Papers by mohamed berraho
General Hospital Psychiatry, 2005
Objective: We examined a group of patients awaiting interferon treatment for hepatitis C to estim... more Objective: We examined a group of patients awaiting interferon treatment for hepatitis C to estimate the prevalence and detection rates of and risk factors for mood disorders. Methods: The Structured Clinical Interview for DSM-IV Axis I Disorders: Clinician Version was used to detect psychiatric disorder. Selfcompletion instruments were used to rate symptom severity, subjective cognitive function, work and social adjustment, stigma, acceptance of illness and treatment satisfaction. Results: The 90 participants included 23 women (26%); 33 (37%) had contracted hepatitis C iatrogenically, 42 (47%) through injecting drug use and the remainder (17%) were of unknown origin. There was a 28% 1-month prevalence of depressive disorders, 72% of whom were previously undiagnosed, and a 24% prevalence of anxiety disorders, 86% previously undiagnosed. Current methadone maintenance was strongly associated with risk of depression (odds ratio, 5.0; 95% CI, 1.08-23.0). After adjustment for age and sex, depression was associated with poorer work and social adjustment, lower acceptance of illness, higher illness stigma, poorer reported thinking and concentration, and higher levels of subjective physical symptoms (all P b.05). Anxiety disorders were uncorrelated with any risk factor. Conclusions: Depression and anxiety have high prevalences in hepatitis C, and are largely undetected and treated. Depression, but not anxiety, is associated with adverse experiences of illness.
P-0045 Prognostic Factors in Advanced and Metastatic Gastric Cancer
Annals of Oncology, 2012
J. of Health Science, 2017
Studies conducted in many countries the world has shown that fatigued driving contributes to appr... more Studies conducted in many countries the world has shown that fatigued driving contributes to approximately 3%-30% of road accidents. We conducted this study to estimate the prevalence of fatigue among taxi drivers and to assess the determinant of fatigue among taxi drivers. In this cross-sectional study, 300 urban and rural taxi drivers from Fez, Morocco were enrolled from January to May 2013. The mean score of Pichot scale was 13.59 ± 8.23. The mean duration of sleep was 6.78 ± 1.47 h per day. The mean rate of accident was 2.78 ± 1.12 per year. At the final model of the multiple linear regression we found an association statistically significant between Pichot scale and income, cardiovascular disorders, tobacco use, problems with colleagues, regularity of sleep and sleeping at the wheel. This study opened the door to many discussions about the professional drivers' conditions of work and we can argue that we should ameliorate the professional drivers conditions of work in Morocco.
Metabolic syndrome in Moroccan patients with psoriasis
International Journal of Dermatology, 2015
Several recent reports have shown a significant association between psoriasis and metabolic syndr... more Several recent reports have shown a significant association between psoriasis and metabolic syndrome (MBS). The goal of this study was to investigate the prevalence of MBS and, in particular, the main factors that determine this syndrome in Moroccan patients with psoriasis. A case-control study has included 150 patients with psoriasis and 300 controls matched for age and sex, the MBS was defined according to the International Diabetes Foundation, and the severity of psoriasis was assessed by body surface area. Mild psoriasis was seen in 10.7%, 40.3% had moderate psoriasis, and 49% had severe psoriasis. MBS was higher in cases than in controls with statistical differences (44.7 vs. 2.7%, odds ratio [OR]: 26 CI: [12.4-54.3]; P = 0.000). Abdominal obesity and dyslipidemia were the only metabolic factors significantly related to psoriasis whereas diabetes, hypertension, smoking, alcohol consumption, and cardiovascular diseases were not significant. MBS increases with age in our patients with psoriasis, whereas there was no relationship between MBS and gender. Hypertension (P = 0.007), diabetes (P = 0.003), and increased level of triglycerides (P = 0.05) and high-density lipoprotein cholesterol (P = 0.003) were associated with the severity of psoriasis. Metabolic syndrome is an important comorbidity in patients with psoriasis, and vigilance and enhanced screening may be important in this population, especially patients with severe disease.
Reliability of self-report of cannabis use among patients with schizophrenia
Psychiatry Research, 2022
Quality of Life and Associated Factors in Patients Infected with Hepatitis B and C Virus in a Moroccan Region: A Cross-Sectional Study
OALib
Prevalence and Associated Factors with Anxiety and Depression in Patients with Systemic Lupus Erythematosus in a Moroccan Region
OALib, 2022
Avicenna Journal of Phytomedicine, 2020
Objective: Cannabis use is considered a major clinical problem associated with a poorer outcome i... more Objective: Cannabis use is considered a major clinical problem associated with a poorer outcome in patients with schizophrenia. The objective of the present study was to assess the prevalence of cannabis us among patients with schizophrenia. The assessment consists in comparing some factors related to substance use in a population of schizophrenic patients between cannabis users and non- Materials and Methods: Four hundred and three participants who were examined prospectively during their hospitalization answered the PANNS scale of schizophrenia, GAF, BIS-10, CDSS, and MARS. The consumption of cannabis was investigated using urine toxicological analysis. Sociodemographic, clinical and therapeutic data were also recorded. Results: The prevalence of cannabis use among schizophrenic inpatients was 49%. Patients with cannabis use were younger (31.7 vs 34.9 years old, p<0.001), more often male (52 vs 20% female, p<0.001), and they presented more often a history of imprisonment (68...
Cervical cancer in the Maghreb country (Morocco - Algeria - Tunisia) : epidemiological, clinical profile and control policy
La Tunisie medicale, 2018
INTRODUCTION Cervical cancer is a public health problem in the Maghreb countries with high mortal... more INTRODUCTION Cervical cancer is a public health problem in the Maghreb countries with high mortality and socio-economic impact. The objective of this subject is exposed the epidemiological profile, programs of prevention and the support of cervical cancer in Maghreb (Morocco, Tunisia and Algeria). METHODS To implement this work, we carried out research on morbidity and mortality; cancer plans for Maghreb countries (Morocco, Algeria and Tunisia); cervical cancer surveillance for each country; the prevention programs of cervical cancer including vaccination, screening, information campaigns, awareness and education; and research conducted in Morocco, Algeria and Tunisia. We interviewed databases (Pubmed, Sciences Direct etc.), ministerial website, World Health Organization website, foundations website and centers of cancer research. RESULTS The cervical cancer (CC) is diagnosed at advanced stages. The majority of patients are in advanced stages (stage II, III and IV). Regarding the hi...
La perception de la psychiatrie de liaison par les services médico-chirurgicaux, Fès, Maroc
Revue d'Épidémiologie et de Santé Publique, 2019
Resume Introduction Les recherches abordant la perception de la psychiatrie de liaison par les so... more Resume Introduction Les recherches abordant la perception de la psychiatrie de liaison par les soignants sont encore peu nombreuses au Maroc, la collaboration entre praticiens en psychiatrie de liaison s’avere necessaire et la perception des medecins influence leurs implications en psychiatrie de liaison. Objectifs Evaluer la perception de cette activite aupres des differents services medico-chirurgicaux, determiner l’implication, le niveau de collaboration et les attentes des praticiens, ainsi que les difficultes et les contraintes rencontrees. Methodologie Il s’agit d’une enquete realisee aupres du personnel medical au niveau du Centre hospitalier universitaire Hassan II de Fes en 2016, a travers un auto-questionnaire determinant la perception et la position des soignants a l’egard de la psychiatrie de liaison. Les donnees sont recueillies a l’aide d’un auto-questionnaire anonyme, comprenant 27 items. Nous avons inclus dans cette etude une population ciblee : les internes, les residents et les professeurs. Resultats La population totale des soignants participant a cette enquete est de 615 medecins, dont 111 professeurs, 436 residents, et 68 internes. Le taux de participation a ete de 80,32 %, l’âge moyen etait de 30,25 ans, avec 47,6 % (236) de femmes et 52,4 % (258) d’hommes. Le pourcentage des medecins ayant obtenu leurs doctorats en medecine au Maroc est de 89,3 % dont 85,9 % a la faculte de medecine de Fes et 92,3 % avaient beneficie d’un stage unique au service de psychiatrie au cours de leurs cursus universitaires, alors que 98,7 % n’ont jamais recu une formation continue dans le domaine de la psychiatrie. La moitie des medecins repondeurs jugent avoir des difficultes a prendre en charge les troubles psychiatriques sur le plan diagnostique, et 59,5 % (292) trouvent des difficultes pour traiter les patients avec des troubles psychiatriques, alors que 90 % (444) jugent ne pas pouvoir faire le suivi therapeutique. Seulement 35,6 % des medecins enquetes sont informes sur la mise en place de la psychiatrie de liaison mais seulement 10 % de ces medecins sont renseignes sur les modalites de deroulement de la demande de l’avis psychiatrique. Devant un trouble psychiatrique, 98 % des medecins gerent la situation en demandant un avis psychiatrique, cette demande est estimee urgente dans 87,1 % des cas. Les raisons de la non-sollicitation du psychiatre sont partagees entre les difficultes a reperer un trouble psychiatrique (51 %) et les difficultes liees a la demande de l’avis (49 %). Conclusion Notre etude a montre plusieurs difficultes percues par les praticiens, que ca soit pour le diagnostic, pour le traitement ou pour le suivi des patients qui presentent des manifestations psychiatriques. La collaboration entre differents praticiens constitue une obligation dans la prise en charge des patients. L’amelioration des connaissances a travers la sensibilisation et l’organisation de journees scientifiques regroupant les differentes specialites aidera a ameliorer la perception des medecins.
Le cancer du col représente un problème de santé publique au Marco. L’objectif principal de cette... more Le cancer du col représente un problème de santé publique au Marco. L’objectif principal de cette thèse est d’améliorer les connaissances sur le cancer du col de l’utérus au Maroc en terme d’épidémiologie descriptive et analytique notamment par l’étude des principaux facteurs associés à ce cancer, son retard de diagnostic et sa prise en charge.Méthodologie Pour répondre à notre objectif, trois études ont été menées. La première étude, rétrospective sur dossier d’hospitalisation, sur les stades de diagnostic et les résultats des traitements du cancer du col. La deuxième étude, transversale, sur les facteurs liés au retard de diagnostic du cancer du col et la troisième étude, cas-témoins multicentrique avec appariement individuel sur l’âge, sur les facteurs de risque du cancer du col de l’utérus. Résultats La première étude a montré la vulnérabilité socioéconomique de la population des femmes atteintes de cancer du col et a mis le point sur les problèmes du retard de diagnostic et de ...
Knowledge of risk factors and screening practices of breast cancer in Rural area; Taounate province
Summary Introduction: In Morocco, breast cancer accounts for 34.3% of all female cancers. Its sta... more Summary Introduction: In Morocco, breast cancer accounts for 34.3% of all female cancers. Its standardized incidence is 30 per 100,000 women per year. The objective of this study was to test the knowledge of women about breast cancer risk factors and modes of detection of this cancer. Methodology: This was a cross sectional study conducted between May and June 2013 among women living in rural areas of the province of Taounate. Results: The average age of the participants was 42, 2±14, 66 years. They were married (54%), with no professional activity (83.30%), medium socioeconomic level (67.33%) uneducated (62.67%), without health insurance (68.67%) and had a history of breast cancer (4.67%). 76.67% of women were informed about breast cancer and the dominant source was medical staff (48.7%). advanced age was the best known risk factor (76%) and abnormal breast enlargement was the best known symptom (74.7%). Self-examination of the breasts was practiced in 62.7%. A statistically signif...
Page number not for citation purposes 1 Digestive cancers in Morocco: Fez-Boulemane region
To describe the epidemiological and pathological aspects of gastrointestinal cancers in Fez-Boule... more To describe the epidemiological and pathological aspects of gastrointestinal cancers in Fez-Boulemane.
Study)
Background: In Morocco, there are no studies that focused on the hypertension and its associated ... more Background: In Morocco, there are no studies that focused on the hypertension and its associated risk factors through patients with type 2 diabetes. Different findings show that the frequency of type 2 diabetes has risen rapidly in Morocco. The main objective of this study was to assess the prevalence of hypertension and its associated risk factors among a group of patients with type 2 diabetes and to examine the level of control of hypertension among type 2 diabetic patients with hypertension. Methods: A cross-sectional study was carried out on 525 type 2 diabetics in three Moroccan regions. The structured questionnaire was used to gather information on sociodemographic variables, history of hypertension, use of anti-hypertensive medications and duration of diabetes. Anthropometric measurements including weight and height were measured by trained staff. Blood pressure was measured using standardized sphygmomanometers. Results: The prevalence of hypertension was 70.4%. The logistic ...
Santé Publique, 2013
Introduction : l'objectif principal de ce travail est de décrire les connaissances et les pratiqu... more Introduction : l'objectif principal de ce travail est de décrire les connaissances et les pratiques vis-à-vis du cancer du col de l'utérus (CCU) et de l'infection à l'Human Papilloma Virus (HPV) des médecins généralistes exerçant aux centres de santé du réseau de soins de santé de base (RSSB). Méthodologie : étude transversale menée auprès des médecins généralistes exerçant dans tous les centres de santé de la Wilaya de Fès pendant le mois de mai 2010. Le recueil de l'information a été réalisé par un questionnaire auto-administré. Résultats : le taux de réponse était de 77,7 %. Seulement 25,6 % des médecins rapportent connaître la technique du frottis cervico-vaginal (FCV) et 7,9 %, toutes des femmes, pratiquent eux-mêmes les FCV. Les raisons de la non pratique du FCV se répartissent principalement entre l'absence de formation (69,0 %) et le manque de moyen de diagnostic (24,0 %). 89,0 % pensent que les antécédents familiaux de CCU représentent un facteur de risque, tous les médecins rapportent que les infections sexuellement transmissibles et la multitude des partenaires sexuels représentent des facteurs de risque du CCU, 94,9 % pensent que l'âge précoce du premier rapport sexuel est un facteur de risque et 97,4 % rapportent que les condylomes génitaux représentent un facteur de risque.76,4 % déclarent connaître l'existence d'un vaccin anti-HPV. Conclusion : le niveau de connaissances épidémiologiques des médecins exerçant dans le RSSB, sur le CCU et l'HPV, est relativement modeste et leur participation aux actions de dépistage et de diagnostic du CCU est assez faible. Des actions de formation et de sensibilisation sont très recommandées.
Les problèmes de mise en oeuvre d'un SIH
ABSTRACT
Facteurs de risque cardiovasculaire chez le patient diabétique de type 2 marocain
Revue d'Épidémiologie et de Santé Publique, 2009
[Cancer screening practices of general practitioners working in the Fez Prefecture health center]
Santé publique (Vandoeuvre-lès-Nancy, France)
General practitioners can play a key role in prevention and early detection of cancer. The aim of... more General practitioners can play a key role in prevention and early detection of cancer. The aim of this study was to assess their current clinical practices concerning risk factors such as smoking, alcohol, diet and cancer screening. A self-administered questionnaire was sent to GPs working at the Fez Prefecture health centre (Morocco).Questions concerned primary prevention (smoking, alcohol, diet, sun exposure) and cancer screening (breast, uterine cervix, colon-rectum, prostate, skin cancers). The participation rate was 75.8%. The average age of GPs was 45.6 ± 6.8 years and 53.8% were female. Monitoring training on cancer prevention was reported by 25.6% of GPs. We noted a great diversity for screening, even for cancers with a consensus concerning the role of screening, such as breast, and uterine cervix cancers. Many physicians reported ordering prostate- specific antigen tests (70.2%) but only 6.7% ordered faecal occult blood tests. This study emphasizes the need to improve the g...
The Pan African medical journal, 2012
Although tuberculosis (TB) care is provided free of charge in Morocco, a high number of patients ... more Although tuberculosis (TB) care is provided free of charge in Morocco, a high number of patients voluntarily interrupt their treatment before the end. Treatment Default is a major obstacle in the fight against the disease. The purpose of this study was to describe the impact of knowledge and attitudes toward TB on treatment adherence. Case-control study of 290 TB patients (85 defaulters and 205 controls). A defaulter was defined as a TB patient who interrupted treatment for two months or longer. Socio-demographic measurements, knowledge and attitude were collected by face to face anonymous questionnaire. Khi-square test was conducted to examine differences in TB attitudes and knowledge according to treatment adherence. The mean age of participants was 31.7 ± 12.0 years. Monthly income was under 2000 MAD (180 €) for 82% of them. Over sixty four percent were illiterate or had a basic educational level. Microbial cause was known by 17.2% respondents; 20.5% among adherent patients versu...
Revue d'Épidémiologie et de Santé Publique, 2013
Projet européen franco-suédois Comenius Regio « Triple Confiance » retenu. Cadre.-Servir l'enseig... more Projet européen franco-suédois Comenius Regio « Triple Confiance » retenu. Cadre.-Servir l'enseignement scolaire dans un territoire donné grâce à un partenariat entre une ou des collectivité(s) territoriale(s) (Département de l'Hérault, France/Ville de Lidingö, Suède), un ou des établissement(s) scolaire(s) (Direction Académique des services de l'Education Nationale (DASEN)-collèges héraultais/District scolaire de Käppala) et un ou des organisme(s) informel(s) d'éducation (Instance régionale d'éducation pour la santé du Languedoc-Roussillon-Ireps/Centre municipal de santé de Lidingö). Début 1 er août 2011-fin 31 juillet 2013. Résultats.-Mobilités d'une délégation française et d'une délégation suédoise respectivement en Suède et en France : visites et rencontres (automnes 2011 et 2012 ; printemps 2012 et 2013). Manuel : approche systémique de la confiance ; proposition de mesures pour contextualiser ce concept concrètement à partir du pôle scolaire qui, par ricochet, doit impacter le pôle familial et celui des espaces publics. Étude en janvier 2013 auprès de collégiens français et suédois avec rédaction d'un protocole de recherche. Mise en place d'un cycle de conférence (première : le 18 avril 2013 à Montpellier) ayant pour thème la confiance, en partenariat, avec, en particulier, la DASEN, l'agence régionale de la santé du Languedoc-Roussillon, la Caisse primaire d'assurancemaladie, l'Institut Confiances, la Poste, Hérault Sport, le Centre départemental et régional de la médecine du sport du Languedoc Roussillon. Outils numériques : www.institut-confiances.org [http://www.institut-confiances.org/]. Élargissement du partenariat, en particulier avec l'institut confiances (formation, sept groupes de travail, recherche sur les déterminants de la confiance) et l'Observatoire régional Rhône-Alpes sur la souffrance psychique en rapport avec l'exclusion (ORSPERE) devenu en 2002, au regard de ses activités nationales, l'Observatoire national des pratiques en santé mentale et précarité (ONSMP)-www.orspere.fr.
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Papers by mohamed berraho