Ophidian envenomation in Morocco: Analysis of specific hospitalization records (2012-2015)

Snakebites are a real public health problem in Morocco, from the point of view of incidence and mortality. Inorder to contribute to the reduction of the resulting morbidity and mortality, the present work aims to describe the epidemiological profile of cases of Snakebites and to follow the spatio-temporal trends of the health indicators studied (incidence, fatality and mortality). The methodology adopted consists of a retrospective analysis of the cases collected from the Anti Poison and Pharmacovigilance Center of Morocco from specific hospitalization records. Between 2012 and 2015, the MPCC gathered 224 cases. The mean age was 26.9 ± 18.9 years with a sex ratio (M / F) of 1.4. Most of the bites occurred during hot seasons (84%) and in rural areas (95%). The time to hospitalization exceeded 24 hours in 7% of cases. Clinically, compartment syndrome was observed in 17 patients, renal failure in 13 patients and shock in 13 patients. The distribution according to clinical gradation was almost uniform. From a therapeutic standpoint, in addition to the antivenom, two types of treatment were the most recommended: symptomatic treatment based on the administration of analgesics (n = 168) and on the administration of an antitetanus serum (n = 99), and treatment involving transfusion (n = 58). Analysis of all of these files enabled us to detect parameters having a direct impact on morbidity and mortality following a bite and ophidian envenomation, on which the competent authorities should focus in order to thwart this scourge and its complications.

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Clinico-epidemiological profile of snake bite in children in a tertiary care centre: a hospital based study

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20175572 ◽

2017 ◽

Vol 5 (1) ◽

pp. 124

Author(s):

Anil Kumar H. ◽

Mallesh Kariyappa ◽

Vinutha G. N.

Keyword(s):

Health Problem ◽

Rural Areas ◽

Tertiary Care ◽

Snake Bite ◽

Morbidity And Mortality ◽

Major Public Health Problem ◽

Case Record ◽

Early Presentation ◽

Major Health Problem ◽

Epidemiological Profile

Background: Snake bite remains major public health problem worldwide, particularly in rural areas with unexpected morbidity and mortality. This study was conducted to evaluate the clinico-epidemiological profile and complications of snake bite in children at our institute.Methods: This was a retrospective case record based study with records between January 2011 and December 2016 studied. The clinico-epidemiological features and complications were recorded and analysed.Results: Total of 242 snake bite children were admitted during the study period out of 17512 admissions constituting to 1.38% of admissions. There was male predominance with ratio of 2:1. About 43% of children were in the age group of 7-12 years, followed by 13-18 years. About 43% of bites occurred between March and June months. About 2/3rd of cases were from rural areas, 50% of cases were bitten outdoor. About 3/4th of cases had bite in the lower extremity. In this study 3/4th of children presented to hospital within 6 hours of bite. The major symptoms were pain and swelling at the site of bite. 10% of children had neurotoxic symptoms. Major complications noted were compartment syndrome, DIC, AKI and respiratory paralysis. Four (1.7%) children died, 3 had DIC and 1 died due to uremic encephalopathy.Conclusions: Snake bite remains a major health problem in children causing significant morbidity and mortality. Children are particularly vulnerable because of their active and explorative nature and they also spend considerable time outdoors particularly male children. Simple preventive measures to be taken and people should be educated about avoiding traditional first aid methods and early presentation to hospital.

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Epidemiological profile of patients served due to official accidents in the north of Brazil, Amazon Region, in the period from 2009 to 2019

Panorama brasileiro de tungstênio (w) entre os anos de 2008 e 2014 ◽

10.32749/nucleodoconhecimento.com.br/health/profile-of-patients ◽

2020 ◽

pp. 47-59

Author(s):

Larissa Queiroz Costa Carneiro ◽

Isabela Menezes Barbosa ◽

Igor de Souza Cardoso ◽

Cláudio Alberto Gellis de Mattos Dias ◽

Euzébio de Oliveira ◽

...

Keyword(s):

Rural Areas ◽

Public Health Problem ◽

Secondary Data ◽

Northern Region ◽

Protective Equipment ◽

The North ◽

Unified Health System ◽

Significant Public Health Problem ◽

Significant Public Health ◽

Epidemiological Profile

Ophidian accidents are a significant public health problem worldwide, due to both their frequency and morbidity and mortality. In Brazil, during the years 2009 to 2019 there were 313,139 registered cases, of which 151,565 occurred in the North Region, making explicit the importance of studying this disease in that Region. The objective of the present study is to determine the epidemiological profile of the affected patients (age and sex), the accident itself (UF, month, year, time to attend) and the snake gender of the accidents that occurred in the Northern region of Brazil. Secondary data were obtained through access to the Information Department of the Brazilian Unified Health System (DATASUS), at the electronic address www.datasus.gov.br, in the SIH / SUS Hospital Information System. It was found that the accidents occurred mainly in rural areas, with men, in socioeconomically active age, caused by snakes of the Bothrops genus. Several cases could be classified as accidents at work, these could be avoided or minimized with appropriate personal protective equipment and guidelines.

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Cardiovascular risk factors in rural areas: case of the Mabayi health district hospital in Burundi

RUDN Journal of Medicine ◽

10.22363/2313-0245-2021-25-3-229-234 ◽

2021 ◽

Vol 25 (3) ◽

pp. 229-234

Author(s):

Eugène Ndirahisha ◽

Patrice Barasukana ◽

Joseph Nyandwi ◽

Sébastien Manirakiza ◽

Rhamadhan Nyandwi ◽

...

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Cardiovascular Diseases ◽

Rural Areas ◽

Extreme Values ◽

District Hospital ◽

Public Health Problem ◽

Noncommunicable Diseases ◽

Mountainous Region ◽

Incidence And Mortality

Relevance . Noncommunicable diseases are a serious public health problem due to their high incidence and mortality rate. Globally, noncommunicable diseases cause 41 million deaths every year, accounting for 71% of the total number of deaths. Cardiovascular diseases, accounting for 44% of all noncommunicable diseases, are the leading causes of death. Early identification of the main risk factors for cardiovascular diseases and treatment of associated diseases are a prerequisite for maintaining the health of the population. Objective: To identify the main risk factors for cardiovascular disease in patients living in rural areas of the mountainous region and attending the Mabayi District Hospital in Burundi. Patients and Methods . An open-label retrospective study conducted at the Mabayi District Hospital in Burundi from January 2014 to December 2017. The study included patients whose medical examination revealed at least one risk factor for cardiovascular diseases. The study was approved by the ethics committee of the Kamenge University Hospital and the Faculty of Medicine of the University of Burundi. Data analysis was carried out using Microsoft Word 2007 and Epi-Info TM 7.2.1.0 software. Results and Discussion . Among the 20 297 examined patients, the average age was 50 16.7 years, the extreme values were 14 and 101 years. Male patients accounted for 51.1%. 903 patients (4.5%) had at least one risk factor. The main risk factors were high blood pressure (52.6%), diabetes (42.0%) and alcohol abuse (27.4%). Conclusion . Residents of rural areas of the mountainous region of Burundi have a high frequency of risk factors for cardiovascular diseases, which must be taken into account when organizing medical and preventive measures to prevent cardiovascular diseases.

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They’re Dying in the Suburbs: COVID-19 Cases and Deaths by Geography in Louisiana (USA)

10.1101/2020.10.28.20221341 ◽

2020 ◽

Author(s):

Alina Schnake-Mahl ◽

Usama Bilal

Keyword(s):

New Orleans ◽

Rural Areas ◽

Urban Areas ◽

Temporal Trends ◽

Data Availability ◽

Suburban Areas ◽

Incidence And Mortality ◽

The Us ◽

Urban And Rural Areas ◽

Second Peak

AbstractThe national COVID-19 conversation in the US has mostly focused on urban areas, without sufficient examination of another geography with large vulnerable populations: the suburbs. While suburbs are often thought of as areas of uniform affluence and racial homogeneity, over the past 20 years, poverty and diversity have increased substantially in the suburbs. In this study, we compare geographic and temporal trends in COVID-19 cases and deaths in Louisiana, one of the few states with high rates of COVID-19 during both the spring and summer. We find that incidence and mortality rates were initially highest in New Orleans. By the second peak, trends reversed: suburban areas experienced higher rates than New Orleans and similar rates to other urban and rural areas. We also find that increased social vulnerability was associated with increased positivity and incidence during the first peak. During the second peak, these associations reversed in New Orleans while persisting in other urban, suburban, and rural areas. The work draws attention to the high rates of COVID-19 cases and deaths in suburban areas and the importance of metropolitan-wide actions to address COVID-19.RegistrationN/AFunding sourceNIH (DP5OD26429) and RWJF (77644)Code and data availabilityCode for replication along with data is available here: https://github.com/alinasmahl1/COVID_Louisiana_Suburban/.

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Cartography of Suicide-Related Health Indicators and Suicide Attempts in Morocco

European Scientific Journal ESJ ◽

10.19044/esj.2018.v14n15p117 ◽

2018 ◽

Vol 14 (15) ◽

pp. 117

Author(s):

Latifa Amiar ◽

Rachida Soulaymani-Bencheikh ◽

Faical El Hattimy ◽

Hinde Hami ◽

Ahmed Aarab ◽

...

Keyword(s):

Urban Areas ◽

Suicide Attempts ◽

Public Health Problem ◽

Health Indicators ◽

Biological Indicators ◽

Annual Number ◽

Poison Control ◽

Psychological Consequences ◽

Spatio Temporal ◽

Average Annual Number

The present work consists of a retrospective study of suicidal intoxication during a period stretching from January 1980 to December 2013, reported to the Poison Control and Pharmaco-vigilance Center of Morocco through two systems of data collection: Toxicological Information and Toxico-vigilance. The objective is to determine the spatio-temporal evolution of the incidence, lethality and mortality related to suicides and suicide attempts through intoxication in Morocco. During the study period, the average annual number of suicidal intoxications was 707 cases. All regions of Morocco have been affected but at variable rates. The average age of the victims is 24.39 ± 0.08 years, with a sex ratio of 2.41 in favor of the female sex. In the space of 34 years, the incidence is 2.4 per 100,000 inhabitants, the mortality is 0.67 per million inhabitants and the lethality is 0.08%. The annual increase in biological indicators makes suicides and suicide attempts a public health problem, through hospital care and the resulting socio-economic and psychological consequences. This problem seems much more common in urban areas and particularly in the big cities of Morocco.

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The use of biopharmaceuticals in the treatment of psoriasis

Postępy Higieny i Medycyny Doświadczalnej ◽

10.5604/01.3001.0012.2026 ◽

2018 ◽

Vol 72 ◽

pp. 642-658 ◽

Cited By ~ 2

Author(s):

Anna Partyka ◽

Anna Czopek ◽

Krystyna Stanisz-Wallis ◽

Agnieszka Zagórska

Keyword(s):

Skin Diseases ◽

Subcutaneous Tissue ◽

Meta Analysis ◽

Public Health Problem ◽

Symptomatic Treatment ◽

European Population ◽

Point Of View ◽

Dermatological Disease ◽

Upper And Lower Extremities

Dermatoses are the group of diseases which involve all layers of the skin from the epidermis through the dermis and subcutaneous tissue, till appendages. The global burden of skin disease in populations is not currently monitored, therefore there is no data on the prevalence of skin diseases in the general population. However, from the epidemiological point of view, it is possible to point out the most common dermatoses and among them distinguish these diseases, which belong to chronic conditions with immunological origin e.g. atopic dermatitis, psoriasis, pemphigus, vitiligo and alopecia areata. Due to conducted studies and better diagnostics, unknown pathomechanisms of dermatoses are discovered and consequently new treatment methods are implemented. The therapeutic progress in the symptomatic treatment of autoimmune skin diseases is related to the introduction on the market of biological medical products called biopharmaceuticals. In this manuscript, the characterization of biopharmaceuticals is presented in terms of their applicability in the treatment of psoriasis. Psoriasis is the chronic dermatological disease with inflammatory response and non-infective character, which shows significant variations in the prevalence of European population. Typical symptoms of psoriasis are red, raised skin areas, covered with silvery scales, mainly appears within the upper and lower extremities face and head. Further in the manuscript, psoriasis is discussed as a public health problem, the pathogenesis of this disease is described and the characterization of the biopharmaceuticals used in psoriasis is presented. In the last part, the results of a systematic literature review (meta-analysis) on the etanercept, the biopharmaceutical used in psoriasis, is discussed.

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Analysis of the epidemiological profile of patients with traumas: A literature review

International Journal of Advanced Engineering Research and Science ◽

10.22161/ijaers.84.24 ◽

2021 ◽

Vol 8 (4) ◽

pp. 202-208

Author(s):

Gustavo Sousa Andrade ◽

Daniella Antunes Pereira Rocha ◽

Bruna Da Silva Gusmão ◽

Beatriz Sousa Andrade Batista ◽

Hellen Santos Novas ◽

...

Keyword(s):

Literature Review ◽

Public Health Problem ◽

Lower Limbs ◽

Morbidity And Mortality ◽

High Morbidity ◽

The World ◽

Labor System ◽

Epidemiological Profile ◽

Motorcycle Accidents ◽

The Impact

Trauma is a public health problem, with a high morbidity and mortality profile that generates high costs for health systems all over the world. Several factors can trigger the different types of trauma, which may require specific treatments, often even surgical procedures, and may also cause incapacity for work. In light of this, this research was intended to evaluate the epidemiological profile of patients with traumas in different regions of the world. To this end, a systematic literature review was performed by searching the Scielo database, using the descriptors “trauma” and “epidemiology”, finding a total of 270 articles. Subsequently, filters were applied, which allowed 92 scientific articles to be obtained. The titles and abstracts of these articles were analyzed; and, from that, 15 articles were selected, which were read in full and then discussed. The literature analysis allowed us to characterize the epidemiological profile of traumas in Brazil and in other countries around the world, detecting that most trauma affects men at a young age, which can affect the labor system; that the low level of education can influence the trauma profile; and that factors such as car and motorcycle accidents, falls and physical aggressions are the main etiological factors of cranioencephalic, maxillofacial, thoracic, upper limbs and lower limbs traumas, among others. Thus, there is a need to formulate better preventive measures and pre- and in-hospital treatments, aiming at reducing the impact on trauma morbidity and mortality.

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Research of the epidemiology on cancer of the trachea, bronchi, lungs as important components in the development of effective directions for increasing the effectiveness of pharmaceutical support for cancer patients

ScienceRise Pharmaceutical Science ◽

10.15587/2519-4852.2021.230346 ◽

2021 ◽

pp. 72-80

Author(s):

Yurii Pulnyi ◽

Hanna Panfilova ◽

Ellona Shelkova ◽

Oleksandr Kabachnyi ◽

Vitaly Chernukha

Keyword(s):

Cancer Patients ◽

Mortality Rates ◽

Epidemiological Studies ◽

Incidence Rates ◽

Morbidity And Mortality ◽

Positive Trend ◽

Female Patients ◽

Incidence And Mortality ◽

Male Cohort ◽

Epidemiological Profile

The aim: to conduct epidemiological studies on cancer of the trachea, bronchi, lungs as important components in the development of effective directions for increasing the effectiveness of pharmaceutical support for cancer patients in Ukraine. Materials and methods. The study used data from special literature, which presents the results of research on cancer in different countries of the world and data from the National Cancer Registry from 2014-2019 by indicators of morbidity and mortality of the population of Ukraine from cancer of the trachea, bronchi and lungs, including by gender. General theoretical (historical, analytical-comparative, systemic, graphic, logical, hypothetical-deductive) and applied (mathematical-statistical, epidemiological) research methods were used. Results. It was found that during 2014-2018 in terms of morbidity and mortality of the population from cancer of the trachea, bronchi and lungs in Ukraine, there was a positive dynamics of decline. So, in terms of incidence rates, which are standardized by WHO in 2018, the data decreased compared to 2014 by 8.4 %, and according to the “Ukrainian standard” – by 7.0 %. Mortality rates, which were standardized by WHO, decreased in 2018 compared to 2014 by 12.1 %, and those presented according to the “Ukrainian standard” – by 11.1 %. It was proved that the average data on morbidity and mortality of male patients were 6.2 and 7.4 times higher than in the same data for female patients. The different nature of changes in morbidity and mortality rates of patients in accordance with their gender in the dynamics of years has been established. So, for the female cohort of patients, the incidence and mortality rate from cancer of the trachea, bronchi and lungs during 2014-2018 had a complex zigzag character of changes, and in 2019, compared with the data of 2014, they increased by 22.54 % and 23.6 %, respectively. In the male cohort of patients, we observed a positive trend towards a decrease in mortality during 2014-2019. So, in 2019, these indicators reached their minimum and were equal to 57.0 and 44.0 cases per 100 thousand population. According to the data of 2019, the incidence and mortality of men from cancer of the trachea, bronchi and lungs relative to the data of 2014 decreased by 21.4 % and 25.0 %, respectively. It looks encouraging that there was relatively little fluctuation during 2014-2019 epidemiological indicators, both in general for the entire population of patients and female patients. Conclusions. The established characteristics and trends in the formation of the onco-epidemiological profile of the country's population for trachea, bronchus and lung cancer in dynamics over the years necessitate further research, taking into account changes in the main demographic indicators development of society

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Epidemiological profile of prostate cancer mortality and access to hospital care in Brazilian regions - an ecological study

Journal of Human Growth and Development ◽

10.36311/jhgd.v31.12227 ◽

2021 ◽

Vol 31 (2) ◽

pp. 310-317

Author(s):

Stefanie De Sousa Antunes Alcantara ◽

Patricia Merly Martinelli ◽

Luiz Vinicius de Alcantara Sousa ◽

Fernando Luiz Affonso Fonseca

Keyword(s):

Prostate Cancer ◽

Ecological Study ◽

Public Health Problem ◽

Secondary Data ◽

Mortality Rates ◽

World Health ◽

Incidence And Mortality ◽

The World ◽

Epidemiological Profile ◽

Health Organization

Introduction: Due to the high incidence and mortality rates that cancer has, the World Health Organization (WHO) defines it as a public health problem and points out that there are approximately 10 million people affected by cancer, the estimate for the year 2020 will be 16 million of sick individuals.One of the most frequent neoplasms in the world, Prostate Cancer (CaP) (1.1 million), occupies 4th place, being behind only lung cancer (1.8 million), breast (1.7 million), and intestine (1.4 million). In the year 2012, approximately 1,112,000 new global cases of CaP were registered, with about 307,000 deaths. Objective: To analyze the epidemiological profile of mortality from prostate cancer and the access of patients to health among Brazilian regions. Methods: Ecological study based on secondary data from between the years 2000 and 2015. Mortality, hospitalization, and population were collected at the DATASUS. The variables were related to the epidemiological profile of CaP among Brazilian regions, stratified by the number of hospitalizations, of deaths, admission fee, mortality rate, and age group (40 to 79 years). The study looks at a time trend and gains access to health and mortality using regression models. Results: The northern showed a greater decrease in cases from 40-59 years (β: -1,800; -0.46). Southeast, with a small reduction only between 40 and 44 years old (β: -0.345 and p: 0.665). Northeast, South, and Center-West regions did not express a drop in the hospitalization rate, with the greatest growth between 65 and 69 years old (β: 7,862; 11,346; and p> 0.05). The Midwest had the greatest increase between 55 and 59 years (β: 3,660, p: 0.098), followed by 65 to 69 years (β: 3,491, p: 0.314). Mortality rates indicated a reduction in the Southeast (β: - 0.440) and South (β: -0.361). Conclusion: This study found an association with various environmental and economic cultures in each Brazilian region, being an important resource for the development of health services and their access to the population.

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EPIDEMIOLOGICAL, CLINICAL AND THERAPEUTIC PROFILE OF CUTANEOUS LEISHMANIASIS IN THE PROVINCE OF ESSAOUIRA-MOROCCO

International Journal of Advanced Research ◽

10.21474/ijar01/13687 ◽

2021 ◽

Vol 9 (10) ◽

pp. 1337-1344

Author(s):

Loubna Darfaoui ◽

◽

Meriem Sahm ◽

Zakarya Ait Lahcen ◽

Mohamed Ratbi ◽

...

Keyword(s):

Cutaneous Leishmaniasis ◽

Rural Areas ◽

Mammalian Species ◽

Public Health Problem ◽

Control Program ◽

Insect Vector ◽

Mediterranean Countries ◽

The One ◽

Epidemiological Profile ◽

Therapeutic Profile

Leishmaniasis is a group of parasitic, tropical diseases caused by flagellate protozoa belonging to the genus Leishmania. These parasites affect several mammalian species, including man, to which they are transmitted by the bite of an insect vector, the sandfly. They are widespread in many countries, including the countries of the Mediterranean region. In Morocco, it is a persistent public health problem despite the development and implementation of a control program. Our work is a retroprospective study of leishmaniasis cases observed in the Essaouira province over a period of 5 years (from 01/10/2016 to 31/12/2020). The objective of this study is to develop the epidemiological, clinical and therapeutic profile of this disease with an analytical comparison with other works and researches. 598 cases of cutaneous leishmaniasis were collected and no cases of visceral leishmaniasis. The age group most affected by cutaneous leishmaniasis is the one between 0-5 years old with 147 cases (25.00%) with an average age of 22.70 years. Similarly, a predominance of the female sex was observed with 58.19% of females versus 41.80% of males. The majority of cases were recorded in rural areas. The commune most affected is El-hanchan with a total of 149 cases, or 24.92% of the total cases observed. The epidemiological profile of leishmaniasis in Morocco seems to be gradually reached that of Mediterranean countries characterized by an increase in the number of cases and the emergence of new homes so far free of the parasite. Hence, the need for actions to combat well codified and adapted to different types of leishmaniasis. The measures undertaken in the framework of control program established in Morocco, have been evaluated on a permanent basis in order to develop and adapt them to the evolution of leishmaniasis in the province.

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