Medicinal plants use by patients at a Moroccan University Hospital: A cross-sectional study

To investigate the prevalence of disabilities amongst adult hospitalized patients and to estimate their specific needs for rehabilitation support. A cross-sectional study was conducted in a Moroccan university hospital. A total of 411 patients were included, and assessed for impairments, activity limitations and participation restrictions through medical examination and structured questionnaires. Patients' clinical and assessment data were used to estimate the specific needs for rehabilitation professionals' intervention, and the optimal mode of rehabilitation support. Patients' mean age was 47.75 years (standard deviation 17.34). Prevalences of types of impairments were led by pain (41.6%), followed by sensory-motor deficits (21.9%) and limitations in joint range of motion (21.4%). Activity limitations were dominated by gait and balance disorders (25.3%). Participation restrictions in social and family life were reported by 118 patients; and in professional life by 44 patients. The most needed rehabilitation interventions were: physiotherapy (36.2%), occupational therapy (20.4%), and prosthetics (15.8%), and 24.5% patients were eligible for inpatient rehabilitation support. Disability is very common among hospitalized Moroccan patients, and there is a great need for inpatient rehabilitation support in Moroccan hospitals.

0186 : Clinical practice on the management of deep venous thrombosis and evaluation of performance diagnostic in Moroccan center

Work, while it can be a source of personal and professional fulfillment, also represents a powerful driver of stress and psychological suffering—particularly in high-pressure environments such as those experienced by resident physicians. Faced with the strain of extended on-call duties, the emotional burden of patient care, and institutional demands, these professionals in training are particularly vulnerable to psychological distress. Despite this, few quantitative studies have been conducted in Morocco to simultaneously assess the impact of professional demands (workload, responsibility, unpredictability) and psychosocial resources (supervisory support, development opportunities) on the mental health of resident physicians. To address this gap, we conducted a survey among 50 resident physicians at a Moroccan university hospital. Participants completed a structured questionnaire incorporating validated scales derived from robust theoretical models. Data were analyzed using the PLS-SEM method, which is well suited for small sample sizes and complex theoretical constructs. The findings reveal that lack of supervisory support and insufficient opportunities for skill development are the strongest predictors of psychological distress among residents. These results underscore the urgent need to implement mentoring systems, feedback mechanisms, and continuous training programs to safeguard the mental health of future physicians.

This paper aims to identify the antecedents of inter-functional coordination in the Supply Chain context « Caseof the medicament flows in a Moroccan University Hospital ». In doing so, the analysis of the literature allows toderive a series of factors influencing the coordination. The main influencing factors such as: culture, formalization,trust, commitment, information sharing and informal relations. Therefore, an exploratory qualitative study, basedon semi-structured interviews, is necessary to report the results of a verification of the stated factors above.

the chronic kidney disease (CKD), is associated with various psychiatric conditions and poorer quality of life. The main objective of this study is to estimate the prevalence of depression and anxiety among CKD patients and to assess their determinant factors. this is a cross-sectional study in a Moroccan university hospital. Patients aged ≥18 years and followed for more than one year for a stage 3 to 5 CKD, not under renal replacement therapy (RRT) were included. The data were collected using a questionnaire and the hospital anxiety and depression scale (HADS). The association between depression and anxiety sub-scores and the estimated glomerular filtration rate (eGFR) was assessed using simple and multiple linear regression. eighty-three patients (mean age 61.7 ± 14.1 years, and 61.4% were women), were included. Regarding the stages of CKD, 10.7% were in stage 3, 52.2% in stage 4, and 25% in stage 5 of CKD. The median of the depression sub-score was 5.00 (IQR (2.00; 10.0)). The median of the depression sub-score was 5.00 (IQR (2.00; 10.09)), and the median of the anxiety sub-score was 6.00 (IQR (4.00; 9.00)). It also shows that 22.0% of patients had depression (stage 4 = 23.8%, stage 5 = 36.8%) and 22.2% had anxiety (stage 4 = 26.2%, stage 5 = 33.3%). Both depression and anxiety scores were significantly associated with the eGFR before (p<0.001, p= 0.001 respectively) and after adjustment (p=0.001, p=0.002 respectively). according to this study depression and anxiety are strongly related to eGFR.

Background In general, rheumatologists often have limited knowledge regarding the use of complementary and alternative medicine (CAM) among patients with rheumatic diseases. Understanding the prevalence, reasons for use, and perceived benefits of CAM can help improve patient care and guide clinical practices. This study aimed to assess the prevalence, reasons for use, and perceived benefits of cupping therapy, apitherapy, and traditional cautery treatments among patients with rheumatic diseases. Additionally, it aimed to explore adverse effects, location and pricing disparities in CAM practices, information sources, and the rate of reporting CAM use to treat rheumatologists and to identify factors associated with the use of these CAM approaches. Methodology This single-center, cross-sectional study was conducted in a Moroccan University Hospital and included patients receiving care for rheumatic diseases during hospitalization or outpatient visits from January 2024 to March 2024. The data were collected using a structured, validated, and pilot-tested questionnaire administered by attending rheumatologists. The questionnaire aimed to gather demographic information and to identify patients using CAM, collecting data related to their utilization. Results A total of 100 patients were enrolled (mean age: 52.3 ± 12.8 years, 75% female). Among them, 43% had chronic inflammatory rheumatism. Additionally, 46% reported using at least one of the three CAM methods studied, with 36% using cupping therapy (specifically the wet method), 9% using apitherapy, and 16% using traditional cautery. The main reason for using CAM was to alleviate their pain (55%). Perceptions of effectiveness were reported by 38% of patients using cupping therapy, 20% using apitherapy, and 5.9% using traditional cautery. The use of CAM was significantly lower in patients with a university education (odds ratio = 0.05, 95% confidence interval = 0.003-0.92). Conclusions Our study revealed a significant prevalence of CAM use among patients with rheumatic diseases in Morocco, with cupping therapy emerging as the most commonly utilized method. These findings underscore the importance of enhancing awareness and understanding of CAM practices among both patients and healthcare providers to promote more structured and informed CAM practices.

This research aims to explore the causal relationship between the information exchanged and inter-functional coordination (IFC) in the Hospital Supply Chain (HSC) context "Case of Moroccan University Hospital (MUH)". Specifically, the research aims to identify the dimensions of information exchanged the most significant and that influencing between services directly involved in the pharmaceutical and information flows associated within the MUH. To achieve this goal, we conducted 20 semi-structured interviews with all the key players in this HSC: administrators, doctors, pharmacists, nurses and supervisors.

Background and Aims The Chronic kidney disease (CKD), like many chronic illnesses, is invariably associated with various psychiatric conditions and poorer quality of life. This study aims to assess the prevalence of depression and anxiety among CKD patient and their determinant factors. Method this is a cross sectional single center study in a Moroccan university hospital. Patients aged ≥ 18 years old and followed for more than one year were included. The data was collected using a questionnaire for sociodemographic and clinical information and the Hospital anxiety and depression scale (HADS) to assess depression and anxiety prevalence. After the description of the population’s characteristics, the statistical analysis aimed to assess the association between depression and anxiety disorders and the estimated glomerular filtration rate before and after adjustment on several confounding factors. Results 88 patients were included (63.6% of them were women, the mean age was 61.8±14.0 years), 21 were on stage 3, 46 were on stage 4, and 21 were on stage 5 of the CKD. The median of depression sub-score was 5.00[2.00; 10.0], the median of anxiety sub-score was 6.00[4.00; 9.00], and the median of the global score was 11.0[7.00; 20.0], 22.0% of included patients had depression and 22.0% had anxiety. Both depression and anxiety scores were associated to eGFR before and after adjustment (p= 0.001, p&amp;lt;0.001and p=0.04, p=0.03 respectively). Conclusion This study showed that depression and anxiety are strongly related to the CKD progression, which should motivate both doctors and nurses to improve their psychological care toward CKD patients.

Background: Nepal is rich in culture, tradition, knowledge of traditional health practices. In fact, traditional healing practices have been a strong cultural and scientific heritage in this country. The majority of people (80%) in Nepal continue to rely on these practices of health care. Practitioners of this traditional medical wisdom are called as traditional healers (THs). THs are prevalent in every ethnic group and community. Majority of rural people are very dependent on traditional medical practices of THs who mostly use locally available medicinal herbs and spiritual methods to treat diseases. Therefore, this study had investigated whether traditional healers had the knowledge, skill, practices and technology of diagnosis and treatment of diseases which could be utilized to assist in providing health care services to rural people in Nepal.&#x0D; Materials and Methods: Using a cross-sectional research design a total of 25 traditional healers from Kapilvasttu district of Nepal were interviewed. Responses on the following topics were obtained: socio-demographic characteristics, knowledge, skill and practice regarding medicinal plants use. Descriptive statistics was used to analyze the responses.&#x0D; Results: Traditional healers’ knowledge, skill, practice and technology of diagnosis and treatment of diseases were related to tradition and culture of particular ethnic groups and communities. Majority of THs (n=25) are male (73.33%) and Hindu (88.29%) by religion. They mostly used medicinal plants (85.6%) singly or in combination with shaman, spiritual and others techniques. Less than 22.5% of THs had got training from health related institutions formally. Rest of the THs had acquired the knowledge and skill of traditional healing practices from ancestors, colleagues, self-study, from guru (traditional teachers), grandparents etc. Some of the both trained and untrained traditional healers would treat 52 types of diseases including gastro-intestinal and cardiac disorders, HIV, cancer, mental disorders, fractures and other common diseases with 79 known medicinal plants.&#x0D; Conclusion: The results indicate that traditional healers (THs) have acquired traditional medical knowledge, skill, practice and technology from their ancestors, teachers, trainings etc. They use medicinal plants as a means of treatment for providing primary health care to local people in the communities. This is significant considering, that are serving the health needs of a large percentage of the Nepalese rural population. However, further health policy and development of controlling mechanism for them on the treatment related issues is necessary.&#x0D; Keywords:Traditional healers, medicinal plants, traditional medicines, Nepal&#x0D;

In Morocco, a syndromic approach has been implemented for sexually transmitted infections (STIs) management. However, those infections can be asymptomatic and the use of the syndromic approach to their management can be inappropriate and lead to dissemination of infection. Therefore, it would be important to determine the epidemiology and risk factors of bacterial STIs (Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT) and Mycoplasma genitalium (MG)) in a Moroccan population and their association with symptoms to assess the appropriacy of the use of the syndromic approach. Cervical samples were collected from symptomatic and asymptomatic consenting women attending the University Hospital of Fez and were tested by PCR for NG, CT and MG using specific primers. We assessed the infection status and its association with different risk factors and genital STIs-related symptoms. Of 809 tested for CT, NG and MG, 16.6% tested positive for at least one STI. Of the 134 participants who tested positive for at least one bacterial STI, 74.2% had no genital STIs-related symptoms. Moreover, the results showed a significantly high rate of NG and MG infections in asymptomatic women. However, the determined risk factors for NG, MG and CT infections were menopause (p=0.002), oral contraception (p=0.036) and a high number of parities (p=0.048), respectively. This investigation shows a predominance of NG infection and a high prevalence of STIs in asymptomatic patients. These results highlight that the adopted syndromic approach will not be adapted in the management of these STIs. Thus, the implementation of a systematic diagnostic program in order to enhance their management is needed.

Occurrence of OXA-48 and NDM-1 carbapenemase-producing Klebsiella pneumoniae in a Moroccan university hospital in Casablanca, Morocco

Prevalence of hospital-acquired infection in a Moroccan university hospital

Background and Aims High blood pressure is a leading cause of end stage renal disease (ESRD). However; early detection of chronic kidney disease (CKD) delays progression of kidney failure and reduces the risk of cardiovascular complications. Therefore, the aim of our study was to assess the attitudes and practices of interns and residents regarding screening for chronic kidney disease in patients with high blood pressure at a Moroccan University hospital. Methods A cross-sectional survey was conducted among 100 medical interns and residents at Mohammed VI university hospital of Marrakesh. Results Overall, 82% of the trainees who responded (response rate 89%) stated that they were sensitized to screening for chronic kidney disease in patients with high blood pressure, mainly during their medical studies. However, trainees who systematically monitor renal function in their hypertensive patients did not exceed 13%. While 34% of respondents preferred to refer them to a cardiologist or a nephrologist, and 35% looked for renal impairment only in special situations, dominated by the presence of diabetes or severe hypertension. The main tests used by the participants for monitoring kidney function were represented by blood renal function (100%) and 24h urine protein (61%). Microalbuminuria was mentioned by only 23% of the trainees. The major limits reported by the surveyed physicians were the lack of experience and the non- compliance of patients. Conclusion Our findings revealed inappropriate practices among our training doctors concerning the screening of CKD in hypertensive patients. Therefore, more educational workshops and courses are recommended, especially in low-income countries where access to dialysis is not always affordable.

Opinion surveys on family participation in care in non-Western countries are rare. This study aims to assess the opinions of patients, families, and healthcare professionals regarding family involvement in care to identify their preferences and the associated factors. A cross-sectional survey was conducted over eight months involving 717 participants, using structured questionnaires at the Acute Assessment Unit of a university hospital in Morocco. Comparative analyses examined the association between participant characteristics and the preferences of care categories. Poisson regression was applied to determine factors associated with participant preferences. Attitudes toward family participation in care were positive, with an average score of 3.62 ± 0.43 on a 4-point Likert scale. Healthcare professionals were more favorable towards family participation, with an average of 10.6 ± 2.44 types of care, compared to 7.17 ± 1.96 for families and 5.71 ± 2.16 for patients. Participants' opinions converged on a set of simple and less technical care tasks. Factors significantly associated with patient preferences in the final adjustment model (p < 0.05) included frailty, loss of autonomy, length of stay, and regular and continuous (day and night) family presence. This study highlights the strong support of health professionals, patients, and families for family participation in care. Understanding these preferences and related factors is essential to maximize family participation and develop a model of Patient And Family Centered Care adapted to the Moroccan context.

BackgroundThe use of certain medicinal plants during childbirth has been linked to negative outcomes such as uterine rupture and foetal distress, both globally and in Sub-Saharan Africa including Tanzania. Despite this, little is known about the factors influencing women’s use of medicinal plants during labour or delivery in Tanzania. This study sought to assess the prevalence and determinants of medicinal plants use during labour and/or delivery in the Butiama district.MethodologyThis community-based quantitative study used a cross-sectional design with 398 participants, selected through multistage sampling. Data were collected via a structured questionnaire in Swahili language using the Kobo Toolbox from June to July 2024. Analysis was performed with SPSS version 27.0, including checks for completeness before data entry. Descriptive statistics were computed for univariate analysis, while bivariate analysis, conducted through cross-tabulation, determined relationships between variables. Multivariate logistic regression identified significant predictors at p < 0.05.ResultsIn a study of 398 participants, 233(58.5%) reported using medicinal plants during labour and/or delivery. Peasants and homemakers had 2.6 times higher odds of using medicinal plants than those in formal employment (AOR = 2.584, 95% CI: 1.249–5.349, p = 0.011). Women with one child were 1.8 times more likely to use medicinal plants than those with two or more children (AOR = 1.823, 95% CI: 1.136–2.926, p = 0.013). Women within five kilometres of a health facility had 47.7% lower odds of using medicinal plants compared to their counterparts (AOR = 0.523, 95% CI: 0.334–0.819, p = 0.005). Married and cohabiting women were 42.1% less likely to use medicinal plants than divorced/separated/widowed women (AOR = 0.579, 95% CI: 0.338–0.990, p = 0.046). Women with fewer than four antenatal visits were 55.6% more likely to use medicinal plants compared to those with four or more visits. (AOR = 0.556, 95% CI: 0.365–0.848, p = 0.006).ConclusionOver fifty percent of participants reported using medicinal plants during childbirth, with socio-economic status and healthcare access factors suggesting that targeted education and interventions around medicinal plant use would be beneficial.