Seasonal fluctuations of phlebotomines sand fly populations (Diptera: Psychodidae) in the Moulay Yacoub province, centre Morocco: Effect of ecological factors

An entomological survey of phlebotomine sand flies was conducted in the Moulay Yacoub province, central Morocco. An anthropic niche (Ouled Aid) and a wild niche (Zliligh) were selected. Sand flies were collected twice a month between April 2011 and March 2012, using sticky traps and CDC light traps. 3675 specimens were collected (78.3% males/21.7% females) which composed of eight species divided into two genera: Phlebotomus (90.34%), wide Phlebotomus papatasi (49.78%), Phlebotomus sergenti (27.17%), Phlebotomus longicuspis (13.69%), Phlebotomus pernicuosis (9.36%) and Sergentomyia (9.66%) composed of Sergentomyia fallax (52.36%), Sergentomyia minuta (34.26%) Sergentomyia antennata (11.16%) and Sergentomyia dreyfussi (2.22%). P. papatasi is dominant in the anthropic niche and P. longicuspis is dominant in the wild niche. The population dynamics showed a bimodal pattern with a first peak in June for both studied stations and a second one in September for Ouled Aid and in August for Zliligh. A significant positive correlation between the density and the temperature(r = 0.64, r = 0.66) and a significant negative correlation with humidity (r = -0.64, r = -0.62) are shown. Density (119 specimens/m2/night) of sand flies showed that Moulay Yacoub’s province presents a risk for the inhabitants in the vicinity of Fez. This situation requires continuous monitoring to prevent and reduce the leishmania risk.Key words: Sand flies, leishmaniasis, seasonality; risk period, Moulay Yacoub, Morocco

Qualité physicochimique et bactériologique de trois stations thermales dans les régions de Fès, Maroc

Les sources thermales au Maroc constituent une richesse inestimable et sont fréquemment exploitées par la population pour différents usages. Cette dernière peut être exposée à des risques de contamination par des germes pathogènes dans les stations thermales mal entretenues. C'est dans ce cadre qu'une étude portant sur la qualité physicochimique et bactériologique de trois sources situées près de la ville de Fès : Sidi Harazem, Moulay Yaâcoub et Ain Allah a été réalisée. Les prélèvements d'eau effectués mensuellement entre Octobre 2012 et Mars 2013 dans les trois stations et à différents points, ont été analysés selon des protocoles standardisés conformément aux normes. Les résultats ont montré que les paramètres physico-chimiques des eaux des trois stations prélevées au niveau des fontaines et du réservoir répondent aux normes marocaines en vigueur. Les analyses bactériologiques ont montré l’absence des germes pathogènes dans les eaux de fontaine des trois stations étudiées. Les eaux de piscine de la station Ain Allah ont présenté, une forte contamination par la flore mésophile et les indicateurs de pollution fécale (coliformes totaux, coliformes fécaux, Escherichia coli et les streptocoques fécaux) par rapport aux eaux de piscine de la station Moulay Yaâcoub qui présentent des densités très faibles. Cette charge bactérienne est liée essentiellement à la fréquentation de cette station par nombre important de baigneurs durant cette saison ainsi qu’à la température qui favorise la croissance des micro-organismes. L’utilisation de ces eaux pour la baignade pourrait être à l’origine de maladies transmises par les eaux de baignade. Ces piscines doivent donc être soumises à un contrôle régulier de la charge et de la nature de la flore microbienne de leurs eaux.Mots-clés: sidi harazem, moulay Yaâcoub, ain allah, physico-chimie, bactériologie, fès, Maroc. Physicochemical and bacteriological quality of three spas in Fez region (Morocco)Hot springs in Morocco are an invaluable wealth and are frequently used by the population for different purposes. The latter may be exposed to the risk of contamination by pathogens in poorly maintained spas. It is in this context, a study of the physico-chemical and bacteriological quality of three springs near Fez city: Sidi Harazem, Moulay Yaâcoub and Ain Allah was performed. Water samples collected monthly between October 2012 and March 2013 in the three stations and at different points were analyzed according to standardized and normalized protocols. The results showed that the physico-chemical parameters of the three station’s waters collected from fountain and reservoir meet Moroccan standards (NM 03.07.001/2006). Bacteriological analysis showed the absence of pathogens in the fountain’s water of the three studied stations. The swimming pool’s water of Ain Allah station presented a strong contamination by mesophilic flora and by faecal pollution indicators (total coliforms, fecal coliforms, Escherichia coli and faecal streptococci) comparing to the water of Moulay Yacoub station swimming pool which exhibit very low bacterial densities. This bacterial density is mainly related to the large number of bathers in this station during this season and also to the temperature that promotes the microorganism’sgrowth. The use of these waters for swimming could be the cause of diseases and illness transmitted by bathing waters. These swimming pools must be subject to regular monitoring of the density and the nature oftheir water’s microbial flora.Keywords: sidi harazem, moulay yaâcoub, ain allah, physico-chemical, bacteriology, fez, Morocco

Méningo-vascularite bactérienne révélant un adénome hypophysaire

Un macroadénome à prolactine se présente généralement par un syndrome hormonal associé à un syndrome tumoral. Une méningite bactérienne compliquant un macroprolactinome en dehors de toute thérapie médicale ou chirurgicale est rarement rapporté dans la littérature. Mme R.C âgée de 48 ans s'est présentée aux urgences pour trouble de conscience fébrile. La ponction lombaire a révélé une méningite  bactérienne. L'imagerie cérébrale a mis en évidence un aspect de vascularite cérébrale et un processus de la loge sellaire avec lyse du plancher faisant évoquer une brèche ostéoméningée. Le bilan biologique a montré une hyperprolactinémie à 200 mg/dl. La patiente est mise sous antibiothérapie à dose méningée et une corticothérapie associée à un traitement par la Cabergoline. Le traitement chirurgical de la brèche ostéoméningée s'est fait par voie endonasale. L'évolution est marquée par une nette amélioration clinique et biologique et l'absence de récidive de la méningite après un recul de 14 mois. Un macroprolactinome peut  provoquer une brèche ostéoméningée en dehors de tout traitement médical ou chirurgical et avoir comme première manifestation une méningite infectieuse

Staff perception of respect for human rights of users and organizational well-being: A study in four different countries of the mediterranean area

Background: The perception by mental health service staff of respect for users' rights is a fundamental component of organizational well-being. The objective of this work is to examine how cultural differences and the working context can influence the perception of respect for users' rights in mental health professionals in the Mediterranean area. Methods: An observational survey carried out in four different mental health networks in four countries of the Mediterranean area (Tunisia, North-Macedonia, Italy, Palestine). Each invited participant fulfilled a format on socio-demographic information and coded the Well-Being at Work and Respect Right Questionnaire (WWRR). All data were encrypted and analysed using the Statistical Package for Social Sciences (SPSS) version 20. The Games-Howell post-hoc test was used to assess differences between countries. The Games-Howell test does not assume equal variances and sample sizes. Eta-squared (η2) was used as a measure of effect size in the ANOVA (η2 around 0.01, 0.06, and 0.14 are considered small, medium, and large, respectively). Results: The sample included 590 professionals working in the mental health field. The four countries showed statistically significant differences with regards to the quality rights assessment tool. Participants from Italy reported, on average, the highest scores across the questions. There were also differences across the countries about the perception of the impact of available resources on the effectiveness of care (η2 = 0.106). Conclusion: Our findings offer a useful insight into the perception of the quality of mental health services, especially from a users’ rights point of view

Prevalence of Mood Disorders and Associated Factors at the Time of the COVID-19 Pandemic: Potocol for a Community Survey in La Manouba Governorate, Tunisia

Aims: The present survey aims to assess the overall mood disorder prevalence and identify associated socio-demographic and clinical factors in a Tunisian community sample, with special attention to the COVID-19 pandemic. Background: Mood disorders are one of the leading causes of all non-fatal burdens of disease, with depression being at the top of the list. The COVID-19 pandemic may have increased the prevalence of mood disorders, especially in Low and Middle-income countries (LMICs) and in vulnerable populations. Objective: 1/ Assess point and lifetime prevalence of depressive and bipolar disorders as well as subthreshold bipolarity in a representative population sample of La Manouba governorate and assess treatment patterns for these disorders; 2/Study socio-demographic and clinical correlates of mood disorders 3/ Assess the association between mood disorders and quality of life 4/ Study the impact of the COVID-pandemic on the prevalence of mood disorders 5/ Assess coping mechanisms to the COVID-pandemic and whether these mechanisms moderate the appearance of mood disorders or symptoms since the beginning of the pandemic Methods: This is a household cross-sectional observational survey to be conducted in La Manouba Governorate in a sample of 4540 randomly selected individuals aged ≥ 15 years. Data collection will be carried out by trained interviewers with clinical experience, through face-to-face interviews and the use of the computer assisted personal interviewing approach (CAPI). The following assessment tools are administered: Results: Structured clinical Interview for DSM IV-TR (Mood disorder section and Screening questions on Anxiety), Mood Disorder Questionnaire (MDQ), Suicide Behaviors Questionnaire-Revised (SBQ), 12-item Short Form Survey (SF-12), the Brief-COPE, and a questionnaire about a headache. In addition, socio-demographic and clinical data will be collected. Conclusion: This will be one of the very few household surveys in a general population sample to assess mental health problems and COVID-19-related variables since the beginning of the pandemic. Through this research, we aim to obtain an epidemiological profile of mood disorders in Tunisia and an estimation of the impact of the COVID-19 pandemic on their prevalence. Results should contribute to improving mental health care in Tunisia

Spatial Prediction of Groundwater Withdrawal Potential Using Shallow, Hybrid, and Deep Learning Algorithms in the Toudgha Oasis, Southeast Morocco

peer reviewedWater availability is a key factor in territorial sustainable development. Moreover, groundwater constitutes the survival element of human life and ecosystems in arid oasis areas. Therefore, groundwater potential (GWP) identification represents a crucial step for its management and sustainable development. This study aimed to map the GWP using ten algorithms, i.e., shallow models comprising: multilayer perceptron, k-nearest neighbor, decision tree, and support vector machine algorithms; hybrid models comprising: voting, random forest, adaptive boosting, gradient boosting (GraB), and extreme gradient boosting; and the deep learning neural network. The GWP inventory map was prepared using 884 binary data, with “1” indicating a high GWP and “0” indicating an extremely low GWP. Twenty-three GWP-influencing factors have been classified into numerical data using the frequency ration method. Afterwards, they were selected based on their importance and multi-collinearity tests. The predicted GWP maps show that, on average, only 11% of the total area was predicted as a very high GWP zone and 17% and 51% were estimated as low and very low GWP zones, respectively. The performance analyses demonstrate that the applied algorithms have satisfied the validation standards for both training and validation tests with an average area under curve of 0.89 for the receiver operating characteristic. Furthermore, the models’ prioritization has selected the GraB model as the outperforming algorithm for GWP mapping. This study provides decision support tools for sustainable development in an oasis area