Being a Father of a Premature Newborn: The Parental Experience and the Father/Premature Newborn Relationship: A Study Carried out in the Department of Neonatology Intensive Care Unit of Mohammed VI University Hospital

Introduction: Despite advances in obstetrics and pediatrics over the past 20 years, premature birth remains an unpredictable event that can have a devastating impact on parenthood. This study aimed to analyze the psycho-affective experiences of fathers of premature newborns. Methods: This was a descriptive cross-sectional study, carried out in the department of neonatology and neonatal intensive care unit of the CHU Mohamed VI in OUJDA, over 6 months from March 2022 to August 2022. It focused on 30 fathers of premature newborns hospitalized in our department. Results: The majority of fathers described a state of fear and stress, and attributed their negative experience to the unexpected nature of the premature birth. At the first meeting, half the fathers had a positive image of their newborn’s physical appearance, while 22% of fathers reported feeling uncomfortable about their newborn’s low weight. Most fathers reported that they appreciated the welcome they received, the skill with which they cared for their newborn, and the availability of the pediatrician to provide information on their child’s state of health. Two fathers enjoyed skin-to-skin contact with their newborns. None of the fathers met a psychologist. When they returned home, half the fathers had a positive outlook, marked by happiness at being able to fully invest in their role as fathers, the other half reported being torn between the desire to see their child integrated into the family cocoon and the fear of not being able to manage delicate situations properly without a medical team. Conclusion: Bringing a premature baby into the world can be a difficult experience, leading to the development of even minor psychological distress in some fathers, and hence the need for specific psychological care.

Attitudes and Practices of Lumbar Puncture among Students, Interns, and Residents of the Pediatric Department of the Mohammed VI University Hospital Center of Oujda, Morocco

Introduction: Even though lumbar puncture (LP) represents an important tool in the diagnosis of certain neurological diseases, this procedure is little practiced by our students. We aimed to evaluate the attitudes and practices of students, interns, and residents about LP, and to assess their feelings about how this procedure is taught. Materials and Methods: We conducted a cross-sectional study of 160 participants, using an anonymous questionnaire, to evaluate the attitudes and practices of students, interns and residents in the pediatrics department concerning lumbar puncture. Results: Half of the participants had never performed LP, usually because of the risk involved or lack of confidence, while 20% had performed it more than 4 times. None of the participants had learned to perform the procedure through simulation sessions, while (42%) had learned it under the supervision of a senior physician and had not been able to perform it successfully the first time. Most participants inform the patient about the procedure before performing it. Only 44% of participants acknowledged that LP can be performed under local anesthetic. The sitting position (60%) was by far the most commonly used. Most LPs were performed for diagnostic purposes. Most participants stated that the pediatric ward and the pediatric emergency department are among the departments that perform LP most frequently, and that they would be interested in taking part in simulated lumbar puncture sessions in children in the future. Conclusion: The results of our study show that LP is perceived by students as a risky procedure that is difficult to perform. Teachers should reconsider how this technical procedure is taught, by integrating simulation on mannequins into student training.

Congenital Hernia of the Diaphragmatic Dome with Neonatal Revelation, Experience from the Neonatology and Neonatal Intensive Care Unit at the University Hospital Center of Oujda

Congenital hernia of the diaphragmatic dome (CHDD) is an embryonic malformation in which all or part of the diaphragmatic dome fails to develop properly. In the majority of cases (80% to 90%), this malformation affects the left posterolateral part of the diaphragm, while in 10% to 15% of cases it affects the right. Bilateral cases are extremely rare, accounting for less than 1% of cases. This malformation is estimated to occur at a frequency of around 1 in 3500 births, with a male predominance. The diaphragmatic defect causes the abdominal organs to rise into the thoracic cavity during critical phases of lung development. These anomalies result in bilateral pulmonary hypoplasia, a reduced number of pulmonary vessels, and pulmonary arterial hypertension (PAH). The combination of these anatomical and functional anomalies, in varying degrees, explains the wide variability of symptoms at birth. Diagnosis is usually made prenatally by ultrasound, which enables severe forms of the disease to be detected and appropriate management initiated. The prognosis remains generally grave, with a neonatal mortality rate of between 30% and 60% depending on the study, and around half of all children will have long-term sequelae.

Rhabdomyosarcoma in Children: About 10 Cases

Introduction: Rhabdomyosarcoma (RMS) is a malignant soft-tissue tumor arising from striated muscle cells. It accounts for 60% - 70% of malignant mesenchymal tumors and 5% of pediatric cancers. Two-thirds of these cancers are diagnosed in children under 6 years of age, with a slight male predominance. Materials and Methods: This is a retrospective descriptive study of 10 cases of RMS collected in the pediatric hematology and oncology department of the Oujda university hospital, over a 5-year period, running from January 2018 to December 2022. Results: The median age at diagnosis was 3 years, with a sex ratio of 1. The mean time to diagnosis was 2 months. The most common site was the head and neck (50%), followed by the genitourinary tract (20%), the extremities (20%) and finally the abdomen (10%). The most frequent mode of discovery was a mass or swelling found in 90% of patients (all sites included), followed by exophthalmos in 30% of cases. At the diagnostic stage, CT scans were performed in 70% of cases and MRI in 5 patients (50%). Histological diagnosis was determined by immunohistochemical pathology in all our patients, with a predominance of embryonal (70%) versus alveolar (20%) and spindle cell types (10%). All patients underwent an extension workup, and a cervico-thoraco-abdominopelvic CT was performed in all patients (100%);MRI was performed in 2 patients (20%);lymph node involvement was present in 5 patients (50%). Metastases at the time of diagnosis were noted in only 1 patient (10%), who simultaneously presented with two metastatic sites;testicular and abdominal wall. Sixty percent of patients presented with advanced disease (high risk) and 40% with standard risk. Chemotherapy was used in all patients (100%), with upfront tumor resection performed in 40%. Fifty percent of patients received radiotherapy at a mean dose of 43 Gy, with the orbit the most frequently irradiated area (30%). All patients underwent CTscan and/or MRI and/or ultrasound surveillance. Follow-up during and after treatment was marked by complete remission in 8patients, loss of sight in one patient, and one patient died as a result of progressive disease. Conclusion: RMS is a malignant tumor of striated muscle. The epidemiological and clinical features of this tumor in our study are generally similar to those described in the literature. Management of these tumors requires multidisciplinary collaboration involving oncopediatric, radiologist, pediatric surgeon, pathologist and radiotherapist.

Pediatric Hepatoblastoma: A Case Report and Review of the Literature

Introduction and Objective: Hepatoblastoma is the most frequent malignant embryonal liver tumor, and its incidence is increasing. Children under 3 years of age are particularly affected. The etiology is largely unknown, but a genetic predisposition exists. This case highlights the clinical and imaging characteristics and management strategies. Case Report: We report the case of an 18 months old male admitted for exploration of an abdominal mass and was diagnosed with hepatoblastoma. Conclusion: Hepatoblastoma is an aggressive tumor that begins locally and eventually metastasizes to the brain, lungs, lymph nodes, and other organs. Tumor stage at presentation and resectability are the most significant prognostic factors.

Juvenile Xanthogranuloma: A Case Report with Literature Review

Juvenile xanthogranuloma (XGJ) is the most common form of non-Langerhansian histiocytosis. We report a pediatric case of multiple XGJ without visceral involvement in a 6-month-old female infant who was hospitalized with disseminated congenital skin nodules, of firm consistency, of variable diameter ranging from a few millimetres to 1 cm, involving the face, scalp, trunk and limbs. There was no mucosal localization. The remainder of the somatic examination was unremarkable. The diagnosis of disseminated XGJ was confirmed by skin biopsy without visceral or systemic involvement. Therapeutic abstention was recommended. This observation underlines the fact that XGJ is a rare clinical entity that should not be overlooked when faced with congenital skin nodules.

Ecthyma Gangrenosum in Patient with Bone Marrow Aplasia: A Case Report and Review of the Literature

Background: Ecthyma gangrenosum (EG) is an infrequent and discernible cutaneous disease caused by Pseudomonas aeruginosa. In situations where it is associated with septicemia in debilitated patients, the prognosis is usually unfavorable. Objective: In this case, we aim to verify risk factors, clinical, bacteriological and therapeutic characteristics of ecthyma gangrenosum and we review the literature to highlight the features of this rare condition and discuss the role of early diagnosis and treatment. Case Report: We describe the clinical case of a 4-year-old male with bone marrow aplasia who was presented with characteristic skin lesions of EG and developed sepsis later. Conclusion: EG is a cutaneous disease characterized by its aggressive nature. The presence of delayed diagnosis and therapy, along with sepsis, is closely linked to a high mortality rate. Treatment is empirically founded on an aggressive initial approach.

Analysis of the Boundary Stability of a Diffusion-Reaction System on a Nanolayer

In this paper, the focus is on the boundary stability of a nanolayer in diffusion-reaction systems, taking into account a nonlinear boundary control condition. The authors focus on demonstrating the boundary stability of a nanolayer using the Lyapunov function approach, while making certain regularity assumptions and imposing appropriate control conditions. In addition, the stability analysis is extended to more complex systems by studying the limit problem with interface conditions using the epi-convergence approach. The results obtained in this article are then tested numerically to validate the theoretical conclusions.

Numerical Assessment of Nanofluid Natural Convection Using Local RBF Method Coupled with an Artificial Compressibility Model

In this paper,natural heat convection inside square and equilateral triangular cavities was studied using a meshless method based on collocation local radial basis function(RBF).The nanofluids used were Cu-water or Al_(2)O_(3)-water mixture with nanoparticle volume fractions range of 0≤φ≤0.2.A system of continuity,momentum,and energy partial differential equations was used in modeling the flow and temperature behavior of the fluids.Partial derivatives in the governing equations were approximated using the RBF method.The artificial compressibility model was implemented to overcome the pressure velocity coupling problem that occurs in such equations.Themain goal of this work was to present a simple and efficient method to deal with complex geometries for a variety of problem conditions.To assess the accuracy of the proposed method,several test cases of natural convection in square and triangular cavities were selected.For Rayleigh numbers ranging from 103 to 105,a validation test of natural convection of Cu-water in a square cavity was used.The numerical investigation was then extended to Rayleigh number 106,as well as Al_(2)O_(3)-water nanofluid with a volume fraction range of 0≤φ≤0.2.In a second investigation,the same nanofluids were used in a triangular cavitywith varying volume fractions to test the proposed meshless approach on non-rectangular geometries.The numerical results appear to be in agreement with those from earlier investigations.Furthermore,the suggested meshless method was found to be stable and accurate,demonstrating that it may be a viable alternative for solving natural heat transfer equations of nanofluids in enclosures with irregular geometries.

A novel dual-functional layer exhibiting exceptional protection and photocatalytic activity by organic functionalization of plasma electrolyzed layer

The formation of inorganic-organic hybrids(IOH)on the metallic substrates would play a decisive role in improving their structural and functional features.In this work,the growth of organic coating(OC)consisting of coumarin-3-carboxylic acid(3-CCA)and albumin(ALB)on the inorganic layer(IC),produced by plasma electrolysis of AZ31 Mg alloy,led to enabling organically synergistic reactions on the porous inorganic surface,forming a flake-like structure sealing the structural defects of IC.Synergistic actions between OC and IC endow the flake-like structures with chemical protection and photocatalytic performance.Upon contact with a corrosive solution,the IOH layer possesses stable morphologies that delay the corrosive degradation of the whole structure.The electrochemical stability of the sample produced by immersion IC in the organic solution for 10 h(IOH2 sample)was superior to the other samples as it had the lowest corrosion current density(1.69×10^(−10)A·cm^(−2))and the highest top layer resistance(1.2×10^(7)Ω·cm^(2)).Moreover,the IOH layer can photodegrade the organic pollutants in model wastewater,where the highest photocatalytic efficiency of 99.47%was found in the IOH2 sample.Furthermore,computational calculations were performed to assess the relative activity of different parts of the ALB and 3-CCA structures,which provide helpful information into the formation mechanism of the IOH materials.

Self-assembly of coumarin molecules on plasma electrolyzed layer for optimizing the electrochemical performance of AZ31 Mg alloy

A novel inorganic-organic layer with outstanding corrosion resistance in a 3.5wt.% NaCl solution was fabricated by taking advantage of the unique interactions between coumarin (COM) molecules and the porous layer formed on Mg alloy. To achieve this aim, the AZ31 Mg alloy coated via microarc oxidation (MAO) coating was placed in an ethanolic solution of COM for 6 and 12 h at 25 ℃. By reducing the surface area exposed to the corrosive species, the donor-acceptor complexes produced by the particular interactions between the COM and MAO surface would successfully prevent the corrosion of Mg alloy substrate. The MAO layer would provide the ideal sites for the charge-transfer-induced physical and chemical locking, leading to uneven organic layer nucleation and crystal growth with a thatch-like structure. To evaluate the formation mechanism of such hybrid composites and highlight the key bonding modes between the COM and MAO, theoretical simulations were conducted.

Hematochezia Revealing an Adenocacinoma

Colorectal carcinoma (CRC) is a common pathology in the adult population but remains a very rare neoplasia in childhood with delayed diagnosis and advanced stage with grim prognosis that can be fatal, research regarding pediatric adenocarcinoma remain very rare. IT represents approximately 1% of pediatric neoplasms. It is usually associated with predisposing genetic factors;this pathology is closely linked with the inheritance of familial syndromes. The pediatric clinical presentations are nonspecific, with a grim prognosis. This review aimed to report a case of a 10-year-old girl who presented with constipation and hematochezia evolving since three months’ diagnosis with rectal adenocarcinoma.

Unexplained Crying Episodes Reveling a Cystic Nephromas

Cystic nephromas (CNs) are uncommon, benign renal neoplasms reported in infants/young children of both genders and in adult females, concerning the pediatric population few studies have been conducted. The diagnosis of cystic nephroma is based on clinical signs, imaging tests, and anatomo-pathological study. In children, CNs can appear as a palpable abdominal mass in most of cases, hematuria or recurrent urinary infections. They are characterized by multycystic architecture and the exclusive presence of mature nephrogenic elements. Treatment is surgical with a very good prognosis in most of cases. We are going to report a case of a 13-month-old girl child diagnosed with Cystic nephromas who presented to pediatric emergency with unexplained crying episodes in order to increase clinicians awareness about this rare tumor.

Late Onset Combined Immune Deficiency (LOCID) Revealed by a Haemolytic Anaemia in a Child: A Case Report

Variable Common Immune Deficiency (VCID) is a very heterogeneous condition both clinically and immunologically. It is a group of molecular abnormalities responsible for a defect in antibody production leading to hypogammaglobulinemia often associated with autoimmune and/or lymphoproliferative manifestations. Late Onset Combined Immune Deficiency (LOCID) is a type of Variable Common Immune Deficiency (VCID) defined by a defect in antibody production (IgG and IgA ± IgM type), profound CD4 T-cell lymphopenia and frequent opportunistic infections. LOCID has been considered as a distinct entity from VCID due to its particular clinical and immunological profile.

Evaluation of protective effect of cactus pear seed oil(Opuntia ficusincida L. MILL.) against alloxan-induced diabetes in mice

Objective: To evaluate the in vitro antioxidant power of cactus pear seed oil [Opuntia ficusincida L. MILL.(CPSO)] and its protective effect against chemically induced diabetes mellitus in mice. Methods: The in vitro antioxidant effect of CPSO was evaluated using 2,2-diphenyl-1-picrylhydrazyl(DPPH) scavenging assay. The preventive effect was conducted on Swiss albino mice treated with CPSO(2 m L/kg, per os), before and after a single intraperitoneal alloxan administration(100 mg/kg). Survival rate, body weight and fasting blood glucose were measured and histopathological analysis of pancreas was performed to evaluate alloxaninduced tissue injuries. Results: CPSO exhibited an antioxidant effect in DPPH scavenging assay. Moreover, the administration of CPSO(2 m L/kg) significantly attenuated alloxaninduced death and hyperglycemia(P<0.001) in treated mice. Morphometric study of pancreas revealed that CPSO significantly protected islets of langerhans against alloxan induced-tissue alterations. Conclusions: Based on theses results, CPSO can prevent alloxan-induced-diabetes by quenching free radicals produced by alloxan and inhibiting tissue injuries in pancreatic β-cells.

Geological mapping and mining prospecting in the Aouli inlier(Eastern Meseta,Morocco)based on remote sensing and geographic information systems(GIS)

Landsat 8 Oli,ASTER,and Sentinel 2A satellite images processing was used to map geological formations,lineaments and hydrothermal alteration minerals in the Aouli inlier,as a case study to illustrate the application of digital images processing and Geographic Information System(GIS)in geological mapping and mining prospecting.Principal Component Analysis(PCA)applied to the Landsat images allowed good lithological discrimination and contributed to the updating of available geological maps.The Automatic lineament extraction from Sentinel images revealed the main tectonic structures affecting Aouli inlier.The ratio bands(b5+b7)/b6 and the false color composite(b4/b6,b2/b1,b3/b2)allowed the hydrothermal alteration minerals mapping from Aster images.Combined with available geological data and field observations,the satellite derived data were integrated and analyzed in a GIS software to establish mining prospecting guides.The results showed that the anomaly zones are intimately linked to NNE-SSW and NW-SE oriented faults and to highly fractured areas developing argillic and Fe rich alterations.Verified via field survey,this approach was successfully applied to the Aouli inlier to rapidly target potential areas to be explored in the tactical phase.This provides a model for future prospecting efforts for similar mineral deposits in other areas.

ASYMPTOTICS OF THE CROSS-VARIATION OF YOUNG INTEGRALS WITH RESPECT TO A GENERAL SELF-SIMILAR GAUSSIAN PROCESS

We show in this work that the limit in law of the cross-variation of processes having the form of Young integral with respect to a general self-similar centered Gaussian process of orderβ∈(1/2,3/4]is normal according to the values ofβ.We apply our results to two self-similar Gaussian processes:the subfractional Brownian motion and the bifractional Brownian motion.

Association between Immunological Thrombocytopenia and Thrombosis, Is It an Exotic Phenomenon?—A Case Report

Immunologic thrombocytopenia (ITP) is an autoimmune disease associated with the production of autoantibodies against specific platelet membrane glycoproteins. A thrombotic event as an unusual occurrence during ITP is becoming more and more frequent. In fact, several recent studies have shown an increased thrombotic risk in this situation. The case presented here is that of a fifty-one-year-old woman with extensive cerebral venous thrombosis 2 years after her ITP diagnosis. During IT, thrombosis may be triggered by the release of pro-thrombotic platelet micro-particles and by platelet activation due to the interaction between autoantibodies and platelet glycoproteins. Immunosuppressive therapy has also been linked in several studies to the thrombotic phenomenon. Increased thromboembolic risk should be taken into account in all ITP patients.

Perfume Advertisements and Their Manipulation of the Female Body

Mass media has contributed to the large increase in the number of advertisements all over the world and in all types of products that could be advertised. Over the last few years, companies have strived to gain a wide audience through advertisement to sell more and more their commodities. Women have become an essential component and a tool that advertisers use to attract the spectator＇s attention, especially the male viewer. Perfume ads are considered among the ads that extremely use the female body, through scenes of beauty and appeal which makes the spectator enters a world of dreams, charm, and lust. In this paper, the author aims to analyze print perfume ads from different brands, including Gucci, Chanel, Calvin Klein, Dolce and Gabana, and Dior, and their manipulation of the female body to create a sort of voyeuristic desire in the spectator＇s psyche and to serve their lucrative purpose.

Study of Initial Adhesion of a Bacterium to Different Support Materials before and after Conditioning Film of Olive Oil-Mill Wastewater

To improve the start-up speed and efficiency of bioreactors, biofilm technology is sometimes used. This technology uses various types of materials to facilitate the adhesion of microorganisms. In this study, the surface characteristics of inert substrates and substrates after olive oil-mill wastewater (OMWW) conditioning film were evaluated to understand the impact of OMWW on adhesion as well as the most suitable material to optimize bacterial adhesion. Three common substrates made of different polymers were tested for bacterial adhesion before and after treatment with OMWW: PP (polypropylene), PET (Polyethylene terephthalate), and PVC (polyvinyl chloride). The surfaces’ physicochemical characteristics were studied by measuring the contact angle for the studied bacteria strain and the supports, before and after treatment with OMWW. Results of initial adhesion tests for untreated and treated supports showed differences in how bacterial cells adhered to substrates. Before treatment with OMWW, PVC and then PP showed a significant adhesion capacity, double that of PET [PVC: 1.58 × 105 CFU/cm2, PP: 1.48 × 105 CFU/cm2 and PET: 0.72 × 105 CFU/cm2]. After treatment with OMWW, initial bacterial adhesion increased by 106 (from 105 CFU/cm2 for untreated supports to 1011 CFU/cm2 for treated supports), and PET followed by PP demonstrated the highest adhesion capacity, 2 and 1.7 times more than PVC, respectively [PET: 1.39 × 1011 CFU/cm2, PP: 1.15 × 1011 CFU/cm2 and PVC: 0.67 × 1011 CFU/cm2]. OMWW conditioning film affects the physicochemical characteristics of plastic supports, especially the donor electron character, and improves the initial adhesion of bacteria to substrates (105 to 1011 CFU/cm2). Therefore, surfaces’ physicochemical characteristics were important in the initial adhesion of the bacteria onto the support before and after treatment.