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Ujfalusi-Pozsonyi K, Bódis E, Nyitrai M, Kengyel A, Telek E, Pécsi I, Fekete Z, Varnyuné Kis-Bicskei N, Mas C, Moussaoui D, Pernot P, Tully MD, Weik M, Schirò G, Kapetanaki SM, Lukács A. ATP-dependent conformational dynamics in a photoactivated adenylate cyclase revealed by fluorescence spectroscopy and small-angle X-ray scattering. Commun Biol 2024; 7:147. [PMID: 38307988 PMCID: PMC10837130 DOI: 10.1038/s42003-024-05842-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2023] [Accepted: 01/22/2024] [Indexed: 02/04/2024] Open
Abstract
Structural insights into the photoactivated adenylate cyclases can be used to develop new ways of controlling cellular cyclic adenosine monophosphate (cAMP) levels for optogenetic and other applications. In this work, we use an integrative approach that combines biophysical and structural biology methods to provide insight on the interaction of adenosine triphosphate (ATP) with the dark-adapted state of the photoactivated adenylate cyclase from the cyanobacterium Oscillatoria acuminata (OaPAC). A moderate affinity of the nucleotide for the enzyme was calculated and the thermodynamic parameters of the interaction have been obtained. Stopped-flow fluorescence spectroscopy and small-angle solution scattering have revealed significant conformational changes in the enzyme, presumably in the adenylate cyclase (AC) domain during the allosteric mechanism of ATP binding to OaPAC with small and large-scale movements observed to the best of our knowledge for the first time in the enzyme in solution upon ATP binding. These results are in line with previously reported drastic conformational changes taking place in several class III AC domains upon nucleotide binding.
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Affiliation(s)
- K Ujfalusi-Pozsonyi
- Department of Biophysics, Medical School, University of Pécs, 7624, Pécs, Hungary
| | - E Bódis
- Department of Biophysics, Medical School, University of Pécs, 7624, Pécs, Hungary
| | - M Nyitrai
- Department of Biophysics, Medical School, University of Pécs, 7624, Pécs, Hungary
| | - A Kengyel
- Department of Biophysics, Medical School, University of Pécs, 7624, Pécs, Hungary
| | - E Telek
- Department of Biophysics, Medical School, University of Pécs, 7624, Pécs, Hungary
| | - I Pécsi
- Department of Biophysics, Medical School, University of Pécs, 7624, Pécs, Hungary
| | - Z Fekete
- Department of Biophysics, Medical School, University of Pécs, 7624, Pécs, Hungary
| | | | - C Mas
- Univ. Grenoble Alpes, CNRS, CEA, EMBL, ISBG, F-38000, Grenoble, France
| | - D Moussaoui
- European Synchrotron Radiation Facility (ESRF), Grenoble, France
| | - P Pernot
- European Synchrotron Radiation Facility (ESRF), Grenoble, France
| | - M D Tully
- European Synchrotron Radiation Facility (ESRF), Grenoble, France
| | - M Weik
- Institut de Biologie Structurale (IBS), Université Grenoble Alpes, CEA, CNRS, Grenoble, France
| | - G Schirò
- Institut de Biologie Structurale (IBS), Université Grenoble Alpes, CEA, CNRS, Grenoble, France
| | - S M Kapetanaki
- Institut de Biologie Structurale (IBS), Université Grenoble Alpes, CEA, CNRS, Grenoble, France.
- Department of Biophysics, Medical School, University of Pécs, 7624, Pécs, Hungary.
| | - A Lukács
- Department of Biophysics, Medical School, University of Pécs, 7624, Pécs, Hungary.
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Aguiló J, Moussaoui D, Chon K, Bailón R. Editorial: Robust, reliable, and continuous assessment in health: the challenge of wearable and remote technologies. Front Physiol 2023; 14:1281426. [PMID: 37772057 PMCID: PMC10523319 DOI: 10.3389/fphys.2023.1281426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 09/04/2023] [Indexed: 09/30/2023] Open
Affiliation(s)
- Jordi Aguiló
- Centro de Investigación Biomédica en Red, Madrid, Spain
- Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Driss Moussaoui
- Ibn Rushd University Psychiatric Centre, Casablanca, Morocco
| | - Ki Chon
- University of Connecticut, Storrs, CT, United States
| | - Raquel Bailón
- Centro de Investigación Biomédica en Red, Madrid, Spain
- Universidad de Zaragoza, Zaragoza, Spain
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Mroueh L, Ekmekdjian D, Aghekyan E, Sukiasyan S, Tadevosyan M, Simonyan V, Soghoyan A, Vincent C, Bruand PE, Jamieson-Craig T, Moussaoui D, Preux PM, Boumediene F. Can a brief training intervention on schizophrenia and depression improve knowledge, attitudes and practices of primary healthcare workers? The experience in Armenia. Asian J Psychiatr 2021; 66:102862. [PMID: 34583092 DOI: 10.1016/j.ajp.2021.102862] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 09/06/2021] [Accepted: 09/08/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND Although the World Health Organization has called for mental health services to be integrated into primary care, mental health remains in most countries, and especially in low- and middle-income countries, one of the most neglected topics in the training curriculum of frontline health workers. As a result, primary healthcare professionals leave medical and nursing schools with insufficient knowledge, and often with negative attitudes towards mental disorders. AIM We investigated the effect of a brief training intervention on schizophrenia and depression conducted among general practitioners and nurses in Armenia. METHODS Training interventions were one-day, face-to-face, interactive workshops, including didactic presentations and discussions of case studies. We used a quasi-experimental design of the before/after type, to compare data on knowledge, attitudes and practices collected before and after the training sessions. RESULTS Mean scores for knowledge, attitudes and practices increased significantly (p < 0.001) among both nurses and GPs for both schizophrenia (111 GPs and 167 nurses) and depression (459 GPs and 197 nurses). CONCLUSIONS Our experience suggests that a brief training intervention can result in significant improvements in knowledge, attitudes and practices among primary healthcare workers and could help improve mental health services.
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Affiliation(s)
- Lara Mroueh
- INSERM, Univ. Limoges, CHU Limoges, IRD, U1094 Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
| | | | | | - Samvel Sukiasyan
- Stress Mental Rehabilitation Center, Yerevan, Armenia; Armenian Medical Institute, Yerevan, Armenia
| | - Margarit Tadevosyan
- Stress Mental Rehabilitation Center, Yerevan, Armenia; Yerevan State Medical University aft. M. Heraci, Yerevan, Armenia
| | | | - Armen Soghoyan
- Yerevan State Medical University aft. M. Heraci, Yerevan, Armenia; Psychosocial Recovery Center, Yerevan, Armenia
| | | | | | | | | | - Pierre-Marie Preux
- INSERM, Univ. Limoges, CHU Limoges, IRD, U1094 Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France
| | - Farid Boumediene
- INSERM, Univ. Limoges, CHU Limoges, IRD, U1094 Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France.
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Benchekroune K, Drissi J, Moukit M, Kouach J, Moussaoui D. [Mirror syndrome: literature review based on a case]. Pan Afr Med J 2020; 37:125. [PMID: 33425158 PMCID: PMC7755374 DOI: 10.11604/pamj.2020.37.125.19337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Accepted: 01/02/2020] [Indexed: 11/17/2022] Open
Abstract
Le syndrome miroir ou syndrome de Ballantyne est une entité pathologique rare, définit par l´association d´une anasarque fœtale et d´un œdème maternel généralisé pouvant se compliquer d´une prééclampsie. L´objectif de ce travail est de mettre en exergue les particularités diagnostic et thérapeutique de cette entité clinique grave, qui, en dépit de sa rareté, ne doit pas être méconnu. Et ceux à travers la description d´un cas clinique d´une parturiente de 35 ans qui s´est présentée aux urgences, à 26 semaines d´aménorrhée, dans un tableau de syndrome miroir idiopathique dont l´évolution fut rapidement marquée par la survenue d´un décès in utéro puis régression de la symptomatologie clinico-biologique maternelle une fois la vacuité utérine obtenue. En effet, un traitement spécifique in utéro est vivement souhaitable. Quoique dans certains cas graves idiopathiques, seule l´obtention de la vacuité utérine permet l´amélioration du pronostic maternel voire fœtale.
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Affiliation(s)
- Khadija Benchekroune
- Service de Gynécologie-Obstétrique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
| | - Jihad Drissi
- Service de Gynécologie-Obstétrique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
| | - Mounir Moukit
- Service de Gynécologie-Obstétrique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
| | - Jaouad Kouach
- Service de Gynécologie-Obstétrique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
| | - Driss Moussaoui
- Service de Gynécologie-Obstétrique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
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Hassani ME, Drissi J, Benali S, Habib AB, Kouach J, Moussaoui D. [Delayed delivery in multiple pregnancy: about a case and literature review]. Pan Afr Med J 2020; 36:373. [PMID: 33235650 PMCID: PMC7666699 DOI: 10.11604/pamj.2020.36.373.19797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Accepted: 01/02/2020] [Indexed: 11/11/2022] Open
Abstract
Delayed delivery is designed to allow the remaining fetus(es) to develop after premature expulsion of the first twin in the second trimester of pregnancy. This decision is aimed to allow the remaining fetus(es) to reach full fetal growth. We here report a clinical case of delayed delivery in a patient with triple pregnancy in whom the time between the expulsion of the first twin and the birth of the third twin was 10 weeks. The purpose of this study was to highlight the benefit and indications for delayed delivery.
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Affiliation(s)
- Mehdi El Hassani
- Service de Gynécologie-Obstétrique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
| | - Jihad Drissi
- Service de Gynécologie-Obstétrique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
| | - Saad Benali
- Service de Gynécologie-Obstétrique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
| | - Abdellah Baba Habib
- Service de Gynécologie-Obstétrique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
| | - Jaouad Kouach
- Service de Gynécologie-Obstétrique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
| | - Driss Moussaoui
- Service de Gynécologie-Obstétrique, Hôpital Militaire d´Instruction Mohamed V, Rabat, Maroc
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Moussaoui D. Pierre Pichot's 100th birthday. World Psychiatry 2020; 19:262. [PMID: 32394573 PMCID: PMC7215058 DOI: 10.1002/wps.20752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Kadri N, Agoub M, El Gnaoui S, Alami KM, Hergueta T, Moussaoui D. Moroccan colloquial Arabic version of the Mini International Neuropsychiatric Interview (MINI): qualitative and quantitative validation. Eur Psychiatry 2020; 20:193-5. [PMID: 15797707 DOI: 10.1016/j.eurpsy.2004.11.007] [Citation(s) in RCA: 96] [Impact Index Per Article: 24.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2002] [Revised: 11/08/2004] [Accepted: 11/15/2004] [Indexed: 11/24/2022] Open
Abstract
AbstractThe validation of mini international neuropsychiatric interview (MINI) into Moroccan Colloquial Arabic language demonstrated good psychometric properties. The concordance between translated MINI’s and expert diagnoses was good with kappa values greater than 0.80. The reliability inter-rater and test–retest were excellent with kappa values above 0.80 and 0.90, respectively.
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Affiliation(s)
- N Kadri
- University Psychiatric Center Ibn Rushd, Rue Tarik Ibnou Ziad, 20000 Casablanca, Morocco.
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Jabbour S, Siddiqi S, Giacaman R, Serag H, Al-Lawati J, Takian A, Ben Romdhane H, Badr E, Abu-Raddad LJ, El-Dawla AS, Najjab S, Moussaoui D, Khogali M, Khader Y, Attal B, Nuwayhid I. New leadership for the WHO Regional Office for the Eastern Mediterranean: exceptional election in an exceptional time. Lancet 2018; 391:1879-1881. [PMID: 29729865 DOI: 10.1016/s0140-6736(18)31029-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2018] [Accepted: 04/26/2018] [Indexed: 11/17/2022]
Affiliation(s)
- Samer Jabbour
- Faculty of Health Sciences, American University of Beirut, Beirut 1107 2020, Lebanon.
| | - Sameen Siddiqi
- Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan
| | - Rita Giacaman
- Institute of Community and Public Health, Birzeit University, Birzeit, occupied Palestinian territory
| | - Hani Serag
- Egyptian Foundation for Health For All and Regional Coordination Committee, People's Health Movement, Cairo, Egypt
| | | | - Amirhossein Takian
- School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | | | | | - Laith J Abu-Raddad
- Department of Healthcare Policy and Research, Weill Cornell Medical College-Qatar, Doha, Qatar
| | | | - Salwa Najjab
- Juzoor Foundation for Health and Social Development, Ramallah, occupied Palestinian territory
| | - Driss Moussaoui
- Ibn Rushd University Psychiatric Centre, Casablanca, Morocco
| | - Mustafa Khogali
- School of Medicine, Ahfad University for Women, Khartoum, Sudan
| | - Yousef Khader
- Department of Community Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Bothaina Attal
- Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen
| | - Iman Nuwayhid
- Faculty of Health Sciences, American University of Beirut, Beirut 1107 2020, Lebanon
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Drissi J, Idri Z, Kouach J, Moussaoui D, Dehayni M. [Peripartum cardiomyopathy]. Pan Afr Med J 2018; 29:7. [PMID: 29632629 PMCID: PMC5889515 DOI: 10.11604/pamj.2018.29.7.12236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2017] [Accepted: 12/14/2017] [Indexed: 11/19/2022] Open
Abstract
La cardiomyopathie du péri-partum (CMP-PP) ou syndrome de Meadows, est une cardiomyopathie dilatée survenue pendant ou au décours d'une grossesse, définie par une insuffisance cardiaque avec une fraction d'éjection systolique du ventricule gauche inférieure à 45%. Il s'agit d'une entité pathologique rare dont le mécanisme physiopathologique en cause reste mal élucidé. Sur le plan clinique il s'agit d'une insuffisance cardiaque inopinée d'installation rapide, d'évolution imprévisible avec risque de choc cardiogénique réfractaire justifiant une prise en charge en réanimation cardiovasculaire. La CMP-PP ne nécessite aucun traitement spécifique par rapport aux autres causes d'insuffisance cardiaque. Nous rapportons le cas d'une primigeste de 29 ans qui a consulté à 32 semaines d'aménorrhée dans un tableau d'insuffisance cardiaque congestive en rapport avec une cardiomyopathie du péri-partum. L'objectif de ce travail est de préciser les caractéristiques de cette cardiopathie, qui malgré son caractère exceptionnel ne doit pas être méconnu par l'obstétricien.
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Affiliation(s)
- Jihad Drissi
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc
| | - Zakaria Idri
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc
| | - Jaouad Kouach
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc
| | - Driss Moussaoui
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc
| | - Mohamed Dehayni
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc
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Bhugra D, Tasman A, Pathare S, Priebe S, Smith S, Torous J, Arbuckle MR, Langford A, Alarcón RD, Chiu HFK, First MB, Kay J, Sunkel C, Thapar A, Udomratn P, Baingana FK, Kestel D, Ng RMK, Patel A, Picker LD, McKenzie KJ, Moussaoui D, Muijen M, Bartlett P, Davison S, Exworthy T, Loza N, Rose D, Torales J, Brown M, Christensen H, Firth J, Keshavan M, Li A, Onnela JP, Wykes T, Elkholy H, Kalra G, Lovett KF, Travis MJ, Ventriglio A. The WPA-Lancet Psychiatry Commission on the Future of Psychiatry. Lancet Psychiatry 2017; 4:775-818. [PMID: 28946952 DOI: 10.1016/s2215-0366(17)30333-4] [Citation(s) in RCA: 184] [Impact Index Per Article: 26.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2017] [Accepted: 07/28/2017] [Indexed: 12/11/2022]
Affiliation(s)
- Dinesh Bhugra
- Department of Health Services and Population Research, King's College London and South London and Maudsley NHS Foundation Trust, London, UK; World Psychiatric Association, Geneva, Switzerland.
| | - Allan Tasman
- Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, Louisville, KY, USA
| | - Soumitra Pathare
- Centre for Mental Health Law and Policy, Indian Law Society, Pune, India
| | - Stefan Priebe
- Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London, UK
| | - Shubulade Smith
- Department of Forensic and Neurodevelopmental Science, King's College London and South London and Maudsley NHS Foundation Trust, London, UK
| | - John Torous
- Department of Psychiatry and Division of Clinical Informatics, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - Melissa R Arbuckle
- Department of Psychiatry, Columbia University Medical Center, New York, NY, USA; New York State Psychiatric Institute, New York, NY, USA
| | - Alex Langford
- Psychological Medicine Service, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
| | - Renato D Alarcón
- Department of Psychiatry and Psychology, Mayo Clinic College of Medicine, Rochester, MN, USA; Department of Psychiatry, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Helen Fung Kum Chiu
- Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
| | - Michael B First
- Department of Psychiatry, Columbia University Medical Center, New York, NY, USA; New York State Psychiatric Institute, New York, NY, USA
| | - Jerald Kay
- Department of Psychiatry, Boonshoft School of Medicine, Wright State University, Dayton, OH, USA
| | - Charlene Sunkel
- SA Federation for Mental Health, Johannesburg, South Africa; Movement for Global Mental Health, Johannesburg, South Africa
| | - Anita Thapar
- Child & Adolescent Psychiatry Section, Division of Psychological Medicine and Clinical Neuroscience, MRC Centre for Neuropsychiatric Genetics & Genomics, School of Medicine, Cardiff University, Cardiff, UK
| | - Pichet Udomratn
- Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
| | - Florence K Baingana
- Mental Health Lead Basic Package of Essential Health Services Cluster, WHO Sierra Leone Country Office, Freetown, Sierra Leone
| | - Dévora Kestel
- Mental Health and Substance Use Unit, Pan American Health Organization/World Health Organization, Washington DC, USA
| | | | - Anita Patel
- Centre for Primary Care & Public Health, Blizard Institute, Queen Mary University of London, London, UK
| | - Livia De Picker
- Collaborative Antwerp Psychiatric Research Institute, University of Antwerp, Antwerp, Belgium
| | - Kwame Julius McKenzie
- Wellesley Institute, Toronto, Ontario, Canada; General Psychiatry and Health Systems, Centre for Addictions and Mental Health, Toronto, Ontario, Canada; Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Driss Moussaoui
- Ibn Rushd University Psychiatric Center, Casablanca, Morocco
| | - Matt Muijen
- Danish Mental Health Association, Copenhagen, Denmark
| | - Peter Bartlett
- School of Law and Institute of Mental Health, University of Nottingham, Nottingham, UK
| | - Sophie Davison
- State Forensic Mental Health Service, Department of Health, Clinical Research Centre, Mount Claremont, WA, Australia; School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, WA, Australia
| | - Tim Exworthy
- Department of Forensic and Neurodevelopmental Science, King's College London and South London and Maudsley NHS Foundation Trust, London, UK; Cygnet Healthcare, Stevenage, UK
| | | | - Diana Rose
- Service User Research Enterprise, King's College London and South London and Maudsley NHS Foundation Trust, London, UK
| | - Julio Torales
- Department of Psychiatry, National University of Asunción, San Lorenzo, Paraguay
| | | | - Helen Christensen
- Black Dog Institute, University of New South Wales, Sydney, NSW, Australia
| | - Joseph Firth
- NICM, School of Science and Health, University of Western Sydney, Sydney, NSW, Australia
| | - Matcheri Keshavan
- Department of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - Ang Li
- Department of Psychology, Beijing Forestry University, Beijing, China
| | - Jukka-Pekka Onnela
- Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, MA, USA
| | - Til Wykes
- Institute of Psychiatry, Psychology & Neuroscience, King's College London and South London and Maudsley NHS Foundation Trust, London, UK
| | - Hussien Elkholy
- World Psychiatric Association, Geneva, Switzerland; Institute of Psychiatry, Neurology and Psychiatry Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Gurvinder Kalra
- Flynn Adult Inpatient Psychiatric Unit, Latrobe Regional Hospital Mental Health Services (LRH-MHS), Traralgon, VIC, Australia; School of Rural Health (La Trobe Valley & West Gippsland), Monash University, VIC, Australia
| | | | - Michael J Travis
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Antonio Ventriglio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
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Drissi J, Hachi A, Adlani L, Kouach J, Moussaoui D, Dehayni M. [Idiopathic intracranial hypertension: a rare case related to pregnancy]. Pan Afr Med J 2017; 27:143. [PMID: 28904671 PMCID: PMC5567957 DOI: 10.11604/pamj.2017.27.143.12234] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2017] [Accepted: 06/16/2017] [Indexed: 11/11/2022] Open
Abstract
We report the case of a 25-year old primipara whose pregnancy was complicated by idiopathic intracranial hypertension (ICHT) associated with visual impairment in the first quarter. She underwent lumboperitoneal shunt without obstetric consequences. This study aimed to determine the features of this rare pathological entity whose pathophysiological mechanism is poorly elucidated. It would be caused by poor absorption of cerebrospinal fluid (CSF) through the arachnoid granulations. Major risk factors are: obesity, polycystic ovary syndrome, thrombophilia and hyperfibrinolyse. Diagnosis is based on modified Dandy criteria after negative clinico-biological and radiological assessment. Visual prognosis is compromised, as in the case of « classical » ICHT. However, there is no risk for cerebral involvements which could be life-threatening. In addition, this disease does not influence pregnancy outcome. This said, rapid and effective treatment should be implemented in order to preserve visual function in these patients.
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Affiliation(s)
- Jihad Drissi
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Ayman Hachi
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Laila Adlani
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Jaouad Kouach
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Driss Moussaoui
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Mohamed Dehayni
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
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Raiteb H, El Fazazi H, Kouach J, Moussaoui D, Dehayni M. [Struma ovarii: a rare case of giant ovarian cyst]. Pan Afr Med J 2017; 26:223. [PMID: 28690737 PMCID: PMC5491739 DOI: 10.11604/pamj.2017.26.223.10621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2016] [Accepted: 11/02/2016] [Indexed: 11/30/2022] Open
Abstract
Le struma ovarii est une tumeur rare qui représente 2,7% des tératomes ovariens et 0,01% des tumeurs ovariennes. Elle survient souvent chez la femme au cours de la cinquième décennie et constitue le plus souvent une surprise de l'examen échographique puis histologique. Sa prise en charge est chirurgicale et son pronostic est excellent. Nous rapportons un cas particulier de struma ovarii, vu sa survenue chez une femme jeune, la taille importante de la tumeur et sa présentation radiologique inhabituelle. Nous confrontons ce cas aux données de la littérature.
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Affiliation(s)
- Hanane Raiteb
- Service de Gynéco-Obstétrique, Hôpital Militaire d'Instruction Mohammed V Rabat, Maroc
| | - Hicham El Fazazi
- Service de Gynéco-Obstétrique, Hôpital Militaire d'Instruction Mohammed V Rabat, Maroc
| | - Jaouad Kouach
- Faculté de Médecine et de Pharmacie, Université Mohammed V Souissi, Rabat Maroc
| | - Driss Moussaoui
- Faculté de Médecine et de Pharmacie, Université Mohammed V Souissi, Rabat Maroc
| | - Mohamed Dehayni
- Faculté de Médecine et de Pharmacie, Université Mohammed V Souissi, Rabat Maroc
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Malakouti SK, Saeed K, Akhondzadeh S, Dehghani M, Minhas FA, Agoub M, Bolhari J, Mohit A, Moussaoui D, Sirous S, Kazemzadeh Atoofi M, Shenouda H, Shabani O. Regional Meeting of WHO Collaborating Centers for Mental Health in the Eastern Mediterranean Region. Arch Iran Med 2017; 20:196-198. [PMID: 28287816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Seyed Kazem Malakouti
- WHO Collaborating Centre, Faculty of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran
| | - Khalid Saeed
- WHO/EMRO, Regional Advisor, Mental Health and Substance Abuse unit, Department of Non-Communicable Diseases and Mental Health, World Health Organization, Regional Office for the Eastern Mediterranean
| | | | - Mahmood Dehghani
- Department of Clinical Psychology, Faculty of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran
| | - Fareed Aslam Minhas
- Institute of Psychiatry, Rawalpindi Medical College, WHO Collaborating Centre for Mental Health, Pakistan
| | - Mohamed Agoub
- Laboratoire des Neurosciences Clinique et Sante Mentale UFR Neurosciences et Psychiatrie Biologique Faulte de Medecine et de Pharmacy de Casablanca Centre, Psychiatrique Universitaire Ibn Rochd, Casablanca
| | - Jafar Bolhari
- Faculty of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran
| | - Ahmad Mohit
- WHO Collaborating Centre for Mental Health, Faculty of Behavioral Sciences and Mental Health, Tehran, Iran
| | - Driss Moussaoui
- WHO Collaborating Centre for Mental Health, Casablanca, Morocco
| | | | - Mehrdad Kazemzadeh Atoofi
- WHOcc Office, Faculty of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran
| | - Hoda Shenouda
- WHO/EMRO, Mental Health and Substance Abuse Unit, World Health Organization, Regional Office for the Eastern Mediterranean
| | - Omolbanin Shabani
- WHOcc Office, Faculty of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran
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Medaoud S, Hakem D, Moussaoui D, Boudjelida H, Abbaci K, Djenane, Baba-Ahmed, Berrah A. Purpura vasculaire au cours de la sarcoïdose : à propos de deux observations. Rev Med Interne 2016. [DOI: 10.1016/j.revmed.2016.04.133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Belghazi D, Moussaoui D, Kadri N. Spécificités épidémiologiques, cliniques et culturelles des patients hospitalisés au centre psychiatrique universitaire Ibn-Rochd de Casablanca. Annales Médico-psychologiques, revue psychiatrique 2016. [DOI: 10.1016/j.amp.2013.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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18
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Hakimi I, Kassidi F, Chahdi H, Benabdjlil Y, Kouach J, Moussaoui D, Dehayni M. [Desmoid tumor of the Bartholin gland: about a case]. Pan Afr Med J 2015; 22:49. [PMID: 26664550 PMCID: PMC4662525 DOI: 10.11604/pamj.2015.22.49.5259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2014] [Accepted: 09/07/2015] [Indexed: 11/24/2022] Open
Abstract
Les tumeurs desmoides sont les tumeurs rares, bénignes mais fréquemment agressives d'origine mésenchymateuse, ils sont extrêmement rares en localisation Vulvaire. Nous rapportons le cas d'une patiente âgée de 32 ans présentant un fibrome desmoïde de la glande de Bartholin prise pour un simple kyste au début. Le traitement consiste en une excision chirurgicale de la lésion et nous discutons la possibilité de traitement adjuvent pour éviter une éventuelle récidive post-opératoire.
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Affiliation(s)
- Ihssane Hakimi
- Service de Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Farid Kassidi
- Service de Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Hafsa Chahdi
- Service d'Anatomie Pathologique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Youssef Benabdjlil
- Service de Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Jaouad Kouach
- Service de Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Driss Moussaoui
- Service de Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Mohamed Dehayni
- Service de Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
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Babahabib MA, Abdillahi I, Kassidi F, Kouach J, Moussaoui D, Dehayni M. Posterior reversible encephalopathy syndrome in patient of severe preeclampsia with Hellp syndrome immediate postpartum. Pan Afr Med J 2015; 21:60. [PMID: 26405496 PMCID: PMC4564409 DOI: 10.11604/pamj.2015.21.60.5546] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2014] [Accepted: 11/13/2014] [Indexed: 11/30/2022] Open
Abstract
Posterior reversible encephalopathy syndrome (PRES) is a rare clinico-neuroradiologic condition, not commonly reported in the literature. PRES is an uncommon complication of severe preeclampsia/eclampsia. We report the management of one patient with postpartum preeclampsia as an association of HELLP syndrome presenting with status-epileptics. Early diagnosis along with timely supportive therapy resulted in the successful management of this challenging case. Recent understanding on the pathophysiology of this uncommon condition is discussed. We highlight the importance to obstetricians, intensive-care physicians and anesthesiologists of recognizing such cases.
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Affiliation(s)
| | - Ibrahima Abdillahi
- Department of Gynecology-obstetrics, Military Training Hospital Mohamed V, Rabat, Morocco
| | - Farid Kassidi
- Department of Gynecology-obstetrics, Military Training Hospital Mohamed V, Rabat, Morocco
| | - Jaouad Kouach
- Department of Gynecology-obstetrics, Military Training Hospital Mohamed V, Rabat, Morocco
| | - Driss Moussaoui
- Department of Gynecology-obstetrics, Military Training Hospital Mohamed V, Rabat, Morocco
| | - Mohammed Dehayni
- Department of Gynecology-obstetrics, Military Training Hospital Mohamed V, Rabat, Morocco
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Affiliation(s)
- Driss Moussaoui
- From the Ibn Rushd University Psychiatric Centre, Casablanca, Morocco; and the Stanford University School of Medicine, Stanford, Calif
| | - Ira D Glick
- From the Ibn Rushd University Psychiatric Centre, Casablanca, Morocco; and the Stanford University School of Medicine, Stanford, Calif
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21
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Hakimi I, Moussaoui D. Primitive bilateral nipple necrosis: a case report. Pan Afr Med J 2015; 19:107. [PMID: 25722780 PMCID: PMC4337346 DOI: 10.11604/pamj.2014.19.107.5221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2014] [Accepted: 08/12/2014] [Indexed: 11/11/2022] Open
Affiliation(s)
- Ihssane Hakimi
- Department of Gynecology-Obstetrics, Military Hospital of Instruction Mohammed V, Rabat, Morocco
| | - Driss Moussaoui
- Department of Gynecology-Obstetrics, Military Hospital of Instruction Mohammed V, Rabat, Morocco
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Hakimi I, Benabdejlil Y, Ourraï A, Kouach J, Moussaoui D, Deyahni M. [Pemphigoid gestationis and aplasia cutis congenita: report of a case]. Pan Afr Med J 2015; 19:47. [PMID: 25667709 PMCID: PMC4315481 DOI: 10.11604/pamj.2014.19.47.4914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2014] [Accepted: 08/10/2014] [Indexed: 11/11/2022] Open
Abstract
La pemphigoïde gestationis est une dermatose gravidique apparaissant en général entre la 28ème et la 32ème semaine d'aménorrhée. L’éruption cutanée est prurigineuse, bulleuse ou vésiculopapuleuse et de topographie péri-ombilicale. Outre la clinique, son diagnostic repose sur la biopsie cutanée avec analyse en immunofluorescence directe. Elle se caractérise par sa tendance à récidiver. Le traitement habituel nécessite des dermocorticoïdes. Les conséquences peuvent être maternelles (menace d'accouchement prématuré), fœtales (retard de croissance intra-utérin), et néo-natales (éruption cutanée). Nous rapportons un cas de pemphigoïde gestationis associé à une aplasie cutanée congénitale type 2. S'agit il d'une association fortuite?
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Affiliation(s)
- Ihssane Hakimi
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'instruction Mohammed V, Rabat, Maroc
| | - Youssef Benabdejlil
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'instruction Mohammed V, Rabat, Maroc
| | - Abdelhakim Ourraï
- Service de Pédiatrie, Hôpital Militaire d'instruction Mohammed V, Rabat, Maroc
| | - Jaouad Kouach
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'instruction Mohammed V, Rabat, Maroc
| | - Driss Moussaoui
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'instruction Mohammed V, Rabat, Maroc
| | - Mohammed Deyahni
- Service de Gynécologie-Obstétrique, Hôpital Militaire d'instruction Mohammed V, Rabat, Maroc
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Chennana A, Kouach J, Akharraz A, Hachi A, Bakkali H, Chegri M, Moussaoui D, Dhayni M. Thrombose de la veine ovarienne au post-partum, révélée par un syndrome appendiculaire: à propos d’un cas. Pan Afr Med J 2015. [DOI: 10.11604/pamj.2015.21.187.6858] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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24
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Elhassani ME, Babahabib A, Kouach J, Kassidi F, El Houari Y, Moussaoui D, Dehayni M. [Pseudo tumor pelvic actinomycosis associated with intrauterine device: report of three cases]. Pan Afr Med J 2014; 19:87. [PMID: 25722760 PMCID: PMC4335282 DOI: 10.11604/pamj.2014.19.87.4747] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2014] [Accepted: 09/15/2014] [Indexed: 12/01/2022] Open
Abstract
L'actinomycose est une maladie chronique suppurative granulomateuse d'origine infectieuse responsable d'un syndrome tumoral. La localisation pelvienne est rare et souvent associée, chez la femme, au port au long court du dispositif intra-utérin (DIU). Le diagnostic préopératoire n'est possible que dans 17% des cas. Nous rapportons trois observations, d'actinomycose pelvienne pseudo tumorale compliquées chez des femmes porteuses de DIU, qui illustrent le rôle de ce moyen de contraception dans la genèse de cette pathologie ainsi que les difficultés de prise en charge.
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Affiliation(s)
| | - Abdellah Babahabib
- Service Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Jaouad Kouach
- Service Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Farid Kassidi
- Service Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Younes El Houari
- Service de Gynécologie Obstétrique, Hôpital Beaujon, AP-HP, Paris, France
| | - Driss Moussaoui
- Service Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Mohamed Dehayni
- Service Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
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25
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Affiliation(s)
- Driss Moussaoui
- Faculty of Medicine and Pharmacy; Hassan II University; Casablanca Morocco
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Abstract
Preventive psychiatry is a branch of psychiatry that aims at health promotion, protection from specific mental illnesses, early diagnosis, effective treatment, disability limitation and rehabilitation. Prevention of neuropsychiatric illnesses as compared to other illnesses is particularly important as they run a chronic course and cause substantial disability. Preventive measures have been found to be effective in reducing incidence and disability in a wide range of mental illnesses such as depression, psychosis, anxiety and conduct disorders. The need of the hour is to translate advances in our understanding of mental illness into effective intervention programmes for the prevention of mental illness and the promotion of positive mental health.
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Affiliation(s)
| | | | | | - Driss Moussaoui
- Ibn Rushd University Psychiatric Centre, Casablanca, Morocco
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Molodynski A, Turnpenny L, Rugkåsa J, Burns T, Moussaoui D. Coercion and compulsion in mental healthcare-an international perspective. Asian J Psychiatr 2014; 8:2-6. [PMID: 24655618 DOI: 10.1016/j.ajp.2013.08.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2013] [Revised: 07/31/2013] [Accepted: 08/04/2013] [Indexed: 10/26/2022]
Abstract
BACKGROUND Coercion has always existed in psychiatry and is increasingly debated. The 'move into the community' in many countries over recent decades and the evolution of community services have substantially altered the locus of coercion. In many countries psychiatric services remain poorly funded and patchy. Substantial differences between regions and countries in the provision of services, the role of the family, and the wider economic and political climate are likely to lead to different sources and experiences of coercion. DISCUSSION This paper explores a number of factors that may affect the prevalence and type of coercion in psychiatric services and in society and their impact upon those with severe mental illnesses. Differences in service provision are explored and wider societal issues that may impact are considered along with relevant evidence. CONCLUSIONS Coercion is commonly experienced by those with severe mental illnesses but is poorly understood. The vast majority of research relates to High Income Group countries with developed community services and formal mental health legislation that adopt the so-called 'medical model'. Further research and collaboration is urgently required to increase our understanding of these issues, which are difficult to define and measure. An evidence base that is relevant worldwide, not just to a small group of countries, is needed to inform training and the care of all patients. A particular focus must be expanding our knowledge and understanding of coercion in cultures outside those where such research has traditionally taken place to date.
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Affiliation(s)
- Andrew Molodynski
- Oxford Health NHS Foundation Trust, UK; Oxford University, Department of Psychiatry, UK.
| | - Lucinda Turnpenny
- Social Psychiatry Group, Oxford University, Department of Psychiatry, UK
| | - Jorun Rugkåsa
- Social Psychiatry Group, Oxford University, Department of Psychiatry, UK
| | - Tom Burns
- Social Psychiatry Group, Oxford University, Department of Psychiatry, UK
| | - Driss Moussaoui
- Department of Psychiatry, Ibn Rushd University Psychiatric Centre, Casablanca, Morocco; World Association of Social Psychiatry (WASP), Morocco
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Bhugra D, Gupta S, Schouler-Ocak M, Graeff-Calliess I, Deakin N, Qureshi A, Dales J, Moussaoui D, Kastrup M, Tarricone I, Till A, Bassi M, Carta M. EPA Guidance Mental Health Care of Migrants. Eur Psychiatry 2014; 29:107-15. [DOI: 10.1016/j.eurpsy.2014.01.003] [Citation(s) in RCA: 120] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2013] [Revised: 01/08/2014] [Accepted: 01/12/2014] [Indexed: 11/28/2022] Open
Abstract
AbstractMigration is an increasingly commonplace phenomenon for a number of reasons. People migrate from rural to urban areas or across borders for reasons including economic, educational or political. There is increasing recent research evidence from many countries in Europe that indicates that migrants are more prone to certain psychiatric disorders. Because of their experiences of migration and settling down in the new countries, they may also have special needs such as lack of linguistic abilities which must be taken into account using a number of strategies at individual, local and national policy levels. In this guidance document, we briefly present the evidence and propose that specific measures must be taken to improve and manage psychiatric disorders experienced by migrants and their descendants. This improvement requires involvement at the highest level in governments. This is a guidance document and not a systematic review.
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Affiliation(s)
- Siham Eddahby
- Ibn Rushd University Psychiatric CenterCasablanca, Morocco
| | - Nadia Kadri
- Ibn Rushd University Psychiatric CenterCasablanca, Morocco
| | - Driss Moussaoui
- Faculty of Medicine and Pharmacy, Hassan II UniversityCasablanca, Morocco
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Babahabib MA, Chennana A, Hachi A, Kouach J, Moussaoui D, Dhayni M. [Metaplastic breast cancer: report of a case]. Pan Afr Med J 2014; 19:268. [PMID: 25870723 PMCID: PMC4391886 DOI: 10.11604/pamj.2014.19.268.5508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2014] [Accepted: 10/21/2014] [Indexed: 11/11/2022] Open
Affiliation(s)
| | - Adil Chennana
- Service de Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Aymen Hachi
- Service de Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Jaoud Kouach
- Service de Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Driss Moussaoui
- Service de Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
| | - Mohammed Dhayni
- Service de Gynécologie Obstétrique, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc
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31
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Eddahby S, Kadri N, Moussaoui D. Ramadan et trouble bipolaire : exemple de perturbation du rythme circadien et son impact sur la maladie. Encephale 2013; 39:306-12. [DOI: 10.1016/j.encep.2012.11.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2012] [Accepted: 11/26/2012] [Indexed: 10/27/2022]
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34
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Fornaro M, Martino M, De Pasquale C, Moussaoui D. The argument of antidepressant drugs in the treatment of bipolar depression: mixed evidence or mixed states? Expert Opin Pharmacother 2012; 13:2037-51. [PMID: 22946746 DOI: 10.1517/14656566.2012.719877] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
INTRODUCTION The role of antidepressant drugs in acute and maintenance treatment of bipolar depression is a matter of debate that cannot be decided from the evidence available in the current literature. AREAS COVERED This review includes two sections: in the first, important contributions from the current literature, emphasizing randomized controlled trials (RCTs) and meta-analysis, highlight current controversies and methodological issues; in the second, the impact of mixed depressive features in bipolar depression is evaluated from a psychopathological perspective. EXPERT OPINION Methodological issues may complicate evaluation of the evidence from RCTs regarding antidepressants and mixed states. Moreover, nosological constructs may also contribute to the inconclusive findings, by introducing heterogeneity in patient selection and diagnosis. Acknowledging the impact of mixed features in the course of bipolar depression, essentially by the careful reading of classical Kraepelinian contributions, could enhance clinical management. This would in turn allow a more judicious use of antidepressants, ideally helping to shed some light on the much controversial 'antidepressant-related suicidality', and help to further clarify the reasons for the current literature discordance on this topic.
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Affiliation(s)
- Michele Fornaro
- University of Catania, Department of Formative Sciences, via Teatro Greco n.78, Catania, ZIP 95124, Italy.
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35
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Moussaoui D. Culturally competence care of moroccan migrants. Eur Psychiatry 2011. [DOI: 10.1016/s0924-9338(11)73931-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
About 15% of all Moroccans live abroad (4 and a half million), mostly in Europe and North America. For historic reasons, migration of Moroccans went essentially to France, Belgium, Holland, and more recently to Spain. Many of these migrants are well integrated, but many others do suffer from social bad integration. Those with mental disorders are probably those who are most at risk of non-integration.Mental health workers are not always aware of the cultural background of the Moroccan migrant, including family structure and interactions, religious and traditional beliefs. In France and Holland, and recently in Spain, a few teams are highly interested in transcultural psychiatry and provide care to the migrants and teaching to other mental health professionals. Their number and resources are however far from being sufficient to cover all the field in the entire country. One of the solutions is to develop a teaching program for post-graduates in psychiatry on "Cultural sensitivity" in all departments of psychiatry. A collaboration between mental health workers from the North and the South of the Mediterranean Sea is highly desirable in this respect. This is why the Euro-Med Network on Migration and Mental Health was created in 2007.
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Bhugra D, Gupta S, Bhui K, Craig T, Dogra N, Ingleby JD, Kirkbride J, Moussaoui D, Nazroo J, Qureshi A, Stompe T, Tribe R. WPA guidance on mental health and mental health care in migrants. World Psychiatry 2011; 10:2-10. [PMID: 21379345 PMCID: PMC3048516 DOI: 10.1002/j.2051-5545.2011.tb00002.x] [Citation(s) in RCA: 125] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
The purpose of this guidance is to review currently available evidence on mental health problems in migrants and to present advice to clinicians and policy makers on how to provide migrants with appropriate and accessible mental health services. The three phases of the process of migration and the relevant implications for mental health are outlined, as well as the specific problems of groups such as women, children and adolescents, the elderly, refugees and asylum seekers, and lesbian, gay, bisexual and transgender individuals. The concepts of cultural bereavement, cultural identity and cultural congruity are discussed. The epidemiology of mental disorders in migrants is described. A series of recommendations to policy makers, service providers and clinicians aimed to improve mental health care in migrants are provided, covering the special needs of migrants concerning pharmacotherapies and psychotherapies.
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Stein DJ, Szabo CP, Moussaoui D, Gureje O. Psychiatric sub-specialization in Africa--introduction to a series. Afr J Psychiatry (Johannesbg) 2010; 13:157-159. [PMID: 20957314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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Kouach J, Mounach J, Moussaoui D, Belyamani L, Dehayni M. [Akinetic mutism revealing a postpartum cerebral venous thrombosis]. Ann Fr Anesth Reanim 2010; 29:167-8. [PMID: 20080014 DOI: 10.1016/j.annfar.2009.12.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Kadri N, Agoub M, Assouab F, Tazi MA, Didouh A, Stewart R, Paes M, Toufiq J, Moussaoui D. Moroccan national study on prevalence of mental disorders: a community-based epidemiological study. Acta Psychiatr Scand 2010; 121:71-4. [PMID: 19681770 DOI: 10.1111/j.1600-0447.2009.01431.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
OBJECTIVE The main objective of this study was to assess the prevalence of common mental disorders in the Moroccan general population. METHOD On a systematic representative randomized sample, the Moroccan Arabic version of the Mini International Neuropsychiatric Interview (MINI) was used to assess the prevalence of mood, anxiety, substance, and alcohol abuse disorders. RESULTS Among 5498 subjects interviewed, 40.1% had at least one current mental disorder. Current major depressive disorder was the most common (26.5%), and at least one anxiety disorder was found in 37% of the sample. Mental disorders were more frequent among female, urban, divorced, and unemployed subjects. CONCLUSION Mental disorders are common in the Moroccan general population, particularly mood and anxiety disorders.
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Affiliation(s)
- N Kadri
- Ibn Rushd University Psychiatric Centre, Casablanca, Morocco.
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Kouach J, Elfazzazi H, Hafidi R, Moussaoui D, Dehayni M. Kyste épidermique mammaire géant : aspect clinique, radiologique et pathologique. Imagerie de la Femme 2009. [DOI: 10.1016/j.femme.2009.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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El Ouazzani B, El Hamaoui Y, Idrissi-Khamlichi N, Moussaoui D. [Recurrent pseudocyesis with polydipsia: a case report]. Encephale 2008; 34:416-8. [PMID: 18922245 DOI: 10.1016/j.encep.2007.09.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2006] [Accepted: 09/13/2007] [Indexed: 01/28/2023]
Abstract
INTRODUCTION Pseudocyesis is an imaginary pregnancy resulting from a strong desire or need for motherhood. Pseudocyesis has become increasingly rare in many parts of the world in which accurate pregnancy tests have become widely available. Cultures that place high value on pregnancy, or that make close associations between fertility and a person's worth, still have high rates of the disorder. A woman may believe in her pregnancy to the point of delusion and show acute depression when no baby is born. CASE-REPORT This report describes a case of recurrent pseudocyesis and polydipsia in a 49-year-old woman. She was an illiterate housewife who had been married since she was 21 years old. Four years later, she divorced because of a problem of sterility. She got remarried, five years later, and the couple had no child. The patient was admitted into the Obstetric Unit thinking that she was about to give birth. She presented all the symptoms of true pregnancy. She had abdominal distension, amenorrhea, mammary tension, nausea and vomiting, and weight gain. She claimed to have felt foetal movements. Other than this, she exhibited a polydipsia syndrome. These symptoms had evolved over 20 months. The patient had previously presented six similar episodes. All these episodes were identical. The length of these episodes varied between three and five months, after which all the signs disappeared progressively. The patient had never consulted for these symptoms before the present episode. During her stay in the Obstetric Unit, she benefited from a complete gynaecological examination, including pelvic ultrasound examinations, and laboratory tests, notably hormone assays (FSH, LH, prolactin, ss-HCG) and serum electrolyte levels. A primary sterility and menopause were confirmed. Otherwise, the psychiatric assessment confirmed the delusion of pregnancy and the presence of a depressive syndrome. The patient reported that she was possessed. She explained the normality of the imagery and laboratory tests by the intervention of the demons that hid the foetus and modified the results. DISCUSSION The contribution of psychological and physiological factors in the development of the delusion of pregnancy, possession and polydipsia, and the possible interactions between the two phenomena are discussed.
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Affiliation(s)
- B El Ouazzani
- Centre psychiatrique universitaire Ibn-Rochd, rue Tarik-Ibn-Zyad, Casablanca 20000, Maroc
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Moussaoui D, Gerard D. Access to antipsychotics for schizophrenic patients in developing countries. Eur Psychiatry 2008. [DOI: 10.1016/j.eurpsy.2008.01.086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Moussaoui D. Collaboration between industrialized and developing countries in psychiatry. Eur Psychiatry 2008. [DOI: 10.1016/j.eurpsy.2008.01.092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Kouach JM, ElHassani M, Guelzim K, Zazi A, Moussaoui D, Dehayni M. [Cerebral venous thrombosis in the post-partum. Report of a case]. Mali Med 2008; 23:63-66. [PMID: 19617157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Affiliation(s)
- J M Kouach
- Service de gynéco-obstétrique, Hôpital Militaire Mohamed V, Rabat.
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Moussaoui D. [Psychiatry and mental health in Morocco]. Bull Acad Natl Med 2007; 191:781-782. [PMID: 18225431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Morocco has a population of some thirty million inhabitants, a very large proportion of whom are young. Mental health and psychiatry are dealt with jointly by the university, public, private, and military sectors. Despite significant progress in the last twenty years, there are still no more than 350 psychiatrists in Morocco (thirty years ago there were fewer than ten...), plus about 60 clinical psychologists, about 400 nurses specializing in psychiatry, and social workers. There are about 1900 psychiatric beds in both specialized hospitals and general hospital psychiatry units located in the main cities. In the teaching sector there are currently four university psychiatry departments, with a total of five full professors, six associate professors and five assistant professors. The National Mental Health Program, launched in 1974 and revised in 1994, was not properly implemented. Several NGOs also work in psychiatry and mental health, including the League for Mental Health and five patient associations. A national survey of the prevalence of mental disorders, completed in 2003 but only made public in 2007, represented a watershed for psychiatry in Morocco: 48.9% of a sample of 5600 persons representative of the general population were found to have a mental disorder, and 26.5% of respondents were depressed. This survey is an invaluable reference for years to come, helping to match mental healthcare provision with real needs. Research activity has also progressed since the early 1980s, as reflected by the number and quality of publications in the different fields, including epidemiology, biological psychiatry, social psychiatry, psychopharmacology and clinical psychopathology. Cultural aspects are a special research focus (suicide and religion, cannabis use, traditional treatments, etc.). International university collaboration has been especially important for Moroccan research. However, despite major progress over the last three decades in the fields of psychiatry and mental health, much remains to be done, notably to bolster child and adolescent psychiatry, and to manage mental illness in small towns and villages, including in the remotest regions.
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Moussaoui D. Religion and migration : curse or opportunity? Eur Psychiatry 2007. [DOI: 10.1016/j.eurpsy.2007.01.301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Kadri N, Agoub M, El Gnaoui S, Berrada S, Moussaoui D. Prevalence of anxiety disorders: a population-based epidemiological study in metropolitan area of Casablanca, Morocco. Ann Gen Psychiatry 2007; 6:6. [PMID: 17291353 PMCID: PMC1802076 DOI: 10.1186/1744-859x-6-6] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2006] [Accepted: 02/10/2007] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND In Morocco, no epidemiological study has been conducted to show the current prevalence of mental disorders in the general population. The aim of the present study was to assess the prevalence and comorbidity of anxiety disorders in Moroccan subjects. METHODS We used cross-sectional study, with a representative sample of Casablanca city. Direct interviews used the Mini International Neuropsychiatric Interview in its validated Moroccan Arabic version RESULTS Among 800 subjects, 25.5% met criteria of at least one current anxiety disorder: Panic Disorder (2%), Agoraphobia (7.6%) Social phobia (3.4), Obsessive Compulsive Disorder (6.1%), Post Traumatic Stress Disorder (3.4%), Generalized Anxiety Disorder (4.3%) CONCLUSION The results are generally similar to those of Western countries. Future studies need to replicate these results and to concentrate on their impact on the quality of life and the cost of such conditions in the community.
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Affiliation(s)
- Nadia Kadri
- Ibn Rochd University psychiatric center, Rue Tarik Ibn Ziad, 20000 Casablanca, Morocco
| | - Mohamed Agoub
- Ibn Rochd University psychiatric center, Rue Tarik Ibn Ziad, 20000 Casablanca, Morocco
| | - Samir El Gnaoui
- Ibn Rochd University psychiatric center, Rue Tarik Ibn Ziad, 20000 Casablanca, Morocco
| | - Soumia Berrada
- Ibn Rochd University psychiatric center, Rue Tarik Ibn Ziad, 20000 Casablanca, Morocco
| | - Driss Moussaoui
- Ibn Rochd University psychiatric center, Rue Tarik Ibn Ziad, 20000 Casablanca, Morocco
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Abstract
UNLABELLED The treatment of burned children needs to address also their psychic state. Since the child's emotional state depends heavily on the emotional state of its parents, especially the mother's, interest should also be focused on diagnosing and treating secondary psychiatric disorders in mothers of burned children. The AIM of this work was to study the prevalence of depression in mothers of burned children and its predicting factors. METHODS The enrolment of mothers of burned children was done in the Burns Department, Ibn Rushd University Hospital in Casablanca, Morocco. Twenty-eight mothers of seriously burned children agreed to participate in this study. A psychiatric interview was conducted after informed consent was obtained. The mothers completed a questionnaire; the diagnosis was made according to DSM IV criteria using the Mini International Neuro-psychiatric Interview (MINI). The Hamilton Depression Rating Scale and the Hamilton Anxiety Rating Scale were used to evaluate respectively the intensity of depression and the level of anxiety. Social functioning was assessed by the Global Assessment of Functioning scale (GAF). The minimum time interval between the child's being burned and the interview with the mother was one month. RESULTS The prevalence of depression was 35.7%, which is much higher in the mothers of burned children as compared to the general population. Several risk factors were found such as: several burned children or burn of the only child, severity and complications of burn, and the socio-economic level. CONCLUSION Depression is a common disorder in mothers of burned children. Thus early screening for depression in mothers and psychological and psychiatric support must be provided in conjunction with the treatment of the burned child.
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Affiliation(s)
- Y El Hamaoui
- Ibn Rushd University Psychiatric Center, Casablanca, Morocco
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Abstract
INTRODUCTION Agadir City is geologically located on a seismic line. This city witnessed an earthquake in February 1960 with a magnitude of 6 degrees in Richter scale. During this disaster more than 17,000 people died and 60% of the town was destroyed. OBJECTIVES Forty years later, the objective of this study was to assess post-traumatic stress disorders at the time of the disaster and currently among this population. METHODS Two groups, matched by gender and age were included: 1) a group (G 1) of 80 earthquake survivors with an age varying from 45 to 70 years ; 2) a control group (G2) with 80 people who experienced accidental events other than the earthquake. The instruments used were: a questionnaire concerning socio-demographic data, and the Post-traumatic Stress Diagnosis Scale-Edna Foa-1995 for the diagnosis of PTSD which was translated in Moroccan Arabic language. The epidemiological survey was conducted in two steps during 13 months. The first step consisted in the inclusion of the first group: victims of the disaster. One hundred and two survivors were contacted and 80 accepted to participate in the study. The second step, concentrated on the inclusion of the other group, according to gender and age of the survivors group. All interviews were conducted in the homes of the participants. Data analysis was performed on a PC microcomputer using Epi info 6.04 French version (Center for disease control and prevention CDC, Atlanta, USA). The statistical analysis was based on the descriptive techniques of statistics. RESULTS The main results were: 1) after the traumatic events and retrospectively, survivors from the earthquake had statistically more PTSD than G2: 38.8% vs 20%; 2) at the time of the study, the prevalence of PTSD between the two groups was not significantly different: 10% for the survivors of the earthquake vs 7.5% for G2 (victims of accidents) while the dates of trauma differed; 3) forty years later, the socio-professional life of the survivors was still perturbed. DISCUSSION These results are in accordance with the literature, even if the methodological differences constitute a limiting factor for the comparison. Nevertheless, the persistence of symptoms of PTSD many years later might be explained by the severity of the trauma, the existence of external stimuli, such as the frequent tremors felt in Agadir, the noise, the storms, the earthquake happening in other cities...create a persistent state of hyper-vigilance which maintains and/or worsens the symptoms of PTSD. CONCLUSION In conclusion, 40 years later, survivors are in need of care to overcome symptoms of PTSD. Preventive measures for victims of disasters should perhaps be developed.
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Affiliation(s)
- N Kadri
- Centre Psychiatrique Universitaire Ibn Rochd, rue Tarik Ibn Ziad, Casablanca, Maroc
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