Rupture du tendon rotulien avec fracture fermée distale du fémur homolatéral

Un patient de 45 ans a subi un traumatisme du genou droit à la suite d'un accident de la voie publique occasionnant chez lui une fracture distale supra condylienne comminutive du fémur droit et une rupture du tendon rotulien ipsilatérale. Cette association est exceptionnelle et aucun cas n'a été retrouvé dans la littérature. Un diagnostic précis clinique et radiologique suivi d'une prise en charge précoce et adaptée par une ostéosynthèse interne et une rééducation fonctionnelle précoce et adaptée ont permis d'obtenir de bons résultats à long terme

Action publique d’aménagement et processus de territorialisation dans la périphérie Nord-Est de Salé (Maroc)

Introduction La périphérie Nord-Est de Salé est le produit d’initiatives simultanées de multiples acteurs, publics ou privés. Toutefois, les dynamiques sociales « d’en bas » (portées par les populations) l’y ont pendant longtemps emporté sur l’action publique. Notre recherche vise à appréhender ces dynamiques et à élucider les rapports de pouvoir entre les acteurs institutionnels et privés en révélant les enjeux politiques, sociaux, territoriaux et fonciers que cette périphérie concentre. Il ..

A Novel Approach of Latency and Energy Efficiency Analysis of IIoT With SQL and NoSQL Databases Communication

Industrial Internet of Things (IIoT)-enabled production facilities generate vast amounts of data, which, if harnessed effectively, can substantially enhance manufacturing efficiency through latency reduction. The selection of the appropriate data storage technology is a pivotal consideration in achieving this objective. While prior studies have examined SQL and NoSQL databases in terms of latency and energy efficiency, these evaluations have not been conducted specifically within the context of IIoT. This paper aims to fill this research gap by conducting a rigorous comparison of SQL and NoSQL databases, focusing on their performance latency and energy efficiency when interfaced with IoT nodes. By elucidating these relationships, our research offers actionable insights that can guide IIoT-enabled manufacturing facilities in optimizing their operations. Specifically, the paper aids in the selection of the most suitable database technology, thereby contributing to latency minimization and efficiency maximization in industrial settings

Radial diaphysis fracture associated with dislocation of the ipsilateral radial head: A case report

Dislocation of the radial head with fracture of the ipsilateral diaphysis is a very rare lesion, few cases have been reported in the literature. We report a case of a 45-year-old patient admitted for management of a fracture of the humeral diaphysis associated with dislocation of the ipsilateral radial head, the mechanism of which was a hyperpronation of the forearm tense that the elbow was hyperflexion. The reduction was open-cast by a proximal anteropteral approach to the forearm. The evolution was favorable on a follow-up of 18 months

Extra bone chondroma of the shoulder: a case study and literature review

Extra-osseous chondroma is a benign and rare tumor. It usually sits at the extremities, we report an exceptional case of a chondroma of the soft parts of the shoulder in a 28 year old woman who manifested by a painless swelling of the left shoulder. The histology confirmed the diagnosis on the excision piece. Clinical and radiological follow-up after a 24-month follow-up did not show a sign of recurrence

Particularities in the surgical management of a pathological femoral fracture related to type I Gaucher disease

Background: Gaucher disease (GD) is a rare condition commonly associated with skeletal symptoms. At the advanced stage, it can lead to aseptic bone necrosis (AVN) and pathological fractures. The medical treatment by enzymatic replacement therapy (ERT) has considerably improved a patient's quality of life, but without being able to avoid bone-related complications. The handling of these patients in terms of orthopedic surgery is quite specific, and very few publications discussed the surgical management of this disorder in the literature. Case report: We are reporting a rare case of a 50-year-old female who presented with a pathologic fracture on a deformed femur with an Ehrlenmeyer flake aspect. She underwent surgical treatment by percutaneous nailing using an MRI-compatible Titanium implant. Conclusion: Through this paper, we are trying to briefly define GD, summarize his bone-related manifestations, and outline the appropriate measures and precautions that should be considered by orthopedic surgeons when dealing with skeletal complications of this rare disease

Sclerosing epithelioid fibrosarcoma: rare and serious

Sclerosing Epithelioid Fibrosarcoma (SEF) is a rare form of soft tissue sarcoma. It is characterized by a slow evolution, with local recurrences and late metastases that are mainly pulmonary and pleural in about 50% of cases. The treatment is based on the surgery which must be as wide as possible. The efficacy of adjuvant therapy in the control of SEF is not yet demonstrated. Chemotherapy is used in recurrences, some have also proposed radiotherapy. Long-term follow-up of patients with SEF is therefore essential

Giant squamous cell carcinomas of the shoulder

Giant squamous cell carcinomas (SCC) larger than 5 cm in diameter are uncommon; there is no guideline on the size of an SCC that is considered giant. Treatment may be difficult with the need for large tissue resections and complex surgical reconstruction. We report a rare case of giant squamous cell carcinoma of the shoulder attached to deep anatomic planes. The entire mass was removed, resulting in a large defect that was repaired with myocutaneous flap rotation of the latissimus dorsi. Three courses of radiotherapy were performed after surgery. Fifteen months after the operation, the patient is well and working without any local recurrence and metastasis

Investigating the Impact of Irrigation Water Quality on Secondary Metabolites and Chemical Profile of <i>Mentha piperita</i> Essential Oil: Analytical Profiling, Characterization, and Potential Pharmacological Applications

This study examines the impact of irrigation water quality on the synthesis of secondary metabolites and the chemical composition of Mentha piperita essential oil (MPEO). Three essential oils from Mentha piperita plants, irrigated with different water sources commonly used for mint irrigation in Morocco’s Oriental region, were analyzed. The water sources were characterized based on various parameters, such as nitrites, nitrates, orthophosphates, chemical oxygen demand (COD), biological oxygen demand (BOD5), pH, and electrical conductivity. The essential oils were extracted using hydrodistillation, and their chemical composition was determined using gas chromatography coupled with mass spectrometry (GC/MS), revealing notable variations among the compositions of the three essential oils. In this study, in silico tests using the Prediction of Activity Spectra for Substances (PASS) algorithm; the absorption, distribution, metabolism, and excretion (ADME) model; and Pro-Tox II were conducted to evaluate the drug-likeness, pharmacokinetic properties, expected safety profile upon ingestion, and potential pharmacological activity of the identified compounds in MPEO. The antioxidant activity of the MPEOs was assessed through a 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging assay and the total antioxidant activity (TAC) method. Additionally, the antimicrobial effectiveness of the essential oils was tested against four bacterial strains (Staphylococcus aureus, Micrococcus luteus, Escherichia coli, Pseudomonas aeruginosa) and four fungal strains (Candida glabrata, Rhodotorula glutinis, Penicillium digitatum, Aspergillus niger), demonstrating moderate to strong activities against the tested strains. This study concludes that regulating irrigation water quality can enhance the production of specific metabolites, making them potentially valuable as antioxidants and antimicrobial agents