Medical Focus Journal

Hommage solennel à nos enseignants partis trop tôt..

2024-06-28T19:32:52+00:00

En tant que doyen de la faculté de médecine, c'est avec une profonde tristesse mêlée d'admiration que je m'adresse à vous, chers collègues, étudiants et membres de la communauté universitaire. La cérémonie de commémoration tenue récemment pour nos enseignants disparus prématurément a été un moment de grande émotion et de réflexion.

Ces hommes et femmes, qui ont consacré leur vie à l'enseignement et à la formation de générations de médecins, ont quitté ce monde bien trop tôt, nous laissant avec un sentiment de perte incommensurable.

Lors de cette cérémonie, chaque parole prononcée, chaque souvenir partagé, a résonné comme un rappel de l'importance vitale de notre mission éducative. Les visages de nos collègues disparus, projetés sur l'écran, ont ravivé des souvenirs précieux de leurs contributions exceptionnelles à notre faculté. Leur passion, leur dévouement et leur humanité ont marqué les esprits et continueront de guider nos pas.

Ces enseignants n'étaient pas seulement des transmetteurs de savoir ; ils étaient des mentors, des modèles et des sources d'inspiration pour nous tous. Ils ont su inculquer non seulement des connaissances médicales, mais aussi des valeurs d'empathie, de compassion et d'éthique, essentielles à l'exercice de notre profession.

Leur départ prématuré nous rappelle la fragilité de la vie et l'importance de chérir chaque moment.

La perte de ces enseignants nous force à nous interroger sur notre propre engagement et sur la manière dont nous perpétuons leur héritage. Nous devons continuer à promouvoir un environnement académique où l'excellence et l'humanité vont de pair.

En honorant leur mémoire, nous réaffirmons notre dévouement à former des professionnels de santé non seulement compétents, mais également empathiques et éthiques.

À la faculté de médecine, nous avons la responsabilité de veiller à ce que leur héritage perdure. Cela signifie soutenir nos collègues actuels, encourager la recherche et l'innovation en pédagogie, et promouvoir un environnement de travail où chacun se sent valorisé et soutenu. En nous engageant dans cette voie, nous honorons véritablement la mémoire de ceux que nous avons perdus.

Le symbolisme de nommer certaines structures de la faculté en leur mémoire est particulièrement poignant. Ces lieux serviront de rappel constant aux générations futures de l’héritage laissé par ces enseignants exceptionnels. Chaque salle, chaque bâtiment portant leur nom sera une marque de notre gratitude et un témoignage de leur impact durable

La cérémonie de commémoration a été un moment de profonde tristesse, mais aussi de célébration de vies bien vécues. Ces enseignants nous ont quittés trop tôt, mais leur héritage est indélébile. En tant que doyen, je m'engage à perpétuer leur esprit et à veiller à ce que leur passion pour l'enseignement continue d'inspirer et de guider notre faculté.

Nous devons transformer notre chagrin en action, notre douleur en motivation, pour honorer leur mémoire de la manière la plus significative possible : en poursuivant avec dévouement et passion notre mission éducative. À nos collègues disparus trop tôt, nous disons : vous vivez en nous, dans chaque leçon que nous enseignons, dans chaque étudiant que nous formons. Votre lumière continue de briller, et nous ferons en sorte qu'elle ne s'éteigne jamais.

Physicochemical characterization and determination of the required HLB value of Pistacia lentiscus fruit’s oil

2024-06-28T20:00:48+00:00

Pistacia lentiscus fruit’s oil is very known in traditional maghrebian medicine. The objective of this study is to investigate the physicochemical properties of lentisk oil such as quality and structure indices as well as pigment and phenolic content. The present study describes also the development of lentisk oil-based emulsions. The required HLB value was determined using a creaming index on emulsions prepared with emulsifier blends of varying HLB values. The HLB value of the emulsion with the least creaming index was taken as the required HLB. Based on this method, the required HLB value of lentisk oil was determined as 7.

Surgical treatment of flail chest: about 36 cases.

2024-06-28T20:32:32+00:00

The surgical treatment of flail chest remains the subject of much discussion. Our work consist of a retrospective, descriptive study of 36 cases of flail chest having benefited from surgical fixation. The follow operation was simple in the majority of cases. Although indications remain debated and provided indications are well defined, surgical procedures are simple and allow a benefit to be expected for the patient.

Characteristics of patients with Ankylosing Spondylitis in the wilaya of Tlemcen (Algeria).

2024-06-30T18:16:05+00:00

Background: Ankylosing spondylitis (AS) is the most severe form of the spondyloarthritis (SpA) group. In western Algeria, we have very little epidemiological data on the characteristics of patients with AS.

Objective: To determine the clinical, biological and radiological characteristics of patients with ankylosing spondylitis in the wilaya of Tlemcen.

Material and methods: descriptive cross-sectional study of patients with AS not associated with psoriasis and chronic inflammatory bowel disease, meeting the modified New York criteria, residing in the wilaya of Tlemcen over a three-year period from 2020 to 2022.

Results: 235 AS patients were included in the study, 153(65.1%) were male, mean age 39.83±11.72 years, mean age of onset 30.39±11.04 years. Juvenile onset was observed in 21 (8.9%) cases. The mean time to diagnosis was 5.7±5.54 years. HLAB27 antigen was present in 99(65.5%) of cases. Spinal deformity was common in 59(25.1%) of cases, coxitis in 82(34.9%), restrictive pulmonary syndrome in 57(24.3%) and uveitis in 35(14.9%). Radiographic structural damage was severe: mean BASRI spine 6.02±3.4, m SASSS 17.52±19.9, sacroiliac 2.74±0.86 and BASRI hip 2.76±1.025. More than half the patients 136 (58%) and 142 (60%) respectively had impaired functional status and poor quality of life.

Conclusion: Ankylosing spondylitis in the wilaya of Tlemcen predominates in young males. It has a severe clinical and radiological phenotype which could be explained by genetic factors: given the high frequency of the HLAB27 antigen, familial forms and the delay in diagnosis and treatment.

Video-workshop in the teaching of forensic medicine during the Covid-19 pandemic “alternative learning, serving educational continuity”, experience of the Faculty of Medicine, University of Tlemcen.

2024-06-30T18:59:31+00:00

Introduction: The impact of the Covid-19 pandemic has necessitated the use of digital technology to compensate for the closure of educational institutions. Distance learning has emerged as an alternative ensuring assurance and safety, leading to the concept of conducting remote workshops "Visio-workshops" aimed at mobilizing distance learners' knowledge to ensure pedagogical continuity in medicine.
Method: We used video conferencing via the Microsoft Teams electronic platform for remote clinical reasoning learning, known as 'Visio-ARC'."
Results: Visio-ARC enabled learners to successfully acquire and mobilize generic knowledge. The learning objectives set at the beginning of the ARC were fully achieved, with positive feedback from participants.
Conclusion: Visio-workshops have proven to be an effective learning alternative during the Covid-19 pandemic, ensuring learning within safety standards and facilitating the transfer of knowledge into practical skills.

Aromatherapy and periodontal diseases, a systematic review of Literature

2024-06-28T21:39:00+00:00

The World Health Organization (WHO) has reported that 90-95% of the population has signs of gingivitis in adults and children and 5-15% are affected by severe periodontitis. Essential oils offer many benefits in the treatment of oral infections, thanks to their anti-infectious, analgesic, and anti-inflammatory properties, they relieve pain and promote the healing of necrotic tissues.

The objective of this systematic review is to ensure rapid scientific access to the use of aromatherapy in the treatment of periodontitis and gingivitis.

It involved randomized and controlled clinical studies from the Direct Science and PubMed databases. It was carried out according to the guidelines of the PRISMA method and the PICO model. The methodological quality was assessed by the CONSORT scores.

Nineteen articles were selected, and 18 found that aromatherapy was effective in reducing the clinical signs of gingivitis, as well as bleeding. Essences of menthol, thymol, and eucalyptol were most represented. The CONSORT evaluation showed that 22 items were greater than 80%.

Aromatherapy can be an effective and complementary means in the management of oral diseases.

Osteo-articular disorders of the hand and aptitude for work: Aseptic osteonecrosis of the lunate (Kienbock's disease) and disability « about a case ».

2024-06-29T20:20:19+00:00

Introduction: The hand is frequently the site of work accidents. Occupational exposure to iterative microtrauma can cause Kienböck's syndrome and carpal osteoarthritis. The functional discomfort caused by these impairments can lead to a lasting disability, a source of unfitness for work.

Patient methods: This is a 50-year-old woman, employed in the post office, victim of a work accident, following a slip, which resulted in a poorly consolidated fracture of the left wrist. The diagnosis retained was in favor of Kienböck's disease, for which the emergency orthopedic treatment was content with a compression splint and provided for arthrodesis, in view of the risk of major evolution towards ankylosis and deformation of the hand in claw (poor prognosis).

Results and discussions: Working conditions: the patient is constrained in his workstation to pronation movements, flexion of the fingers, repetitive flexion of the left hand (left-handed +++), manipulating an automatic tool in order to introduce the codes of the courier to the file computer (Very high rate around 400 letters / day).

Conclusion: Many hand pathologies related to professional activity can benefit from a declaration as an occupational disease, allowing the patient to obtain compensation and job protection. The prevention of work-related hand injuries must be implemented by all health actors, particularly for professions and sectors of activity at risk. The occupational physician is a privileged interlocutor for assistance in maintaining the workplace.

Intraoperative diagnosis of gallbladder agenesis: patient wrongly operated on for gallbladder lithiasis

2024-06-29T20:34:28+00:00

Gallbladder agenesis is a rare congenital anomaly. A retrospective autopsy study reported prevalence of 0.03%, most often associated with other malformations. Only 23% of patients present with hepatic colic. The usual radiological assessment rarely mentions this diagnosis, instead interpreting the images observed as a sclero-atrophic vesicle. This results in unnecessary and potentially dangerous surgical treatment. It is therefore important to think about this diagnosis