Effect of Hybrid Learning on Students’ Academic Performance at the Higher Institute of Nursing Professions and Health Techniques of Oujda

Following the restrictive security measures imposed by governments during the COVID-19 pandemic, education, like all other social sectors, has been radically disrupted. All educational systems have been urged to adopt distance learning to guarantee the continuation of training. The present study aims to determine the effect of the mode of learning used in training on students’ academic performance at the Higher Institutes of Nursing Professions and Health Techniques (HINPHT) of Oujda in Morocco. Academic results and collected using an exploitation form are compared between two groups of students registered at the institution. The first group includes students who enrolled in September 2019 and were admitted during the COVID-19 containment period. These students initially received face-to-face training in the first semester but were later transitioned to online training during the lockdown period (n = 185). The second comparison group comprises students who received face-to-face training throughout (n = 413). The results of the present study reveal a significant increase in the average number of students who benefited from the hybrid training mode in all semesters. However, failure and dropout rates have increased in the hybrid mode compared to the face-to-face mode. This decrease in the number of students graduating within six semesters is notable in the hybrid mode compared to the control group. Further research can be conducted to examine the effect technological teaching devices may have on learner motivation and sense of control during training

Epilepsie et Handicap

Epilepsy is a chronic disease, often causing a significant handicap. This handicap has several components, which can be characterized by the International Classification of Functioning health and disability. Deficiencies caused by epilepsy may be temporary, in connection with the seizure or sustainable in relation to associated disorders, the causal disease or treatment adverse effects. Activity limitations are mainly motivated by insecurity linked to the risk of seizure, leading to a progressive restriction of participation in social and professional life. The identification of this epileptic disability and its various components is the basis of a comprehensive care to improve the quality of life of the patient in his social environment.L’épilepsie est une maladie chronique, souvent à l’origine d’un handicap non négligeable. Ce handicap présente plusieurs composantes, qui peuvent être caractérisées grâce à la classification internationale du fonctionnement de la santé et du handicap. Les déficiences engendrées par l’épilepsie peuvent être temporaires, en rapport avec la crise ou durables en rapport avec les troubles associés, la pathologie causale ou encore les effets indésirables des traitements. Les limitations d’activités sont essentiellement motivées par le sentiment d’insécurité lié au risque de crise, aboutissant à une restriction progressive de la participation à la vie sociale et professionnelle. L’identification de ce handicap épileptique et de ses différentes composantes est à la base d’une prise en charge globale visant l’amélioration de la qualité de vie du patient dans son environnement social

Les champs de compétence de l'orthophoniste en réadaptation neurologique chez l'adulte

L'orthophoniste spécialisé en réadaptation neurologique chez les adultes joue un rôle essentiel au sein de l'équipe multidisciplinaire de réadaptation, en évaluant et en prenant en charge les personnes atteintes de troubles neurologiques tels que les AVC, les traumatismes crâniens, les tumeurs cérébrales et les maladies neuro-dégénératives comme l’Alzheimer et la maladie de Parkinson.Dans le domaine de la réadaptation neurologique, l'orthophoniste se concentre sur la réadaptation des fonctions langagières, de la parole, de la voix et de la déglutition chez les adultes. Grâce à des évaluations approfondies, il identifie les troubles spécifiques et établit un plan de traitement personnalisé. Son objectif est d'améliorer la compréhension et l'expression du langage, de restaurer les capacités de communication orale, de rééduquer la déglutition et, si nécessaire, d'adapter les techniques de communication augmentative et alternative.En tant que professionnel de la santé spécialisé en réadaptation, l'orthophoniste en réadaptation neurologique chez l'adulte évalue et prend en charge les troubles de la communication et de la déglutition liés aux troubles neurologiques. Son rôle essentiel dans la réadaptation des patients adultes consiste à restaurer les fonctions langagières, de la parole, de la voix et de la déglutition. Grâce à une approche multidisciplinaire et à une formation continue, l'orthophoniste vise à améliorer la qualité de vie des patients et à favoriser leur autonomie dans les activités quotidiennes.Cet article met en évidence l'importance de l'orthophonie et les différentes approches utilisées pour la réadaptation neurologique des adultes au Maroc

Acute pseudo-septic arthritis following viscosuplementation of the knee

A 70-year-old woman with a history of medial femoro-tibial compartment of knee osteoarthritis was admitted for acute arthritis six days after a second intra-articular injection of Hyaluronic acid. The joint fluid was inflammatory, with no crystals, and laboratory tests showed marked inflammation leading to antibiotic treatment for suspected septic arthritis. The persistent symptoms and negative results of joint fluid and blood cultures led to discontinuation of the antibiotic therapy after 10 days. Anti-inflammatory with rehabilitation therapy of the knee relieved the symptoms, and the patient was discharged home 3 weeks after her admission. Aseptic arthritis induced by repeated Hyaluronic acid injection is the most likely diagnosis. Physicians should be conscious of this extremely severe complication.Pan African Medical Journal 2012; 12:4

Does gender moderate the association between socioeconomic status and health? Results from an observational study in persons with spinal cord injury living in Morocco

BackgroundSocioeconomic status (SES) and gender are well-known social determinants of health. However, their impact on health in populations with physical disabilities in low-resource countries is still lacking. Therefore, the objective of this study was to investigate associations of individual SES with health and the moderating effect of gender on this association in a Moroccan population with a physical disability, namely spinal cord injury.MethodsCross-sectional survey data from 385 participants with spinal cord injury living in Morocco were analyzed. SES was operationalized by education level, household income, financial hardship, and subjective social status. Health indicators included secondary conditions, pain, vitality, quality of life, and general health. Associations between SES and health indicators were investigated using linear and logistic regressions. To test the potential moderation of gender, interaction terms between SES and gender were introduced in regression models.ResultsFinancial hardship and lower subjective social status were associated with poorer health outcomes in four out of five indicators in the total sample. In contrast, education and income were inconsistently associated with health. Overall, gender did not moderate the association between SES and health, except that educational inequalities in general health were more pronounced in women, and the observation of a trend for a stronger negative effect of subjective social status on men's than woman's health (p > 0.05).ConclusionThis study revealed that subjective indicators of SES negatively impact on health, whereas evidence for the moderating role of gender in this association was weak. These findings underline the importance to reduce social marginalization and poverty in populations with disabilities in low-resource countries to reduce their double burden of living with a disability and encountering social disadvantages through low SES

Impact of the COVID-19 Pandemic on the Perceived Physical and Mental Health and Healthy Lifestyle Behaviors of People with Disabilities: Quantitative Analysis of the International Community Survey

This study aims to determine the perceived impact of the coronavirus pandemic on physical and mental health and healthy lifestyle behaviors in community-dwelling persons with disabilities, as compared to those without disabilities

Conflict of interest disclosure in oncology: preliminary insights from the Global ONCOTRUST-1 cross-sectional study

Purpose Conflicts of interest (COIs) between oncologists and industry might considerably influence how the presentation of the research results is delivered, ultimately affecting clinical decisions and policy-making. Although there are many regulations on reporting COI in high-income countries (HICs), little is known about their reporting in low- and middle-income countries (LMICs). Oncology Transparency Under Scrutiny and Tracking (ONCOTRUST-1) is a pilot global survey to explore the knowledge and perceptions of oncologists regarding COI. Materials and Methods We designed an online 27-question–based survey in the English language to explore the perceptions and knowledge of oncologists regarding COI, with an emphasis on LMICs. Descriptive statistics and the Consensus-Based Checklist for Reporting of Survey Studies guidelines were used to report the findings. Results ONCOTRUST-1 surveyed 200 oncologists, 70.9% of them practicing in LMICs. Median age of the respondents was 36 (range, 26-84) years; 47.5% of them were women. Of the respondents, 40.5% reported weekly visits by pharmaceutical representatives to their institutions. Regarding oncologists' perceptions of COI that require disclosure, direct financial benefits, such as honoraria, ranked highest (58.5%), followed by gifts from pharmaceutical representatives (50%) and travel grants for attending conferences (44.5%). By contrast, personal or institutional research funding, sample drugs, consulting or advisory board, expert testimony, and food and beverage funded by pharmaceutical industry were less frequently considered as COI. Moreover, only 24% of surveyed oncologists could correctly categorize all situations representing a COI. Conclusion These findings underscore the importance of clear guidelines, education, and transparency in reporting COI in oncology. This hypothesis-generating pilot survey provided the rationale for ONCOTRUST-2 study, which will compare perceptions of COI among oncologists in LMICs and HICs

Syndrome post- commotionnel et qualité de vie 1 an après traumatisme crânien léger. A propos de 42 cas.

Le TCL est une pathologie fréquente qui représente environ 80 % de l’ensemble des traumatismes crâniens. Il peut se compliquer d’un syndrome post-commotionnel comportant des plaintes riches et stéréotypées, qui associent des doléances somatiques, cognitives et psychiques. A la richesse des plaintes dites subjectives s’associent la normalité de l’examen neurologique et des examens complémentaires classiques. L’étiopathogénie est complexe et multifactorielle. La récupération est habituellement bonne, mais une évolution chronique favorisée par plusieurs facteurs est possible. Cette persistance des symptômes est à l’origine d’un retentissement social, professionnel et familial inversement proportionnels à l’apparente légèreté de l’atteinte organique. La prévention est possible mais n’est pas encore de pratique courante dans notre pays. Les implications juridiques sont importantes et manquent de spécificité et le coût est énorme tant à l’échelle individuelle que collective

Eye movements during visual mental imagery in healthy subjects and in patients with representational neglect or lateral homonymous hemianopia

L'imagerie mentale visuelle est généralement accompagnée de mouvements spontanés des yeux qui ne sont pas arbitraires mais reflètent le contenu spatial de cette imagerie. Ce travail de thèse avait pour principal objectif l'utilisation de l'enregistrement des mouvements oculaires afin d'étudier les représentations mentales chez les sujets sains et les sujets atteints de lésions cérébrales et ainsi d'en explorer les mécanismes, la dynamique, les référentiels et les substrats neuronaux. Nous avons enregistré les mouvements des yeux pendant le rappel des villes de France à partir de la mémoire à long terme, soit en ayant recours à l'imagerie mentale de la carte de France, soit avec un accès sémantique (tâche de fluence verbale). Ce paradigme a été réalisé dans 3 situations différentes : chez les sujets sains avec le regard libre, chez les sujets sains avec le regard fixé et chez les sujets atteints de négligence spatiale unilatérale et/ou hémianopsie latérale homonyme (HLH) avec le regard libre. En utilisant la corrélation bi-dimensionelle (BDR) entre les positions oculaires et les positions GPS des villes évoquées par le sujet, nous avons pu réaliser dans ces trois situations une analyse individuelle. Chez les sujets sains en regard libre, nous avons démontré que l'imagerie mentale se construit de façon séquentielle, et fragmentée, et que la corrélation significative est une signature individuelle de l'utilisation de l'imagerie visuelle. Chez les sujets sains avec le regard fixe, nous avons mis en évidence l'existence de microsaccades qui reflètent toujours le contenu spatial de l'imagerie mentale pour la plupart des individus. Chez les négligents, la représentation mentale de la carte de France était perturbée aussi bien dans le référentiel allocentrique (absence de cohérence spatiale pour les villes de la moitié gauche) que dans le référentiel égocentrique (carte mentale décalée du côté ipsilésionnel). Chez les patients avec HLH, la représentation mentale était décalée du côté contra-lésionnel, mais était spatialement cohérente dans le référentiel allocentrique. Cette nouvelle approche méthodologique et statistique a permis de discuter les différentes interprétations théoriques de la littérature concernant les liens entre mouvements des yeux et imagerie mentale, et d'étudier les troubles de représentation spatiale faisant suite à la lésion du cortex visuel primaire et du réseau pariéto-frontal droit, substrats respectifs du tampon visuel et de la fenêtre attentionnelle / analyse des relations spatiales dans le modèle d'imagerie de KosslynVisual mental imagery is usually accompanied by spontaneous eye movements that are not random but reflect the spatial content of the imagery. The main objective of this thesis was to use eye movements recording in order to explore the mechanisms, the dynamics, the reference frames and the neural processes of spatial representations in healthy subjects and brain damaged patients.We recorded eye movements during the verbal recall of french cities from long-term memory, either through mental imagery of the map of France, or through a semantic access (verbal fluency task). This paradigm was carried out in three different situations: In healthy subjects with free gaze, in healthy subjects with fixed gaze and in patients with unilateral spatial neglect and / or homonymous hemianopia with free gaze. Using bi-dimensional regression (BDR) between ocular positions when cities were evoked and GPS positions of these cities, we could provide an individual analysis in each of these three situations.In healthy subjects with free gaze, we demonstrated that mental imagery is built sequentially and fragmented, and that significant correlation is a signature, at an individual level, of the use of visual imagery. In healthy subjects with central gaze fixation, we have demonstrated that the remaining microsaccades still reflect the spatial content of the imagery in most individuals. In patients with hemineglect, the mental representation of the map of France was disturbed both in the allocentric reference frame (lack of spatial coherence for cities of the left side) and in the egocentric reference frame (mental map shifted ipsilesionally). In subjects with hemianopia, the mental image was shifted contralesionally but was spatially coherent in the allocentric frame.These results are discussed in the light of the different theories on eye movements and mental imagery found in the literature and in particular with respect to the Kosslyn model of imagery in which the primary visual cortex (damaged in hemianopia) corresponds to the substratum of the visual buffer and the right parieto-frontal network to the substratum of the the attentional window and the spatial properties processing syste