MODELING OF ACTIONS TO TAKE AFTER A SCORPION STING AND DEVELOPING A WEB BASED INFORMATION SYSTEM TO TRACK THE DIFFERENT INDICATORS SYSTEMATICALLY

To take the quickest and the correct decision when a scorpion stingsis decisive in terms of patient rescue. Based on a long experience andcollected information about envenomation, Anti Poison andPharmacovigilance Center of Morocco (CAPM) developed a guideline withclear actions to help the patients.European Scientific Journal April 2014 edition vol.10, No.12 ISSN: 1857 – 7881 (Print) e - ISSN 1857- 7431118The application of information technology in health sector has grownexponentially over the last years. This research aimed to model a health caresystem and make it easier to use by the health professionals. It will allow theclinician to monitor the evolution of the different vital signs and eventuallysuggest the best hospitalization (type of drug, reanimation, release...). Themain objective is to improve effectiveness and efficiency.The developed application contains sensible data, therefore the generalconcept is constructed to be secure. Furthermore, it is web oriented, in orderto facilitate the communication between the various sanitaire structures. Theprogram helps enormously to gather important statistics and analysis

Geographical distribution of health indicators related to snake bites and envenomation in Morocco between 1999 and 2013

OBJECTIVES Envenomation from snake bites is a significant cause of morbidity and mortality worldwide. The aim of this study was to describe the epidemiological features of snake bites in Morocco and to evaluate time-space trends in snake bite incidence, the mortality rate, and the case-fatality rate. METHODS This is a retrospective study of snake bite cases reported to the Moroccan Poison Control Center between 1999 and 2013. RESULTS During the study period, 2,053 people were bitten by snakes in Morocco. Most victims were adults (55.4%). The average age of the patients was 26.48±17.25 years. More than half of the cases (58.1%) were males. Approximately 75% of snake bites happened in rural areas, and 85 deaths were recorded during this period. The incidence of snake bites remained generally steady over the 15-year period of this study, with a marked increase noted since 2012. The mortality rate has increased slightly, from 0.02 deaths per 100,000 inhabitants in 1999 to 0.05 in 2013. The geographical distribution of snake bite cases in the regions of Morocco showed that Tanger-Tétouan had the highest annual incidence of snake bites (1.41 bites per 100,000 inhabitants). However, the highest annual mortality rates were recorded in the Guelmim-Es Semara and Souss-Massa-Drâa regions (0.09 deaths per 100,000 inhabitants for both regions). CONCLUSIONS The geographical distribution of the incidence, mortality, and case-fatality rates of snake bites in Morocco showed large disparities across regions during the three 5-year periods included in this study, meaning that certain areas can be considered high-risk for snake bites

INTOXICATION PAR LE PEROXYDED’ HYDROGENE DESTINE A LA DECOLORATION DE CHEVEUX: DONNEES DU CENTRE ANTIPOISON ET DE PHARMACOVIGILANCE DU MAROC

To assess the extent and severity of poisoning by hydrogen peroxide dye hair used as the Moroccan population, a retrospective epidemiological study of all cases of poisoning reported, collected by the Moroccan poison control and pharmacovigilance center, between 1987 and 2011 was realized. The center has received 43 reports. The mean age was 18 ± 2 years [0.1-50 years] and the female / male ratio was 2. The majority of cases of poisoning were occurred in th urban area (35 cases) and at home (31 cas). The digestive disorders were found in 17 cases, associeted or not with a neurological disorders (2 cases), cardiovascular disorders (1 case) and skin disorders e (1 case).Twenty patients were referred to the emergency care unit). A symptomatic treatment was ordered in 26 cases and gastrointestinal descontamination in 11 cases. The evolution was favorable in all cases

CARACTÉRISTIQUES SOCIO-ÉPIDÉMIOLOGIQUES ET ÉVOLUTIVES DES INTOXICATIONS AIGUËS AU MAROC : CAS DE LA RÉGION DE L’ORIENTAL

A retrospective epidemiological study concerning 4 098 cases of acute poisoning registered in the region of the Oriental between January, 2007 and December, 2011 was realized. The data have been collected by The Moroccan Poison Control and Drug Monitoring Center (centre anti-poison et de pharmacovigilance "CAPM"). Such study aims to reduce morbidity and mortality resulting from poisoning in the oriental region, through the description of the major epidemiological characteristics associated with it. The results showed the average age of the intoxicated 24.7±16.4 years. The poisonings in this region concerned mainly the adults whose age is understood between 20 years and 74 years (56.9 %). The lethality rate was more important at the elderly Person ([> 75]) (2.62 %). The female prevailed with (62.8%), the sex ratio (F/M) being 1.68. The frequencies of the highest poisonings were recorded in the urban middle with 90.1 %. The poisonings were accidental in 76.6 % of the cases. The clinical state of the patients was for the greater part symptomatic (74.9 %). The most incriminated products were drugs with 29.6 % of the cases. Among 3 453 patients for whom the evolution was known, 3 407 cases had favorably evolved, 46 had died, that is a lethality of 1.3 %. The study of the effect of the studied parameters on the evolution of the health status of patients has led to progress as follows: The origin (urban, rural) and the clinical state (symptomatic, asymptomatic) presented a significant association with the evolution of the patients: The Odds ratio was respectively, (OR=2.33, p=0.028) and (OR=6.51, p=0.001). To reduce the incidence of acute accidental and intentional poisonings, prevention and improvement of socio-economic conditions remain the treatment of choice

CARACTERISTIQUES EPIDEMIOLOGIQUES ET CLINIQUES DES ENVENIMATIONS PAR LES INSECTES HYMENOPTERES AU MAROC EPIDEMIOLOGICAL AND CLINICAL CHARACTERISTICS OF THE ENVENOMATIONS CAUSED BY HYMENOPTERA INSECTS IN MOROCCO

In order to reduce the morbidity of envenomations caused by Hymenoptera insects in Morocco, this study evaluates the incidence of those cases in the regions that have been affected by this type of poisoning and describes the epidemiological and clinical characteristics of the poisoned patients. A descriptive retrospective analysis was conducted on 175 cases of envenomation. Data was collected from two sources, the Toxico-monotoring systems and toxicological information, both based on suspected or proven data from The Moroccan Poison Control and Drug Monitoring Center (CAPM) from the 1 January 2008 to 31 December 2011. Entry and statistical analysis were done using Epi Info 2002. According to the results, the region of Tangier-Tetouan has recorded the highest number of poisoned patients (67 cases) with an incidence of 0.0062 per 100 000 inhabitants. The average age of the poisoned population was 21,6±16,9. Male patients were the most affected with 66% of cases (sex ratio (M / F) = 2). Hymenoptera insect bites have occurred most often in urban areas (62% of cases). There was a peak in bites during July, which corresponds to the period of the proliferation of insects (bees-ants...). 75.4% of patients were symptomatic. The most frequent clinical signs were local edema (25.9%), pruritus (20.5%) and localized pain (18.3%). The evolution was favorable in 81% of cases, 2 cases (1%) with had ongoing sequels and no cases of death were recorded. By studying these 175 cases of envenomation caused by Hymenoptera, we offers education and information to the Moroccan population, and an ecological knowledge about hymenopteran species involved, and the proper management of the poisoned for a better outcome

Global, regional, and national burden of colorectal cancer and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

Funding: F Carvalho and E Fernandes acknowledge support from Fundação para a Ciência e a Tecnologia, I.P. (FCT), in the scope of the project UIDP/04378/2020 and UIDB/04378/2020 of the Research Unit on Applied Molecular Biosciences UCIBIO and the project LA/P/0140/2020 of the Associate Laboratory Institute for Health and Bioeconomy i4HB; FCT/MCTES through the project UIDB/50006/2020. J Conde acknowledges the European Research Council Starting Grant (ERC-StG-2019-848325). V M Costa acknowledges the grant SFRH/BHD/110001/2015, received by Portuguese national funds through Fundação para a Ciência e Tecnologia (FCT), IP, under the Norma Transitória DL57/2016/CP1334/CT0006.proofepub_ahead_of_prin

Health Vigilance for Medical Imaging Diagnostic Optimization: Automated segmentation of COVID-19 lung infection from CT images

Covid-19 disease has confronted the world with an unprecedented health crisis, faced with its quick spread, the health system is called upon to increase its vigilance. So, it is essential to set up a quick and automated diagnosis that can alleviate pressure on health systems. Many techniques used to diagnose the covid-19 disease, including imaging techniques, like computed tomography (CT). In this paper, we present an automatic method for COVID-19 Lung Infection Segmentation from CT Images, that can be integrated into a decision support system for the diagnosis of covid-19 disease. To achieve this goal, we focused to new techniques based on artificial intelligent concept, in particular the uses of deep convolutional neural network, and we are interested in our study to the most popular architecture used in the medical imaging community based on encoder-decoder models. We use an open access data collection for Artificial Intelligence COVID-19 CT segmentation or classification as dataset, the proposed model implemented on keras framework in python. A short description of model, training, validation and predictions is given, at the end we compare the result with an existing labeled data. We tested our trained model on new images, we obtained for Area under the ROC Curve the value 0.884 from the prediction result compared with manual expert segmentation. Finally, an overview is given for future works, and use of the proposed model into homogeneous framework in a medical imaging context for clinical purpose

Les caractéristiques épidémiologiques et cliniques des envenimations scorpioniques dans la province de Beni Mellal (Maroc)

Au Maroc, la province de Beni Mellal est l'une des régions les plus touchées par la problématique des piqûres et des envenimations scorpioniques. Objectif : l'objectif de notre travail est d'analyser et d'interpréter les données des fiches d'hospitalisation dans le but de diminuer la morbidité et la mortalité causées par l'envenimation scorpionique. Patients et méthodes : Ce travail consiste en une étude rétrospective de 56 cas d'envenimation scorpionique durant l'année 2007, à partir des fiches d'hospitalisation du service de réanimation de l'hôpital provincial de Beni Mellal. Résultats : Les résultats montrent que les envenimations scorpioniques coïncident avec la période estivale, particulièrement les mois de juin et juillet. De plus, la plupart des piqûres surviennent entre 18h et 6h du matin (56,8 %). Ce sont les enfants d'âge inférieur ou égal 15 ans qui sont les plus exposés à cette affection avec une moyenne d'âge de $14{,}92 \pm 12{,}94$ ans. Par ailleurs, 71,4 % des envenimés arrivent à l'hôpital avec des signes généraux et 28,6 % avec des signes de détresse vitale. La thérapeutique reste variée et le taux de létalité hospitalière est de 8,92 %. L'analyse statistique des différents facteurs étudiés sur le pronostic vital (guérison et mortalité) a révélé une différence hautement significative entre les deux classes d'admission et l'évolution ($\chi ^{2}=13{,}72$ et p< 0{,}001). L'âge inférieur à 15 ans et la détresse vitale cardiovasculaire sont des facteurs de risque chez le patient envenimé. Conclusion : Cette étude confirme que le scorpionisme demeure un problème important de santé publique

A Giant Solitary Adrenal Plasmacytoma in a Patient with HIV: A Rare Case Report and Review of the Literature

Solitary extramedullary plasmacytoma (EMP) involving the adrenal gland is an extremely rare malignancy. We report a case of a solitary adrenal plasmacytoma in an HIV-positive 50-year-old woman on antiretroviral therapy who presented with a rapidly progressing lumbar left masse. A CT scan objectified a locally advanced left adrenal mass measuring 135mm long axis. A biopsy was taken, and the histopathology with the immunohistochemical study objectified an adrenal gland plasmacytoma. The skeletal survey and the sternal suction biopsy did not show any abnormalities. The diagnosis of a solitary EMP of the adrenal gland was made. There are only 10 cases of solitary adrenal plasmacytoma with only one case associated with an HIV-positive patient reported in the literature. Therefore, this paper is aimed at presenting the second case of an HIV-positive patient diagnosed with solitary adrenal plasmacytoma