Health Sciences 2020-09-27T17:52:51+00:00 Health Sciences Open Journal Systems <p><strong>Health Sciences (2658-865X)</strong> is an Open Access peer-reviewed journal, based on continuous publication model, and aims to publish original works of high quality written in English and/or French, covering Health Sciences fields (Medicine, Dentistry, Public Health, Nursing, Biomedical Engineering and Pharmacy).&nbsp;Health Sciences&nbsp;is the official journal of&nbsp;<a title="UM6SS" href="" target="_blank" rel="noopener">Mohammed VI University of Health Sciences</a>, Casablanca, Morocco.&nbsp;</p> Leiomyosarcoma of Prostate 2020-07-19T16:25:20+00:00 Abdeljalil Heddat Younes Houry Redouane Rabii <p>Prostate leiomyosarcoma is an extremely rare and very aggressive neoplasm that represents less than 0.1% of primary malignant tumors of the prostate. We present a patient with primary leiomyosarcoma of&nbsp; prostate and examine the cases reported in the literature to discuss the clinical, diagnostic and therapeutic aspects of this rare tumor. Median survival was estimated at 17 months (95% CI 20.7–43.7 months) and the actuarial survival rates at 1, 3 and 5 years were 68%, 34% and 26%, respectively. The only predictors of long-term survival were negative surgical margins and the absence of metastatic disease at presentation. A multidisciplinary approach is necessary for the proper management of this terrible entity.</p> <p>Surgery with or without chemotherapy seems to be the main therapeutic method for operable leimyosarcomas, but in general there is no consensus on the best therapeutic approach. Most cases are diagnosed at an advanced stage of the disease. A global multicenter trial is needed to find therapies that would improve the prognosis.</p> 2020-06-17T21:16:18+00:00 Copyright (c) 2020 Abdeljalil Heddat et al. Epidemiological and Therapeutic Profile of Diabetes Cared in Primary Health Care Establishments in Sidi Bernoussi - Casablanca District during 2018 2020-07-22T21:06:56+00:00 Kossi Josué Srougbo Samira Habtany Yawavi Gloria Gbenonsi Tady Camara Mohammed Lotfi Mowary-Jefferson Nguenfiri Bale Taha Safi-Eddine <p><strong>Introduction:</strong> Diabetes is a constantly evolving chronic disease, with a prevalence of 8.5% in 2014 compared to 4.7% in 1980 corresponding to 422 million the number of adults living with diabetes in 2014, compared to 108 million in 1980. Its early management is necessary to avoid disastrous complications. Thus, Primary Health Care Establishments are the first gateway for this care. It is essential to describe the profile of this management at local level for diabetes control measures adapted to the local population.<br><strong>Objective:</strong> This study aims to describe the epidemiological and therapeutic profile of diabetes at the Primary Health Care Establishments level in the prefecture of Sidi Bernoussi during the year 2018.<br><strong>Methodology:</strong> We carried out a descriptive observation study based on data from the 4 quarterly epidemiological surveillance reports for diabetics in the year 2018. Including all diabetics screened and cared for at public health of the prefecture of SIDI BERNOUSSI during the year 2018.<br><strong>Results:</strong> The proportion of prevalent cases at Sidi Bernoussi's primary health care establishments level represented 2% of the desert population and is dominated by the age group of [40-59 years] (39.9% of cases). The new cases recruited during the year 2018 are dominated by the female sex of the same age group with a sex ratio of 1.95 for 1 man. Diabetes complications are dominated by hypertension (70% of complicated cases), Oral Antidiabetics are used 54% in the management of diabetics against 1% for hygiene and diet measures alone.<br><strong>Conclusion:</strong> We recommend to integrate data from the private sector at the level of the prefectural health directorate of Sidi Bernoussi to have a better real view of the epidemiological situation in the prefecture. In addition, the implementation of the National Multisectoral Strategy for the Prevention and Control of Non-Communicable Diseases 2019 - 2029 and the Multisectoral Strategy for the Prevention and Control of Non-Communicable Diseases 2016-2025 at the local level must be accentuated on early diagnosis allowing care based more on lifestyle. Finally, this present study would be improved by a prospective and analytical study in the prefecture.</p> 2020-05-19T00:00:00+00:00 Copyright (c) 2020 Josué Kossi Srougbo Evaluation of risk and quality management in a Casablanca operating theatre 2020-07-19T16:25:22+00:00 Rigobert Lotoko Kapasa Sanaa Belabbes Abdelaziz Hannoun Radouane Belouali Btissam Taybi <p>Risks at the level of the operating room are permanent and different from one surgical intervention to another. They have diverse sources, hence the importance of risk management concept for a good functioning of the operating room in order to enhance care quality.<br>The recurrent absence of surgical instruments (surgery forceps and other instruments) in their box is still a major problem within the operating room. It often happens during the surgical interventions, whether are major or minor, that the surgical team uses many boxes to fill these lacks.<br>The objective of this study is to help the clinic to establish an ongoing improvement dynamic of processes within the operating room. It is consisted of tracing the steps of management of the patient to be operated, from their first contact with the process staff to their exit from the operating room to the functional unit. With the help of cartography, the connections between the operating room process and the processes of support, the liaison between activities, fluxes and resources are easily understood.<br>The analysis and the prioritization of dominant problems are done according to (SMART) indicators and QQQQCC methodology. The absence of surgical instruments (surgery forceps and other instruments) in their storing boxes was chosen as a dominant problem within this process in complicity with key persons of the operating room and the clinic managers through many meetings.<br>Through the analysis of the causes effects or ishikawa diagram, the weak organizational culture, the competences insufficiency, unsuitable workforce, and the under motivation of staff sterilization service have been recognized as causes of the origin of the problem because it is at the equipment packaging step where the instruments are intertwined.<br>In conclusion, an arsenal of solutions and actions are set up to overcome this problem and as the staff enhancement responsible for sorting and packaging boxes of sterilization (currently only the major is dedicated to these tasks, continuous staff training, a team in charge of monitoring and evaluation of risks and quality within the operating…</p> 2020-06-14T16:48:48+00:00 Copyright (c) 2020 Rigobert Lotoko Kapasa et al. Intravesical Migration of an Intrauterine Contraceptive Device Complicated by Stones - A Case Report 2020-07-19T16:25:24+00:00 Abdeljalil Heddat Younes Houry Redouane Rabii <p>Intravesical migration of intra uterine device is extremely rare. Few cases only have been reported in the litterature. This migration may cause many complications including vesical stone.<br>Device migration may be secondary to a vesicovaginal fistula, or uterin perforation or a trans-uretral insertion of the IUD.<br>The case reported is one of a 52year-old woman with lower urinary tract symptoms that occured 25 years after the insertion of the IUD, that has been complicated with a vesical stone. The constitution of the lithiasis, has been though, the main consequence of thisforeign body.</p> 2020-06-14T00:00:00+00:00 Copyright (c) 2020 Abdeljalil Heddat et al. Knowledge, Attitude & Perception Of Hemodialysis Patients At Cheikh Khalifa Ibn Zaid University Hospital In Casablanca About Covid 19 Disease 2020-07-19T16:25:18+00:00 Hiba El Oury Fatim-zahra Jabrane Mohamed Amine Khalfaoui M Sabah G Medkouri <p><strong>Introduction:&nbsp;</strong> Coronavirus disease 2019: COVID 19, is a new communicable disease caused by the SARS-CoV-2 virus, which appeared in Wuhan, Hubei Province, China in December 2019, and declared a global pandemic on March 11, 2020, by the World Health Organization (WHO).&nbsp;This disease is generally manifested by damage to the airways, most often of a mild form, but can be complicated by acute respiratory distress syndrome.&nbsp;Patients with end-stage renal disease are at high risk of contracting the infection, due to their co-morbidities, the state of immunosuppression and the logistical aspect of the provision of care requiring physical movement of patients to the center dialysis.<br><strong>Objectives of this study:&nbsp;</strong>This study aims to assess the knowledge, attitude and perception, in terms of the 2019 coronavirus pandemic, of a sample of patients with chronic end-stage renal disease hemodialysis at the nephrology and dialysis center at the university hospital Cheikh Khalifa Ibn Zaid , in Casablanca, where positive COVID 19 patients were hospitalized and treated during the pandemic.<br><strong>Design:&nbsp;</strong>The investigation began after the decree of compulsory confinement and the state of health emergency by the Moroccan government.&nbsp;Awareness sessions, for patients and their family members, were led by nursing staff at the start of the period and during the COVID 19 pandemic.&nbsp;The measuring instrument used was a self-administered questionnaire, 1 month after the start of confinement, with 25 patients with chronic end-stage renal disease on hemodialysis at the rate of 3 sessions per week, at the nephrology and dialysis center at the university hospital. Sheikh Khalifa Ibn Zaid.&nbsp;This questionnaire was carried out after a review of the literature and included 4 headings: a) socio-demographic data b) general knowledge of COVID19 disease c) the attitude of hemodialysis patients outside and inside the dialysis center d) and their perception of this pandemic.<br><strong>Results :&nbsp;</strong>The majority of our patients were fairly well informed about the clinical presentation, the means of transmission and the prevention measures against coronavirus 2019.&nbsp;The means of protection were respected outside and in the university hospital center.&nbsp;There were no positive COVID 19 cases among our patients.&nbsp;Despite all the measures taken, the concern of contacting the virus was raised by most patients, especially in the hospital, during the dialysis session and in contact with medical personnel.<br><strong>Conclusion:&nbsp;</strong>Given the rapid spread and severe progression of COVID 19, it seems prudent that this profile of patients with end-stage chronic renal failure be included in high-risk populations with close medical and also psychological monitoring, tests screening and awareness and support sessions.</p> 2020-07-12T16:23:24+00:00 Copyright (c) 2020 El Oury Hiba et al. Pilot Experiment on the Acceptability and Feasibility of HIV Self-Testing by Key Populations in Morocco: A Literature Review 2020-08-31T19:10:16+00:00 Djè Jean Sylvestre Kouakou Ousmane Bocoum <p><strong>Background:</strong> Faced with the global challenge of the AIDS epidemic, the United Nations has set a "90-90-90" target to stop the epidemic by 2030. To do this, three objectives will have to be achieved: to have detected 90% of People Living with HIV (PLHIV) by 2020, to have put 90% of them on treatment and to have 90% of PHAs on treatment who have an undetectable viral load. Achieving the target of 90% of PLHIV detected requires rethinking and diversifying the existing screening offer, especially since screening is the entry point into the health care system and can be one of the main obstacles to achieving the objectives set.<br><strong>Purpose:</strong> To identify the contexts in which projects on salivary HIV self-testing have been developed among sex workers (TS) and men who have sex with men (MSM).<br><strong>Results:</strong> A review was conducted from several PUBMED databases, GOOGLE SCHOLAR, JSTOR RECHERCHE4LIFE (HINARI),COCHRANE, Institutional Sites and International Organizations (WHO, COQCANADA, MINISTERES, UNAIDS) over the past ten years to better understand their goals and impacts in the fight against the AIDS epidemic The different research equations submitted to the bibliographic databases, combined with additional manual research, have identified 76 documents composed of articles , books, reports, guides and recommendations of which Twenty-six (26) documents were selected for their relevance: 19 articles, 1 Report, 3 Recommendations, 1 Press Release and 2 Guidelines .<br><strong>Conclusion:</strong> In short, this literature journey has made it possible to highlight more specifically the wide variety of screening strategies, the contexts in which salivary self-testing could be complementary to the traditional screening offer.</p> 2020-06-15T19:34:02+00:00 Copyright (c) 2020 Dje Jean Silvestre Kouakou and Ousmane Bocoum Renal Infarction and Pulmonary Embolism in Patient with Myelodysplastic/Myeloproliferative Neoplasm Unclassifiable 2020-08-31T20:49:18+00:00 Mounia Bendari Nouama Bouanani Mohamed Amine Khalfaoui Maryam Ahnach Aziza Laaraj Kamal Doghmi <p>The myelodysplastic syndrome-myeloproliferative neoplasms (MDS/MPNs) are defined by a group of heterogeneous hematological malignancies resulting from stem cell−driven clonal growth of pathological hematopoietic progenitors and ineffective hematopoiesis, they are characterized concomitant myelodysplastic and myeloproliferative signs. Myelodysplastic/myeloproliferative disorders have been considered to have a higher risk of thrombus formation.<br>We report a rare case about a 64 years old Moroccan woman, experienced renal infarction (RI) associated with pulmonary embolism as a complication of a myelodysplastic/myeloproliferative disorder.<br>The patient complained&nbsp;of acute-onset severe left flank pain, a contrast-enhanced computed tomography (CT) of the chest and abdomen revealed RI by a large wedge-shaped defect in the right kidney with pulmonary embolism.<br>Biological exam showed deep anemia, the bone marrow aspiration found myelodysplasia.the bone biopsy showed signs of myeloproliferatif disease. The karyotype was normal, BCR-ABL, JAK2, CALR mutations were absents, and MPL mutation was positive. The International Prognostic Scoring System (IPSS-R) was 0, and the patient was included to the low risk group.<br>Anticoagulation therapy was initiated with heparin to treat RI and pulmonary embolism. Three months later, pulmonary embolism had resolved without the appearance of additional peripheral infarction.<br>This case emphasizes the need to consider myelodysplastic/myeloproliferative disorders as a cause of infraction renal and pulmonary embolism.</p> 2020-07-17T21:11:16+00:00 Copyright (c) 2020 Bendari Mounia et al. Perception of Therapeutic Education in Diabetic Patients at Tit Melil Health Center 2020-08-30T14:54:26+00:00 Mory Sanoh <p><strong>Introduction </strong>: A chronic condition like diabetes interferes with an individual's well-being, and if some of their needs are not met because of the disease, their quality of life is reduced. In this context, therapeutic education constitutes a basic element in the management of diabetes.<br><strong>Materials and Methods :</strong> A cross-sectional study by self-administered questionnaire and interviews which were carried out with all type 1 and type 2 diabetics, consultants at the level of the Tit Mélil Primary Health Care establishment, in 2019 and who benefited from or not therapeutic education, with or without complications.<br><strong>Result</strong> : The study included 50 diabetic patients, surveys show us that type 1 diabetic patients were 13 (26%). And type 2.37 (74%). Regarding the organization of care, 74% of patients say they are under treatment with oral antidiabetics, 10% oral antidiabetics and insulins, 6% insulin therapy and others under diet. Speaking of Food, 76.5% of diabetics know the importance and know what foods to avoid.<br><strong>Conclusion :</strong> TVE is possible, it will result in a change in the structure of programs and new educational training for caregivers.</p> 2020-08-30T14:49:37+00:00 Copyright (c) 2020 Mory Sanoh COVID-19: Additional Challenges for Dentists ? 2020-09-27T17:52:51+00:00 Abdelaziz Ghanemi <p>The current COVID-19 has impacted all life aspects and especially the healthcare sector.&nbsp; Indeed, healthcare workers have been in the frontline since the epidemic started. Dentists are among the most exposed health care workers since their patient cannot keep the mask when receiving dental care (unlike other medical professions) which makes dentists more at risk of receiving the COVID-19-causing coronavirus directly from the respiratory system of their patients. The financial burden comes as an additional charge. The COVID-19 makes operating dental care more requiring in terms of sterilization, cleaning, social distancing, sanitizing, etc. All this, requirements increase the expanses the dentist has to cover to meet the public health standards as well as the medical board recommendations to make the dental clinics save with a minimum risk of spreading COVID-19. The ethical and legal question that raises form that is whether the dentist are allowed to increase the clinical fees payed by the patients.</p> <p>Moreover, the fact that the current Covid-19 crisis risks to worsen the population health such as regarding the obesity epidemiology [<a href="#_ENREF_1">1</a>] which is not only a disease [<a href="#_ENREF_2">2</a>] but also a health problem impacting the general conditions; makes the health situation more complex.</p> <p>This challenging situation, comes to add a new elements among divers issues dentists already have to overcome in terms of prescriptions [<a href="#_ENREF_3">3</a>, <a href="#_ENREF_4">4</a>], pharmacognosy [<a href="#_ENREF_5">5</a>, <a href="#_ENREF_6">6</a>], etc. Such issues are to be solved by more than one part (government, medical board, university teaching-responsibles, etc).</p> 2020-09-27T14:39:34+00:00 Copyright (c) 2020 Ghanemi A