Algeria

阿尔及利亚
  • 文章类型: Journal Article
    阿尔及利亚东北部拥有众多温泉,然而,这些热液场所在很大程度上仍未探索其微生物生态。本研究探讨了两个不同的阿尔及利亚温泉(HammamamSaida和HammamDebagh)中的细菌丰度和多样性,并研究了盛行细菌与地球化学参数之间的联系。水和沉积物样品的高通量16SrRNA基因测序显示,在两个春季,细菌的优势均为99.85-91.16%,而古菌(0.14-0.66%)。有趣的是,赛达温泉,具有较高的温度和钠含量,藏有一个由Pseudomonadota(51.13%)主导的社区,而Debagh,Ca-Cl-SO4型弹簧,主要由芽孢杆菌居住,占55.33%。拟杆菌在两个站点上的分布均匀。额外的门,包括氯氟科,Deinococcota,蓝细菌,和叶绿素,也在场。环境因素,特别是温度,钠,钾,和碱度,显著影响细菌多样性和组成。这些发现揭示了不同微生物群落及其相关地球化学性质之间的相互作用,为未来在不同环境条件驱动的这些独特生态系统中的生物地球化学过程的研究提供有价值的见解,包括在生物修复和酶发现中的潜在应用。
    Northeastern Algeria boasts numerous hot springs, yet these hydrothermal sites remain largely unexplored for their microbial ecology. The present study explores the bacterial abundance and diversity within two distinct Algerian hot springs (Hammam Saïda and Hammam Debagh) and investigates the link between the prevailing bacteria with geochemical parameters. High-throughput 16S rRNA gene sequencing of water and sediment samples revealed a bacterial dominance of 99.85-91.16% compared to Archaea (0.14-0.66%) in both springs. Interestingly, Saïda hot spring, characterized by higher temperatures and sodium content, harbored a community dominated by Pseudomonadota (51.13%), whereas Debagh, a Ca-Cl-SO4 type spring, was primarily populated by Bacillota with 55.33%. Bacteroidota displayed even distribution across both sites. Additional phyla, including Chloroflexota, Deinococcota, Cyanobacteriota, and Chlorobiota, were also present. Environmental factors, particularly temperature, sodium, potassium, and alkalinity, significantly influenced bacterial diversity and composition. These findings shed light on the interplay between distinct microbial communities and their associated geochemical properties, providing valuable insights for future research on biogeochemical processes in these unique ecosystems driven by distinct environmental conditions, including potential applications in bioremediation and enzyme discovery.
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  • 文章类型: Journal Article
    传染性海绵状脑病(TSEs)是一种致命的神经退行性疾病,包括人类的克雅氏病,绵羊和山羊的瘙痒病,牛海绵状脑病(BSE),和其他几个以及最近描述的骆驼朊病毒病(CPD)。在阿尔及利亚Ouargla地区的死前屠宰场检查中,最初记录了CPD的3.1%的骆驼。在确认CPD的三个人中,对两个朊病毒蛋白基因(PRNP)的外显子3进行了测序,并且与先前报道的骆驼目的序列相同。鉴于其他TSE,比如疯牛病,已知能够跨物种传播,并且有家庭消费来自骆驼的肉和牛奶,确保骆驼和人类健康的法规应成为出口国的“一个健康”优先事项。尽管CPD的种间传播性目前尚不清楚,骆驼PRNP的基因型表征可用于预测对CPD的易感性和潜在易感性。在这里,对来自先前遗传(线粒体DNA和微卫星)和形态学研究的八种单峰骆驼进行了PRNP基因分型,并与CPD阳性阿尔及利亚骆驼的基因型进行了比较。PRNP的序列数据表明,埃塞俄比亚骆驼与阿尔及利亚的CPD阳性骆驼具有100%的序列同一性。此外,与Cetartiodactyla和Perissodactyla的其他成员相比,骆驼PRNP基因型是独特的,并提供了对Cetartiodactyla和Perissodactyla家族的深入系统发育分析,该分析用于推断PRNP基因的进化史。
    Transmissible spongiform encephalopathies (TSEs) are a fatal neurogenerative disease that include Creutzfeldt-Jakob disease in humans, scrapie in sheep and goats, bovine spongiform encephalopathy (BSE), and several others as well as the recently described camel prion disease (CPD). CPD originally was documented in 3.1% of camels examined during an antemortem slaughterhouse inspection in the Ouargla region of Algeria. Of three individuals confirmed for CPD, two were sequenced for the exon 3 of the prion protein gene (PRNP) and were identical to sequences previously reported for Camelus dromedarius. Given that other TSEs, such as BSE, are known to be capable of cross-species transmission and that there is household consumption of meat and milk from Camelus, regulations to ensure camel and human health should be a One Health priority in exporting countries. Although the interspecies transmissibility of CPD currently is unknown, genotypic characterization of Camelus PRNP may be used for predictability of predisposition and potential susceptibility to CPD. Herein, eight breeds of dromedary camels from a previous genetic (mitochondrial DNA and microsatellites) and morphological study were genotyped for PRNP and compared to genotypes from CPD-positive Algerian camels. Sequence data from PRNP indicated that Ethiopian camels possessed 100% sequence identity to CPD-positive camels from Algeria. In addition, the camel PRNP genotype is unique compared to other members of the Orders Cetartiodactyla and Perissodactyla and provides an in-depth phylogenetic analysis of families within Cetartiodactyla and Perissodactyla that was used to infer the evolutionary history of the PRNP gene.
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  • 文章类型: Journal Article
    这项研究的主要目的是评估生物活性和多糖组成,随着抗氧化和抗菌的潜力,从阿尔及利亚东北海岸收集的五种海藻。通过傅里叶变换红外光谱分析和X射线荧光光谱分析,该研究调查了这些海藻的元素组成及其化学结构。此外,这项研究通过使用先进的方法,如串联质谱和超高效液相色谱法,比较和鉴定了收集的海藻的生化组成,它寻找有营养价值的化合物的新来源。根据研究结果,马尾藻含有最高水平的可提取生物活性化合物,显示酚类化合物含量为235.67±1.13µgGAE·mg-1,总糖含量为46.43±0.12%DW。无论是S.muticum和双歧杆菌都有高浓度的良好的多酚,比如香兰素和chrysin.使褐藻与众不同的另一个特征是它们的组成。结果表明,紫花苜蓿的提取生物活性化合物含量为12.07%,清除ABTS自由基的能力为78.65±0.96µg·mL-1,具有较高的抗氧化活性。在抗菌活性方面,S.muticum海藻表现出优异的生长抑制。总之,被调查的所有五种海藻都表现出独特的优势,突出了这些海藻的各种有利特性,尤其是S.muticum。
    The main goal of this study was to assess the bioactive and polysaccharide compositions, along with the antioxidant and antibacterial potentials, of five seaweeds collected from the northeastern coast of Algeria. Through Fourier transform infrared spectroscopy analysis and X-ray fluorescence spectroscopy, the study investigated the elemental composition of these seaweeds and their chemical structure. In addition, this study compared and identified the biochemical makeup of the collected seaweed by using cutting-edge methods like tandem mass spectrometry and ultra-high-performance liquid chromatography, and it searched for new sources of nutritionally valuable compounds. According to the study\'s findings, Sargassum muticum contains the highest levels of extractable bioactive compounds, showing a phenolic compound content of 235.67 ± 1.13 µg GAE·mg-1 and a total sugar content of 46.43 ± 0.12% DW. Both S. muticum and Dictyota dichotoma have high concentrations of good polyphenols, such as vanillin and chrysin. Another characteristic that sets brown algae apart is their composition. It showed that Cladophora laetevirens has an extracted bioactive compound content of 12.07% and a high capacity to scavenge ABTS+ radicals with a value of 78.65 ± 0.96 µg·mL-1, indicating high antioxidant activity. In terms of antibacterial activity, S. muticum seaweed showed excellent growth inhibition. In conclusion, all five species of seaweed under investigation exhibited unique strengths, highlighting the variety of advantageous characteristics of these seaweeds, especially S. muticum.
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  • 文章类型: Journal Article
    在阿尔及利亚,抗生素耐药性问题正在上升,金黄色葡萄球菌感染是医院获得性感染的重要问题。这种细菌中抗生素抗性的出现提出了世界性的挑战。这项研究的目的是确定金黄色葡萄球菌菌株在阿尔及利亚的发病率,并根据“mecA”和“nuc”基因鉴定表型和基因型抗性。从2014年到2017年,在鲁伊巴市的一家医院从患者中分离出了185株金黄色葡萄球菌,阿尔及尔的分离株数量略高于男性,为58.06%,女性为41.94%,导致性别比例为1.38。苯唑西林和头孢西丁DD试验(1μg苯唑西林片和30μg头孢西丁片)鉴定出42株耐药菌株。结果表明对内酰胺类抗生素有很高的耐药性,青霉素有100%的耐药率。对苯唑西林(51.25%)和头孢西丁(50%)也存在显着的耐药性。这种耐药性通常与对其他抗生素类别的耐药性有关,如氨基糖苷类(50%)和大环内酯类(28.29%)。为了确认耐甲氧西林的特性,在表型水平上对10个分离株(6个SARM;4个MSSA)进行了聚合酶链反应(PCR)多重反应。三个分离株的mecA检测呈阳性,“而7是阴性的。所有菌株都携带nuc基因,这是金黄色葡萄球菌特有的。在阿尔及利亚,金黄色葡萄球菌耐药性的发生率略低于其他国家,但随着时间的推移,它正在增加。现在比以往任何时候都更重要的是限制多药耐药菌株的增殖并减少过度的抗生素处方。为了实现这一点,保持这种细菌的流行病学及其抗生素敏感性的最新信息至关重要。这将有助于制定适当的预防控制措施来管理其进展。
    In Algeria, the issue of antibiotic resistance is on the rise, being the Staphylococcus aureus infection as a significant concern of hospital-acquired infections. The emergence of antibiotic resistance in this bacterium poses a worldwide challenge. The aim of this study aims to establish the incidence of S aureus strains in Algeria as well as identify phenotypic and genotypic resistance based on the \"mecA\" and \"nuc\" genes. From 2014 to 2017, a total of 185 S aureus strains were isolated from patients at a hospital in the city of Rouïba, Algiers the number of isolates was slightly higher in males at 58.06% compared to females at 41.94%, resulting in a sex ratio of 1.38. the Oxacillin and Cefoxitin DD test (1 μg oxacillin disk and 30 μg cefoxitin disk) identified 42 strains as resistant. The results indicated high resistance to lactam antibiotics, with penicillin having a 100% resistance rate. There was also significant resistance to oxacillin (51.25%) and cefoxitin (50%). This resistance was frequently associated with resistance to other antibiotic classes, such as aminoglycosides (50%) and Macrolides (28.29%). To confirm methicillin-resistant characteristics, a polymerase chain reaction (PCR) multiplex was conducted on 10 isolates (6 SARM; 4 MSSA) on a phenotypic level. Three isolates tested positive for \"mecA,\" while 7 were negative. All strains carry the nuc gene, which is specific to S aureus. In Algeria, the incidence of S aureus resistance is slightly lower compared to other countries, but it is increasing over time. It is now more crucial than ever to restrict the proliferation of multidrug-resistant strains and reduce undue antibiotic prescriptions. To achieve this, it is vital to keep updated on the epidemiology of this bacterium and its antibiotic susceptibility. This will enable the formulation of appropriate preventive control measures to manage its progression.
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  • 文章类型: Journal Article
    铅中毒,目前被认为是一个真正的公共卫生问题,世界卫生组织将铅列为10种引起严重公共卫生关注的化学物质之一。在阿尔及利亚和北非,到目前为止,在国家一级没有进行过铅浸渍评估的研究。这项工作的主要目的是评估一般阿尔及利亚人口对铅的暴露程度。在整个阿尔及利亚国家领土上进行了横断面研究,年龄在3至74岁之间的人群。调查持续了三年,一份问卷,对每个人进行临床检查和血液样本。使用广义线性回归模型来确定影响血液样本中测得的铅水平的因素。研究人群,分布在39个wilayas和121个地区,由3674人组成。平均铅含量为28.27μg/L,中位数为22.22μg/L,第95百分位数为73.83μg/L,血铅水平受年龄的影响不同,性别,wilaya的居住,饮食习惯,例如罐头食品的消费以及日常用水的保存方式。已确认使用kohl是铅暴露的潜在来源。在阿尔及利亚,75µg/L的血铅值作为参考暴露值,指导公共卫生应对措施和风险管理战略,已发布建议,以减少阿尔及利亚普通人群的血铅水平,以限制暴露源中的铅,安装有效的健康监测系统。
    Lead poisoning, is currently recognized as a real public health problem, The WHO classifies lead as one of 10 chemicals of serious public health concern. In Algeria and North Africa, to date, no study on the evaluation of lead impregnation has been carried out at the national level. The main objective of this work is to assess the exposure of the general Algerian population to lead. A cross-sectional study was carried out over the entire Algerian national territory, on a population aged between 3 and 74 years old. The survey lasted three years, A questionnaire, a clinical examination and a blood sample were carried out for each individual. Generalized linear regression models were used to determine the factors influencing lead levels measured in blood samples. The study population, spread over 39 wilayas and 121 districts, consists of 3674 individuals. The mean lead levels were 28.27 μg/L, the median was 22.22 μg/L, and the 95th percentile was 73.83 μg/L, Blood lead levels were influenced differently by age, gender, wilaya of residence, dietary habits such as consumption of canned food and the way in which water is conserved for daily consumption. The use of kohl has been confirmed as a potential source of lead exposure. In Algeria, a blood lead value of 75 µg/L serves as the Reference Exposure Value, guiding public health responses and risk management strategies, Recommendations have been issued to reduce the blood lead levels of the general population in Algeria in terms of limitation of lead in the sources of exposure, installation of an effective health monitoring system.
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  • 文章类型: Journal Article
    禽流感α-流感病毒(AIV)对家禽造成巨大影响,主要针对呼吸道进行病毒复制。最近,两次重大的H5N8和H5N1疫情在阿尔及利亚家禽中造成了巨大损失。过去没有见过的临床症状并没有促使迅速反应来控制流行病。我们在此报告这些暴发的特征以及阿尔及利亚AIV的流行病学状况。尸检观察后,从靶器官采集样品,并通过经典的实时逆转录聚合酶链反应(RRT-PCR)进行分析。特异性PCRHA和NA鉴定用于H5和N1/N8基因的亚型分型。在出血性和充血性气管的上呼吸道中观察到系统性损伤,肺,proventricuus,gut,gut盲肠扁桃体是血腥的。在77例阳性病例中,有13例是H5N8,8例H5N1和10例H5Nx菌株。考虑到严重的器官损伤和高死亡率,这些发现提出了有关该菌株的致病型的问题。
    Avian Alpha-influenza-virus (AIV) massively affects poultry, targeting mainly the respiratory tract for virus replication. Recently, two major H5N8 and H5N1 outbreaks caused tremendous losses in Algerian poultry. The clinical symptoms that had not been seen in the past didn\'t prompt a rapid reaction to control the epidemics. We report here the characteristics of these outbreaks and the epidemiological status of AIV in Algeria. Following autopsy observation samples from target organs were taken and analyzed by the classical real-time reverse transcription polymerase chain reaction (RRT-PCR). Specific PCR HA and NA identification was used for subtyping H5 and N1/N8 genes. Systemic damage was observed in the upper-respiratory tracts with hemorrhagic and congestive tracheas, lungs, proventriculus, gut, and cecal tonsils were bloody. Out of 77 positive cases 13 were H5N8, 8 H5N1, and 10 H5Nx strains. These findings raise questions about the strain\'s pathotype considering severe organ damage and high mortality.
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  • 文章类型: Journal Article
    全球,大多数国家正在积极制定战略,以应对与不受管制和无法控制的发展有关的挑战,环境质量的下降和宝贵的农业用地的枯竭。这导致人们越来越重视了解土地利用和土地覆盖。为了确定更好的土地利用政策,立法者和规划者需要了解农业和城市土地的当前分布,以及它们比例变化的信息。我们的方法结合了以四个主要主题为中心的数据——地质学,坡度,水文网络和土地利用-为了在Tamlouka盆地的目标农业研究区域中利用分类器的互补性,阿尔及利亚。Landsat8OLI-TIR多光谱图像和航天飞机雷达地形任务(SRTM-1arcv3)被实验用于分类和数字高程模型(DEM)分析。通过将决策树分类的结果与验证样本进行比较来确认分类的准确性。来自不同方法的几种分类图的组合结果表明,Tamlouka冲积平原,面积为19,300公顷,平均坡度小于2°,通过水文网络排出围绕它的高架浮雕。平原占流域总面积的37%,超过60%用于作物种植,不管当时农业轮作的休耕土地面积。坡度已被确定为决定研究区域土地利用方式的关键因素。该结果可用于预期流域管理。
    Worldwide, the majority of countries are actively devising strategies to address the challenges associated with unregulated and unmanageable development, the decline in environmental quality and the depletion of valuable agricultural land. This has led to a growing emphasis on understanding land use and land cover. In order to determine a better land use policy, legislators and planners need to know the current distribution of agricultural and urban lands, as well as information about changes in their proportions. Our approach combines data centred on main four themes-geology, slope gradient, hydrographic network and land use-in order to exploit classifier complementarities in our targeted agricultural study area of Tamlouka Basin, Algeria. Landsat 8 OLI-TIRs multispectral imagery and Shuttle Radar Topography Mission (SRTM-1arc v3) were used experimentally for classification and Digital Elevation Model (DEM) analysis. The classification\'s accuracy is confirmed by comparing the results of the decision tree classification with the validation samples. Results of the combination of several maps of classifications from the different methods show that the Tamlouka alluvial plain, having an area of 19,300 ha and an average slope gradient of less than 2°, drains the elevated reliefs that surround it via hydrographic network. The plain occupies 37% of the total basin area, with over of 60% being used for crop cultivation, regardless of fallow land areas in agricultural rotation at that time. The slope has been identified as a crucial factor determining land use patterns in the study area. This result can be used in prospective watershed management.
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  • 文章类型: Journal Article
    背景:金黄色葡萄球菌可以定殖和感染多种动物物种。在奶牛群中,它是乳腺炎病例的主要原因之一。这项研究的目的是表征从位于阿尔及利亚两个省(TiziOuzou和Bouira)的249头健康奶牛和21个奶牛场的21个饲养员的鼻拭子中回收的金黄色葡萄球菌分离物。
    方法:采用多重PCR检测肠毒素基因。通过圆盘扩散法测定了回收的分离株对8种抗菌剂的抗性。使用刚果红琼脂(CRA)和微量滴定板测定法评估金黄色葡萄球菌分离株的粘液产生和生物膜形成。通过spa分型和多基因座序列分型(MLST)对选定的分离株进行了分子表征。
    结果:S.在奶牛和饲养者的30/249(12%)和6/13(28.6%)的鼻拭子中检测到金黄色葡萄球菌,分别,从阳性样本中回收了72株分离株(59株来自奶牛,13株来自育种者)。其中26株(36.1%)含有葡萄球菌肠毒素编码基因,包括17/59(28.8%)来自奶牛的分离株和9/13(69.2%)来自育种者。此外,49.1%和92.3%的分离株来自奶牛和饲养员,分别,表现出青霉素抗性。所有分离物被认为是甲氧西林敏感(MSSA)。来自奶牛的分离物中有45个(76.3%)是粘液生产者,其中52个(88.1%)具有在微量滴定板中形成生物膜的能力。在两个农场中观察到可能的人畜共患传播的证据,因为在这些农场中从奶牛和育种者中回收的金黄色葡萄球菌分离株属于相同的克隆谱系(CC15-ST15-t084或CC30-ST34-t2228)。
    结论:尽管本研究中的健康母牛没有耐甲氧西林金黄色葡萄球菌分离株,健康奶牛的鼻孔可能是产肠毒素和产生生物膜的分离株的储库,这可能对人类和动物健康产生影响。
    BACKGROUND: Staphylococcus aureus can colonize and infect a variety of animal species. In dairy herds, it is one of the leading causes of mastitis cases. The objective of this study was to characterize the S. aureus isolates recovered from nasal swabs of 249 healthy cows and 21 breeders of 21 dairy farms located in two provinces of Algeria (Tizi Ouzou and Bouira).
    METHODS: The detection of enterotoxin genes was investigated by multiplex PCRs. Resistance of recovered isolates to 8 antimicrobial agents was determined by disc-diffusion method. The slime production and biofilm formation of S. aureus isolates were assessed using congo-red agar (CRA) and microtiter-plate assay. Molecular characterization of selected isolates was carried out by spa-typing and Multi-Locus-Sequence-Typing (MLST).
    RESULTS: S. aureus was detected in 30/249 (12%) and 6/13 (28.6%) of nasal swabs in cows and breeders, respectively, and a total of 72 isolates were recovered from positive samples (59 isolates from cows and 13 from breeders). Twenty-six of these isolates (36.1%) harbored genes encoding for staphylococcal enterotoxins, including 17/59 (28.8%) isolates from cows and 9/13 (69.2%) from breeders. Moreover, 49.1% and 92.3% of isolates from cows and breeders, respectively, showed penicillin resistance. All isolates were considered as methicillin-susceptible (MSSA). Forty-five (76.3%) of the isolates from cows were slime producers and 52 (88.1%) of them had the ability to form biofilm in microtiter plates. Evidence of a possible zoonotic transmission was observed in two farms, since S. aureus isolates recovered in these farms from cows and breeders belonged to the same clonal lineage (CC15-ST15-t084 or CC30-ST34-t2228).
    CONCLUSIONS: Although healthy cows in this study did not harbor methicillin-resistant S. aureus isolates, the nares of healthy cows could be a reservoir of enterotoxigenic and biofilm producing isolates which could have implications in human and animal health.
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  • 文章类型: Journal Article
    尽管存在编码良好的适应症,由于患者可能会遭受美学和道德损害,因此在眼科中进行肢解手术并不是一个容易的决定。在无功能的情况下,这种手术应被视为最后的手段,疼痛和难看的眼睛或在存在肿瘤的情况下,并且在所有保守的替代方案都用尽之后。这项研究旨在确定可能有利于眼内脏切除的因素,这是上述手术中损坏最少的,通过确定患者的流行病学和临床方面。此外,这项研究的结果将作为流行病学监测的起点,并将指导预防活动和防治失明。
    我们对特莱姆森TidjaniDamardji博士大学医院中心眼科档案的病历进行了详尽的回顾性研究,奥兰·哈穆·布特莱利斯眼科专科医院的建立,OranFrontdemer眼科专业医院和Bejaia大学医院中心(FranzFanon单位),为了明确2008年1月1日至2014年12月31日在阿尔及利亚北部进行眼内脏切除的患者的流行病学-临床特征.
    我们确定了136名患者,在所有这些服务中,录取率为0.13%。我们注意到男性占主导地位,估计性别比为1.4。在39%的病例中,内脏伤主要是在眼外伤后进行的。在所有患者中进行的手术技术是在全身麻醉下对“四个象限”或“四个正方形”进行经典的非保守内脏,占55.9%。在我们的系列中,有19.8%的患者出现了术后并发症,在9.5%的病例中,主要是巩膜内植入物的外部化。这个比率对应于文献中的数据,数字在0到67%之间。这种并发症可能与外科医生的经验甚至能力有关。还研究了眼科医生的可达性和假肢设备的质量。将收集的所有数据与国际医学文献的数据进行比较。我们的研究在阿尔及利亚北部进行,让我们推断这种手术很少在眼科进行。其主要适应症是创伤后和感染后。
    预防残缺手术需要早期诊断和适当治疗眼科病理和创伤。失明总是被视为悲剧,在任何年龄都可能是毁灭性的,影响自我形象和自尊。因此,心理支持至关重要。
    Despite the existence of well codified indications, the performance of mutilating surgery in ophthalmology is not an easy decision to take due to the aesthetic and moral damages that patients may suffer. This surgery should be considered as a last resort in the case of a non-functional, painful and unsightly eye or in the presence of an oncological involvement and after all conservative alternatives have been exhausted. This study aims to define the factors making it possible to favor ocular evisceration, which is the least mutilating of the above-mentioned surgeries, by determining the epidemiological and clinical aspects of the patients. In addition, the results of the study will serve as a starting point for epidemiological surveillance and will guide preventive activities and the fight against blindness.
    We conducted an exhaustive retrospective study of medical records from the archives of the ophthalmology departments of the Dr. Tidjani Damardji University Hospital Center in Tlemcen, the Specialized Hospital Establishment in ophthalmology of Oran Hamou Boutlelis, the Specialized Hospital Establishment in ophthalmology of Oran Front de mer and the University Hospital Center of Bejaia (unit Franz Fanon), in order to specify the epidemiological-clinical profile of patients who have undergone an ocular evisceration in the north of Algeria from January 1, 2008 to December 31, 2014.
    We have identified 136 patients, representing an admission rate of 0,13% in all these services. We noted a slight male predominance with an estimated sex-ratio of 1.4. Evisceration was carried out mainly following an ocular trauma in 39% of cases. The surgical technique performed in all patients is a classic non-conservative evisceration of \"four quadrants\" or \"four squares\" under general anesthesia in 55.9% of cases. Post-operative complications were found in 19.8% of patients in our series, the main one being exteriorization of the intra-scleral implant in 9.5% of cases. This rate corresponds to the data in the literature, with figures between 0 and 67%. This complication may be in relation with the experience or even the competence of the surgeon. Accessibility to ocularists and the quality of prosthetic equipment were also studied. All the data collected were compared with data from the international medical literature. Our study carried out in the north of Algeria on ocular eviscerations, allowed us to deduce that this surgery is rarely carried out in ophthalmology. Its main indications are post-traumatic and post-infectious.
    The prevention of mutilating surgeries requires early diagnosis and appropriate treatment of ophthalmological pathologies and trauma. Losing an eye is always experienced as a tragedy and can be devastating at any age, affecting self-image and self-esteem. Psychological support is therefore essential.
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  • 文章类型: English Abstract
    母乳喂养被认为是婴儿的最佳营养,在儿童的生长发育中起着重要作用。在这方面,世界卫生组织(WHO)强烈建议在生命的头6个月进行纯母乳喂养,以及在引入安全和适当的辅助食品时继续母乳喂养,2岁或以上。尽管如此,在世界许多地区,母乳喂养的做法仍然是次优的.在这方面,许多儿童在6个月大的时候没有母乳喂养,或者在生命的头几个小时没有母乳喂养,或者过早断奶。这允许使用婴儿配方食品,由于卫生条件差,可能危及生命,储存条件或不适当的食物。同样,中东和北非(MENA)地区的母乳喂养率低于全球平均水平.在阿尔及利亚,根据以往的多指标类集调查(MICS)报告,6月龄以下的母乳喂养率是世界上最低的.此外,到第六个月底,纯母乳喂养的儿童比例不到3%,只有23%的儿童在22-23个月接受母乳。母乳喂养的中位持续时间为12周。然而,这些报告没有探讨与这种次优母乳喂养做法相关的社会人口因素,因为在这种情况下使用其他数据进行的研究和研究很少,而且大多在有限的地理区域进行。
    这代表对MICS数据库中所有母乳喂养儿童的描述性横断面研究,2019年进行,8709名儿童,包括4471名男孩和4238名女孩,在数据库中注册。探讨母乳喂养持续时间的相关因素,我们只纳入了断奶儿童,以尽量减少与仍在母乳喂养的儿童相关的偏倚.这允许分析来自3761名儿童的数据,包括1930名男孩(5.4%)和1831名女孩(48.6%)。通过使用逻辑回归模型,我们可以评估不同社会人口的作用,维持6个月以上母乳喂养的经济和地理因素。
    母乳喂养的患病率为81.1%;0-6个月儿童的纯母乳喂养率为28.7%。与母乳喂养超过六个月相关的因素是居住地,母亲的职业地位和财富五分之一。事实上,农村地区似乎是有利于母乳喂养持续超过六个月的因素,与市区相比(OR=1.29;CI[1.032-1.369])。与居住在南部地区的母亲相比,居住在东部高地地理区域的母亲维持母乳喂养超过六个月的可能性似乎是其1.56倍(OR=1.56;CI[1.123-1.677])。非工作母亲的孩子在6个月后接受母乳喂养的可能性几乎是工作母亲的1.5倍(OR=1.489;CI[1.107-1.947])。与属于“最贫穷”五分之一的父母相比,“最富有”五分之一的父母在6个月后继续母乳喂养的机会似乎增加了1.24倍(OR=1.24;CI[1.086-1.812])。孩子的性别等因素,孕产妇教育水平,和功能困难似乎不是六个月后继续母乳喂养的决定因素。
    开始和继续母乳喂养的患病率和相关因素因国家而异。尽管进行了大量研究以更好地理解母亲的母乳喂养行为以及各种促进母乳喂养行为的举措,许多国家的税率很低。因此,母乳喂养的下降趋势与工业奶的生产和销售的进步直接相关,母亲缺乏信息和意识,缺乏卫生专业人员的培训。在这方面,强烈建议鼓励行为改变,为了改善有关母乳喂养持续时间的沟通,根据支持母亲的建议,增加产后咨询和辅助医务人员培训的使用。这项研究对阿尔及利亚等发展中国家非常感兴趣,为了采取预防性干预措施,并在母乳喂养项目中组织沟通和产前及产后咨询。显然,本研究应通过关于早期停止母乳喂养因素的补充定性研究得到加强.
    Breastfeeding is considered the best nutrition for infants and plays a significant role in a child\'s growth and development. In this regard, the World Health Organization (WHO) strongly recommends exclusive breastfeeding for the first 6 months of life, as well as continued breastfeeding when safe and appropriate complementary foods are introduced, up to 2 years of age or beyond. Nonetheless, breastfeeding practices remain sub-optimal in many parts of the world. In this respect, many children have shown not to be breastfed up to 6 months of age or are not breastfed during their first hours of life or are weaned too early. This allows for the use of infant formula, which can be life threatening due to poor hygiene, storage conditions or inappropriate foods. Likewise, breastfeeding rates in the Middle East and North Africa (MENA) region are lower than the global average. In Algeria, the breastfeeding rate up to 6 months of age is among the lowest in the world according to previous Multiple Indicators Cluster Surveys (MICS) reports. In addition, by the end of the sixth month, the percentage of children exclusively breastfed is less than 3% and only 23% of children receive breast milk at 22-23 months. The median duration of breast-feeding is 12 weeks. However, the socio-demographic factors associated with this sub-optimal breastfeeding practice are not explored in these reports, as studies and research conducted in this context using other data are few and mostly conducted in limited geographical areas.
    This stands for a descriptive cross-sectional study of all children who were breastfed in the MICS database, carried out in 2019, 8 709 children, including 4 471 boys and 4 238 girls, registered in the database. To explore factors associated with the duration of breastfeeding, we only included weaned children to minimize bias related to children who were still breastfeeding. This allowed to analyze data from 3 761 children, including 1 930 boys (5.4%) and 1,831 girls (48.6%). Through using a logistic regression model, we could attain the assessment of the role of different socio-demographic, economic and geographical factors in the maintenance of breastfeeding beyond 6 months.
    The prevalence of breastfeeding is 81.1%; the rate of exclusive breastfeeding of children aged 0-6 months is 28.7%. The factors associated with breastfeeding beyond six months are area of residence, mother\'s occupational status and wealth quintile. In fact, rural area appears to be a factor favoring the continuation of breastfeeding beyond six months, compared with urban area (OR = 1.29; CI [1.032-1.369]). Mothers living in the Eastern Highlands geographic region appear to be 1.56 times more likely to maintain breastfeeding for more than six months compared to those living in the Southern region (OR = 1.56; CI [1.123 - 1.677]). Children of non-working mothers are almost 1.5 times more likely to be breastfed after 6 months than those of working mothers (OR = 1.489; CI [1.107 - 1.947]). Parents belonging to the \"richest\" wealth quintiles appear to increase the chance of continued breastfeeding after 6 months with a 1.24-fold increase compared to those belonging to the \"poorest\" quintile (OR = 1.24; CI [1.086 - 1.812]). Factors such as the child\'s gender, maternal education level, and functional difficulties do not appear to be determining factors for the continuation of breastfeeding after six months.
    The prevalence and factors associated with the initiation and continuation of breastfeeding vary from one country to another. Notwithstanding the numerous studies to better comprehend mothers\' breastfeeding behaviour and various initiatives for promotion thereof, many countries have low rates. In consequence, the downward trend in breastfeeding is directly linked to advances in the production and marketing of industrial milks, the lack of information and awareness among mothers and the lack of training of health professionals. In this respect, it is highly recommended to encourage behavioural changes, to improve communication about the duration of breastfeeding, to increase the use of postnatal counselling and training of paramedical staff according to the recommendations with support for mothers.This study is of great interest in developing countries like Algeria, in order to adopt preventive interventions, and to organise communication and pre- and post-natal counselling in the breastfeeding project. Clearly, this study should be enhanced with supplementary qualitative studies concerning the factors contributing to early discontinuation of breastfeeding.
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