European Scientific Journal, ESJ
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Challenges in Managing an Ischemic Cerebral Vascular Stroke in a Child with a Homozygote SS Sickle Cell Associated with Cerebral Palsy: A Case Study
Get PDFIntroduction: Ischemic stroke is one of the most frequently observed complications of sickle cell disease. It can also be associated with cognitive impairment. These two neurological expressions of the disease can coexist in the same patient. Objective: Report a case of stroke and mental retardation in a child with homozygous SS sickle cell disease. Observation: A child aged 5 years and 8 months, homozygous sickle cell anemia, epileptic non-compliant with his antiepileptic treatment, was admitted for epileptic seizures that gradually developed over 2 months. The diagnosis of severe complicated major sickle cell syndrome was established. Discussion: The management of neurovascular, epileptic, and cognitive complications of sickle cell disease in our patient with cerebral palsy and major sickle cell disease required evaluating the risk of occurrence of severe anemia and stratification of the risk of stroke recurrence. Conclusion: Management of a major sickle cell syndrome associated with neurovascular, epileptic, and cognitive impact in a child with sickle cell disease and cerebral palsy must comply with recent recommendations
Deviance Psychiatrique et Determinants Psychosociaux : Au sujet de huit cas de l’hôpital Psychiatrique de Bingerville (HPB)
Get PDFCet article explore la dangerosité psychiatrique, définie comme la probabilité qu'un individu souffrant d'un trouble mental pose un acte dangereux. L'objectif est d'analyser les déterminants psychosociaux de cette dangerosité à partir d'entretiens approfondis sur huit patients de l'Hôpital Psychiatrique de Bingerville (HPB). On dénombre parmi eux une psychose délirante, trois personnalités borderline, un trouble psychotiquer, un troubles paranoïaque, une dépendance aux substances et une schizophrénie. Quatre sont des femmes, et quatre des hommes. Et leur âge est compris entre 26 et 55 ans. L'hypothèse avancée est que la stigmatisation sociale, l'isolement familial et l'absence de soutien sont des facteurs cruciaux dans l'apparition des comportements déviants. L'étude adopte une approche qualitative, reposant sur des entretiens semi-structurés et l'observation clinique. Le modèle bio-psycho-social d'Engel est mobilisé pour intégrer les facteurs biologiques, psychologiques et sociaux. Les résultats montrent que la stigmatisation et l'isolement accentuent les comportements déviants, perçus par les patients comme des mécanismes de survie. Ces conclusions mettent en lumière la nécessité d'une prise en charge qui va au-delà de la simple sécurité, en s'appuyant sur des interventions psychosociales pour réduire la marginalisation et améliorer l'intégration sociale des patients.
This article examines psychiatric dangerousness, defined as the likelihood that an individual with a mental disorder may act dangerously. The objective is to analyze the psychosocial determinants of this dangerousness based on in-depth interviews with eight patients from the Bingerville Psychiatric Hospital (BPH). Among them, there is one case of delusional psychosis, three borderline personalities, one psychotic disorder, one paranoid disorder, one substance dependency, and one case of schizophrenia. Four are women, and four are men. Their ages range from 26 to 55 years. The hypothesis suggests that social stigma, family isolation, and lack of support are crucial factors in the emergence of deviant behaviors. The study adopts a qualitative approach, relying on semi-structured interviews and clinical observation. Engel's biopsychosocial model is used to integrate biological, psychological, and social factors. The results show that stigma and isolation exacerbate deviant behaviors, which patients perceive as survival mechanisms. These findings highlight the need for a care approach that goes beyond mere security, focusing on psychosocial interventions to reduce marginalization and improve patients' social reintegration
Les concepts séismes et risques sismiques dans les manuels scolaires des Sciences de la Vie et de la Terre au Maroc
Get PDFCette étude vise à évaluer le contenu lié aux séismes et au risque sismique, ainsi que l'intégration de l'éducation aux risques sismiques dans les manuels scolaires des Sciences de la Vie et de la Terre au Maroc. Pour ce faire, une analyse de contenu a été réalisée sur neuf manuels dont six du cycle collégial et trois du cycle qualifiant, en s'appuyant sur une grille d'analyse de cinq critères. Les résultats révèlent que les séismes sont souvent traités de manière descriptive. Cependant, la notion de risque sismique, comprenant l'aléa, la vulnérabilité et les enjeux, est totalement absente. Les manuels se focalisent principalement sur l'origine des séismes, les plaques tectoniques et leurs mouvements. De plus, les manuels du cycle qualifiant ne traitent pas de l'impact des séismes ni des mesures de gestion des risques associés. Bien que certains manuels du cycle collégial abordent les effets destructeurs des séismes sur les vies humaines, les biens matériels et l'environnement, ils demeurent insuffisants sur la question de la gestion des séismes. En matière de prévention, seuls quelques manuels du cycle collégial mentionnent des mesures sécuritaires, mais l'inclusion d'exemples concrets et de stratégies d'atténuation reste nécessaire pour renforcer la compréhension des élèves. En conclusion, cette recherche souligne l'importance de relier les connaissances scientifiques aux enjeux locaux et de renforcer l'éducation préventive dans les manuels des Sciences de la Vie et de la Terre. Cela permettrait non seulement de sensibiliser les élèves aux mesures de prévention et à la gestion des séismes, mais aussi de renforcer leur résilience face aux catastrophes naturelles.
This study aims to assess the content related to earthquakes and seismic risk, as well as the integration of seismic risk education in Life and Earth Sciences textbooks in Morocco. To achieve this, a content analysis was conducted on nine textbooks, including six from the middle school level and three from the high school level, using an analysis grid based on five criteria. The results revealed that the treatment of earthquakes is predominantly descriptive. The concept of seismic risk, which includes hazard, vulnerability, and exposure, is entirely absent. Furthermore, the textbooks focus mainly on the origins of earthquakes, tectonic plates, and their movements. In addition, LES textbooks at the secondary school level do not cover the impact of earthquakes or seismic risk management strategies. The destructive effects of earthquakes on human life, property, and landscapes are mentioned in some middle school textbooks. Regarding earthquake management, only a few middle school textbooks address certain preventive and safety measures. There is a need to include more concrete examples and mitigation measures to enhance students' understanding. In conclusion, this research highlights the importance of connecting acquired scientific knowledge with local issues and the need to better integrate seismic risk prevention education into LES school textbooks. This would not only raise students' awareness of mitigation strategies and practical earthquake management but also strengthen their resilience in the face of natural disasters
Inclusion of students with disabilities and Educational Guidance in Italy: a comprehensive analysis of the 2022 guidelines and recent legislative developments
Get PDFThe educational guidance and inclusion practices in Italian schools have undergone significant evolution over the last few years. Recent legislative updates emphasize equity, inclusion, and personalized educational paths, acknowledging the diverse backgrounds, languages, and abilities of students. The 2022 guidelines for school guidance, introduced within the framework of the National Recovery and Resilience Plan (PNRR), further underline the importance of creating an inclusive educational environment. This article explores the most recent regulations from 2020 alongside the latest Eurydice reports to analyze their implications for inclusive education, the role of pedagogical frameworks, and strategies to advance equity and accessibility in schools
The carbon footprint as a key indicator for environmental management controllers: towards environmental performance: A literature review
Get PDFEnvironmental considerations are increasingly critical for corporate sustainability and success. While businesses integrate environmental management into their strategies, the practical implementation of environmental management control systems, or “eco-control,” remains underexplored. This paper examines the conditions necessary for effectively integrating carbon footprint requirements and regulatory codes into eco-control systems. We articulate the importance of environmental performance objectives in addition to traditional performance objectives as core values of control management. Additionally, we highlight the pivotal role of environmental management controllers in aligning environmental sustainability with traditional business objectives. By measuring greenhouse gas emissions and developing strategies that are both economically viable and environmentally sound, controllers embed environmental objectives into core business processes. Despite challenges like capturing indirect emissions and the lack of standardized reporting methods, they have the potential to make sustainability a strategic component of corporate management. Future research should focus on enhancing their role by developing better tools and standardized methodologies for measuring environmental performance
Évaluation de l’effet cicatrisant de la gomme de Saba senegalensis chez Rattus norvegicus
Get PDFLa peau est le principal organe de revêtement extérieur du corps de l’Homme et des animaux. Elle est souvent confrontée à des brûlures dont la prise en charge est coûteuse et laissent parfois des séquelles aux victimes. Cette étude vise à évaluer l’effet cicatrisant de la gomme de Saba senegalensis sur un modèle de brûlure de second degré chez Rattus norvegicus de souche Wistar. La pommade formulée à 15 % d’extrait hydroéthanolique 70 % de la gomme de Saba senegalensis a favorisé la cicatrisation des plaies au 17è jour tandis que celle formulée à 5 % a entrainé la cicatrisation des plaies au 23è jour. Quant au placebo et à la crème cicatrisante : sulfadiazine argentique, ils n'ont pas réussi à cicatriser les plaies des rats durant les 23 jours de traitement. Cette activité cicatrisante de la gomme de Saba senegalensis est liée à la présence de flavonoïdes et tanins mais aussi de zinc. En effet, les flavonoïdes favorisent la production de fibres de collagène, fibroblastes et l’augmentation de la réponse angiogénique nécessaires à la cicatrisation. Aussi, la présence de tanins dans la gomme de Saba senegalensis favorise la cicatrisation des plaies cutanées car les tanins possèdent des activités antibactérienne et angiogénique. De plus, le zinc présent dans la gomme de Saba senegalensis contribue à la cicatrisation des plaies car le zinc est un cofacteur de nombreux métalloenzymes nécessaires à la réparation de la membrane cellulaire. Cet extrait constitue une source prometteuse pour la mise au point de phytomédicament cicatrisant.
The skin is the main organ of the outer covering of the body of humans and animals. It is often confronted with burns that are expensive to treat and sometimes leave after-effects on the victims. This study aims to evaluate the healing effect of Saba senegalensis gum on a second-degree burn model in Rattus norvegicus strain Wistar. The ointment formulated with 15 % hydroethanolic extract 70% Saba senegalensis gum promoted wound healing on day 17, while the ointment formulated with 5 % led to wound healing on day 23. As for the placebo and the healing cream: silver sulfadiazine, did not succeed in healing the rats' wounds during the 23 days of treatment. This healing activity of Saba senegalensis gum is linked to the presence of flavonoids and tannins, as well as zinc. Indeed, flavonoids promote the production of collagen fibers and fibroblasts and increase the angiogenic response necessary for wound healing. Also, the presence of tannins in Saba senegalensis gum promotes the healing of skin wounds because tannins have antibacterial and angiogenic activities. In addition, the zinc present in Saba senegalensis gum contributes to wound healing because zinc is a cofactor of many metalloenzymes necessary for cell membrane repair. This extract is a promising source for the development of healing herbal medicines
L’anemie chez la personne agee : experience d’un service de medecine interne au Niger
Get PDFL’anémie est une affection fréquente chez les patients âgés et sa prévalence augmente avec l’âge. Méthode : il s’agit d’une étude rétrospective sur cinq (5) ans [janvier 2017- décembre 2021] dans le service de médecine interne de l’hôpital national de Niamey au Niger. Cette étude a pour objectif d’évaluer l’anémie chez les patients âgés de 65 ans et plus. Résultat : Cent quatre-vingt-dix-huit (198) dossiers répondaient aux critères d’inclusion soit 5,96 % des patients de 65 ans et plus. Le sexe masculin était majoritaire avec 142 patients soit 71,72%. L’âge moyen était de 72,13± 5,49ans. Les plaintes des patients etaient dominées par la palpitation, l’asthénie et les vertiges avec respectivement 98,98 %, 97,97 % et 78,78 %. La paleur cutanée et muqueuse était quasi constante, retrouvée chez 188 patients, soit 94,94 %. le taux d’hémoglobine moyen retrouvé était de 8,3 g/dl ± 1,99 avec des extrêmes de 3 et 11,9 g/dl. Dans plus de la moitié des cas (55,05%) l’anémie etait d’origine inflammatoire. La cause carencielle a été retrouvée chez 63 patients (31,81 %). Conclusion: L’anémie, cause de morbimortalité de la personne agée, reste frequent.
Anemia is a common condition in elderly patients and its prevalence increases with age Method: This is a retrospective study over five (5) years [January 2017- December 2021] in the internal medicine department of the National Hospital of Niamey in Niger. The objective of this study is to evaluate anemia in patients aged 65 years and older. Result: One hundred and ninety-eight (198) files met the inclusion criteria, i.e. 5.96% of patients aged 65 years and older. The male sex was in the majority with 142 patients or 71.72%. The mean age was 72.13± 5.49 years. Patient complaints were dominated by palpitation, asthenia and dizziness with 98.98%, 97.97%, and 78.78%, respectively. The pallor of the skin and mucous membrane was almost constant, found in 188 patients, or 94.94%. The mean hemoglobin level found was 8.3 g/dL ± 1.99 with extremes of 3 and 11.9 g/dL. In more than half of the cases (55.05%) the anemia was of inflammatory origin. The deficiency cause was found in 63 patients (31.81%). Conclusion: Anaemia, a cause of morbidity and mortality in the elderly, remains common
Decoupling and EKC in European Union countries: A shiftshare decomposition of air emissions
Get PDFThis paper examines the non-linear effect of per capita GDP growth rate, trade openness, physical and human capital endowments on air pollution in the EU region over the period 2008-2016 by decomposing air emissions into scale, composition and technique effects. Results show a negative non-linear relationship between greenhouse and acidifying gases emissions and per capita GDP growth rate, with more open economies tending to reduce emissions both directly and indirectly through investment in physical capital. The determinants mainly affect the scale component, although the environmental improvement due to capital investment works through the technique component. There are heterogeneous effects across countries, with more pronounced environmental benefits for countries in the higher deciles of GDP and trade growth rates. 
Inteligencia artificial y la gestión del talento humano en Chihuahua, su impacto y consecuencias
Get PDFEl máximo potencial de la inteligencia artificial (IA) se logra fusionando la creatividad y la empatía del talento humano, con la innovación tecnológica. El objetivo del estudio fue analizar la forma en que se puede integrar la inteligencia artificial (IA) en la gestión del talento humano, con especial atención a las pequeñas y medianas empresas (PyMEs) en Chihuahua, Chih. México. Fue una investigación cualitativa, transeccional-descriptiva, con fuerte enfoque documental. Se enmarca en el contexto de la Industria 4.0, caracterizada por la adopción de tecnologías avanzadas como el Internet de las Cosas (IoT), el Big Data y las medidas de ciberseguridad, que han transformado los procesos de negocio; a pesar de los desafíos relacionados con recursos limitados, barreras culturales y altos costos de implementación, la inteligencia artificial (IA) es una herramienta estratégica para optimizar la eficiencia y optimizar la toma de decisiones. Entre los principales resultados, se destaca que la integración conjunta entre tecnología y talento humano es clave para promover la competitividad y la sostenibilidad, destacando la importancia de la capacitación de los empleados y el diseño de estrategias que equilibren la innovación tecnológica y la estabilidad laboral.
The maximum potential of artificial intelligence (AI) is achieved by merging the creativity and empathy of human talent with technological innovation. The aim of the study was to analyze how artificial intelligence (AI) can be integrated into human talent management, with special attention to small and medium-sized enterprises (SMEs) in Chihuahua, Chih. Mexico. It was a qualitative, cross-sectional-descriptive research, with a strong documentary focus. It is framed in the context of Industry 4.0, characterized by the adoption of advanced technologies such as the Internet of Things (IoT), Big Data, and cybersecurity measures, which have transformed business processes; despite the challenges related to limited resources, cultural barriers and high implementation costs, AI is a strategic tool to optimize efficiency and optimize decision making. Among the main results, it is highlighted that the joint integration between technology and human talent is key to promoting competitiveness and sustainability, highlighting the importance of employee training and the design of strategies that balance technological innovation and job stability
Impact of the Distance Travelled to School on Students' Performance, Tardiness, and Absenteeism in Public Schools in Morocco
Get PDFThe challenges of providing equitable access to quality education are particularly acute in rural areas, where the distance pupils have to travel to school can have a significant impact on their academic performance. This study addresses the critical question: How does the distance students have to travel to school affect their academic outcomes? Focusing on a primary school in a rural area of Morocco, the research aims to analyze the relationship between students' travel times and their academic performance. Based on a statistical analysis of data collected from 220 students, the study uses univariate analysis, ANOVA, and Pearson correlation tests to examine the effects of commute time on tardiness, absenteeism, and academic performance. The results indicate that longer commute times are associated with higher rates of tardiness and absenteeism, as well as lower student performance. These findings highlight the urgent need to address logistical challenges in rural areas in order to improve educational outcomes. The study concludes by emphasizing the need for targeted interventions, such as improved transport infrastructure, to mitigate the negative impact of long commutes on student performance