Oran University Research Articles

E-MANAGEMENT AS A DIGITAL TRANSFORMATION STRATEGY TO IMPROVE PERCEIVED EDUCATION QUALITY AND STUDENT SATISFACTION, EVIDENCE FROM ALGERIA

The wider recognition of the importance of digital transformation and its various applications in institutions has led to its adoption by higher education institutions seeking to improve their education quality and retain their customers. Accordingly, through this study, the researcher aims to investigate the effect of e-management in improving perceived education quality and student satisfaction in Algerian higher education. To achieve this objective, the researcher distributed an online survey to a random sample of 218 international students enrolled in the faculty of sciences and technology at Oran University in Western Algeria. Based on structural equation modelling analysis using Amos Program (v24.0.0), the results showed that e-management positively and significantly affects perceived education quality. Likewise, e-management also has a positive and significant effect on student satisfaction. Moreover, the results revealed that perceived education quality has a positive and significant effect on student satisfaction in Algeria HEIs.

THE DISREGARD OF THE CULTURAL DIMENSION IN TRANSLATION

The cultural turn in translation studies has propelled translation beyond a mere act of linguistic transposition. At this juncture, the cultural dimension has garnered significant attention, and translation has evolved into an act of cultural mediation. Within this framework, learners’ perceptions of the cultural dimension and classroom teaching practices are pivotal factors influencing translation quality. This study examines the classroom teaching practices vis-à-vis cultural learning and investigates learners’ perception of the significance of culture in translation. A survey questionnaire was administered to seventy-eight Master’s students of translation (Arabic-English-French) at the Institute of Translation, Oran University, Algeria. Additionally, an interview was conducted with 26 students from the same institute to accredit more validity and reliability to this study, to obtain more qualitative data, and to compare and crosscheck while interpreting the data from both the questionnaire and the interview. The analysis of the obtained data elucidated that cultural knowledge was impeached by classroom practices that do not foster intercultural learning despite learners’ positive attitudes towards the target cultures. This study offers some pedagogical recommendations to give the cultural dimension due attention in the translation classroom.

Risk factors and surgical outcomes of diabetic foot in patients with diabetes at larribere clinic in oran university hospital

Risk factors and surgical outcomes of diabetic foot in patients with diabetes at larribere clinic in oran university hospital

Qualité de l’alimentation par l’indice KIDMED et troubles des conduites alimentaires chez une population pédiatrique présentant une surcharge pondérale

Introduction. Obesity has become one of the most prevalent nutritional disor-ders, characterized by excess adipose tissue with physical and psychosocial conse-quences, affecting negatively quality of life. Objectives. To study the diet quality and identify eating disorders (TCA) in a pediatric population suffering from overweight. Population and methods. Thirty patients (16 girls/14 boys), aged 5 to 17 years, were recruited from the Pediatric Department of Oran University Hospital. Anthropometric parameters were measured. Physical activity level as well as diet quality by the KIDMED index were evaluated. The Binge Eating Scale (ADO-BED), and the Child-Three Factor Eating Questionnaire (CTFEQ) were used to identify possible eating disorders. Results. Obesity was noted in 77% of the pediatric population, while 23% were overweight. Only 40% of patients practiced sporting activity, while 60% had sedentary behavior on weekends. The KIDMED score calculation showed low adherence to the Mediterranean diet (RM), in 83% of the population. Although the ADO-BED questionnaire indicated a low risk of binge episodes in 97% of patients, CTFEQ data revealed that 67% had signs of loss of eating control, 7% had cognitive restriction, and 7% had emotional eating. Conclusion. Poor dietary habits, associated with sedentary lifestyle, are observed in the studied overweight pediatric population. These results highlight the need for nutritional intervention and psychological care for these patients.

The Place of Non-Invasive Ventilation (NIV) in the Management of Acute Respiratory Failure in the Emergencies of Oran University Hospital Center

The Place of Non-Invasive Ventilation (NIV) in the Management of Acute Respiratory Failure in the Emergencies of Oran University Hospital Center

Colorectal cancer liver metastasis surgery: Experience of the hepatobiliary surgery department Of the Oran university hospital establishment

Colorectal cancer liver metastasis surgery: Experience of the hepatobiliary surgery department Of the Oran university hospital establishment

Rupture of the pituitary stalk : clinical, para-clinical and evolutionary aspects of 9 patients followed in the Endocrinology department, Oran University Hospital.

Rupture of the pituitary stalk : clinical, para-clinical and evolutionary aspects of 9 patients followed in the Endocrinology department, Oran University Hospital.

Google Meet during COVID 19 Pandemic: When Teachers Raise the Challenge

Under the shade of coronavirus pandemic, schools and universities worldwide have moved towards online learning to assure the continuity of academic activities. Great interest was, hence, directed towards the opinions and stands of teachers about distant online education. It is of paramount importance to inspect teachers’ perceptions and attitudes. When they have positive perceptions about online education, teachers also adopt positive attitudes towards educational technology. Thus, they would accept the change and challenge the shift to online virtual classes. This research studies the online learning process and which mechanisms teachers have utilized to prop up virtual learning. The central questions that shape this study are: what are the perspectives and attitudes of EFL teachers about using Google Meet in online classes? Which challenges would make them resist the change? The present research work under inspection aims to give an in-depth look at online teaching and learning in the Algerian context during the Covid-19 Pandemic, by considering the department of English Language at Oran University as a case study. The study’s findings show that participants have overall positive perspectives and attitudes about using Google Meet during the ongoing pandemic with many challenges. Developing digital proficiency of teachers and students, enhancing students’ motivation, and assuring the quality of internet facilities were the leading suggestions for an effective shift to online education.

Brain metastases of breast cancer: experience of the neurosurgery department of Oran University Hospital

Brain metastases of breast cancer: experience of the neurosurgery department of Oran University Hospital

1319Epidemiology and Risk Factors for Viral Hepatitis C in Oran

Abstract Introduction The clinical epidemiological profile of patients with viral hepatitis C appears to differ from population. It is well established that in the West, the two main modes of hepatitis C virus contamination are blood transfusion and addiction. However, in our region, risk factors for transmission remain poorly identified and poorly quantified Thus, the objective of this study is to chart the epidemiological profile and to show the share of the different risk factors reported among the modes of transmission of HCV in this category of Oranese patients. Methods A cross-sectional study was conducted with patients with chronic viral hepatitis C, admitted to the gastroenterology services of the Oran University Hospital and prospectively collected from 2009 until 2015 for therapeutic management. The data were collected using a standardized questionnaire and processed on SPSS 20.0. Results There are 289 cases of viral hepatitis C; female predominance (sex ratio of 0.56). Their average age is 48.9±12.9 years. The G1 genotype is slightly with a frequency of 48.4% followed by the G2 with 37.7%. Among the probable modes of contamination reported, dental care ranked first with 54.7% followed by surgical procedures in 26.3%. Traditional practices such as hijama and scarification were found in 51.9% of cases. Conclusion Apart from the known contamination factors in the literature, we must not overlook the very important part of traditional practices that are closely linked to the traditions and beliefs of our region. Awareness campaigns should be adopted on hygiene practices to ensure good care safety. Keywords HCV, Contamination Patterns, Genotype, Risk

Multi-Resistant Tuberculosis in Western Algeria: about 36 Cases

Multi-drug resistant tuberculosis (MDR-TB) is defined by the loss of susceptibility of Mycobacterium tuberculosis complex strains to the two major anti-tuberculosis drugs: isoniazid (H) and Rifampicin (R). This resistance may be acquired or primary. The aim of our study was to describe the epidemiological, clinical, bacteriological and evolutionary profile of multi-resistant tuberculosis patients in Western Algeria. To do so, aretrospective analytical study, which included 36 patients, was carried out in the pneumo-phthisiology department (B) of the Oran University Hospital (West Algeria) from January 2010 to December 2014. Our result showed an average age of 33.7 years. The risk factors for MDR-TB highlighted were tobacco (n=12; 33.3%), alcoholism (n=1; 2.8%) and family history of MDR-TB (n=3; 8.33). Primary MDR-TB was present in 11.11% of cases and secondary MDR-TB in 88.89% of cases. There was resistance to H and R in 13.8% of cases (n=5); to H, R and Streptomycin (S) in 50% of cases (n=18); to H, R and Ethambutol (E) in 5.6% of cases (n=2). The percentage of patients who had lost the sensitivity of the Bacillus to the four first-line anti-tuberculosis drugs (H, R, S, and E) was 25% of all patients tested (n=9) and H, R, S, and Ofloxacin (O) in one case. Five patients died. The rate of primary resistance found in this study constitutes a threat to efforts to control MDR tuberculosis in Algeria. It is therefore important to update the results and assess the extent of the problem.

Study of the biological and epidemiological profile of breast cancer in Western Algeria

Despite recent progress and therapeutic advances made in the field of breast cancer. This pathology remains the main cause of female cancer and repre-sents a real major public health problem in Algeria as well as globally. The objective of this study, carried out in the Algerian West, was to assess the epidemiological profile of breast cancer in the Oran region through the pa-tients recruited in the Regional Military Hospital of Oran University (HMRUO), then to determine the clinical, biological and pathological factors that conditioned the overall survival. Among the methodological approaches used in our study were classical histology, immunohistochemistry and fluo-rescence in situ hybridization (FISH) techniques of different biological mar-kers (HER2, hormone receptors (RE and RP). The analysis is carried out using the Epi Info software version 3.4 on all invasive cancers. In a retrospective study of 265 patients with breast cancer over 3 years (February 2017–October 2019), we examined the epidemiological profile of breast cancer to determine the impact of biological and prognostic factors on survival over 3 years. Invasive tumours were found in 95.5% of the women. The average tumour size was big [3.6 (SD 2.6) cm] and only 14% were histological grade I. Overall survival at 3 years was only 49% for the RE–/RP–/HER2– subtype and 75% for the RE–/RP–/HER2+ subtype, while it was 96% for the RE+/RP+/HER2– subtype. The young age, large tumour size and high histological grade in our population suggest a lack of awareness of women about breast can-cer.

Zoom Sessions in Distant Learning: Algerian EFL Students’ Perceptions and Attitudes

During the COVID-19 pandemic, when classroom instructions are interrupted, teachers and students approach digitalization and become familiar with web conferencing. The present research aims to examine Algerian EFL students’ motivation about the use of Zoom, as an asynchronous learning approach, to help ‘bridge the gaps’, and cope with the changes they encounter while exploring online learning. As such, the main questions that set the study are: How academically appropriate is the Zoom’s integration for enhancing EFL students’ motivation? How can the perceived obstacles be challenged for the proper integration of Zoom? To answer these problematic questions, the researcher conducted a case study with twenty EFL students at Oran university of Algeria. Informal, structured interviews and semi-structured questionnaires were employed. This study concluded that participant students have overall positive perspectives about using Zoom sessions with some limitations. Training students to use ICTs and developing positive perceptions about using online educational platforms and applications were the main recommendations for using zoom classes.

Hematological profile of patients with COVID-19 at Oran University Hospital in Algeria

Hematological profile of patients with COVID-19 at Oran University Hospital in Algeria

Non-ST-Elevation Acute Coronary Syndrome and Predictors of Severity Coronary Artery Disease at the Oran University Hospital Center (Algeria)

Introduction: Non-ST-elevation (NSTE) acute coronary syndrome (ACS) is a common and polymorphic condition. Predicting significant coronary artery disease (CAD) is sometimes difficult. The objective of this study was to identify predictors of CAD severity in patients with non-ST-elevation acute coronary syndrome (NSTE-ACS). Patients and Methods: We prospectively evaluated 296 patients with NSTE-ACS who underwent a coronary angiography. Significant CAD was defined as ≥70% stenosis in at least one major coronary artery. Clinical characteristics in the hospital for 30 days and one-year outcomes were prospectively noted and a multivariate analysis was performed. Results: The study included 296 NSTE-ACS patients. The mean age of the patients was 62.1 ± 12.6 years old while 58.1% of the patients were males. A multivariable analysis for the significant CAD predictors is shown (Figure 1), representing current smoking (ORa = 4.4; 95% confidence interval [CI] = 1.5–13.0, p = 0.007), a diabetic under insulin (Ora = 6.4; 95% [CI] = 2.4–17.4, p < 10-3), typical angina (ORa = 5.4; 95% [CI] = 1.7–16.8, p = 0.003), persistent angina (ORa = 5.3; 95% [CI] = 1.3–21.8, p = 0.019), recurrence of angina (ORa = 8.9; 95% [CI] = 1.5–51.4; p = 0.015), down sloping ST depression (ORa = 6.1; 95% [CI] = 2.4–15.3, p < 10-3), positive troponin (ORa = 4.2; 95% [CI] = 1.9–9.2, p < 10-3), kinetic disorder > 2 segments (ORa = 2.5; 95% [CI] = 1.1–6.0, p = 0.049), intima-media thickness (IMT) > 0.8 mm (ORa = 5.2; 95% [CI] = 2.3–12.1, p < 10-3). Conclusion: In this study, the severity of CAD was predicted by parameters such as typical or recurrent angina pectoris, current smoking, diabetic on insulin, down sloping ST depression, elevation of troponin, kinetic anomaly in more than two segments and the IMT greater than 0.8 mm.

Acute paracetamol poisonings received at the Oran University Hospital

IntroductionParacetamol is the most commonly used drug worldwide for its analgesic/antipyretic effect and especially a non-prescription access in pharmacies. Acute Paracetamol poisoning remains problematic for clinicians because of its insidious progression to fulminant hepatitis and even death. This work proposes to draw up the epidemiological profile of acute Paracetamol poisonings. Materials and MethodsA retrospective descriptive study has been carried out over 8 years on cases of acute Paracetamol poisoning received at the Pharmacology Toxicology department of University Hospital of Oran (UHO). Data were collected using a pre-established fact sheet. Toxicological analysis was carried out by colorimetric and enzyme immunoassay method. Results and DiscussionA total of 400 cases were recorded, mainly from emergency departments of UHO (85 %). These are suicide attempts in 82 % of cases, observed especially in adolescents (69 %), and accidental poisoning in 12 % of cases, predominant in small children (89 %). Half of the patients were admitted asymptomatic in the first 24 h of intoxication. Digestive and neurological disorders were the most described (18.75 % and 20.5 %). The quantitative determination of Paracetamol showed that 16 cases had a high risk of developing liver injury and required antidote therapy, based on N-acetylcysteine. The evolution was mostly favorable (84 %) but 8 patients had liver damage and 5 deaths were recorded. ConclusionAlthough it seems benign, acute Paracetamol poisoning is serious and requires adequate care making clinicians collaborate with toxicologists. The general population must be made aware of the dangers of Paracetamol. The pharmacist must provide the necessary information concerning the recommended doses and the toxicity.

Epidemiological Evolution of Type 1 Diabetes in Children: Data from the Register of the Department of Oran, Algeria, 1973-2017

Diabetes in children is undergoing a profound change in terms of frequency and age at onset worldwide. Algeria is particularly impacted by the epidemic to the point of appearing in the "top 10" 2016 of countries with very high incidence of T1D. Our study was aimed to present the epidemiological evolution of T1D in children using data from the register of the department of Oran. New cases of T1D are children under 15 years old coming from primary care units and pediatric departments. Registration was centralized at the level of the "C" pediatric unit of Oran University Hospital since 1973 with an assessment close to 100%. From 1973 to 2017, 2358 T1D new cases aged less than 15 years at T1D diagnosis have been registered. The average annual incidence under 15 years old for the last 5 years 2013-2017 is 31.12±3.60 cases per 100,000 and 22.62±5.18, 36.92±6.88 et 37.93±6.53 for children 0-4, 5-9 et 10-14 years old, respectively. The average annual evolution was at 12.78% in the last 25 years for the whole group and 15.03, 15.50 and 9.10% for children of 0-4, 5-9 and 10-14 years old, respectively. The estimated prevalence on December 31st 2017 was 207 per 100,000 equivalent to 1 T1D for 482 children under 15. The sex ratio for all cases is 0.94 with non-significant fluctuations. The winter/summer seasonality, significant from 1973 to 2013 in favor of winter months is no longer present starting from 2013. We confirm, in agreement with other teams, the outsized increase in the incidence of T1D and the younger age at onset in children under 15 in our country. This evolution, mainly related to environmental problems poses new difficulties to families and teams in charge of the disease.

Endocardite infectieuse : expérience du service de cardiologie de l’établissement hospitalo-universitaire Oran

IntroductionInfectious endocarditis (IE) is a serious disease that has continued to evolve in diagnostic and therapeutic terms. AimTo analyze the diagnostic and out come profile. MethodsWe collected 57 (IE) cases with a definite diagnosis according to the modified Duke criteria. Patients were admitted consecutively to the Cardiology Department of the Oran university hospital from January 2011 to June 2017. Among the variables studied: clinical data, paraclinic data, therapeutic management and hospital outcome. ResultsThe mean age was 40.5±15 years (extreme 16–67 years), with a male predominance (sex-ratio=1.5). This was a native valve IE in 70% of cases, on valve prosthesis in 15.5% of patients, on congenital heart disease in 2% and on pacemaker probe in 4% of cases. The entrance door was dominated by oral origin. Blood cultures were positive only in 51% of cases. The most commonly implicated organism in staphylococci in 22.6%, streptococcus in 18.9% and brucellosis in 3.8%. Ultrasound data revealed vegetation (83%), cardiac abscess (19%), valvular perforation (15.1%) and prosthesis disintegration (7.5%). Complications were mainly neurological complications (27%) and hemodynamics (26%). Cardiac surgery occurred in 29% of patients. Hospital mortality was 26%, predictive factors were staphylococcal AI (P<0.001), cardiac insufficiency (P<0.001) and neurological complications (P=0.04). ConclusionInfectious endocarditis is a serious disease in the absence of surgery. The diagnosis is based on echocardiography in the first place and blood cultures. The population is often young revealing the EI by complications; its prevention is the best way to improve its prognosis.

Prophylactic hepatitis B immunization in chronic kidney disease patients, Oran, Algeria

Background It is estimated that > 2 billion people worldwide have been infected with HBV. Of these, approximately 360 million individuals are chronically infected and at-risk of serious illness and death, mainly from liver cirrhosis and hepatocellular carcinoma (HCC). Algeria is situated in areas of intermediate endemicity (prevalences of endemicity of HBsAg 2–7%). Patients suffering from chronic kidney disease (CKD) are at particular risk of infection with HBV, they are associated with reduced immunogenicity following vaccine administration. Because of that, these patients have been offered schedules containing more than 3 doses and larger doses of the vaccine (schedule containing 4 double doses of standard hepatitis B vaccine). Those found to have anti-HBs concentrations Aim Determine the efficacy of the four double doses schedule of hepatitis B vaccine in preventing infection up postvaccination of chronic renal failure patients. Patients and methods It is a retrospective descriptive study including 209 chronic kidney disease patients. All patients had received hepatitis B vaccine with follow-up at epidemiology service of Oran university hospital (EHUO), during a period 2011–2012. Patients have been offered immunization schedule containing double doses (40 μg) of monovalant recombinant hepatitis B vaccine. The primary immunization series consists of 4 doses of vaccine (at 0, 1, 2, 6 month) followed by anti-HBs testing. People who do not respond (anti-HBs antibody titres Results The average age of patients is 61.2 ± 1.1 years old with a sex ratio of 1.1. Non-dialyzed CKD patients accounted for 78.9%. Vaccine seroprotection was obtained in 82% of non-hemodialysis CKD patients and in 76% of CKD hemodialysis patients after primary vaccination. Nevertheless, 12% of non-hemodialysis CKD patients and 12.5% of CKD hemodialysis patients are low responders (10 ≤ AC-HBS Conclusion The four doses of 40 μg vaccine schedule has proven its effectiveness with good seroprotection in chronic kidney disease patients. The vaccination against hepatitis B represents a considerable advance in the prophylaxis of this disease but unfortunately no regulatory text governs this vaccination in CKD patients in our country. Early vaccination (before dialysis) is recommended.

Descriptive epidemiology and dietary risk factors of nasopharyngeal carcinoma in Western Algeria, 2016–2017

Background Nasopharyngeal carcinoma (CNP) is an epithelial malignant tumor dominated by undifferentiated carcinomas of nasopharyngeal type (UCNT), in more than 90% of cases. It is a rare tumor in most countries but is more prevalent in southern Asia, Artic regions and North Africa (Maghrebian countries “Algeria, Morocco and Tunisia”: intermediate risk zone: incidence 8–12/100,000). In Oran city (Wester Algeria) its incidence varies on average 5.6/100,000; (report of the cancer registry of Oran 2010). It is a multifactorial disease including Epstein-Barr virus (EBV) activation, genetic susceptibility and exposure to environmental carcinogens. Dietary risk factors in Maghreb area include preserved foods consumption (khlii, harissa, rancid butter), lack of fresh fruit. Objective The aim of our study is to describe the epidemiological profile and dietary risk factors of NPC in Oran university hospital (EHUO) 2016–2017. Methods Data were obtained from two years of registration (2016–2017) as part of the cancer registry of EHUO. The central coding is carried out using the supports of CIMO2 and CIM10. Results were obtained with Epida analysis. Results In total, 61 cases of NPC were recorded during the 2016–2017 period. The average age of these patients is 47.1 ± 4.2 years old. The most common histological type is UCNT (83.6%). The discovery of this cancer is often based on revealing symptoms (90.2%). Consumption of preserved foods have been found to be risk factors in our populations such as quaddid (dried mutton stored in oil) (5%), harissa (very spicy condiment prepared with red pepper, olive oil, garlic, caraway) (75%), rancid butter (21%). Conclusion In Algeria, this cancer morbidity remains poorly known. A better knowledge of the epidemiology of this cancer will make it possible to put in place preventive measures.