Dislocation of the shoulder joint with fractures of the humerus on the same side is rare; the literature related to this rare injury is limited to few case reports. We present a case of a 43-year-old, who suffered from a job-related accident and sustained fractures of midshaft and distal humerus associated to ipsilateral anterior shoulder dislocation and fracture of greater tuberosity; after reduction of the anterior shoulder dislocation. The treatment was surgical and demonstrated a successful outcome at one year follow-up.
Adhesive capsulitis is a condition wherein the shoulder capsule of the glenohumeral joint becomes inflamed and stiff along with adhesion formation. Maitland mobilization and myofascial trigger point release techniques are important interventions in the management Both, Maitland mobilization and myofascial trigger point release are proven to be effective in treatment of adhesive capsulitis in the past. However logical thinking warranted the need to study the effects of prior use of Maitland mobilization of the shoulder joint,which primarily get affected in adhesive capsulitis, followed by myofascial trigger point release of shoulder joint. Thus our study compared the efficacy of treatment strategies to improve the extensibility of Maitland joint mobilization techniques in patients with adhesive capsulitis .
Introduction: The purpose of our study is presenting new national statistics of phenotypic prevalence Rhesus systems (Rh) and Kell using a new sample of blood donors.
Materials and Methods:This study was conducted in the blood transfusion department of the Avicenna military hospital of Marrakech on a sample of 1286 donors collected between 01/01/2015 and 31/12/2015. This is a military population dominated by men (99%), and composed of young people aged from 18 to 45 years. The samples have been collected in EDTA tubes. The tests were performed on gel-card or on opaline plate at the laboratory temperature. Reagents used are monoclonal antibodies from Society Bio-Rad.
Results : Our results shows a clear predominance of the Rh1 (D) positive (89.81%) compared to Rh-1 (d) negative (10.19%). CcDee was the most common phenotype (38.95%) followed by ccDee (18.91%) CCDee, ccDEe, ccdee and CcDEe. The ccDEE, CCDEe and ccdEe phenotypes are the minority phenotypes. For the Kell system, the predominance of Kell-1 subjects was clearly observed at a frequency of 93%. The Rh D allele was the most prevalent (68.08%) among RH blood type alleles while and the Kell-1 (96.44%) was the frequent among the alleles of Kell blood group system.
Discussion and Conclusion : our results compared to previous national and international studies show that Morocco is in an intermediate situation among the Caucasoid and negroids populations.
The purpose of the present study is to explore the factors that influence arthritis among working women. A sample of 200 working women whose age more than 20 years is taken for the study. The data is collected through questionnaire method using 5-point Likert scale. The objective of this paper is also to find the most prominent type of arthritis for different age groups, awareness, cause and medication for arthritis among working women. Exploratory Factor analysis is performed and five important factors that influence arthritis is extracted.The five factors are named as Personal stress, calcium deficiency, obese, hereditary and age.
Introduction: the purpose of our work was to present new national statistical of phenotypic and genotypic prevalence of ABO and Rhesus (D) blood groups using a new sample.
Materials and Methods: This study was carried out in the department of blood transfusion center of the Avicenna Military hospital Marrakech on a sample of 8077 young recruits between 1/1/2015and 12/31/2015. This is a military population from different Moroccan region, composed by 98% of men and 2% of women, whose ages range between 18 and 21 years. Results: The blood group “O” was found in approximately half of the samples (49,01%), the rate of group A (31.47%) was two times higher than that of group B (15.15%), group AB was the least frequent (4.35%). We note a clear predominance of the Rh positive subjects (89.86%) compared to the Rh negative subjects (10.13%) in our Moroccan population. Regarding the frequency of the genotypes of our population we have the following results: O allele was the most common, its prevalence was 89.82%, the A allele was in second position with a frequency of 19, 90 %, allele B was the least frequent (10, 28%). The allele D (RH1) (68.17%) was dominant over the d (RH-1) allele (31.82%).Discussion and conclusion: Our results are compared to previous similar studies carried out in Morocco and in other countries. These results are identical to those found in Mediterranean countries and shows that Morocco is in an intermediate situation between the countries of Europe and those of Sub-Saharan Africa.
Hemophagocytic Syndrome (HS) is an aggressive and life-threatening syndrome of excessive immune activation. It is mostly associated with underlying pathology, it can reveal: immunodeficiency, infections, cancers and auto-immune diseases.
Objective of work: Identify the clinical, biological, etiological and evolutionary features of the HLH.
Methods: A retrospective study of patients with HS syndrome collected in the Hematology Laboratory of the Mohamed V Military Hospital Rabat (MVMHR) in Morocco (between 2013 and 2015).
Results: We identified 7 cases, 4 males and 3 females, middle aged 46 years. The onset of symptoms was brutal in all patients. The splenomegaly and the inflammatory syndrome were found in all cases. The pancytopenia was observed in 6 patients. The hemophagocytosis in bone marrow smear examination was found in all cases. There were infectious underlying causes in 4 cases: one case of visceral leishmaniasis, one case of Staphylococcus aureus sepsis, one case of Escherichia coli sepsis and one case of glandular tuberculosis. For the other patients, there was a case of follicular lymphoma, a case of Hodgkin lymphoma and a case of myelodysplastic syndrome. The outcome was favorable in 3 cases, 4 patients died.
Conclusion: The HS is an extreme emergency. Clinical and biological signs are not specific; the management should be quick for a better survival.
The RTS,S/AS malaria vaccine candidate is currently the most advanced in development. It is based on the circumsporozoite protein (CSP) combined with hepatitis B surface antigen. The vaccine is designed to prevent the malaria parasite from infecting the liver where it can mature, multiply, and re-enter the bloodstream, where it infects red blood cells and leads to symptomatic disease. This review documents the development process of the RTS,S/AS malaria vaccine candidate, from preclinical and early clinical trials to the recently concluded Phase III clinical trials. The final results demonstrated that vaccination with the 3-dose primary series reduced clinical malaria cases by 28% in young children and 18% in infants. A booster dose of RTS, S/AS, administered 18 months after the primary series, reduced the number of cases of clinical malaria in young children (aged 5-17 months at first vaccination) by 36% and in infants (aged 6-12 weeks at first vaccination) by 26%. Administration of the booster dose provided longer term protection against clinical malaria in both groups, with 1774 and 983 cases of malaria averted per 1000 children vaccinated in the older (age 5-17 months) and infant (6-12 weeks) age groups, respectively. The vaccine efficacy waned over time following the booster dose and further studies are ongoing to assess long term efficacy and the need for additional doses .The safety profile of the vaccine was acceptable. The vaccine has the potential to make a substantial contribution to malaria control when used in combination with other effective control measures, especially in areas of high transmission.
There is no data on myelodysplastic syndrome (MDS) in Morocco. Indeed, this disease has long remained unexplored. We present the epidemiological data on MDS of the department of hematology of the Mohamed V Military Hospital for a period of 9 years and 4 months. In this study, we registered the MDS cases diagnosed by bone marrow examinations between January 2006 and April 2015. We classified these cases according to the 2008 WHO classification. Patients with secondary MDS (post-chemo/radiotherapy were excluded from the analysis. We compiled 155 cases, which is equivalent to 21% of the malign hemopathies recorded on the same period. The median age of diagnosis was 62 years. The group of age under 50 years represented only 8% of the whole study population. There was a preponderance of males with a M/F ratio of 1.58. The distribution according to the WHO subtypes was as follows: refractory cytopenia with multilineage dysplasia (61%) followed by refractory anemia with excess of blasts type 1 (26%) and type 2 (9%). The number of new MDS cases increased through the analyzed period of time. It went from 45 new cases between
2006 and 2011 to 110 new cases between 2012 and the start of 2015. The global frequency of MDS increased over recent years due to the cytologists’ increasing awareness of this disease. A national registry is thus imperative in order to estimate the real incidence of MDS in our country and to improve the knowledge on these hemopathies.
The plasma cell leukemia (PCL) is an extremely uncommon malignant blood disorder with a pejorative prognosis. It is defined by the presence of at least 20% of plasma cells in the peripheral blood or an absolute number of circulating plasma cells greater than 2 G /L. It appears under two variants: secondary PCL that complicates known multiple myeloma and primitive PCL that is immediately leukemic. We report the case of a 56 years old male patient who presented 2 months before his hospitalization diffuse bone pains with asthenia. The CBC revealed an anemia and a leukocytosis. The blood smear objectified 3 G/L circulating plasma cells. The bone marrow exam noted a rich cellularity and a marrow invaded up to 60% by dystrophic plasma cells. The clinical presentation of the plasma cell leukemia, its cytological smear characteristics, immunophenotypical, pathophysiological, therapeutic approach and outcome will be reminded in this article.
Hypertension is a major risk factor for strokes, cardiovascular and kidney diseases worldwide and it has considerable variation in its prevalence across different geographic locations and ethnic groups.
This study aimed to estimate the prevalence of hypertension and to determine its major risk factors among women.
A Descriptive cross-sectional community based study was conducted in Tirira Madani village –Sennar state- Sudan. A total of 255 women aged (15 – 75) years were interviewed using a structured questionnaire. Blood pressure was measured twice. Hypertension was taken as blood pressure ≥ 140 mmHg and/or ≥ 90 mmHg for systole and diastole respectively. Descriptive cross-tabulations and bivariate analyses were used. The statistical significance was tested using chi-square test. Predictor factors to hypertension were tested by logistic regression.
Prevalence of hypertension among participants was 25.9%. Factors found to be associated with hypertension were; age, illiteracy, low salt intake, family history of hypertension, Coffee intake of more than two cups daily, fish consumption, low physical activity, and high socio-economic status. Certain ethnic groups were at increased risk compared to others (RR=2.11, 95%CI: 1.265 – 4.588). Logistic regression model showed age, ethnicity, physical activity level, education level and family history were predictors of hypertension (P-value <0.05).
Hypertension was prevalent in rural Sudan. Age, ethnicity, socio-economic status, level of education and family history of hypertension were the major risk factors of hypertension.
Treatment of hip fractures is a major challenge to the health care system and society. Proper treatment of hip fractures in the elderly is still controversial.
Objectives: To assess health-related quality of life and to demonstrate any difference following a rehabilitation treatment with kinesitherapy, magnetic therapy, and interferential currents.
Material and methods: A quantitative analytical study of 28 patients, all females older than 65. Subjects were divided into two cohorts: 14 patients were treated with kinesitherapy and magnetic therapy, and 14 patients were treated with kinesitherapy and interferential currents. Standardized questionnaires, Score and Rand SF-36 with a total of 36 questions grouped into eight sections, were used for the health-related quality of life assessment.
Results: In terms of ‘physical functioning’, the average score indicated a very poor physical functioning. The average score for ‘role limitations due to physical health’ indicated major role limitations due to physical health. The average score for ‘role limitations due to emotional health’ indicated major role limitations due to emotional health. In terms of the ‘energy / fatigue’ parameter results indicated that patients felt a lack of energy which translated as a feeling of fatigue. The average score in ‘emotional wellbeing’ indicated that patients faced lack of emotional wellbeing. The ‘social functioning’ parameter suggested that patients faced problems in their social functioning. The average score in terms of ‘pain’ indicated the existence of pain. And in terms of ‘general health’, the patients considered themselves to be in poor health.
Conclusion: The results, although preliminary, indicate the importance of physical therapy in the postoperative period and its impact on the health-related quality of life, as well as the opportunity for a more efficient manner of restoring patient’s condition as it was prior to the fracture.
Dental amalgam has served as an excellent and versatile restorative material for many years. There is still no adequate economic alternative for dental amalgam. Pins are used whenever adequate resistance and retention forms cannot be established with slots.locks and other undercuts only. It is an important adjunt in the restoration of extensive carious teeth. Pins not only helps in binding of amalgam to the tooth but also binds weak tooth structure to the amlgam. This case report present the innovative technique that outlines the reconstruction of severely damaged posterior teeth with missing functional cusp.
Tongue abscess is a rare entity, despite exposure to large number of potential pathogen, relatively resistant to infection. Here in this article we were discussed the two cases of tongue abscess in a young females, with their clinical presentation, differential diagnoses, management and a review of literature.