IntroductionDécrire les connaissances, attitudes et pratiques (CAP) des hommes d'une population enclavée à l'égard de la santé reproductive.MéthodesIl s'agissait d'une étude mixte (focus group et étude CAP) menée dans une région montagneuse prés de Marrakech. L'enquête descriptive a recruté 74 hommes par deux méthodes d'échantillonnage (visiteurs du souk hebdomadaire et accompagnateurs à une compagne sanitaire). La collecte des données (Mars - Avril 2014) était par questionnaire traduit en dialectale et administré par des enquêteurs formés parlant Amazigh. L'analyse des données quantitatives était descriptive et bivariée (seuil de signification statistique à 5%). Le focus group était analysé après enregistrement et retranscription.RésultatsLa médiane de l'âge était de 38 ans [19 à 80 ans]. Parmi 64 hommes vivant en couple (86,5%), la moitié (55,4%) optait pour la pilule. Les 2 tiers ont reconnu l'intérêt de surveiller la grossesse, tandis que 37% des maris ignoraient la fréquence du suivi. Le non recours à la consultation prénatale était de 56,9% (N=58), dont 42,4% sans raison. Le niveau d'instruction était associé au suivi de la grossesse par la conjointe (p=0,015) et à l'attitude positive à l'égard de son intérêt (p=0,011). La méconnaissance de la possibilité de complications (35,1% des répondants) était un facteur de non recours à la consultation post-natale par la conjointe (p=0,021). Les barrières relevées de l'analyse du focus group étaient d'ordre culturel, géographique et socioéconomique.ConclusionDes actions d'information, d'éducation et de communication devraient viser d'avantage l'implication du sexe masculin dans des contextes similaires.
Multiple myeloma (MM) is a clonal proliferation of malignant plasma cells mainly affecting the bone marrow. Most common sites of extramedullary dissemination reported in the literature are skin, liver, kidneys and central nervous system. The presentation of MM with lung plasmacytoma is found to be very uncommon. We present a case of multiple myeloma associated with lung plasmacytoma. A 53-years-old man with history of shortness of breath and lung opacity visualized on a chest X-ray. Careful integration of clinical manifestations with radiological and biological data led to the diagnosis of multiple myeloma with pulmonary plasmacytoma.
Background: Type 2 diabetes mellitus (T2DM) contributes to 90% cases of diabetes–the ninth leading cause of death. Magnesium (Mg) levels have been found consistently low in the patients with T2DM around the world. Objective: The objective of our work was to assess the Mg status in the patients with T2DM. Material and methods: A descriptive prospective study including 103 patients with type 2 diabetes mellitus (T2DM) was carried out at Avicenna Military Hospital in Marrakesh over a period of four months (October 2019 - January 2020). The patients with T2DM and age above 35years with no history of Mg supplementation, cancer or autoimmune disease were included in the study. Blood samples were analyzed for fasting glucose, lipid profile, HbA1c, and serum magnesium. The data were analyzed by SPSS version 16, Pearson correlation was performed to establish the relationship between Mg and metabolic variables in T2DM patients. Results: The study included 103 T2DM patients with 56 (54.4%) males and 47 (45.6%) females. Prevalence of hypomagnesemia was 14.56%. Mean age of the patients and duration of diabetes were 59±9 years and 9±4years, respectively. Most common antecedent conditions were dyslipidemia (43.7%), hypertension (42.7%), and retinopathy (25.2%). Hypomagnesemia was significantly associated with HbA1c (P=0.003) and arterial hypertension (P=0.002). Magnesium had negative linear relationship with increased fasting blood sugar and HbA1c. Conclusion: In Morocco, the prevalence of hypomagnesemia in T2DM patient is low, but it has negative linear relationship with fasting blood sugar and HbA1c.
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