Search

Background: Pathogenesis of type 1 diabetes mellitus is associated with the presence of specific autoantibodies and viral infection. Herein we aim to assess specific and nonspecific autoantibodies in newly diagnosed type 1 diabetes mellitus patients. Materials and Methods: In this case-control study 200 subjects were enrolled, classified into 100 newly diagnosed type 1 diabetes mellitus patients ages ranged from 1 to 16 years old, and 100 apparently health control age matched group. Serum anti-glutamic acid decarboxylase/tyrosine Phosphatase 2 (anti-GAD/IA2), anti-tissue transglutaminase (anti-tTG) and antinuclear antibodies were measured. Results: Of 100, 62(62%) were males, and 38(38%) were females. Anti-GAD/IA2, anti-tTG, and antinuclear antibodies were found to be significantly higher in the case than in the control group. Anti-GAD/IA2 and anti-tTG were associated with higher risk of type 1 diabetes mellitus (OR= 5.44, P= 0.000) and (OR=5.82, P= 0.009) respectively. Conclusion: Anti-GAD/IA2, anti-tTG and antinuclear antibodies are higher in type 1 diabetes mellitus patients. Moreover, anti-GAD/IA2 and anti-tTG are associated with a high risk of type 1 diabetes mellitus.

The banking sector is one of the pioneering sectors in improving customer relationship management, technological innovation and supporting the national economy in its development. Customers perceive a higher risk when using financial services than when acquiring other services (Phan and Ghantous, 2013; Marafon et al., 2018) so banks are being forced to redefine their value propositions, integrating their services across offline and online channels (Bapat, 2017; Kingshott et al., 2018). This is no longer a choice, but a necessity in order to face the current context marked by strong competition and continuous change. In the scientific literature, most research has focused either on offline contexts or on online contexts in isolation. Understanding the role of multichannel integration quality in improving perceived value in the banking sector via the strategy proposed by Moroccan banks is essential to get the whole population to adhere to the banking system. The goal is to accompany the nation's economic projects in the framework of value development in all sectors of activity and formalize the economic activity still shaded by the informal sector. Our article proposes an empirical study with a sample of five managers operating in Moroccan banks in order to clarify the importance of the quality of multi-channel integration, and thus highlight the dimensions of the QIM as mediators of the adhesion to the multi-channel offer proposed by their banks. Following this study, the importance of the latter has been validated, nevertheless the study remains nuanced given the limited number of people interviewed. A quantitative study among customers is still desirable to confirm the importance of this variable among consumers. Keywords: multi-channel, integration quality, Moroccan banks; perceived value. JEL Classification : G21, L86, M15. Paper Type: Empirical research, Le secteur bancaire est l’un des secteurs pionniers dans l’amélioration de gestion de la relation client, l’innovation technologique et l’accompagnement de l’économie nationale dans son développement. Les clients perçoivent un risque plus élevé lorsqu'ils font appel à des services financiers que lorsqu'ils acquièrent d'autres services (Phan et Ghantous, 2013 ; Marafon et al., 2018) ainsi les banques se voient dans l’obligation de redéfinir leurs propositions de valeur, en intégrant leurs services dans les canaux hors ligne et en ligne (Bapat, 2017 ; Kingshott et al., 2018). Ceci n’est plus un choix, mais une nécessité afin de faire face au contexte actuel marqué par une forte concurrence et un changement continu. Dans la littérature scientifique, la plupart des recherches se sont concentrées soit sur les contextes hors ligne, soit sur les contextes en ligne de manière isolée. La compréhension du rôle de la qualité d'intégration multicanal dans l'amélioration de la valeur perçue dans le secteur bancaire via la stratégie proposée par les banques marocaines est indispensable afin de faire adhérer l’ensemble de la population au système bancaire. Le but est d’accompagner les projets économiques de la nation dans le cadre du développement de la valeur dans tous les secteurs d’activités et formaliser l’activité économique toujours nuancée par le secteur informel. Notre article propose une étude empirique auprès d’un échantillon de cinq responsables opérant dans des banques marocaines afin d’éclaircir l’importance de la qualité de l’intégration multicanal, et ainsi souligner les dimensions de la QIM comme médiateurs de l’adhésion à l’offre multicanal proposée par leurs banques. Suite à cette étude, l’importance de celle-ci a été validée, néanmoins l’étude reste nuancée vu le nombre limité des personnes interrogées. Une étude quantitative auprès des clients reste souhaitable pour confirmer l’importance de cette variable auprès des consommateurs. Mots clés : multicanal, qualité d’intégration, banques marocaines ; valeur perçue. Classification JEL : G21, L86, M15. Type de l’article: Recherche appliquée

The study is conducted to diagnose the aerobic bacterial species causing chronic suppurative otitis media (CSOM), reveal the antibiotic susceptibility pattern and detect some of their virulence factors. Samples were collected during the period from June till December 2018. From a total of eighty-two patients admitted to Samarra Hospital and outpatient clinics of both genders with different age groups, 82 bacterial culture are recovered using a cotton swab. Identification of bacterial isolates is performed depending on micro and macroscopic cultural characteristics and biochemical tests. Results of the current work show that the highest infection rates are at the age groups >1 to 5 and 11 to 20 years by (20%). Among eight bacterial species isolated in the current study (S. aureus, P. aeruginosa, K.pneumonia, S.epidermidis, E.coli, P.vulgaris, C. freundii, E. Cloacae), S. aureus had scored the highest rate (41%) of the total infections while the lowest rate was scored by E.Cloacae(1%). The antibiotic sensitivity test suggests that almost all isolates were sensitive to ciprofloxacin and meropenem (96% and 94% respectively) while they were resistant to Cefixime. The ability of bacteria is isolated from CSOM to produce biofilm and some virulence factors (gelatinase, hemolysin, DNase, urease) are investigated the virulence factor results revealed that. S. aureus, P.aeruginosa, K. pneumonia had the ability to produce biofilm and S. aureus, P. aeruginosa have the ability the highest production for the majority of virulence factors. http://dx.doi.org/10.25130/tjps.24.2019.128

Background: Acquired heart diseases (AHD) are heterogeneous diseases including rheumatic heart disease (RHD) and other affecting the heart and blood vessels after birth but usually appear clinically after 5 years of age. AHD considered as major cause of morbidity and mortality. The present study was designed to document the spectrum, the affected age and clinical characteristics of AHDs in children of Gadarif state, eastern Sudan.Methods: This was a descriptive cross section study conducted in Gadarif pediatrics teaching hospital in period from June to Dec 2019.Results: A total of 46 children from Gadarif pediatrics teaching hospital with confirmed AHD were enrolled in this study. The females were 27 (58.7%), with a male-to-female ratio of 1.4:1. The mean age was 10.6±3.9 years (age’s ≤16 years old); the most common affected age group was 10-14 years accounted 18 (39.1) cases. RHD was the commonest AHD found in 38 (82.6%) patients, the commonest valvular lesion was mitral regurgitation 31 (73.9%).Conclusions: RHD was the most common AHD in the children in the present study, there is need to improve the scope of intervention facilities in the Sudan particularly in rural areas to prevent the growing and spread of these diseases.

International audience

International audience

International audience; In Morocco and Senegal, language use testifies to a general respect for elders. But many of these elders are facing difficult socio-economic situations further complicated by gender disparities in marital status. To varying extents depending on the country concerned, the continuation of work into old age, the absence or inadequacy of pension provision, and difficulties in accessing health care can negatively impact their quality of life.; Au Maroc et au Sénégal, des usages langagiers témoignent de la considération dont les aînés sont généralement l'objet. Mais nombre d’entre eux sont confrontés à des situations socio-économiques difficiles, complexifiées par des disparités de genre en matière de statut matrimonial. De façon graduée suivant le pays, la poursuite d’activité à un âge avancé, l’absence ou la faiblesse des pensions et les difficultés d’accès aux soins médicaux peuvent influer négativement sur leur qualité de vie.

International audience