13 research outputs found

    Glomérulonéphrite extra-membraneuse et syndrome myélodysplasique: une association rare

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    Les syndromes myélodysplasiques peuvent s’accompagner de maladies auto-immunes. L’atteinte rénale au cours de ces syndromes est rare. Dans ce cas, les glomérulopathies prédominent cette atteinte. La glomérulonéphrite extra-membraneuse est exceptionnellement reportée en association avec un syndrome myélodysplasique. Nous rapportons dans ce papier le cas d’une patiente présentant une glomérulonéphrite associée à une anémie révélant un syndrome myélodysplasique de faible risque. Dans la lumière de ce cas, nous faisons une courte revue de la littérature des cas précédemment publiés et nous discutons le lien pathogénique entre ces deux entités

    Les rhinopoieses: techniques et indications a propos de 68 cas

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    La réparation des pertes de substances nasales reste à ce jour une chirurgie difficile et exigeante. En effet, la réparation de chacune des trois couches constitutives de la pyramide nasale pose des problèmes spécifiques d’autant plus qu’il existe une limitation imposée par la quantité et la qualité du matériel disponible, et cela est d’autant vrai pour le tiers inférieur du nez. Ainsi la rhinopoïése moderne ne se contente donc plus de combler une perte de substance, elle a pour ambition de rétablir une apparence aussi normale et aussi esthétique que possible pour que la reconstruction soit fonctionnelle. A travers une série de 68 patients traités au service de chirurgie plastique, chirurgie maxillo-faciale et stomatologie de l’hôpital militaire d’instruction Mohamed V, nous envisageons les différentes techniques de rhinopoïèse et leurs applications pratiques en fonction de la localisation initiale et de l’étiologie de la perte de substance, tout en comparant nos résultats obtenus avec ceux des autres séries publiées dans la littérature

    Effects of Using Digital Tools on the Process of Memorization

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    Recent studies show that the effect of digital tools have a direct impact on atten-tion, motivation, autonomy and academic success. In Morocco, considering the extent to which students use digital tools, precisely scientific students, and be-cause of the essence of memory to all learning, this article is part of the overall framework of a study that attempts to find the link between the use of digital tools and the process of memorization. The factors that can influence the memorization process are multiple and diverse: biological, psychological, and sociological. These factors are unquantifiable in most cases, where it is difficult to determine with certainty their degree of impact, or to experimentally show the nature of their influence on the memory process that constitutes the most important function of the brain being the most complex organ of the human being. Therefore, in this ar-ticle, we will only stick to the duration of use of digital tools as an evaluable pa-rameter, and we will try to determine the link between this duration and the mem-orization process in order to determine the conditions for healthy and efficient us-ag

    Complete remission of nephrotic syndrome secondary to amyloid a amyloidosis in patient with inactive Crohn's disease after treatment by infliximab

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    Secondary amyloidosis Amyloid A (AA) is an infrequent but a severe complication of Crohn's disease (CD). This complication results from the activity of the underlying inflammation disease to form amyloid fibril deposits in tissues. We present a case of a 34-year-old female patient with CD treated by azathioprine with inactive disease for three years and who developed a nephrotic syndrome secondary to AA amyloidosis. The treatment by infliximab for one year leads to a complete remission of the nephrotic syndrome. In this case, this complication occurred while the patient was clinically well, with biological and endoscopic markers showing an inactive or only mildly active disease. Infliximab could be a useful tool for a successful treatment of amyloidosis secondary to CD

    Late-onset choreoathetotic syndrome following heart surgery in adults with end-stage renal disease

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    Choreoathetotic syndrome is a rare complication of open cardiac surgery that is seen usually in children after surgery for congenital cardiac anomalies. Here, we report two cases of adult patients with end-stage renal disease (ESRD) on regular hemodialysis who developed acute choreoathetotic syndrome few days after cardiac surgeries under cardiopulmonary bypass (CPB). Improvement was seen after an interval with complete resolution in one case. Investigations of the cause have been noncontributory. Long CPB time seems to be the main identified risk factor in these cases. One of the unusual features of our adult cases was the existence of ESRD. To the best of our knowledge, this is the first time this complication is described in association with ESRD although the role of this comorbidity in these cases is uncertain

    Is It Necessary to Use Digital Tools in the Flipped Classroom to Improve the Memorization Process?

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    Memorization is a crucial factor in effective learning and achieving educational goals. Recent research has suggested that short video sequences viewed by students before class can aid in acquiring and retaining basic concepts, thereby improving memorization and positively impacting the learning process in the flipped classroom approach. However, frequent use of digital tools among adolescents has been found to negatively impact cognitive functions such as memorization. It is worth noting that the traditional use of paper-based materials has been found to have a positive impact on memorization, particularly among learners who are easily distracted by digital devices or experience eye strain from prolonged screen use. Printed materials can offer a more tactile experience, allowing learners to physically highlight and annotate text, which can aid in the encoding and retrieval of information. This study aimed to assess the role of digital tools in the flipped classroom approach and determine if they could be substituted by paper-based materials. To achieve this, a comparative study was conducted between 35 students using digital tools in their flipped classroom (FCDS) and 31 students using paperbased materials (FCPS). The study involved administering pre-tests and post-tests to both groups to evaluate their ability to retrieve basic concepts and assess the effectiveness of their learning in life and earth sciences. The results indicate that learners were able to retrieve knowledge effectively regardless of the medium used and that the positive effect of the FCDS on recall during learning is comparable to that of the FCPS

    Insomnia in hemodialysis patients: A multicenter study from morocco

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    Previous studies have shown that insomnia is a common sleep disorder in patients with end-stage renal disease. This study aims to determine the prevalence and risk factors of insomnia in our chronic hemodialysis (HD) patients. This is a cross-sectional study conducted in three HD units in Morocco. To assess the prevalence of insomnia, we used a specific questionnaire. Patients complaining of difficulty in falling asleep and/or nocturnal awakenings occurring seven nights a week during the last month were included in the group “insomnia;” the other patients were used as controls. Clinical, biological, and dialysis data were recorded for each patient. Sleep disorders and their subjective causes were also identified. Eighty-nine percent of questioned patients admitted to having sleep disturbances of different degrees. Insomnia was significantly associated with female gender and time of dialysis. Age, body mass index, inter-dialytic weight gain, and blood pressure were similar between the two groups, as well as dialytic parameters and drug use. There was no significant difference in the values of plasma creatinine, urea, hemoglobin, parathyroid hormone, calcium, phosphorus, C-reactive protein, and albumin between the groups. Disorders most frequently encountered in patients with insomnia were waking up at night (90%), difficulty falling asleep (60%), and daytime sleepiness (60%). The restless legs syndrome was seen in half of these patients. The main reported causes of insomnia were anxiety and/or depression (70%) and bone pain (67%). Insomnia is common in HD patients and is frequently associated with other disorders of sleep. Female sex and duration on dialysis are the two risk factors found in our study. Insomnia does not appear related to any biochemical or dialysis parameters. Increased attention should be given to the management of dialysis patients regarding the diagnosis and management of insomnia and associated sleep disorders