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Biomedical subjects

M Chadli

Publications and source records attributed to M Chadli.

17 recordsLinked to original sources

[Risk of noscomial infection in intertropical Africa--part 1: background].

Nosocomial infection is a risk in any health care setting. A review of recent medical literature shows that there is a paucity of information on nosocomial infection in intertropical Africa. Often misunderstood or denied, nosocomial infection is in reality an underestimated public health problem at most medical facilities even university hospital centers. However most hospitals are confronted with the same financial, structural and logistics difficulties, with limited training and awareness about hospital hygiene among caregivers, and with situations bringing together contagious infections with susceptible subjects. Assessment of the risks for patients and caregivers is a necessary prerequisite for implementing measures to control nosocomial infections in intertropical Africa.

Africa↗

[Incidence of surgical wound infections a prospective study in the Rabat Mohamed-V military hospital, Morocco].

OBJECTIVES: The authors had for aim to determine prospectively the incidence of surgical site infections (SSI) in a visceral surgery department, in the Mohamed V military hospital (Rabat), and to identify risk factors. PATIENTS AND METHODS: All patients who had undergone surgery between April 1 and September 30, 2002 and were then admitted in the visceral surgery unit were included in this study. Patients were assessed within the following month. For each patient, data including perioperative factors, type of procedure, and SSI occurrence were collected on a standardized form. RESULTS: During the study, 310 patients were operated. The number of surgical wound infections was 16 (5.2%). This analysis pointed out: 11 superficial wounds, 5 deep wounds, and 1 organ/site wound. Emergency, age, ASA score, Altemeier classification, and procedure duration were found to be risk factors for SSI in visceral surgery. According to the NNIS index, SSI rates increase from 2.7% for patients with a risk index of 0 to 10.2% for patients with a risk index of 3. CONCLUSION: The high incidence of SSI emphasizes the importance of implementing SSI surveillance in surgery to obtain standardized incidence ratios necessary for adapted control measures.

Hospitals, Military↗

[Rapid immunochromatographic tests for detection of malaria: principles and strategies for use].

Malaria is a parasitological emergency requiring safe quick accurate diagnosis so that appropriate therapy can be implemented. A number of rapid diagnostic tests based on detection of HRP2 Ag, enzymes, LDH or aldolase are now available. However the use of these tests is restricted to trained, experienced staff in special situations. The purpose of this report is to describe the different tests on the market and clarify the limitations for their use.

Chromatography↗

[The effect of seasonal undernutrition on the protein fractions in the blood of Moroccan cattle].

In a trial including 84 cattle from three farms near Rabat (Morocco) the influence of undernutrition (dry season September to February) on the concentration of total protein and its fractions in the blood of cattle was investigated. The results out of the field were confirmed by comparing these concentrations during an experimental cycle of sufficient--insufficient--sufficient feed. It was obvious that malnutrition decreases the concentration of total protein and some of its fractions (albumins, gamma-globulins) in the blood by about 10%, while alpha- and beta-globulins remained nearly uneffected.

Animals↗

[Sheehan's syndrome followed by spontaneous pregnancy. Apropos of 2 cases].

There are few reports of spontaneous pregnancies in patients with Sheehan's syndrome. We describe two cases which exhibited adrenal and thyroid insufficiency but not amenorrhea, return of the menstrual periods being at the expected time after delivery. Endocrinologic studies confirmed thyrotropin and corticotropin insufficiency. Clinical evidence of preserved gonadotropin secretion was supported by the response of LH and FSH to acute administration of synthetic LHRH and by the fact that thyroid and corticoid hormonal replacement resulted in a spontaneous pregnancy with successful outcome.

Adult↗

A study on digital diseases of cattle in Morocco.

Digital diseases of cattle, as defined by the "International Council on Digital Diseases of the Ruminants" were studied on 32 farms with various management systems in Morocco. This study involved 953 cattle without lameness for claw examination and 89 lame cattle for detailed clinical examination and semiological trimming of the eight claws. Claw deformities, interdigital dermatitis and ungular erosion, chronic diffuse aseptic pododermatitis, circumscribed pododermatitis and deep digital diseases were described regarding their prevalence and clinical characteristics, including their distribution on fore and hind limbs, and on antero-medial, antero-lateral, postero-medial and postero-lateral claws. Interrelationships between different digital diseases and relationships between some digital diseases and environmental factors were searched by correlation studies. The results are compared with the characteristics of the same digital diseases in other countries.

Animals↗

A preliminary report on the occurrence of maedi-visna in sheep in Morocco.

A small scale serological survey for antibodies to maedi-visna virus among 13 flocks of sheep in Morocco revealed the infection in one flock. Infection appeared to be related with imported sheep. In addition, two abattoir surveys yielded, 0.1% lungs with gross and histological lesions suggestive of maedi.

Animals↗