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1.
Artigo em Inglês | MEDLINE | ID: mdl-34071889

RESUMO

To assess whether knowledge, attitude, and perceptions of the COVID-19 pandemic predicted changes in behaviors among the general Moroccan population, a cross-sectional online survey was conducted between 30 March and 20 April involving a total of 14,157 participants. The statistical analysis of the data included univariate and multivariate logistic regression analysis. Our results suggest that less than ten days after the Moroccan government announced "Health state of Emergency" response to the COVID-19 outbreak, public knowledge, attitude and responses to the pandemic were relatively high. More than half the respondents (63.2%) reported that they complied with more than five of nine recommended safety measures, including avoiding going out (93.2%), and frequent handwashing with soap and water (78.2%). Factors associated with an increased likelihood to adopt safety measures included perceptions that COVID-19 was a human health risk, the pandemic will continue for a long time, availability of clear information, and a lack of medicine. The largest predictor of safety behavior change was age; participants older than 55 were more likely to adopt recommended safety behaviors. Although knowledge and perception among the general public was reasonable, more encouragement from government via health education programs is needed to maintain appropriate behaviors.


Assuntos
COVID-19 , Pandemias , Estudos Transversais , Surtos de Doenças , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Marrocos/epidemiologia , Percepção , SARS-CoV-2 , Inquéritos e Questionários
2.
BMC Womens Health ; 21(1): 229, 2021 06 03.
Artigo em Inglês | MEDLINE | ID: mdl-34082733

RESUMO

BACKGROUND: Sleep quality is among the indicators associated with the quality of life of patients with cancer. A multitude of factors may affect patient sleep quality and are considered as associated predictive factors. The aim of this study was to examine the predictors of poor sleep quality in Moroccan women with gynecological cancer after radical surgery. METHODS: A cross-sectional study was carried out at the Oncology Department of the Ibn Rochd University Hospital, Casablanca (Morocco), on women who had undergone radical surgery for gynecological cancer (n = 100; mean age: 50.94 years). To assess sleep quality, symptoms of depression and anxiety, self-esteem and body image, the following translated and validated Arabic versions of the tools were used: Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale, Rosenberg's Self-Esteem Scale and Body Image Scale. To determine predictors of sleep quality, multiple linear and hierarchical regressions were used. RESULTS: 78% of participants were considered poor sleepers, most of them exhibited very poor subjective quality (53%), longer sleep onset latency (55%), short period of sleep (42%) and low rate of usual sleep efficiency (47%). 79% of these patients did not use sleep medication and 28% were in poor shape during the day. Waking up in the middle of the night or early in the morning and getting up to use the bathroom were the main reasons for poor sleep quality. Higher PSQI scores were positively correlated with higher scores of anxiety, depression, body image dissatisfaction and with lower self-esteem (p < 0.001). The medical coverage system, body image dissatisfaction and low self-esteem predicted poor sleep quality. After controlling for the socio-demographic variables (age and medical coverage system), higher body image dissatisfaction and lower self-esteem significantly predicted lower sleep quality. CONCLUSION: Body image dissatisfaction and lower self-esteem were positively linked to sleep disturbance in women with gynecological cancer after undergone radical surgery. These two predictors require systematic evaluation and adequate management to prevent sleep disorders and mental distress as well as improving the quality of life of these patients.


Assuntos
Insatisfação Corporal , Neoplasias , Transtornos do Sono-Vigília , Imagem Corporal , Estudos Transversais , Depressão/etiologia , Feminino , Humanos , Pessoa de Meia-Idade , Marrocos , Satisfação do Paciente , Qualidade de Vida , Autoimagem , Sono , Transtornos do Sono-Vigília/etiologia , Inquéritos e Questionários
3.
BMC Psychiatry ; 21(1): 264, 2021 05 22.
Artigo em Inglês | MEDLINE | ID: mdl-34022849

RESUMO

BACKGROUND: The Coronavirus Disease 2019 (COVID-19) pandemic has triggered fear and distress among the public, thus potentiating the incidence rate of anxiety and depression. This study aims to investigate the psychological effect of quarantine on persons living in Morocco when the first COVID-19 cases were identified. The associations between anxiety, depression symptoms, and their predictors (sociodemographics, fatigue, and religious coping) were examined. METHODS: A web-based cross-sectional survey, with a total of 1435 participants (≥18 years) recruited anonymously, was conducted during the COVID-19 pandemic (from 3 to 30 April 2020). A structured questionnaire was used to assess psychosocial factors, COVID-19 epidemic-related factors, and religious coping. Religious coping, fatigue, and depression, and anxiety were measured by Brief Religious Coping Scale (Brief RCOPE), Chalder Fatigue Scale (CFS), and Hospital Anxiety and Depression Scale (HADS), respectively. A generalized linear model (logistic regression) was used to determine the predictive factors of depression and anxiety. RESULTS: The prevalence of anxiety and depression was 43.0% (n = 621) and 53.0% (n = 766), respectively. Both were associated with female gender, household income decline, tracking COVID-19 news, and fear to contract COVID-19 (aOR = 1.36 to 2.85). Additionally, 32.0% (n = 453) and 26.0% (n = 372) reported severe physical fatigue, and mental fatigue, respectively. Both latter factors were significantly and positively associated with depression as well as with anxiety. Depressive and anxious patients used more negative religious coping, while positive religious coping was slightly associated with depression. CONCLUSION: In this online survey of the general population in Morocco, anxiety and depressive symptoms are prevalent during the COVID-19 pandemic. Pandemic and psychosocial factors, such as female gender, income decline, infection fears, massive COVID-19 news exposure, negative religious coping, and fatigue were associated with increased risk of depression and anxiety symptoms. Psychosocial and financial support should be provided to the quarantined population.


Assuntos
COVID-19 , Pandemias , Adaptação Psicológica , Ansiedade/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Feminino , Humanos , Internet , Marrocos/epidemiologia , SARS-CoV-2 , Estresse Psicológico
4.
J Environ Manage ; 292: 112758, 2021 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-34030015

RESUMO

This paper presents a review of synthetic polymer (notably plastic) wastes profiles in Africa, their current management status, and better options. Data revealed that of the approximated 86.14 million metric tonnes and 31.5 million metric tonnes of primary polymers and plastics, respectively, and an estimated 230 million metric tonnes of plastic components imported between 1990 and 2017, about 17 million metric tonnes are mismanaged. Leading African nations on the plastic wastes generator table in increasing order are Tunisia (6.9%), Morocco (9.6%), Algeria (11.2%), South Africa (11.6%), Nigeria (16.9%), and the chief is Egypt (18.4%). The volume of plastic wastes generated in Africa directly correlates with her increasing population status, however, the current treatment options have major drawbacks (high energy and technological input, high demand for space, and creation of obnoxious by-products). Ineffective regulations, poor monitoring, and slow adoption of veritable practices by governments are responsible for the steady increase in plastic volume in the African landscapes and environments. In Nigeria, only about 9% and 12% of the total generated wastes are recycled and incinerated. The remainder bulk is either discarded into waste dumps (and a few available landfills) or natural environments. There is a paucity of standard plastic biodegradative work by African scientists, and only a few works show detection of competent synthetic plastic degrading microbes globally. Asides from the ills of possible omission of core degraders, there is a need for researchers to follow standard degradation procedures to arrive at efficient, reproducible, and generally accepted outcomes utilizable on a larger scale. Thus, metagenomic search on the vast African urban and rural plastisphere is the best isolation option.


Assuntos
Plásticos , Gerenciamento de Resíduos , Egito , Marrocos , Nigéria , África do Sul , Tunísia
5.
Int J Food Microbiol ; 349: 109202, 2021 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-33991875

RESUMO

The present work was carried out to understand the occurrence and antimicrobial susceptibility of Campylobacter spp., in various samples in Northern of Morocco. For this purpose, a random sampling was undertaken from butcher shops, traditional markets, and slaughterhouse. First, the research of Campylobacter was performed according to the Moroccan standard NM ISO: 10272-1 (2008). Second, the isolates were identified by biochemical tests and real time PCR. After the biochemical and molecular identification of suspected colonies, a disk diffusion method was executed to determine the sensitivity of Campylobacter spp. against 18 antibiotics. The results showed a moderate prevalence of Campylobacter species (130/466) recovered mainly on the Campylobacter blood base agar, where C. coli (108/130) were more prevalent comparable to C. jejuni (22/130) in poultry and cattle meat, raw milk, cloacal and surface swabs, and stool of patient suffering from diarrhea. The findings supported also the sensitivity of multiplex qPCR to detect Campylobacter strains compared to Moroccan standard NM ISO: 10272-1 (2008). Among our isolates, C. jejuni were the most susceptible strain toward colistin, florfenicol, gentamicin, streptomycin, and erythromycin. Nonetheless, the presence of multidrug Campylobacter resistant strains was highly observed in C. jejuni isolated, particularly, from broiler chickens toward the antibiotic classes of cephalosporin, penicillin, monobactam, quinolone, fluoroquinolone, sulfamide, as well as tetracycline. This may be due to common use of these drugs in veterinary medicine and farms as growth factor, which limits the usefulness of these molecules. Hence, the study highlights the importance of resistance profile monitoring of these pathogens in Northern of Morocco, in order to develop appropriate control measures and to reduce the emergence of multidrug-resistant strains.


Assuntos
Antibacterianos/farmacologia , Infecções por Campylobacter/microbiologia , Campylobacter/efeitos dos fármacos , Carne/microbiologia , Animais , Campylobacter/isolamento & purificação , Infecções por Campylobacter/epidemiologia , Bovinos , Galinhas , Farmacorresistência Bacteriana Múltipla , Fezes/microbiologia , Microbiologia de Alimentos , Humanos , Testes de Sensibilidade Microbiana , Leite/microbiologia , Marrocos/epidemiologia , Prevalência
6.
Pan Afr Med J ; 38: 225, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34046130

RESUMO

Liver damage during COVID-19 disease has been described in numerous studies. Its mechanism is poorly understood. It is mainly reserved for severe forms and is manifested by abnormalities of the hepatic assessment and more particularly cytolysis. Particular attention must be paid to patients with chronic liver disease, both in terms of follow-up and treatment. We wanted to know the evolution of COVID-19 and its treatment, on the liver function of a 27-year-old patient followed for chronic non-cirrhotic hepatitis B at the Hassan II University Hospital in Fez. Our patient had stopped the antiviral B treatment and presented COVID-19 infection with minimal to moderate impairment. The initial evaluation showed cytolysis at 4 times upper limit of normal (ULN). Management consisted in the immediate resumption of Tenofovir in combination with hydroxychloroquine (HCQ) and azythromycin with good clinical and biological evolution.


Assuntos
Antivirais/administração & dosagem , COVID-19/complicações , Hepatite B Crônica/fisiopatologia , Adulto , Azitromicina/administração & dosagem , COVID-19/diagnóstico , COVID-19/tratamento farmacológico , Hepatite B Crônica/tratamento farmacológico , Hospitais Universitários , Humanos , Hidroxicloroquina/administração & dosagem , Testes de Função Hepática , Masculino , Marrocos , Tenofovir/administração & dosagem
7.
Pan Afr Med J ; 38: 153, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33995760

RESUMO

Introduction: the medical file is a key element of quality reflecting good hospital management. Many steps have been taken through its history leading up to computerization. This Process allows the sharing of files with both the health staff and patients, while respecting the professional confidentiality between parties. However, in Morocco, as is the case in other countries that are unable to computerize all their hospitals, it is necessary to study first the medical file in paper before proceeding with its computerization. The purpose of our study is to describe the state of the hard copy medical record in our Host University and international hospital, Cheikh Zaid in Morocco. Methods: that is a cross-sectional study that lasted for three months in Cheikh Zaid hospital. The collection of data from this institution was based on the evaluation of 100 medical records of inpatients, seeing as they respond to our study criteria and requirements better than outpatients. Said evaluation was inspired by a clinical audit grid recommended by the High Authority for Health (HAS). Extraction of the results is done using the SPSS 13.0, Microsoft Excel, and Microsoft Visio software. In addition, we used the observation method to correct the errors found. Results: the results showed that 75% of the files are in good condition and well organized. However, administrative documents were missing in 70% of the cases (national identity card, health insurance card and copy of the patient's consent form). Moreover, in 83% of cases, the identity of the person to be notified in case of complications and the consent form were missing. It is also the case for the discharge report. The latter is incomplete in 97% of the cases. Also, the file transfer data from one service to another were missing in 82% of the medical files. Conclusion: according to the results, improving the medical file is necessary both administratively and medically. Thus, all parties, including doctors and nurses must be aware of their tasks and roles in this process. Despite the advances in the computerization of the medical file in several hospitals in Morocco, the maintenance of the hard copy version remains unavoidable and still necessary, to protect the rights of both the patient and his medical staff.


Assuntos
Administração Hospitalar , Hospitais/normas , Registros Médicos/normas , Estudos Transversais , Humanos , Sistemas Computadorizados de Registros Médicos , Marrocos , Política
8.
Pan Afr Med J ; 38: 162, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33995769

RESUMO

Spinocerebellar ataxia type 7 (SCA7) is a rare autosomal dominant neurodegenerative disease. Its clinical presentation is a progressive cerebellar ataxia associated with cone and retinal dystrophy. The CAG repeat expansion in the ataxin-7 gene (ATXN7) causes spinocerebellar ataxia type 7 - a mutation that results in the degeneration of the brain stem cells, retina and cerebellum. We report in this study the clinical and genetic features of a new Moroccan family of SCA7, from the South of Morocco. We performed the molecular genetic testing to confirm the diagnosis of SCA7. The objective of this study is to report a new Moroccan case of SCA7 and to illustrate the role of the geneticist in the diagnosis, management and development of genetic counseling of SCA7 disease.


Assuntos
Ataxina-7/genética , Ataxias Espinocerebelares/diagnóstico , Adolescente , Adulto , Feminino , Testes Genéticos , Humanos , Masculino , Marrocos , Mutação , Ataxias Espinocerebelares/genética , Ataxias Espinocerebelares/fisiopatologia , Adulto Jovem
9.
Pan Afr Med J ; 38: 183, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33995789

RESUMO

Introduction: the aim of our study is to determine, from data of the Moroccan register of biotherapies, the factors influencing the choice of the first prescribed biological treatment. Methods: cross-sectional multicenter study including rheumatoid arthritis patients who were initiated the first biological treatment either: Rituximab, an anti-TNF, or Tocilizumab. The determinants related to the patient and disease have been gathered. A univariate and then multivariate analysis to determine the factors associated with the choice of the first bDMARDs was realized. Results: a total of 225 rheumatoid arthritis patients were included in the Moroccan registry. The mean age was 52 ± 11 years, with female predominance 88% (n = 197). The first prescribed biological treatment was Rituximab 74% (n = 166), the second one was Tocilizumab, 13.6% (n = 31) then comes the anti-TNF in 3rd position with 12.4% (n = 28). The factors associated with the choice of Rituximab as the first line bDMARDs prescribed in univariate analysis were: the insurance type, the positivity of the rheumatoid factor. In multivariate analysis, only the insurance type that remains associated with the choice of Rituximab as the first biological drugs. The Tocilizumab was associated with shorter disease duration and was more prescribed as mono-therapy compared to non Tocilizumab group. TNFi was associated with the insurance type. Conclusion: our study suggests that Rituximab and TNFi are associated with the type of insurance and Tocilizumab is the most prescribed biologic mono-therapy in RA patients. Further studies are needed to confirm these results.


Assuntos
Anticorpos Monoclonais Humanizados/administração & dosagem , Antirreumáticos/administração & dosagem , Artrite Reumatoide/tratamento farmacológico , Rituximab/administração & dosagem , Adulto , Terapia Biológica/métodos , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Marrocos , Sistema de Registros , Estudos Retrospectivos , Fator de Necrose Tumoral alfa/antagonistas & inibidores
10.
Pan Afr Med J ; 38: 210, 2021.
Artigo em Francês | MEDLINE | ID: mdl-33995816

RESUMO

Introduction: the purpose of this study was to evaluate the governance model in basic health insurance coverage in Morocco. The main objective is to identify an evaluation framework and to apply it in the Moroccan model in order to propose recommendations for improvement. Methods: we conducted a literature review and interviews with representative stakeholders on the basis of a benchmark for evaluation of the governance of basic healthcare coverage (BHC). Results: the governance framework of BHC has undergone several changes since the launch of Law 65-00. Our evaluation has shown that considerable effort is being made given the dimensions: stakeholder involvement and system consistency and stability. However, dimensions such as supervision and regulation, coherence in decision-making structure, and transparency and access to information have structural issues that affect the proper functioning of the system. Conclusion: the governance framework of basic healthcare coverage in Morocco requires restructuring and convergence of the management funds for a single organization that centralizes the management. An effort should also be made to implement a regulation coordinated by the National Health Insurance Agency which has shown its limits.


Assuntos
Cobertura do Seguro/legislação & jurisprudência , Seguro Saúde/legislação & jurisprudência , Tomada de Decisões , Atenção à Saúde/economia , Humanos , Marrocos
11.
Rev Epidemiol Sante Publique ; 69(3): 116-126, 2021 Jun.
Artigo em Francês | MEDLINE | ID: mdl-33966926

RESUMO

OBJECTIVE: To objectively assess the quality of "crisis communication" media, during the COVID-19 pandemic, in the three Greater Maghreb countries (Tunisia, Algeria, Morocco). METHODS: A compliance audit for press releases and epidemiological bulletins was analyzed against a quality benchmark, which had been specifically designed by the authors. This framework, made up of five dimensions and 50 items, graded (0/1), was applied by two researchers in preventive medicine. Multiplying the scores by a coefficient of two resulted in a partial score of 20 points for each dimension and a total score of 100 points for the checklist taken as a whole. The quality of the communication media was considered to be good when exceeding the thresholds of 15/20 for the different dimensions and 75/100 for the entire grid. RESULTS: A total of 141 information media were included in this audit (Tunisia: 60; Algeria: 60; Morocco: 21). The overall median quality score for these media was only 56/100 (IIQ: [46-58]), without major variability between countries. The most appreciated dimension was "maintaining the confidence of the population", with an overall median score of 14/20 (12/20 for epidemiological bulletins and 16/20 for press releases). The most poorly rated dimension was "strengthening community participation", with a median score of only 4/20 (6/20 for epidemiological bulletins and 4/20 for press releases). CONCLUSION: The quality of the Maghreb crisis communication media during COVID-19 was insufficient in most of its dimensions and items, particularly from a psychosocial standpoint. Reinforcement of the capacities of communication officers to develop information material and supports during health crises is indispensable and should be considered as an urgent matter.


Assuntos
COVID-19/epidemiologia , Meios de Comunicação/normas , Argélia/epidemiologia , Humanos , Marrocos/epidemiologia , Tunísia/epidemiologia
12.
Artigo em Inglês | MEDLINE | ID: mdl-33924217

RESUMO

The spread of coronavirus disease-2019 (COVID-19) levied on the Moroccan authorities to increase their mask production capacity, which reached up to 12 million facemask units produced per day. This increase in personal protective equipment (PPE) production and consumption is an efficient tool to address the spread of COVID-19. However, this results in more plastic and microplastic debris being added into the land and marine environments, which will harm the ecosystem, wildlife, and public health. Such a situation needs deep individual behavior observation and tracking, as well as an assessment of the potential environmental impact of this new type of waste. For this reason, we assessed the Moroccan population's behavior regarding the use and disposal of facemasks and gloves. An exploratory survey was prepared and shared via social media and email with the population of Rabat-Salé-Kénitra and Casablanca-Settat regions. Additionally, we calculated the estimated number and weight of daily and weekly PPE used and generated by the studied regions. The survey showed that 70% of the respondents threw their discarded masks and gloves in house trash or trash bins after their first use, whereas nearly 30% of respondents admitted that they did not wear masks because they did not leave their homes during the lockdown, while from the 70% of facemask users, more than five million (equivalent to 40,000 kg) of facemasks would be generated and disposed of daily by the community of these regions, which presents 35% of the total engendered facemask waste in Morocco. Accordingly, the environment impact of facemasks showed that the greenhouse gas footprint is about 640 kT CO2 eq./year for the whole of Morocco, while the energy footprint is around 60,000 GWh/year. Furthermore, an urgent multidisciplinary environmental assessment of the potential impact of PPE must be conducted among the 12 Moroccan regions. This study demonstrated the real impact of the COVID-19 PPE on human behavior and the environment and suggests a need for providing new didactic management of facemasks and gloves.


Assuntos
COVID-19 , Pandemias , Controle de Doenças Transmissíveis , Ecossistema , Humanos , Máscaras , Marrocos/epidemiologia , Equipamento de Proteção Individual , Plásticos , SARS-CoV-2
13.
Pan Afr Med J ; 38: 134, 2021.
Artigo em Francês | MEDLINE | ID: mdl-33912304

RESUMO

Introduction: no one can deny that vaccination against several serious diseases in the world, and particularly in Morocco, has given very satisfactory protective results. The extension of the COVID-19 pandemic in our country has led to a significant decline in childhood immunization, which could have severe repercussions increasing the risk of future outbreaks. Hence, the measures of the Ministry of Health to correct the situation. The purpose of this study was to highlight the extent of vaccine release during COVID-19 pandemic and to make recommendations to restore vaccination programmes. Methods: we conducted a cross-sectional study of the effect of containment measures during this pandemic on the monitoring of children´s vaccinations. We conducted a national survey of pediatricians using an electronic questionnaire administered via Google Forms. We collected, analyzed and interpreted the results. Results: one hundred and three Moroccan pediatricians answered the questionnaire. More than 2-thirds (78.6%) of pediatricians practiced in the private sector and delivered vaccines in the immunization schedule. The majority of pediatricians (95%) were asked about parental vaccine concerns. We noted that 82.5% of parents were reluctant to go to the local health department and 5.8% refused to take vaccination during COVID-19 pandemic. About 22% of pediatricians completely stopped immunization services and 72.8% delayed immunizations from 3 to 4 weeks. Vaccination stoppage involved older children in two thirds of cases. Conclusion: it is essential to maintain public confidence in vaccination. Ongoing and timely assessment of vaccine coverage as well as clear recommendations and broad public awareness are essential to respond to vaccine changes during the COVID-19 pandemic.


Assuntos
COVID-19 , Esquemas de Imunização , Vacinação/estatística & dados numéricos , Vacinas/administração & dosagem , Adulto , Estudos Transversais , Feminino , Humanos , Programas de Imunização , Masculino , Pessoa de Meia-Idade , Marrocos , Pais , Pediatras/estatística & dados numéricos , Inquéritos e Questionários , Cobertura Vacinal
14.
Pan Afr Med J ; 38: 149, 2021.
Artigo em Francês | MEDLINE | ID: mdl-33912319

RESUMO

Retroperitoneal fibrosis (RPF) is a rare disease characterized by the formation of a fibro-inflammatory plaque in the retroperitoneal space in front of the abdominal aorta. It is responsible for the sheathing of the ureters. It is characterized by unspecific clinical signs, and it is often detected based on obstructive uropathy. We conducted a retrospective, descriptive study in the Department of Urology B and in the Department of Nephrology of the Ibn Sina University Hospital over a period of 10 years from January 2006 to December 2016. The study enrolled 18 patients, including 11 men and 7 women, with an average age of 51.4 years ± 11.2. Diagnosis was based on lumbar pain in 14 patients. Obstructive renal failure was reported in 15 patients and the diagnosis of RPF was based on uroscanner. Etiological assessment revealed 2 cases with a history of neoplasia, 2 cases of inflammatory disease and 1 case of retroperitoneal surgery; chronic drug intake was noted in more than half of the patients. In all patients, treatment was based on double J stent placement, while systemic treatment with corticosteroids and immunosuppressants was used on the basis of the evolutionary profile. Ureterolysis was immediately performed in 3 patients. Outcome was favorable, with significant improvement in renal function in 12 patients. A relapse occurred in 2 patients after 2 years of follow-up. Retroperitoneal fibrosis (RPF) should be suspected in patients with general signs associated with obstructive renal disease. Secondary causes should be systematically investigated, with particular emphasis on hyper IgG4 disease and neoplastic diseases.


Assuntos
Dor Lombar/etiologia , Insuficiência Renal/etiologia , Fibrose Retroperitoneal/diagnóstico , Corticosteroides/administração & dosagem , Adulto , Feminino , Seguimentos , Hospitais Universitários , Humanos , Imunossupressores/administração & dosagem , Masculino , Pessoa de Meia-Idade , Marrocos , Fibrose Retroperitoneal/complicações , Fibrose Retroperitoneal/terapia , Estudos Retrospectivos , Stents , Obstrução Ureteral/diagnóstico , Obstrução Ureteral/etiologia
15.
Pan Afr Med J ; 38: 101, 2021.
Artigo em Francês | MEDLINE | ID: mdl-33889267

RESUMO

Dermatomyositis (DM) and polymyositis (PM) are rare but serious conditions. The purpose of this study was to investigate, by a review of hospital cases, their epidemiological, clinical and evolutionary profile. We conducted a retrospective study over a 15-year period, between January 2004 and December 2019. All cases with possible or definite diagnosis according to Bohan and Peter's criteria were retained. A total of 14 patients were enrolled (8 DM and 6 PM), with an average age of 48.7 years. Sex ratio was 13F/ 1H. General signs were reported in 71% of cases. Motor deficit affected the girdle muscles in 71% of cases; 85.7% of patients had arthralgia and 14% arthritis. Erythema and periorbital edema were the predominant skin signs. Patients' assessment showed increased sedimentation rate in all cases and increased muscle enzymes in 80% of cases. Antinuclear antibodies were positive in 63% of cases. Muscle biopsy objectified inflammatory myositis in 75% of cases. Heart disease was reported in 14% of cases and lung disease in 21%. Cancer was found in 21.4% of cases. All patients received corticosteroid therapy. Improvement was reported in 88% of patients, with a relapse in 4 patients. In our context, DM is more frequent than PM, with a clear female predominance. Pulmonary disease is a heavy complication. Its association with cancers occurs commonly, hence the need for a systematic cancer screening at diagnosis and follow-up.


Assuntos
Dermatomiosite/epidemiologia , Miosite/epidemiologia , Polimiosite/epidemiologia , Adolescente , Corticosteroides/administração & dosagem , Adulto , Idoso , Biópsia , Dermatomiosite/diagnóstico , Dermatomiosite/tratamento farmacológico , Edema/epidemiologia , Eritema/epidemiologia , Eritema/etiologia , Feminino , Cardiopatias/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Marrocos , Miosite/diagnóstico , Miosite/tratamento farmacológico , Neoplasias/epidemiologia , Polimiosite/diagnóstico , Polimiosite/tratamento farmacológico , Estudos Retrospectivos , Adulto Jovem
17.
Parasite ; 28: 37, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33861197

RESUMO

Mosquitoes transmit several agents of diseases and the presence of different species represents a threat to animal and public health. Aedes and Culex mosquitoes are of particular concern giving their potential vector competence for Arbovirus transmission. In Morocco, the lack of detailed information related to their spatial distribution raises major concerns and hampers effective vector surveillance and control. Using maximum entropy (Maxent) modeling, we generated prediction models for the potential distribution of Arboviruses vectors (Aedes aegypti, Ae. vexans, Ae. caspius, Ae. detritus, and Culex pipiens) in Morocco, under current climatic conditions. Also, we investigated the habitat suitability for the potential occurrence and establishment of Ae. albopictus and Ae. vittatus recorded only once in the country. Prediction models for these last two species were generated considering occurrence datasets from close countries of the Mediterranean Basin, where Ae. albopictus is well established, and from a worldwide database for the case of Ae. vittatus (model transferability). With the exception of Ae. vittatus, the results identify potential habitat suitability in Morocco for all mosquitos considered. Existing areas with maximum risk of establishment and high potential distribution were mainly located in the northwestern and central parts of Morocco. Our results essentially underline the assumption that Ae. albopictus, if not quickly controlled, might find suitable habitats and has the potential to become established, especially in the northwest of the country. These findings may help to better understand the potential distribution of each species and enhance surveillance efforts in areas identified as high risk.


Assuntos
Aedes , Arbovírus , Animais , Ecossistema , Marrocos , Mosquitos Vetores
18.
Pan Afr Med J ; 38: 42, 2021.
Artigo em Francês | MEDLINE | ID: mdl-33854671

RESUMO

Introduction: intentional poisoning is a major public health problem in both developed and developing countries. The purpose of this study is to describe the epidemiological features of criminal intoxication in Morocco. Method: we conducted a retrospective study of all cases of criminal intoxication identified by the Morocco Poison Control and Pharmacovigilance Centre (MPCPC) between 1980 and 2014. Results: during the study period, 611 cases of criminal poisoning were recorded, reflecting a rate of 2.1% of all intentional poisoning reported during the same period. The average age of intoxicated patients was 26.4±14.3 years. More than a quarter of the subjects were children under the age of 15 (28.6%). According to the study results, 55.9% were male, with a sex-ratio (M/F) of 1.3. The majority of cases (89.4%) occurred in urban areas. Collective intoxications were reported in 24.4% of cases. The most frequently used products were pesticides (19.1%) and plants (19%). Patients developed different symptoms based on the toxic substances used, the amount ingested and the time elapsed before treatment. A range of digestive, neurological, respiratory and cardiovascular disorders were reported. Out of 440 patients with outcome data available, 27 died. The remainder of patients survived with or without sequelae. Conclusion: criminal poisoning is a major issue. The number of cases is probably underestimated due to a large number of undiagnosed or unreported cases.


Assuntos
Crime , Farmacovigilância , Envenenamento/epidemiologia , Venenos/administração & dosagem , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Marrocos/epidemiologia , Praguicidas/envenenamento , Intoxicação por Plantas/epidemiologia , Centros de Controle de Intoxicações/estatística & dados numéricos , Estudos Retrospectivos , Adulto Jovem
19.
Pan Afr Med J ; 38: 46, 2021.
Artigo em Francês | MEDLINE | ID: mdl-33854675

RESUMO

Introduction: infertility in couples has become a public health problem in recent years. It can be related to a problem in the male, female or both. Men infertility accounts for 40% of cases. In Morocco, most studies have focused on the causes and risk factors for male infertility. The purpose of our study was to assess the prevalence of male infertility and semen parameters in infertile men or in men at high risk of developing infertility in a tertiary hospital in Rabat. Methods: we conducted an analysis of 482 patients referred for evaluation of infertility in the couple or as part of preoperative assessment of varicocele or testicular ectopia. Demographic data, risk factors for infertility, primary or secondary infertility were recorded for each patient. Semen parameters were assessed and interpreted according to WHO standards updated in 2010 based on studies of factors associated with their disturbance. Results: the average age of patients was 35.35±8.81 years. Primary infertility was found in 61.8% of cases. The most common risk factors for infertility were tobacco followed by varicocele and infection. Spermogram was altered in 53.1% of cases. The most common abnormality was sperm vitality issues (36.9%) followed by spermatic concentration (29.7%) and morphology (29.3%). Age was the unique factor which had a significant impact on spermogram (p=0.002). Abnormalities in mobility were detected in patients ≥31 years, sperm vitality issues in patients aged 34 years, abnormalities in morphology in patients aged 35 years and concentration in patients aged 37 years. Azoospermia was found in 16.4% of cases and was mainly associated with primary infertility. Oligo-astheno-teratozoospermia was the most common association (26.2%). Conclusion: male infertility is common in our context. The major risk factor is age. Mobility is the earliest parameter achieved.


Assuntos
Infertilidade Masculina/epidemiologia , Testículo/anormalidades , Varicocele/epidemiologia , Adolescente , Adulto , Fatores Etários , Idoso , Estudos Transversais , Hospitais Universitários , Humanos , Infertilidade Masculina/etiologia , Masculino , Pessoa de Meia-Idade , Marrocos , Prevalência , Fatores de Risco , Análise do Sêmen , Contagem de Espermatozoides , Centros de Atenção Terciária , Adulto Jovem
20.
Zootaxa ; 4964(2): zootaxa.4964.2.1, 2021 Apr 22.
Artigo em Inglês | MEDLINE | ID: mdl-33903515

RESUMO

The present paper is the third part of a revision of the genus Dziriblatta and treats the nominal subgenus Dziriblatta and its species. The subgenus contains 10 species of which 8 are new to science. The species can be distributed to two species groups: the bolivari-species group with Dz. (Dz.) algerica, Dz. (Dz.) bolivari, Dz. (Dz.) brevisacculata, spec. nov., Dz. (Dz.) curvisetosa, spec. nov., and Dz. (Dz.) pilleata, spec. nov.-and the lobososacculata-species group with Dz. (Dz.) altotuberculata, spec. nov., Dz. (Dz.) lobososacculata, spec. nov., Dz. (Dz.) planotuberculata, spec. nov., Dz. (Dz.) ramososacculata, spec. nov., and Dz. (Dz.) undulata, spec. nov.. The descriptions of the species are complemented by numerous images showing their most important structures, their distribution in southern Spain and Morocco, and their supposed phylogenetic relationships. A determination key allows the discrimination of the males.


Assuntos
Blattellidae , Filogenia , Distribuição Animal , Animais , Blattellidae/anatomia & histologia , Blattellidae/classificação , Masculino , Marrocos , Espanha , Especificidade da Espécie
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