Background: Stroke is increasingly becoming a major cause of disability and mortality. However, it can be prevented by raising awareness about risk factors and early health care management of patients. Objective: The aim of this study is to assess the level of knowledge on stroke, its risk factors, and warning signs in the population attending urban primary health care centers in the city of Agadir, Morocco. Methods: This is a multicentric cross-sectional study with a descriptive and analytical purpose. The study was conducted at five urban primary health care centers in Agadir in centralwest Morocco. All persons over the age of 18 years who consulted the health centers and who agreed to fill in the questionnaire were recruited, except for the foreign population and health workers. An interview questionnaire was used to assess the level of knowledge on stroke. Findings: A total of 469 participants were involved in the study. The median knowledge score was 8 (Interquartile range 4-13). High blood pressure (55.7%), depression and stress (48.8%) were the most well-known risk factors. Sudden weakness of the face, arms or legs (37.3%) was the main warning sign cited by the participants. Multivariate analysis revealed that illiteracy (OR 1.92; CI 95% : 1.08-3.44) primary education (OR 3.43; CI 95% : 1.63-7.21), rural residential (OR 1.67; CI 95% : 1.07-2.59), no history of stroke among respondents (OR 16.41; CI 95% : 4.37-61.59) and no history of stroke among relatives, acquaintances, or neighbors (OR 4.42; CI 95% : 2.81-6.96), were independently associated with a lower level of knowledge of stroke (Table 4). Conclusions: The low level of knowledge on stroke among this Moroccan population indicates the importance of implementing stroke education initiatives in the community. More specifically, proximity education and awareness programs ought to be considered to anchor lifestyle preventive behaviors along with appropriate and urgent actions regarding the warning signs of stroke.
In March 2020, the WHO declared COVID-19 as a pandemic. At present, the curative vaccine has not yet been developed, older age and higher comorbidity levels are associated with more severe COVID-19 symptoms. Indeed, the cancer community currently faces many difficult questions.
SUMMARY
COVID‐19 is one of the worst outbreaks in infectious disease history. Through a succession of significant preventative and control interventions, Morocco has accumulated pandemic control experience. This study examines the available evidence on lessons learnt from the COVID‐19 pandemic management experience in Morocco. Social lockdown measures have helped restrain the exponential spread of new cases. These interventions appear to be reasonably successful. Their effectiveness must be confirmed by an assessment of other factors. This experience can help all countries develop effective pandemic prevention and control measures.
The Issen basin is a dry area affected by climate variability and desertification. It is located in high spot of Moroccan flora biodiversity that includes argan tree ecosystem as a part of the Western High Atlas (WHA). The objective of this work is to assess rainfall variability and erosivity as determining factors of soil erosion and vegetation cover degradation. The results reveal an arid to superior semi-arid climate where annual rainfall range from 200 mm in the centre of the Argana corridor, to 500 mm in the snow-covered northern foothills. The analysis of the 37 years of rainfall data indicate a coefficient of variation Cvis about67%. The erosivity index presents a high variability range from 34 to more than 81 MJ.mm/ha.h.yr in the wettest areas, indicating considerable soil erosion. In addition, the basin suffering from severe periods of drought due to the occurrence of the continuous decrease of the accumulated precipitation. Eventually, the rainfall variability and erosivity can affect ecosystem function and services (ecosystem degradation, water availability, etc).
caused by the novel coronavirus 2019-nCoV, the rapid spread of this pandemic poses unprecedented challenges throughout the world. Hemodialysis patients are more susceptible to SARS-CoV-2 pneumonia than the general population. Dialysis physicians, health workers should have clinical knowledge of epidemic COVID-19, epidemic prevention tools, and required guidelines. This paper aims to focus on the Moroccan society of nephrology recommendations and the Ministry of Health guidelines to protect both healthcare workers and hemodialysis patients from the virus. A package of measures has been recommended by the Ministry of Health to ensure continuity of health services for hemodialysis patients with Covid-19. Besides, the Moroccan society of nephrology recommendations has been adopted to ensure quality care for this vulnerable category throughout the epidemic.
The new COVID-19 caused by SARS-CoV-2, is a major public health problem. Morocco as other countries worldwide has established strict national guidelines on the management of this pandemic.The aim of this study is to focus on the Protocol for the management of patients with C0VID-19 and their contacts in Morocco.All healthcare facilities can take steps to prepare for this pandemic and protect both their patients and staff.
The study aims to describe the profile of asthma patients in Agadir city (Morocco) during a period of 7 years (2013 to 2019) to identify the factors associated with asthma control. Practically, a retrospective analysis was conducted on data collected from 6 primary healthcare centers (PHC) in the city. The reported data are the age, gender, location, date of first consultation, dates of consultations, and treatment of 701 patients and care centers (PHC). Also, the proportional odds model for ordinal logistic regression was used to determine the most variables can be associated with asthma control. The analysis reveals a spatial and temporal variation according to gender. The average age of patients is 43 years. The twothirds of all recorded cases were reported in 2018 and 2019. Furthermore, the proportion of female and male represents 63% and 37% of the total reported cases, respectively. Generally, the female proportion is higher than male for all age groups. Moreover, the analysis reveals that the asthma control was reported for 19% of cases while the rest was uncontrolled. This control seems be more observed for males (OR: 1.28; 95% CI [0.87; 1.87]), for patients with age between 29 and 44 years (OR: 2.3; 95% CI [1.54; 3.44], p < 0. 001), and for patients who were cared for at the PHC1 center (OR: 21.06; 95% CI [11.13; 39.85], p < 0.001) and at the PHC2 center (OR: 13.19; 95% CI [6.54; 29.54], p < 0.001). Eventually, the current study emphasizes that the gender and care centers are the most associated factors of asthma control.
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