Scientia Research Library

UNSAFE ACTS AMONG CONSTRUCTION WORKERS BASED ON PERSONALITY AND SITE CONDITIONS Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Noorce Christiani Berek1, Tjipto Suwandi2, Windhu Purnomo2 Page No. 1-6 1 Work accident in the construction industry is a problem that continues to exist in Indonesia. Even the estimated construction accident cases 31.9% of total accidents in all sectors of the industry. The direct cause of the accident was unsafe acts and unsafe conditions. We established relationship between personality and job site condition that affect building construction workers unsafe action using structural equation modeling (SEM). The study was observational research with cross sectional design. A questionnaire was administered to building construction worker, and the following results were obtained. First, personality affected unsafe action not only directly but also indirectly with worker constraint as a mediating variable. Second, personality did not directly affected job site condition and job site condition did not directly affected unsafe action. Third, job site condition indirectly affected unsafe action with worker constraint as a mediating variable. These findings can be used as preliminary data to develop safety programs specifically for safety communication between contractor, subcontractor, and workers. Keywords: Unsafe action, personality, job site condition. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=526http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-232-1-6.pdf

Cystic carcinoma of the breast: a case report and review of the literature Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Bensallam1*, S. Oumghar2, N. Eroui3, M. El omrani4, A. Khouchani.M5 Page No. 7-10 1 Adenoid cystic carcinoma of the breast is a rare neoplasm, accounting for only 0,1%of all malignant breast tumors. The prognostic is better compared to other breast cancers.We report a case of an adenoid cystic carcinoma of the breast, diagnosed in a 64 year old women who consulted for a nodule of the upper outer quadrant of the right breast associated with mastodynia. The tumor was classified CT2N0M0. An excisional biopsy and extemporaneous histological study were performed. The treatment was completed by a mastectomy with ipsilateral axillary lymph node dissection. The histopathological and immunohistochemical study confirmed the diagnostic of adenoid cystic carcinoma. An adjuvant external beam radiotherapy was delivered to the chest wall at the dose of 50 gy. The patient is disease free after a follow up of 10 months.Breast adenoid cystic carcinoma has a good prognosis. Because the rarity of this tumor, its treatment is not codified. The aim of our study is to describe the epidemiological, clinicopathological characteristics, the treatment and the prognostic of this rare type of breast tumor. Keywords: Breast - Adenoid cysticcarcinoma Treatment - Prognosis. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=527http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-233-7-10.pdf

Lipoma of the thyroid chamber causing confusion with a thyroid nodule (exceptional case) Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 M.Lahkim1*, , M.Ramraoui1, MJ Fassi Fihri, A. Elguazzar, A.El Ktaibi 2, K.Sair 1 Page No. 11-14 1 The authors report an exceptional case of a lipoma of the thyroid chamber confusing with a thyroid nodule.It is a 68-year-old patient who has had an anterior cervical swelling for 6 yearsand ultrasound in favor of a thyroid nodule. The appearance of the peroperative lesion wasmore for a lipoma and the pathologicalsanatomyexamination confirms the diagnosis. Keywords: Lipoma ; Thyroidchamber ; Echography ; surgery ; Pathologicalanatomy. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=528http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-234-11-14.pdf

Seroprevalence of hepatitis B in the young population in the different regions of the Kingdom of Morocco Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Y. El Kamouni*, A. Allali, K. Dafir , L. Arsalane, S. Zouhair Page No. 15-18 1 Aims of work. - The epidemiology of the hepatitis B virus (HBV) is not specifically known in Morocco. The present study examined the prevalence of HBV infection in a Moroccan young population, Patients and methods. A 19928 young people aged between 18 and 22 years old, was screened for HBsAg. HBV screening was performed on ARCHITECT i1000sr using CLIA chemiluminescence immunoassay. Results. - A total of 99 people were found positive for the screening test, which shows that Morocco is a low endemic country with a prevalence of HBsAg carriage currently estimated at 0.49%. Conclusions. - The present study shows that the prevalence of HBsAg is currently estimated at 0.49% in the Moroccan young people. The prevention remains the most effective method of successfully controlling HBV infection, and vaccination remains the best means of preventing HBV infection. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=529http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-235-15-18.pdf

Seroprevalence of cytomegalovirus antibodies in haemodialysis patients in Morroco Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Y. El Kamouni*, A. Allali, K. Dafir , L. Arsalane, S. Zouhair Page No. 19-28 1 CMV infection is endemic in most countries of the world. It is likely to take severe forms in immunocompromised individuals such as allograft recipients of marrow or organ, patients with acquired immunodeficiency syndrome (AIDS) and hemodialysis patients, given that the seroprevalence is high among the general population. Our study is a prospective description of the seroprevalence of cytomegalovirus among chronic hemodialysis patients in Marrakech through a serie of 500 patients treated in the hemodialysis centers of Marrakech, whose their serum is analyzed in Virology department of the Military Hospital Avicenne , Marrakech teaching hospital, over a period of 6 months, from September 2015 to March 2016. We collected demographycal, clinical and biological data from the patients records and anamnesis. Serological test for the presence of IgG and IgM anti CMV, was performed by immunoassay technique chemiluminescent microparticle (CMIA), by ARCHITECT(ABBOTT DIAGNOSTIC). The prevalence of IgG and IgM anti-CMV was 98% and 0.4% respectively. The mean age of patients with CMV IgG positive was 55.95 14.21 years,which 50.2% are from low economic level . The mean hemodialysis duration was 5.9 5.1years among seropositive for CMV IgG, 63.2% of them are undergoing hemodialysis three times a week. 298 (60.3%) patients with IgG anti CMV + were transfused at least once, all by standard blood against 196 (39.7%) patients who have never been transfused. The mean recurrence of blood transfusion is averaging 2.1transfusion.Among anti CMV IgG positive patients, 60.3% had a surgical history against a single patient who has a history of transplantation. Clinically, one patient is symptomatic. 11.9% and 1.4% of CMV seropositive patients have respectively a positive HCV and HVB serology. Anemia was present in 387 (78.3%) of CMV + subjects , while the liver function was normal in most patients. We recommend blood transfusion leukodepleted in the hemodialysis population to reduce the risk of transfusion transmission CMV http://www.scientiaresearchlibrary.com/archive-abs.php?arc=530http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-236-19-28.pdf

Bacterial community of some waste dumpsites in Lagos, Nigeria Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 1* Moro, D.D. , 2 Bello, H.O. and Akano, 3S.O. Page No. 29-35 1 Bacteriological analysis of 120 soil samples from dumpsites in Ojo, Lagos, with standard microbiological techniques revealed the total viable aerobic bacterial count as 2.19 x107 cfu/mg soil on eosin methylene blue ( EMB) agar and 5.12 x 108 cfu/mg soil on MacConkey (MCC ) agar, indicating that the bacterial count is higher on MCC than on EMB. The bacterial isolates and their frequency of isolation from dumpsites were Escherichia coli (33.3%), Klebsiella spp. (16.7%) ,Pseudomonas spp. (13.3%), Proteus spp.(10%), Streptococcus spp. (8.3%), Salmonella spp. (6.7%), Staphylococcus aureus (6.7%) and Enterobacter spp. (5.0%). The high presence of pathogenic bacteria from dumpsites is of serious public health concern and highly significant. Antibiotic susceptibility testing using the disc diffusion technique showed that most of the bacterial species isolated were susceptible to ciproval, traflox and norfloxacin, but were highly resistant to cephalaxin and chloramphenicol. Keywords: Bacteria, dumpsites, Bacterial counts, pathogens, antibiotic resistance. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=531http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-237-29-35new.pdf

INFANT REALIZED ACCESS MODEL BASED ON INFANT AND FAMILY FACTORS IN THE SOUTH CENTRAL TIMOR REGENCY Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Serlie K. A. Littik1*, Stefanus Supriyanto2, Sri Widati2 Page No. 36-42 1 Health services for infants became a serious problem in South Central Timor Regency, because of its low utilization despite high infant morbidity and mortality. This study aimed to create a realized access model based on infants and family factors in South Central Timor Regency. This study applied a cross-sectional study design, with a sample of 280 respondents. Data were collected through interviews with questionnaire as guidance. Data were analyzed with SmartPLS Version 3.2.6. The results showed that family factors (income, health insurance ownership, mothers knowledge of infant health care services, health workers as a source of information) and infant factors (place of birth, birthweight, and age at birth) improved realized access of infants. Therefore increasing family income through the empowerment of women is needed, in addition of strengthening multisectoral cooperation in providing information and motivation to utilize health facilities for childbirth and infant care. Keywords: realized access, family factors, infant factors, multisectoral. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=532http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-238-36-42.pdf

Analysis Nitrit of Sei Cow Meat in Kupang City Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Apris A. Adu *1, I. Ketut Sudiana 2, Santi Martini 3 Page No. 43-49 1 Background: Sei meat is one of the beef processed are made by way of smoked using wood embers of kusambi (Scheichera oleaca), sei has been known in the city of Kupang as one of the meat food products. The processing of sei meat require nitrite as a preservative to obtain good color and prevent the growth of microbes. According to the regulations of Food and Drug Supervisory Agency of the Republic of Indonesia number 36 of 2013, Nitrite use is permitted with a maximum limit of use of 30 mg/kg, but in reality in everyday life obtained the use of nitrites usage exceeds the threshold that has been set. This study aims to know the difference nitrite content in meat meat processing company sei between modern and traditional in the city of Kupang. Method: The study was descriptive research laboratory tests. The Subjects in this study were sei meat (smoked meat typical Timor) and the object of study is two meat processing company sei (smoked meat typical Timor) traditional and cottage industry in the city of Kupang. Data analysis result of research done descriptively and are presented in table and narrative. Result: sei derived from traditional industries and domestic industries have different nitrite content. The highest nitrite levels found in sei meat derived from domestic industry in the amount of 110.19 mg/kg and the lowest levels found in sei meat derived from domestic industry that is equal to 22.28 mg/kg. Conclusion: All samples sei meat derived from traditional industries and home industries containing nitrite in meat processing sei as a whole is the same. for traditional industry better prepared than the domestic industry in terms of completeness of workers and conditions of business premises. Suggested to the government to inform the regulations on the use of food additives and the dangers of using these foods on health, especially on nitrite preservatives. Keywords: DifferentialAnalysis, Sei cow , Nitrite level. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=533http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-239-43-49.pdf

Rhinocerebral Mucormycosis in the diabetic: about a case and review of literature Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Yahyaoui. H*, El Mezouari. E*, Mouhib. H*, Baizri. H **, Rochdi. Y***, Raji. A***, Moutaj. R* Page No. 50-52 1 Introduction - Zygomycosis are invasive infections due to the proliferation of cosmopolitan mushroom in tissues. Their evolution is rapid and fatal in immunocompromised patients. The authors are reporting a recent case of rhinocerebral zygomycosis in a diabetic patient.Observation - A 49 years old patient with type 2 diabetes evolving for 10 years in a state of ketoacidosis was hospitalized in the ENT department of the University Hospital Mohammed VI for a foreign body to the left ear. The patient had cellulitis of the entire parotid region, posterior parotid and left jugularcarotid region; refractory to antibiotic treatment. A biopsy was sent to the Parasitology and Mycology laboratory of Avicenna Military Hospital witch the mycological study showed wide siphoned hyphae of zygomycosis. Culture has isolated a strain of Rhizopus oryzae confirming the diagnosis suspected. Pathological exam showed necrotic tissue with inflammatory elements and pathogens type filament, not septated, invading vessels and nerves. Despite treatment with amphotericin B and surgical excision, the lesions spread to the orbital region and then to the brain, leading eventually to death.Conclusion- Rhinocerebral mucormycosis is an aggressive fungal infection particularly affecting unbalanced diabetic patients. Mycological diagnosis allows an early treatment. Keywords: diabetes, Rhizopus oryzae, mycological exam. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=534http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-240-50-52.pdf

Comprehensive Dossier on Ayurvedic Medicinal plant Acacia catechu Willd. : A Review Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Kalyan Hazra1*, Achintya Kumar Mandal2, Sreya Dutta3, Dhirendra Nath Mondal4, Jayram Hazra5 Page No. 53-87 1 The plant Acacia catechu, commonly known as the cutch tree is a tropically abundant plant which is widely used in Indian subcontinent with some presence in Central Asia and in China. The species has lent its name to important catechins, catechols. The most used part of this plant is stem or heartwood as water extract. Some pharmacological demonstrations have also been done with ethyl acetate extract. Leaves of the plant found some primary applications in biological actions. Presence of several polyphenolic compounds like tannins, flavonoids are responsible for many biological activities. The ethno pharmacological values of the plant make it a potent therapeutic and cosmetic agent. In the present review, comprehensive information on pharmacognostic evaluation, botanical aspects, therapeutic values, modern pharmacological activities and chemical constituents along with their 1H NMR data are provided to explore the potential and to advance research. Keywords: Acacia catechu, Pharmacognosy, Therapeutic activity, Chemical constituents, 1H NMR, http://www.scientiaresearchlibrary.com/archive-abs.php?arc=535http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-241-53-87.pdf

Interest of the Adenosine deaminase assay in the ascites fluid in the diagnosis of peritoneal tuberculosis Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 K.KRATI*, H.OUARRACH*,S.OUBAHA**, Z.SAMLANI * Page No. 88-96 1 Tuberculosis is a public health problem in Morocco, the prevalence of which is increasing in recent years, despite diagnostic and therapeutic advances. Peritoneal tuberculosis is the most frequent form of digestive tuberculosis, and its diagnosis of certainty is either microbiological or histological, but there are some recent methods that are particularly important, such as the measurement of adenosine deaminase (ADA) The activity has a very good diagnostic value with high specificity and sensitivity according to the studies at a threshold value of 30 IU / l. In order to determine the practical value of the ADA assay in the ascites fluid in the diagnosis of peritoneal tuberculosis, a retrospective study was carried out within our department over a period of 8 years. Keywords : Peritoneal tuberculosis, ascites, Adenosine deaminase, peritoneal biopsies http://www.scientiaresearchlibrary.com/archive-abs.php?arc=536http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-248-88-96.pdf

THE EFFECT OF SALT (SUPPORT APPRECIATE LEARN AND TRANSFER) METHOD ON ENHANCEMENT OF CADRES COMMITMENT AND MOTIVATION TO GIVE PREGNANT WOMEN REFERRAL TO VCT (VOLUNTARY COUNSELING AND TESTING) CLINIC FOR HIV TEST IN COMMUNITY HEALTH CENTER IN TULUNGAGUNG REGENCY Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Desi Lusiana Wardhania, S.Supriyantob, Nasronudinc Page No. 97-101 1 Transmission of HIV from pregnant women to their children can be prevented by early examination to VCT clinics. Cadres as the spearhead of community health play an essential role in encouraging pregnant women to do test in VCT clinics. Commitment and motivation of the cadres are two determining factors of the success in encouraging pregnant women to consult to VCT clinics. The objective of this research is to investigate the effect of training about HIV which employs SALT method on commitment and motivation to give pregnant women referral to VCT (voluntary counseling and testing) clinic for HIV test. This research is a quasi experimental research involving 50 intervention groups and 50 control groups as the samples. The experiment groups were given training by using SALT method while the control groups were given only the HIV modul. The data were analyzed by using Wilcoxon Sign Rangk Test dan Mann Whitney U Test.The research findings shows that difference test on the control groups indicates no difference between pre-test and posttest with p-value of commitment is 0.494 and p-value of motivation is 0.141, which are bigger than (0.05). On the other hand, the result of different test on treatment group by using Mann-Whitney U test shows that p-value of commitment is 0.020 and p-value of motivation is 0.015, which are both less than (0.05). The result indicates that there is a significant difference between control group and treatment group. Therefore, it can be concluded that training using SALT method can increase motivation and commitment of cadres so that they are able to give pregnant women referral to VCT clinic. Keywords : Commitment, Motivation, SALT http://www.scientiaresearchlibrary.com/archive-abs.php?arc=537http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-249-97-101.pdf

Abdominal migraine: My migraine hurts my stomach Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Sofia Oubaha(1), Houda Ouarrach* (2), Fatima Pratic(2) , Zohour Samlani(2), Khadija Krati (2) Page No. 102-105 1 Abdominal migraine, an episodic syndrome poorly understood so far, is often confused with other forms of recurrent abdominal pain. Requiring elucidation of its pathogenesis for better management. What prompted us to ask some questions: What is abdominal migraine? What is its pathogenesis? How to make the diagnosis? And what appropriate treatment ? Keywords : Abdominal migraine. Paroxysmal abdominal pain. Triggering factors. treatment. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=538http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-250-102-105.pdf

Malignant tumors of the stomach in the Marrakech region Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 R. Sidib(1), I. Elhidaoui(1), S. Zabroug (3), S. Oubaha (2), Z. Samlani(1), K.Krati(1) Page No. 106-114 1 Introduction: Stomach cancer, is a cancer that develop from stomach tissues and seems possibly due to the multiplication and installation in the stomach of a bacterium (Helicobacter Pylori) which produces an oncogenic protein ( Cag or CagA) and promoted by diets rich in salt. Stomach cancer is the second leading cause of death due to cancer in the world. Even though the annual incidence of stomach cancer has been decreasing steadily this last twenty years there remains a real public health problem. The vast majority of malignant tumors of the stomach (95%) are adenocarcinomas. Materials and methods: Retrospective descriptive study over 4 years (February 2011 - December 2015), including all cases of gastric cancers admitted in the departments of Gastroenterology, Radiotherapy and Oncology, excluding cardiac tumors; studied and analyzed the epidemiological, diagnostic and therapeutic characteristics of our series. Results: 145 confirmed cases of malignant gastric tumors of which 56 cases were already hospitalized at the service dring the study period, that is 38.7%, 100 cases of adenocarcinoma, 36 cases of lymphoma, 7 cases of stromal tumor and 2 cases of neuroendocrine tumor. The average age was 55, 6 years with the extremes from 20 to 87 years one third were under 50 years of age. A slight male predominance was noted. Risk factors were mainly alcohol-tobacco use and Helicobacter pylori infection in 38.5% and 28% of cases respectively. The main revealing clinical signs were epigastralgia and weight loss found in 86% of patients. The location was often Antro-pyloric and the tumor was often ulcer-budding. Undifferentiated adenocarcinoma is the predominant histological type, the diagnosis was was often established at a late stage of the tumeur, which are normally locally advance or metastatic. Surgical treatment was performed only in 15% of patients Conclusion: The peculiarities of our series of study are the young age of our patients, the diagnosis at a late stage. These two conditions are real challenge for the clinician who remains the desire to be curative and the limits of therapeutic means. Keywords : Stomach, malignant tumors, Marrakech region http://www.scientiaresearchlibrary.com/archive-abs.php?arc=539http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-251-106-114.pdf

Adultceliac disease: correlation between Endoscopic, histological and biological appearance Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Raphal SIDIBE (1), Imane. ELHIDAOUI (1),Fatim E. LAIRANI(1), Zouhour SAMLANI (1), Khadija KRATI (1), Sofia OUBAHA (2) Page No. 115-122 1 Introduction: The diagnosis of celiacdisease is based on the positivity of Serological markers, histological criteria as well as the response to the gluten-free diet. The aim of our work is to study the correlation between endoscopic, histological and serological appearances. Patients and method: This is a retrospective descriptive studycarried out within 5- year period from October 2010 to October 2016. The 25 patients in our Collected series in the department of hepatogastroenterology of CHU Mohammed VI have benefited from an assessment Serology, an endoscopy of the upper digestive track with biopsies and anatomopathological study of the biopsies. Results: The meanage of our patients was 33 years [16-50],we noted a clear female predominance. Chronicdiarrhea was the main indicator Foundin 70%. upper digestive track endoscopy was normal in 40% of cases, showing duo denal fold serasedin 36% of cases, and an aspect of duodenitisin 24% of cases. The anatomo-pathological study of the biopsies carried out during the digestive endoscopy noted a total villous atrophyin 60% of cases, in 40% of cases it was an atrophy. Subtotal of the villus. Serologically anti-transglutam in aseanti bodies were positive in 90% of cases, where as anti-endomysium antibodies were present in 65% of cases.The study of correlation between the different erological, endoscopic and Histological aspect is not significant in our series.Conclusion: In our series, thereis no significant correlation between the endoscopic appearance, serological profile and degree of villousatrophy; This can be explained by the small number of people for the study, hence the interest of other prospective studies with a large work force. Keywords : Caeliacdisease; Correlation; Endoscopy; Serology; histology. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=540http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-252-115-122.pdf

Urinary tract infection at the service of urology: Epidemiological and bacteriological aspects at the Marrakech University Hospital Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 H. HAMDANI*, I. MOUAYACH, A. HIDDOU, A. BOUNNIT, S. ALLALI, I.SARF, N SORAA Page No. 123-132 1 Introduction: Urinary tract infection is one of the most frequent infections in hospital practice. It covers a range of clinical situations, symptomatology and gravity ranging from simple asymptomatic bacteriuria to complicated acute pyelonephritis. In urology, it is a constant concern because of their frequency, their morbidity, the lengthening of their stay and the resistance of the germs to antibiotics. OBJECTIVE: To assess the incidence of urinary tract infection in hospitalized patients in urology, to determine the bacteriological characteristics and risk factors of urinary tract infection in urology. MATERIAL AND METHODS: Prospective study carried out over a period of 6 months (July 2016 - December 2016) at the microbiology laboratory of the CHU Mohammed VI in Marrakech, including all urinary infections documented by a positive ECBU from the urology department of CHU Med VI. Identification and antibiogram were performed using the Phoenix 100 (Becton Dickinson) and by manual methods. Interpretation of antibiotic sensitivity was made according to the recommendations of the CA-SFM. The age and clinical and bacteriological data of the patients included were recorded on a farm record. RESULTS: During the study period, 121 records meeting the urinary tract infection criteria were selected. The prevalence of urinary tract infection in urology was 25.6%. The average age of patients was 52.2 years with a sex ratio of 0.9. 17% of patients were smoking and 8% were diabetic. The most common reason for hospitalization was bladder tumors (43%) followed by stenosis of the urethra (14%). Urinary signs were dominated by voiding burns (78.5%), followed by pollakiuria (61%). 51% of patients received endoscopic surgery and 19% were surgical. 60% of the patients were surveyed. 50% of patients received probabilistic antibiotic therapy covering the invasive procedure. 62% of urinary infections were nosocomial. The appearance of urine was cloudy in 58.6% of cases, with significant leukocyturia in 90% of cases, and significant hematuria in 92%. 90% of the strains isolated were Gram-negative bacilli with a predominance of Escherichia coli (41%) and Klebsiella pneumoniae (30%). In enterobacteriaceae, the resistance to amoxicillin-clavulanic acid was 73%, and that to C3G was 43.75%. For non-fermentative Gram-negative bacilli, the resistance to Ceftazidime was 43%, and to the Imipenem of 36%. Fluoroquinolone resistance in uropathogenic isolates was 58.8%. CONCLUSION: The results of this study highlight the problem of urinary infections in hospitals, particularly in the urology department, where the use of invasive urological maneuvers is frequent. Timely microbiological surveillance and assessment of antibiotic resistance is a defense against the emergence of new bacterial strains increasingly resistant to broad-spectrum antimicrobials, making therapeutic options increasingly limited. Keywords : Urinary infection, Enterobacteriaceae, resistance. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=541http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-253-123-132.pdf

Epidemiological, clinical and biological aspects of multiple myeloma at the Mohammed VI University Hospital in Marrakech Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Hanaa HAMDANI, KHALIL HAOUACH Page No. 133-140 1 Introduction: Multiple myeloma (MM) is a clonal proliferation of plasma cells invading the bone marrow and secreting a monoclonal immunoglobulin. MM is the second most common haemopathy after non-Hodgkins lymphoma. Objective: The aim of this study is to study the epidemiological, clinical and biological features of multiple myeloma in the population of Marrakech and regions. METHODS: Through a retrospective descriptive study spread over 3 years, concerning 92 cases of patients followed for MM. Included in the study are any patient with radiological, biological, cytological or histological criteria for MM. RESULTS: The mean age of the patients was 59.5 years and the sex ratio (m / f) was 1.3. Growers account for 13%, 10 patients are tobacco, and 2 are alcoholics. 12 patients have diabetes, 8 are hypertensive, 2 are treated with TB. Clinically, 85.9% of bone manifestations, 42.4% of anemic syndromes, 46.8% of altered general status and 35% of neurological symptoms were noted. Biological examinations showed anemia with hemoglobin of less than 10 g / dl in 64% of cases, accelerated SV in 70.6%, an increase in serum creatinine in 34.7%, and hypercalcemia In 22.8%. A monoclonal peak in serum protein electrophoresis was noted in 88% of which Ig G (64%), IgA (25%), light chains (8.3%), hypogammaglobulinemia in 5.4%. Cytologically, the myelogram revealed a medullary plasmocytosis greater than 10% in 91.3% cases with dystrophic aspects. According to the classification of Salmon and Durie, 65% of patients were stage III, 22% stage II, and 13% stage I. CONCLUSION: MM is a hemopathy that remains incurable and often fatal, however diagnosis and management Remain due to the ignorance of this disease and the remoteness of the sick. Keywords : Multiple myeloma, gammapathy, plasmocytosis. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=542http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-254-133-140.pdf

Protective Effect of PsidiumGuajava L.)on SuperoxideDismutaseof Cigarette Smoke Exposure in Mice Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Rachmaniyah*, Rahayu U, Thohari I Page No. 141-145 1 Background: Cigarette smoke that was accumulated on blood vessel membrane would constrict smokers blood vessels. Free radicals which were from cigarette smoke would cause lipid peroxidation of cell membranes, then, it would damage cell membrane organization. If free radicals in the body increased continuously,it was needed enzymes in greater numbers to neutralize superoxide dismutase (SOD). Antioxidants were substances that gave their electrons to free radical molecules and could break the chain reaction of free radicals. Psidiumguaya L extract was a source of anti-oxidants because they contained phenolic and ascorbic acid. Aim: To analyse the effect of giving extracts of Psidiumguajava l as an antioxidant for the protection of cell membrane damage due to cigarette smoke exposure. Method: This research was experimental laboratory by using healthy male mice which aged 3-4 weeks, had weightin 25-40gr, were adapted for a week and then, they were divided into 4 groups treated by cigarette smoke exposure and guava extract (PsidiumGuajava L.). Afterwards, it was checked SOD activity levels of mice blood. Results: The givingextract of Psidiumguajava L as an antioxidant was proven to give real effect to cell membrane damage due to cigarette smoke exposure that was the increase of the content of Superokside Dismustase (SOD)activity in mice. Conclusions: Psidiumguaya L extract possesses antioxidative properties against cigarette smoke via augmentation of SOD activity Keywords : Psidiumguajava l, Antioxidative, SOD,cigarette smoke. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=543http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-256-141-145.pdf

Dermatological manifestations of inflammatory Chronic bowel disease (IBD): About 20 cases Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Raphal SIDIBE* (1), ImaneELHIDAOUI (1),Arnaud EYI(1), Zouhour SAMLANI (1), Khadija KRATI (1),Sofia OUBAHA (2), Said AMAL(3) Page No. 146-154 1 Introduction:The extra-digestive manifestations of chronicinflammatory bowel disease(IBD) are frequent, theyprecede, accompany or are independent of this Gastrointestinal tract disease. Their management is multidisciplinary, thus involving a Multidisciplinary approach of IBD with extradigestive manifestations, but also informing Patients in order to draw their attention to anyunusual clinical signs of this Digestive impairment, but also to ensure the proper compliance treatments Proposed to treat these extra digestive manifestations. Patients and methods:This is a prospective study of 20 cases of IBD with dermatological manifestations assembled within the Gastroenterology and Dermatology Services of CHU Mohamed VI Over a period of 6 months (from August 2014 to January 2015).Results:20 patients with dermatological manifestations coming within the scope of study into the IBD, this includes 15 patients suffering from Crohns disease (CD) and 5 cases of Hemorrhagic Rectocolitis (HRC), meanage was 26 years with a sex ratio M/W of O, 66. We found 10 cases of Pyoderma Gangrenosum, 3 cases of erythemanodosum, 4 cases of sweet syndrome, 2 cases of dermatitis Herpetiform, and only one patient had psoriasis. These manifestations were observed with regards IBD out breakin 15 patients, they were accompanied by IBD in Remission in 4 cases and were observed in a latent IBD case leading to its Diagnosis in this case alone. All were treated with combination therapy for IBD and Specific dermatological treatment. Evolution was good in all cases. Conclusion: In General, the occurrence of invalidating dermatoses does not change the prognosis Of gastrointestinal track impairement of IBD. The role of the dermatologist in directing patients towards gastroenterology during consultation when the diseases first manifestation is on the skin is important. Keywords : Dermatological manifestations ; inflammatory Chronic bowel disease http://www.scientiaresearchlibrary.com/archive-abs.php?arc=544http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-257-146-154.pdf

Brown tumor of the orbit in a chronic hemodialysis Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Charifa El alaoui Handira ,sara anibar ,soukaina sellami,WafaaFadili,InassLaouad. Page No. 155-158 1 Brown tumors are among the severe complications of hyperparathyroidism. Their diagnosis is based on radiological and mostly histological clinical arguments, presenting the case of a young chronic hemodialysis patient who presents a brown tumor of the orbit with hyperparathyroidism not responding to Medical treatment requiring parathyroidectomy to control the tumor. Keywords : Brown-orbit-hyperparathyroid tumor. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=546http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-255-155-158.pdf

Cancers of the head of the pancreas and prognostic factors: Experience of the Department of Visceral Surgery wing 3 at the Ibn Rochd University Hospital of Casablanca and the Faculty of Medicine and Pharmacy of Casablanca, Morocco (About 50 cases over a 5-year period) Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 D.ERGUIBI, M.S. ROCHD, R. BOUFETTAL, S.R.JAI, F. CHEHAB Page No. 159-163 1 Pancreatic cancer is the third digestive cancer in Morocco. it is an adenocarcinoma in over 90% of cases. its prognosis is poor. Conventionally, survival studies analyze prognostic factors related to the patient, the characteristics of cancer and the treatment. Our study included 50 cases of pancreatic head cancer that were followed in the Visceral Surgery (aile 3) department at the teaching Hospital Ibn Rochd of Casablanca from January 2011 to Decembre 2015. The objectives of the study are to define the different characteristics of cancer of the pancreatic head, to study the actuarial survival and to define the prognostic factors of cancer of the pancreatic head. Keywords : Adenocarcinoma of the pancreatic head, survival, prognostic factors. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=547http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-243-159-163.pdf

LAPAROSCOPIC CHOLECYSTECTOMY: Experience of the Department of Visceral Surgery wing 3 at the Ibn Rochd University Hospital of Casablanca and the Faculty of Medicine and Pharmacy of Casablanca, Morocco About 1200 cases over a 5-year period) Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 D.ERGUIBI, J. LAMGHARI, R. BOUFETTAL, S.R. JAI, F. CHEHAB Page No. - 164-166 1 Since 1991, laparoscopic cholecystectomy has become the gold standard for the treatment of symptomatic biliary lithiasis. Nevertheless, a number of procedures are very difficult to perform in laparoscopy. It is for this reason that systems have been developed which facilitate gesture and make laparoscopic gestures easier to perform. It is a retrospective study of 1200 cases of cholecystectomies collected at the department of visceral surgery III of the CHU of Casablanca over a period of 06 years (2010-2015). The aim of this work is to evaluate the experience of the service on the practice of laparoscopic cholecystectomy, while underlining the difficulties encountered in the different indications. Keywords : Biliary lithiasis - Cholecystectomy - Laparoscopy - Conversion. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=548http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-244-164-166.pdf

Surgical treatment of inguinal hernias: Experience of the Department of Visceral Surgery wing 3 at the Ibn Rochd University Hospital of Casablanca and the Faculty of Medicine and Pharmacy of Casablanca, Morocco About 123 cases over 3 years Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 D.ERGUIBI, M.S. ROCHD, R. BOUFETTAL, S.R. JAI, F. CHEHAB Page No. : 167-171 1 Inguinal hernia is a pathology whose incidence is increasing due to the aging of the population. Technical advances in surgery and anesthetics have significantly reduced the contraindications. Multiple surgical techniques have emerged, hence the complexity of a choice in which several criteria intervene. Our retrospective study examined 123 cases of groin hernias operated between December 2014 and January 2016, in the Department of Visceral Surgery, wing 3, at the Ibn Rochd Hospital in Casablanca. The objective of this study is to show the attitude of the department concerning the management of inguinal hernias in recent years as it appeared to us in the literature. Keywords : Inguinal hernia - Liechtenstein - Prosthetic equipment - Laparoscopy. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=549http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-245-167-171.pdf

The surrenal ganglioneuroma: a rare anatomo-clinical entity (About a case) Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 D. ERGUIBI, T. ELABBASSI, F.Z. BELABES, Y.FAHMI, B.KADIRI Page No :172-176 1 The ganglioneurom is a rare benign tumor of the adult and the adrenal localization is only 20% of all the localizations. We report the case of an adrenal ganglioneurosis in a 51-year-old patient. She had moderate pain in her right flank. Clinical examination was normal. Ultrasound showed a rounded hypoechoic formation between the upper pole of the right kidney and the liver of 37mm diameter evoking a right adrenal process. Computed tomography (CT) showed the presence of a well-defined 50/30 mm oval-shaped adrenal mass with a few thin endolesional calcifications. The biological balance of which a hormonal evaluation was normal. The patient had undergone a complete resection of the sural tumor. On histological examination, the diagnosis is that of a ganlioneurome. The surgery was simple.The diagnosis of ganlioneurome is difficult and is definitely retained only after the immunohistochemical study of the surgical specimen. Complete monobloc resection is the only treatment. Keywords : Ganglioneurome, adrenal tumor, diagnosis, resection, histopathology. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=550http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-246-172-176.pdf

GASTRIC AMYLOIDOSIS REVEALING THE DISEASE Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 OSSIL AMPION M. (1*) , MAHOUNGOU G.H. (2) , MIMIESSE J. (3) , MANSOUR J.(1) Page No. 177-180 1 Amyloidosis is a heterogeneous group of diseases characterized by amyloid deposition in different organs. Digestive involvement is often asymptomatic, digestive haemorrhage is rare but can prove fatal. We report a case of a 61-year-old woman with systemic amyloidosis revealed by a multirecurrent digestive hemorrhage. Through this case and a review of the literature, we emphasize the gravity of this location and the difficulty of taking care of it Keywords : Amyloidosis, digestive hemorrhage. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=551http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-258-177-180.pdf

CANONICAL CORRELATION ANALYSIS OF FACTORS AFFECTING NUTRITIONAL STATUS OF UNDER-FIVE CHILDREN IN INDONESIA Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201753 Endang Yuswatiningsih Page No. 181-190 1 The purpose of this study was to analyze the correlation of factors affecting the nutritional status of under-five children in Indonesia in 2015. This study employed a canonical correlation method which aimed to determine the relationship between two variables and identify the dimensions between two groups of variables. The resultsshowed that variables of complete basic immunization, complete neonatal visits, vitamin A, birth weight, and birth height were strongly correlated with malnutrition status and poor nutritional status, but indicated a negative correlation with good nutritional andovernutrition status. The independent variables which gave the highest effects on the decrease of malnutrition and poor nutritional status were complete basic immunization, complete neonatal visits, vitamin A, and birth weight, as they indicated a strong negative and an inversedcorrelation between the two variables. Keywords : canonical correlation, nutritional status, under-five children. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=552http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-3-259-181-190.pdf