first and second trimester as a result of insidious myometrial thinning with advancing gestational age [ 8 ]. Hence, resection of the gravid rudimentary horn, ipsilateral salpingectomy and conserving the ovary are the recommended surgical management for women desiring to maintain their fertility potential [ 8 ]. With an extensive literature search, to the best of our knowledge, this case is the first report describing a conservative surgical approach (hysterorrarphy, left salpingectomy and conservation of both ovaries) for ruptured BU, which seemed effective as evident by the uneventful postoperative course, a preserved postoperative fertility and reduced risk of BU rupture recurrence in the subsequent gestation [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

First-trimester rupture of a gravid bicornuate uterus after prior vaginal deliveries, simulating a ruptured ectopic pregnancy: a case report

Tochie

Tcheunkam

Tchakounte³

et al. 2020

Journal of Surgical Case Reports

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The first-trimester rupture of a bicornuate uterus (BU) is a rare obstetrical emergency, especially following previous normal vaginal deliveries where it is often misdiagnosed. A 24-year-old G3P2002 woman presented at 11 weeks of gestation with sudden onset of severe left iliac fossa pain without other symptoms. On examination, she was fully conscious and hemodynamically unstable with signs of peritoneal irritation, a distended pouch of Douglas and a slightly enlarged uterus and a tender left adnexal mass. The diagnosis of a ruptured ectopic pregnancy was made and a laparotomy was done. Intra-operative findings were hemoperitoneum, a left ruptured BU and a dead fetus. Surgical management entailed hysterorrarphy, left salpingectomy and conservation of both ovaries. Her postoperative course was uneventful and future fertility was preserved. We recommend a high index of suspicion of ruptured BU as a differential diagnosis of acute abdomen in the first trimester in women with previous term vaginal deliveries.

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Informal Waste Recovery and Recycling: Alleviating Poverty, Environmental Pollution and Unemployment in Douala, Cameroon

Cited by 12 publications

References 9 publications

The Epidemiology, Therapeutic Patterns, Outcome, and Challenges in Managing Septic Shock in a Sub-Saharan African Intensive Care Unit: A CrossSectional Study

The Epidemiology, Therapeutic Patterns, Outcome, and Challenges in Managing Septic Shock in a Sub-Saharan African Intensive Care Unit: A CrossSectional Study

Recycling Intention and Behavior among Low-Income Households

First-trimester rupture of a gravid bicornuate uterus after prior vaginal deliveries, simulating a ruptured ectopic pregnancy: a case report

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