scholarly journals Tuberculosis in the middle of COVID-19 in Morocco: efforts, challenges and recommendations

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Oumnia Bouaddi ◽  
Mohammad Mehedi Hasan ◽  
Abdul Moiz Sahito ◽  
Pritik A. Shah ◽  
Abdelrahman Zaki Ali Mohammed ◽  
...  

AbstractTuberculosis (TB) is a deadly infectious disease that kills approximately 1.5 million people per year and is among the most frequent respiratory infections in developing countries. Morocco has made significant progress in the control and management of TB during the past 30 years thanks to its National Plan for Tuberculosis and the continuous support of national and international partners. While tremendous efforts were undertaken to tilt the balance against the COVID-19 pandemic, new challenges resurfaced with regard to long-standing health problems amongst which is TB. The spill-over effect of the COVID-19 pandemic disrupted health service delivery globally, threatening to reverse years of progress made on the TB control front. In Morocco, this crisis highlighted deep shortcomings within the national health system and in the adopted approach to TB control. This article discusses national efforts to get back on track with regard to TB management, the multitude of challenges that co-emerged with the onset of COVID-19 and lays down key recommendations to implement in order to build back a TB control plan that is resilient in the face of health hazards.

Author(s):  
Allan Megill

This epilogue argues that historians ought to be able to produce a universal history, one that would ‘cover’ the past of humankind ‘as a whole’. However, aside from the always increasing difficulty of mastering the factual material that such an undertaking requires, there exists another difficulty: the coherence of universal history always presupposes an initial decision not to write about the human past in all its multiplicity, but to focus on one aspect of that past. Nevertheless, the lure of universal history will persist, even in the face of its practical and conceptual difficulty. Certainly, it is possible to imagine a future ideological convergence among humans that would enable them to accept, as authoritative, one history of humankind.


Author(s):  
Aurora G. Vincent ◽  
Anne E. Gunter ◽  
Yadranko Ducic ◽  
Likith Reddy

AbstractAlloplastic facial transplantation has become a new rung on the proverbial reconstructive ladder for severe facial wounds in the past couple of decades. Since the first transfer including bony components in 2006, numerous facial allotransplantations across many countries have been successfully performed, many incorporating multiple bony elements of the face. There are many unique considerations to facial transplantation of bone, however, beyond the considerations of simple soft tissue transfer. Herein, we review the current literature and considerations specific to bony facial transplantation focusing on the pertinent surgical anatomy, preoperative planning needs, intraoperative harvest and inset considerations, and postoperative protocols.


Sensors ◽  
2021 ◽  
Vol 21 (9) ◽  
pp. 3046
Author(s):  
Shervin Minaee ◽  
Mehdi Minaei ◽  
Amirali Abdolrashidi

Facial expression recognition has been an active area of research over the past few decades, and it is still challenging due to the high intra-class variation. Traditional approaches for this problem rely on hand-crafted features such as SIFT, HOG, and LBP, followed by a classifier trained on a database of images or videos. Most of these works perform reasonably well on datasets of images captured in a controlled condition but fail to perform as well on more challenging datasets with more image variation and partial faces. In recent years, several works proposed an end-to-end framework for facial expression recognition using deep learning models. Despite the better performance of these works, there are still much room for improvement. In this work, we propose a deep learning approach based on attentional convolutional network that is able to focus on important parts of the face and achieves significant improvement over previous models on multiple datasets, including FER-2013, CK+, FERG, and JAFFE. We also use a visualization technique that is able to find important facial regions to detect different emotions based on the classifier’s output. Through experimental results, we show that different emotions are sensitive to different parts of the face.


Pathogens ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 30
Author(s):  
Donato Traversa ◽  
Simone Morelli ◽  
Angela Di Cesare ◽  
Anastasia Diakou

In the past decade cardiopulmonary nematodes affecting felids have become a core research topic in small animal parasitology. In the late 2000s, an increase in studies was followed by unexpected findings in the early 2010s, which have stimulated research teams to start investigating these intriguing parasites. Prolific scientific debate and exchanges have then fostered field and laboratory studies and epi-zootiological surveys. New data have improved basic and applied knowledge, solved dilemmas and posed new questions. This article discusses the past and present background to felid cardiopulmonary nematodes after the last few years of intense scientific research. New data which have demonstrated the key role of Aelurostrongylus abstrusus and Troglostrongylus brevior in causing respiratory infections in domestic cats, and on the nil to negligible current importance of other species, i.e., Troglostrongylus subcrenatus, Oslerus rostratus and Angiostrongylus chabaudi, are presented. Biological information and hypothesized alternative routes of infection are analysed and discussed. Novel identification and taxonomical data and issues are reported and commented upon. On the whole, recent biological, ecological and epi-zootiological information on felid meta-strongyloids is critically analysed, with the aim to answer outstanding questions, stimulate future studies, and underline new research perspectives.


Author(s):  
Richard Wennberg ◽  
Sukriti Nag ◽  
Mary-Pat McAndrews ◽  
Andres M. Lozano ◽  
Richard Farb ◽  
...  

A 24-year-old woman was referred because of incompletely-controlled complex partial seizures. Her seizures had started at age 21, after a mild head injury with brief loss of consciousness incurred in a biking accident, and were characterized by a sensation of bright flashing lights in the right visual field, followed by numbness and tingling in the right foot, spreading up the leg and to the arm, ultimately involving the entire right side, including the face. Occasionally they spread further to involve right facial twitching with jerking of the right arm and leg, loss of awareness and, at the onset of her epilepsy, rare secondarily generalized convulsions. Seizure frequency averaged three to four per month. She was initially treated with phenytoin and clobazam and subsequently changed to carbamazepine 800 milligrams per day. She also complained that her right side was no longer as strong as her left and that it was also numb, especially the leg, but felt that this weakness had stabilized or improved slightly over the past two years.


PMLA ◽  
1957 ◽  
Vol 72 (5) ◽  
pp. 977-996 ◽  
Author(s):  
Fraser Neiman

At least since Matthew Arnold exploited the term Zeitgeist in Literature and Dogma, the expression has been variously a source of irritation and confusion to a number of his critics. Identifying it with a tendency to disparage the past, an exasperated contemporary reviewer of that work in Blackwood's Edinburgh Magazine cried, “Can anything be more unscientific than such a spirit? It is the very apotheosis of self-opinion intoxicated by its own pride, and flaunting its own dogmatisms with a crude audacity in the face of preceding dogmas.” Among other critics of Arnold, R. H. Hutton protested that the Zeitgeist was a will-o'-the-wisp “who misleads us at least as much as he enlightens”; W. H. Dawson concluded that for Arnold it was “a fetish, a talisman, a thaumaturgy”; for W. H. Paul it became a bore; Hugh Kingsmill began his caricature of Don Matthew, “So forth he sallied, mounted on Zeit-Geist, a hobby horse.” Still others, less annoyed than these by the reiteration, have themselves borrowed it as they write of him—sometimes effectively, because with consistency of meaning, as H. F. Lowry in his edition of Arnold's letters to Clough; sometimes bewilderingly, as when one reads such a statement as this: “Expediency, which had become in Burke's hands an anti-revolutionary doctrine, was equated by Arnold with the Zeitgeist, a force which, in his conception of it, was quite as revolutionary as that of natural right.”


1979 ◽  
Vol 87 (4) ◽  
pp. 522-532 ◽  
Author(s):  
Jack R. Anderson ◽  
Calvin M. Johnson

The face-lift operation is not difficult for the well-trained otolaryngologist. However, as in every surgical procedure, there are certain techniques that facilitate its performance and improve results. This paper discusses some of these techniques that have been developed during the past 20 years.


Author(s):  
Graham Mooney

Demography and epidemiology tend to analyse human processes in the aggregate. This article illustrates that definitions of demography and epidemiology provide some understanding of how they are typically used in medical history. The influence of demographic and epidemiological transition theories is discussed. The article mentions that extensive research into fertility behaviour in the past has dismantled many aspects of demographic transition and reveals that epidemiological transition has proved more durable in the face of empirical testing, but it is nonetheless problematically hidebound to a narrative of progress and modernization. This article also focuses on the complicated relationship between migration and health and is considered crucial for understanding patterns of population growth, health, and illness. Finally, it outlines some of the ways that innovative research on life-course experiences and famine demography has shaken the trees of long-held medical historical assumptions.


2022 ◽  
Vol 9 (1) ◽  
pp. 56-57
Author(s):  
Jane Shulman ◽  
David Kenneth Wright

How can health care providers (HCPs) working with 2SLGBTQ+ patients enact a whole person care approach during the SARS-CoV-2 pandemic and its aftermath, and in such desperate times, is it even reasonable to expect them to? In this presentation, a nurse/nursing educator and a health care researcher/frequent patient discuss their observations and experiences of whole person care during the SARS-CoV-2 pandemic. The conversation highlights that in the immediate chaos early on, and in the face of exhaustion, trauma, and burnout as the pandemic progressed, attending to the whole personhood of patients was/is paramount for HCPs and for the people they treat. The presenters reflect on the amplified significance of a whole person approach for 2SLGBTQ+ people who may have had negative health care experiences in the past, and may fear that they will not receive equitable care in the chaotic context of a pandemic. A whole person care approach is perhaps most necessary when it is also most difficult. In a period of such profound distress, a deeper sense of connectedness to patients may help HCPs manage feelings of helplessness they are likely to encounter, and surely helps the people they treat. The goal of this presentation is to begin a discussion about the ways that whole person approaches benefit 2SLGBTQ+ patients as well as their HCPs, with the hope that it will spark ideas for attendees to develop in their own practices.


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