Deficit therapeutique de l’epilepsie au Maroc

Au Maroc, environ 70% de personnes épileptiques n’ont accès à aucun traitement. Une mise au point sur les facteurs économiques et sociaux qui contribueraient à ce déficit thérapeutique avec une comparaison de la situation de notre pays à celle des autres pays africains, permettront de mieux cerner ce problème. En effet, un effectif de 120 neurologues installés principalement dans les grands centres urbains auquel s’ajoute le faible nombre des établissements de santé spécialisés en épileptologie rendent difficile la prise en charge des patients. Quant au traitement, la plupart des médicaments antiépileptiques sont disponibles au Maroc. Mais avec le problème de couverture sociale, le déterminant majeur de leur prescription reste le coût du traitement. Pour pallier à ce problème, la population a ainsi, recours aux thérapies alternatives qui malheureusement interfèrent avec les interventions médicales appropriées en temps opportun et ne font qu’aggraver l’état du patient. Des facteurs sociaux s’ajoutent aux facteurs économiques. Au Maroc, l’analphabétisme, le manque de culture médicale, le poids des traditions sont à l’origine du faible taux de déclaration de l’épilepsie et de la prise en charge très tardive des patients.Mots clés: Epilepsie ; Antiépileptiques; Déficit thérapeutiqueEnglish Title: Treatment gap of epilepsy in MoroccoEnglish AbstractIn Morocco, about 70% of people with epilepsy have no access to treatment. A focus on economic and social factors that can contribute to this treatment gap, with a comparison of the situation of our country to other African countries, will help to better understand this issue. Indeed, a staff of 120 neurologists settled mainly in large urban centers plus the small number of specialized centers in epileptology makes it difficult to care for patients. As for treatment, most antiepileptic drugs are available in Morocco. But with the social security problem, the major determinant which generally manages their prescription is the cost of treatment. To overcome this problem, the population use alternative therapies which unfortunately interfere with proper medical interventions and worsen the patient’s condition. In Morocco, illiteracy, lack of medical culture, traditional customs are behind the low reporting rate of epilepsy and very late in patient management.Keywords: Epilepsy; Antiepileptic drugs; treatment Ga

Electrical properties of polypropylene-based composites melt-processed with as-grown carbon nanofibers

Electrical conductivity, dielectric permittivity, electrical modulus, and electrical impedance of polypropylene (PP) composites melt-processed with different contents of as-grown carbon nanofibers (CNFs) are studied. As expected, the electrical conductivity of PP/CNF composites increased as the incorporation of CNFs is raised in the polymer, yielding a maximum of ∼ 6 ×10−6 S m−1 for PP/CNF 3 wt. % composites. That enhancement relates to a gradual improvement of the dielectric permittivity as the incorporation of CNFs rises into the PP up to a maximum of ∼ 13 for PP/CNF 3 wt. % composites at 1MHz, which is attributed to the rise of the interface polarization effect. Moreover, the Cole-Cole model is used through the electrical modulus to analyze the effect of CNF contents on the dielectric relaxation of PP/CNF composites from which is deduced that the incorporation of CNFs increases their heterogeneity and relaxation times. The analysis gathered here aims at contributing to the understanding of the electric features of polymer composites filled with a type of CNFs, which are not subjected to any thermal post-processing method after their synthesis by chemical vapor deposition (CVD).This research was funded by the project UID/CTM/00264/2021 of 2C2T under the COMPETE and FCT/MCTES (PIDDAC) co-financed by FEDER through the PT2020 program

Electrical properties of melt-mixed polypropylene and as-grown carbon nanofiber composites: analysis of their interphase via the AC conductivity modeling

The morphology, crystallinity, and electrical conductivity (σ′ and σ″) as a function of frequency of polypropylene (PP) melt-extruded with different amounts of as-grown carbon nanofibers (CNFs) from 0 to 1.4 vol. % are examined. The PP/CNF composites present CNF aggregates randomly distributed within the PP and an insulator–conductor transition at CNF contents near 0.9 vol. %. The degree of crystallinity of PP/CNF composites with loadings of 1.4 vol. % increases ∼15% with respect to the neat PP (∼34%), with σ´ ∼ 8.6 × 10−5 S m−1 (σ″ ∼ 8.3 × 10−4 S m−1) at 2 MHz. In addition, the values of the electrical conductivity σint´ ∼2.9 × 10−6 S m−1 (σint″∼3.7 × 10−4 S m−1) at 2 MHz, as a result of the interphase (ϕint ∼0.05 vol. %) of the 1.4 vol. % PP/CNF composites, are estimated by the use of a modified generalized effective medium model (GEM). The analysis gathered in here indicates that the interphase between the polymer and the conducting particle may have a quantifiable effect on the electrical properties of carbon-based polymer composites, and this fact should not be neglected in the production of conducting polymer composites (CPCs) with enhanced electrical properties.This study was funded by FCT-Foundation for Science and Technology: “Plurianual” 2020–2023 Project UIDB/00264/2020

Dielectric spectroscopy of melt-mixed polypropylene and pyrolytically stripped carbon nanofiber composites

In this work, pyrolytically stripped carbon nanofiber (CNF) polypropylene (PP) composites were synthesized following a scalable melt-mixing method, and the effects of CNF weight concentrations on the electrical conductivity, dielectric permittivity, electrical modulus and electrical impedance of PP/CNF composites were studied. Quite unexpectedly, the electrical conductivity of PP/CNF composites improved only slightly as the incorporation of CNFs was raised, yielding a maximum of ~10−10 S m−1 for PP/CNF 5 wt. % composites. The increase corresponded to a gradual improvement of the dielectric constant up to a maximum of ~9 for PP/CNF 5 wt. % composites at 1 MHz, which was attributed to the raise of interface polarization effect. Moreover, the Cole–Cole model was used to analyze the effects of CNF concentrations on the dielectric relaxation of PP/CNF composites, from which was deduced that the incorporation of CNFs increases their dielectric strength and relaxation times. The analysis gathered here aims to provide a better insight into the enhanced dielectric properties observed in low-conducting polymer composites filled with CNFs.A. J. Paleo gratefully acknowledges support from FCT-Foundation for Science and Technology by the project UID/CTM/00264/2021 of 2C2T under the COMPETE and FCT/MCTES (PIDDAC) co-financed by FEDER through the PT2020 program and “plurianual” 2020–2023 Project UIDB/00264/2020

Electrical Properties of Polypropylene-Based Composites Melt-Processed with As-Grown Carbon Nanofibers

Electrical conductivity, dielectric permittivity, electrical modulus, and electrical impedance of polypropylene (PP) composites melt-processed with different contents of as-grown carbon nanofibers (CNFs) are studied. As expected, the electrical conductivity of PP/CNF composites increased as the incorporation of CNFs is raised in the polymer, yielding a maximum of ∼ 6 ×10−6 S m−1 for PP/CNF 3 wt. % composites. That enhancement relates to a gradual improvement of the dielectric permittivity as the incorporation of CNFs rises into the PP up to a maximum of ∼ 13 for PP/CNF 3 wt. % composites at 1MHz, which is attributed to the rise of the interface polarization effect. Moreover, the Cole-Cole model is used through the electrical modulus to analyze the effect of CNF contents on the dielectric relaxation of PP/CNF composites from which is deduced that the incorporation of CNFs increases their heterogeneity and relaxation times. The analysis gathered here aims at contributing to the understanding of the electric features of polymer composites filled with a type of CNFs, which are not subjected to any thermal post-processing method after their synthesis by chemical vapor deposition (CVD)

Pain Perception in Patients Treated with Ligating/Self-Ligating Brackets Versus Patients Treated with Aligners

This study compared the perception of pain experienced by patients undergoing orthodontic treatment with conventional, self-ligating brackets and aligners, and investigated the impact that pain had on their daily lives. 346 consecutive patients were included in the study: 115 patients treated with conventional brackets, 112 Patients treated with self-ligating brackets, and 119 patients treated with aligners. The quantitative aspect of pain was assessed using the Visual Analogue Scale, while the qualitative aspect of pain was evaluated using the Moroccan Short Form of McGILL Pain questionnaire. In all three groups experienced pain after activation tended to decrease in the following week. This pain was greater in patients with conventional braces and less in patients with aligners. Using the M-SF-MPQ to describe the qualitative aspect of the pain revealed that the “cramping مزير,” “aching تيألم” aspect was most accentuated in the 3 groups. Medication intake was correlated with the intensity of pain experienced in all 3 systems. As for the impact of pain on daily activities, patients in groups of conventional and self-ligating braces showed more pain than those in the aligners group. Overall, aligners were less painful than conventional and self-ligating appliances. Patients did not suffer from an alteration in their quality of life due to orthodontic treatment

Antioxidant and antibacterial activity of extract and phases from stems of Spartium junceum L. growing in Algeria

This work aimed to evaluate the antioxidant and antibacterial activities of the hydroalcoholic (80% methanol) extract and n-hexane (n-Hex), chloroform (Chl), ethyl acetate (EtAc), and n-butanol (n-But) phases from Spartium junceum L. stems collected inAlgeria. Preliminary phytochemical investigations on phenolic compounds have been carried out.The total phenolic content, spectrophotometrically determined, ranged from 71.8095 ± 3.7136 mg GAE/g (extract) to 0.0582 ± 0.0106 mg GAE/g (n-Hex). By HPLC-PDA analysis flavonoids (flavone derivatives), p-hydroxybenzoic acid, p-hydroxycinnamic acid, and cinnamic acid derivatives were identified both in the extract and phases.S. junceum extract showed a noticeable free radical scavenging effect in the DPPH test (IC50 = 0.6833 ± 0.0240 mg/mL), mild reducing power, and strong chelating activity (IC50 = 0.2292 ± 0.0138 mg/mL). Among the phases, n-But displayed the best effect both in the DPPH test and reducing power assay, whereas n-Hex resulted the most active in the ferrous ions chelating activity assay. A positive relationship between DPPH radical scavenging activity and total phenolic content was found. Both the extract and phases exhibited antimicrobial activity against Gram-positive bacteria only. Staphylococcus aureus ATCC 6538 was the most susceptible strain (MIC range: 15.60-250.00 µg/mL), and the Chl phase showed the greatest efficacy. S. junceum extract resulted non-toxic against Artemia salina.The obtained results demonstrate the potential of S. junceum stems as safe sources of natural antioxidant and antimicrobial compounds

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Rhinitis associated with asthma is distinct from rhinitis alone: TARIA‐MeDALL hypothesis

Asthma, rhinitis, and atopic dermatitis (AD) are interrelated clinical phenotypes that partly overlap in the human interactome. The concept of “one-airway-one-disease,” coined over 20 years ago, is a simplistic approach of the links between upper- and lower-airway allergic diseases. With new data, it is time to reassess the concept. This article reviews (i) the clinical observations that led to Allergic Rhinitis and its Impact on Asthma (ARIA), (ii) new insights into polysensitization and multimorbidity, (iii) advances in mHealth for novel phenotype definitions, (iv) confirmation in canonical epidemiologic studies, (v) genomic findings, (vi) treatment approaches, and (vii) novel concepts on the onset of rhinitis and multimorbidity. One recent concept, bringing together upper- and lower-airway allergic diseases with skin, gut, and neuropsychiatric multimorbidities, is the “Epithelial Barrier Hypothesis.” This review determined that the “one-airway-one-disease” concept does not always hold true and that several phenotypes of disease can be defined. These phenotypes include an extreme “allergic” (asthma) phenotype combining asthma, rhinitis, and conjunctivitis.info:eu-repo/semantics/publishedVersio