Résultats à moyen terme du traitement des ostéochondrites disséquantes des condyles fémoraux par greffe ostéochondrale en mosaïque

Face à une perte de substance cartilagineuse des condyles fémoraux, plusieurs alternatives thérapeutiques interventionnelles sont envisageables y compris la mosaïcoplastie. Le but de notre travail était d'évaluer le résultat clinique et radiologique à moyen terme ainsi que d'évaluer les principaux éléments pronostiques. Notre étude épidémiologique rétrospective étalée sur 15 ans nous a permis de colliger 35 dossiers exploitables d'ostéochondrite disséquante des condyles fémoraux traités par la technique de mosaïcoplastie avec un recul moyen de 24 mois. Le niveau des plaintes ainsi que la fonction du genou en préopératoire ont été étudiés et comparés par rapport au genou sain selon le Score International Cartilage Repair Society (ICRS), le score International Knee Documentation Committee (IKDC) et l'échelle visuelle de la douleur (EVA) et nous avons trouvé qu'elle était inférieure à 60% chez 27 malades. L'évaluation des résultats au recul ont été analysés selon les critères fonctionnels et radiologiques de Hunghston. Après un recul moyen de 24 mois, l'algoneurodystrophie était observée dans 05 cas avec un seul cas d'hémarthrose. Une nette amélioration du score ICRS était observée avec une moyenne qui a passée du 54% à 74% au recul. Les patients satisfaits ou très satisfaits (82,9%) furent largement majoritaires. Les éléments de bon pronostic constatés dans notre étude étaient: un délai opératoire moins de 18 mois de début de la symptomatologie, les lésions profondes ayant un diamètre inférieur à 02 cm et les lésions siégeant au niveau du condyle interne. Le traitement des pertes de substances cartilagineuses passe obligatoirement par la correction des causes directes et indirectes à savoir le morphotype, la laxité et le capital méniscal. Aucun consensus décisionnel n'a pu être proposé et nul ne peut confirmer la supériorité d'une technique par rapport à l'autre mais nous pouvons dire que le défect cartilagineux de 2 à 4 cm2 peut être la meilleure indication à la mosaïcoplastie

Diabesity in the Arabian Gulf: Challenges and Opportunities

Diabesity (diabetes associated with obesity) is a major global and local public health concern, which has almost reached an epidemic order of magnitude in the countries of the Arabian Gulf and worldwide. We sought to review the lifestyle trends in this region and to highlight the challenges and opportunities that health care professionals face and attempt to address and correct them. In this regard, we aimed to review the regional data and widely held expert opinions in the Arabian Gulf and provide a thematic review of the size of the problem of diabesity and its risk factors, challenges, and opportunities. We also wished to delineate the barriers to health promotion, disease prevention, and identify social customs contributing to these challenges. Lastly, we wished to address specific problems with particular relevance to the region such as minimal exercise and unhealthy nutrition, concerns during pregnancy, the subject of childhood obesity, the impact of Ramadan fasting, and the expanding role of bariatric surgery. Finally, general recommendations for prevention, evidence-based, and culturally competent management strategies are presented to be considered at the levels of the individual, community, and policymakers

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Zone defense exercises to develop agility and balance and their impact on the offensive skills of wheelchair basketball players

The aims of the research Preparing the Zone defense exercises to develop fitness and balance and their impact on the offensive skills of basketball players on wheelchairs, and to learn about the impact of the Zone defense exercises to develop agility and balance and their impact on the offensive skills of basketball players on the wheelchairs, and the experimental curriculum adopted the design of the experimental and control groups, on a sample of players Maysan Governorate Committee on the (12) moving chairs, who are continuing their training for the season (2021-2022), were chosen intentionally from their asset in the comprehensive method by (100%), and then divided into the two groups with an equal number, and after specifying the appropriate tests for the privacy of this The sample, the region's defense exercises were tried for a period from 18/4/2022 to 15/6/2022, and then treatment by (SPSS), The Extracts and applications were that the Zone defense exercises are important and effective to develop agility, balance and offensive skills for basketball players on wheelchairs, and that agility and balance is a major requirement for the success of the attacking skill performance in basketball because they contain movements that require attention and rapid action

A regionally based precision medicine implementation initiative in North Africa:The PerMediNA consortium

International audiencePrecision Medicine is being increasingly used in the developed world to improve health care. While several Precision Medicine (PM) initiatives have been launched worldwide, their implementations have proven to be more challenging particularly in low- and middle-income countries. To address this issue, the “Personalized Medicine in North Africa” initiative (PerMediNA) was launched in three North African countries namely Tunisia, Algeria and Morocco. PerMediNA is coordinated by Institut Pasteur de Tunis together with the French Ministry for Europe and Foreign Affairs, with the support of Institut Pasteur in France. The project is carried out along with Institut Pasteur d’Algérie and Institut Pasteur du Maroc in collaboration with national and international leading institutions in the field of PM including Institut Gustave Roussy in Paris. PerMediNA aims to assess the readiness level of PM implementation in North Africa, to strengthen PM infrastructure, to provide workforce training, to generate genomic data on North African populations, to implement cost effective, affordable and sustainable genetic testing for cancer patients and to inform policy makers on how to translate research knowledge into health products and services. Gender equity and involvement of young scientists in this implementation process are other key goals of the PerMediNA project.In this paper, we are describing PerMediNA as the first PM implementation initiative in North Africa. Such initiatives contribute significantly in shortening existing health disparities and inequities between developed and developing countries and accelerate access to innovative treatments for global health

Abstracts of the First International Conference on Advances in Electrical and Computer Engineering 2023

This book presents extended abstracts of the selected contributions to the First International Conference on Advances in Electrical and Computer Engineering (ICAECE'2023), held on 15-16 May 2023 by the Faculty of Science and Technology, Department of Electrical Engineering, University of Echahid Cheikh Larbi Tebessi, Tebessa-Algeria. ICAECE'2023 was delivered in-person and virtually and was open for researchers, engineers, academics, and industrial professionals from around the world interested in new trends and advances in current topics of Electrical and Computer Engineering. Conference Title: First International Conference on Advances in Electrical and Computer Engineering 2023Conference Acronym: ICAECE'2023Conference Date: 15-16 May 2023Conference Venue: University of Echahid Cheikh Larbi Tebessi, Tebessa-AlgeriaConference Organizer: Faculty of Science and Technology, Department of Electrical Engineering, University of Echahid Cheikh Larbi Tebessi, Tebessa-Algeri