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Vaccination is considered the most promising approach to ending or containing the 2019 coronavirus (COVID-19) pandemic. Available vaccines have proven to be very safe and effective. Nevertheless, post vaccination complications have been described. We report the case of a 26-year-old female patient admitted for management of severe viral pneumonitis due to SARS COV2, 15 days after the 1st dose of the vaccine, whose investigations suggest a macrophagic activation syndrome or vaccine-induced immune thrombocytopenia syndrome (VITT) Macrophagic activation syndrome (MAS) is observed in a multitude of clinical situations encountered in adults. It is characterized by a series of non-specific clinical and biological signs, the combination of which should raise the suspicion of the diagnosis and lead to a cytological or histological examination to confirm it. Its occurrence requires a fairly exhaustive etiological work-up. It is a serious pathology, with a severe prognosis and a poorly codified treatment [1, 2].The objective of our work is to report a case of MAS strongly suspected following an infection due to COVID in a young 26 year old patient, 15 days after the 1st dose of the vaccine, a Vaccine-induced Thrombotic Thrombocytopenia (VITT) not to be eliminated either.

BACKGROUND: Meeting physical activity (PA) guidelines and decreasing sedentary time (SED-time) are cornerstones in the management of diabetes. OBJECTIVE: This study aims to assess the level of PA, SED-time, and related factors among Moroccan diabetes patients. METHODS: From February to June 2019, 1143 patients with type 2 diabetes took part in a cross-sectional survey. PA and SED-time were assessed through a face-to-face interview using International PA Questionnaire. RESULTS: The PA recommendations were achieved by 77.7% of participants and they were significantly higher in males using oral antidiabetic alone, in normal and overweight participants, and in those with duration less than 7 years. While in females, this level was significantly higher only in participants with a family history of diabetes. The mean SED-time was high (35.66±16.88 hours/week) and increased with age, BMI, duration of diabetes, among widowers and divorced, illiterate and among those with low level of PA. CONCLUSIONS: The PA level and SED-time were high. Furthermore, participants with high SED-time have low levels of PA, which represents a combined risk of sitting and inactivity in this subgroup. As a result, patients should be encouraged to participate regularly in PA and also to minimize their SED-time.

Forest tree species mapping became easier due to the global availability of high spatio-temporal resolution images acquired from multiple sensors. Such data can lead to better forest resources management. Machine-learning pixel based analysis was performed to multi-spectral Sentinel-2 and Synthetic Aperture Radar Sentinel-1 time series integrated with Digital Elevation Model acquired over Argan forest of Essaouira province, Morocco. The argan tree constitutes a fundamental resource for the populations of this arid area of Morocco. This research aims to use the potential of the combination of multi-sensor data to detect, map and identify argan tree from other forest species using three Machine Learning algorithms: Support Vector Machine (SVM), Maximum Likelihood (ML) and Artificial Neural Networks (ANN). The exploited datasets included Sentinel-1 (S1), Sentinel-2 (S2) time series, Shuttle Radar Topographic Missing Digital Elevation Model (DEM) layer and Ground truth data. We tested several sets of scenarios, including single S1 derived features, single S2 time series and combined S1 and S2 derived layers with DEM scene acquisition. The best results (overall accuracy OA and Kappa coefficient K) obtained from time series of optical data (NDVI): OA = 86.87%, K = 0.84, from time series of SAR data (VV+VH/VV): OA = 45.90%, K = 0.36, from the combination of optical and SAR time series (NDVI+VH+DEM): OA = 93.01%, K = 0.914, and from the fusion of optical time series and DEM layer (NDVI+DEM): OA = 93.25%, K = 0.91. These results indicate that single-sensor (S2) integrated with the DEM layer led us to obtain the highest classification results.

Vaccination is considered the most promising approach to ending or containing the 2019 coronavirus (COVID-19) pandemic. Available vaccines have proven to be very safe and effective. Nevertheless, post vaccination complications have been described. We report the case of a 26-year-old female patient admitted for management of severe viral pneumonitis due to SARS COV2, 15 days after the 1st dose of the vaccine, whose investigations suggest a macrophagic activation syndrome or vaccine-induced immune thrombocytopenia syndrome (VITT) Macrophagic activation syndrome (MAS) is observed in a multitude of clinical situations encountered in adults. It is characterized by a series of non-specific clinical and biological signs, the combination of which should raise the suspicion of the diagnosis and lead to a cytological or histological examination to confirm it. Its occurrence requires a fairly exhaustive etiological work-up. It is a serious pathology, with a severe prognosis and a poorly codified treatment [1, 2].The objective of our work is to report a case of MAS strongly suspected following an infection due to COVID in a young 26 year old patient, 15 days after the 1st dose of the vaccine, a Vaccine-induced Thrombotic Thrombocytopenia (VITT) not to be eliminated either.

Analyzing the dynamics of Sars-Cov-2 spread in the Lebanese society is what this article mainly aspires and points to, where the study was predicated on a compartmental model, namely SIR, the widely known model in epidemiology. SIR. (Susceptible-Infected-Recovered) materializes a basic conceptional structure for theoretically investigating the virus spread and its dynamics within a community, through focusing on the interaction and communication between infected and recovered people. Consequently, providing the necessary attempts to overcome the epidemic, and diminishes its expansion to rescue lives. In which, limiting contact absolutely reduces the possibility of transmitting or contracting an infection. This investigation on a representative sample of the Lebanese population highlights the various drivers and dynamics of this proliferation. These drivers or factors clarify the behavior of the population (wearing a mask, washing their hands) in experiencing the epidemic crisis and their abuse for measures (safety distance, closures) adopted by the authorities to combat the epidemic. So, it turns out that the careless and incautious attitude of the Lebanese population, besides the unsatisfactory control to fulfill the government rules against the dynamics of virus spread was shown by the modeling of Sars-Cov-2 dynamics through the SIR model.

L’objectif de cette etude etait d’evaluer la prevalence de l’hypertension gestationnelle et determiner ses predicteurs parmi les femmes enceintes frequentant les etablissements de soins de sante primaires de la ville de Beni Mellal au Maroc. La prevalence de l’hypertension gestationnelle etait de 18,7 %. Le faible revenu mensuel du menage (ORA (odds ratio ajuste) = 7,874 ; IC 95 % = [1,788–34,67]), l’âge gestationnel de moins de 37 semaines (ORA = 6,860 ; IC 95 % = [1,285–36,626]), les connaissances limitees sur l’hypertension gestationnelle (ORA = 12,719 ; IC 95 % = [3,386–47,785]) et la primigravidite (ORA = 9,047 ; IC 95 % = [(1,595–51,324]) etaient significativement associees a l’hypertension gestationnelle.

The incidence of purulent pleurisy is on the rise in several series in the literature. It is a significant cause of morbidity in pediatrics. The main objective of our study is to analyze the epidemiological characteristics and the prognosis of purulent pleurisy of the child.

تهدف هذه الدراسة الى تحليل سلوك زوار المتنزهات والحدائق الترفيهية بمدينة وجدة في شمال شرق المغرب، من أجل مساعدة المتدخلين على وضع خطط التنمية الحضرية. وقد تضمنت البيانات المتعلقة بالدراسة، التي جمعت من خلال استبيان، ثلاث مجموعات من المتغيرات: الخصائص السوسيومهنية للزوار، السلوكات الاجتماعية وأهم المشاكل التي تعيق زيارة المنتزهات والحدائق بالمدينة. وقد بينت النتائج أن زيارة المنتزهات والحدائق أصبحت سلوكا اعتياديا، مطبوعا بالرغبة في التفاعل والتواصل مع مختلف أفراد المجتمع، من مقربين وأصدقاء وغرباء ليتعزز بذلك سلوك الجمعنة بين الزوار. وقد أفادت نتائج الاستبيان أن ضعف التجهيزات الترفيهية داخل المنتزهات والحدائق، وانتشار مظاهر الانحراف والتلوث تعد من المشاكل المنفرة للزوار., Revue des Etudes Multidisciplinaires en Sciences Economiques et Sociales, Vol. 7, No 1 (2022)

Background Diabetes remains poorly controlled in a high proportion of diabetes patients. This study examines the prevalence of poor glycaemic control and associated factors in type 2 diabetes patients in the Beni-Mellal Khenifra region in Morocco. Methods A cross-sectional survey was conducted in 2017 among 1456 diabetes patients attending primary health centres. Demographic and clinical data were collected through face-to-face interviews using structured and pre-tested questionnaires. Anthropometric measurements, including body weight, height and waist circumference were taken using standardized techniques and calibrated equipment. Glycaemic control was assessed in terms of the glycated haemoglobin (HbA1c) level and poor glycaemic control was defined as HbA1c ≥7% and a level Results Of the total participants, 66.3% had poor glycaemic control. Bivariate analysis showed that sex (p=0.010), education level (p=0.013), body mass index (p=0.048), duration of diabetes (p Conclusions Despite the particularities of the region, the findings about glycaemic control and its cross-sectionally associated factors are in line with findings from other regions of Morocco. In this subgroup, the longer duration of diabetes and insulin treatment could constitute a cause leading to poor glycaemic control. However, inverse causality cannot be excluded.

Background: Obesity constitutes a major risk factor for the development of diabetes, and has been linked with poor gly- caemic control among type 2 diabetic patients. Aims: This study examines the prevalence of overweight/obesity and associated factors in type 2 diabetic patients in the Beni-Mellal Khenifra region in Morocco. Methods: A questionnaire-based cross-sectional study was conducted in 2017 among 975 diabetes patients attending pri- mary health centres. Demographic and clinical data were collected through face-to-face interviews. Anthropometric meas- urements, including body weight, height and waist circumference, were taken using standardized techniques and calibrated equipment. Results: The prevalence of overweight was 40.4%, the general obesity was 28.8% and the abdominal obesity was 73.7%. Using multivariate analysis, we noted that the general obesity was associated with female sex (AOR= 3,004, 95% CI: 1.761- 5.104, P

L´hyperplasie macronodulaire bilatérale des surrénales (HMBS) est une cause rare de syndrome de Cushing d´origine surrénalienne, représentant moins de 1% des cas. Nous rapportons le cas d´un patient âgé de 48 ans, diabétique et hypertendu. Présentant un syndrome de Cushing clinique. Le bilan étiologique a permis de retenir le diagnostic d´hypercorticisme «Adrenocorticotropic hormone» (ACTH) indépendant en rapport avec une HMBS. Le choix thérapeutique était en faveur d´une surrénalectomie unilatérale gauche orientée par la scintigraphie au noriodocholestérol, avec une bonne évolution. Cependant, vu le risque de récidive et de complications cardiovasculaires, une surveillance au long cours a été programmée.

The feasibility of the thallium monofluoride TlF+ molecular ion towards laser cooling is brought into focus through an electronic structure study. Ab initio calculations are carried out to investigate the four lowest-lying electronic states, X2Σ+, (1)2Π, (2)2Σ+ and (2)2Π, including the spin-orbit coupling effect by employing the Complete Active Space Self Consistent Field (CASSCF) method at the Multireference Configuration Interaction (MRCI) level of theory while invoking Davidson correction (+Q). Potential energy and permanent dipole moment curves are used to determine the corresponding spectroscopic constants and some other equilibrium parameters. Vibrational parameters of vibrational states and transition dipole moments between possible transitions are computed. The calculated parameters are then used to conduct a theoretical study focusing on the potential possibility of TlF+ ionic molecule to be laser cooled on the (2)2Π1/2(ν')-X2Σ+1/2(ν'') transition based on Di Rosa's criteria. With the results obtained being promising, a laser cooling optical cycling scheme is proposed to illustrate the number of pump lasers needed with the corresponding wavelengths that were found to lie within the ranges covered by a specific scientific laser.

Bilateral macronodular adrenal hyperplasia (BMAH) is a rare cause of adrenal Cushing's syndrome, accounting for less than 1% of cases. We here report the case of a 48-year-old patient with diabetes and hypertension presenting with clinical signs of Cushing's syndrome. Etiological assessment enabled clinicians to retain the diagnosis of Adrenocorticotropic hormone (ACTH)-independent hypercortisolism associated with BMAH. Unilateral left adrenalectomy was performed based on noriodocholesterol scintigraphy results, with good outcome. However, given the risk of recurrence and cardiovascular complications, long-term monitoring was scheduled.

[EN] Phenomenology in recent years has gained throttle in the philosophical domain; more specifically, the phenomenological methodology had its most significant impact on architectural interpretation and understanding. It is unusual how the phenomenological discourse appeared in the architectural prospect on the decays of structuralism and semiotics. On the other hand, in humanities and philosophy, the growth of structuralism happened only after the decline of phenomenology. These paradoxical conditions are explained due to the translation delay of philosophical ideas and their implementation in architecture. In this research, we dig into the essential question of architectural experience by studying architecture through its phenomenological significance as a dwelling attitude to its inhabitants. The study is on dwellings in the eastern Bekaa region -Lebanon, on houses built between two significant eras, a time frame that shows the essential difference between two construction methods and the transitional phase in-between. Showing case the different typologies that generated in the same area, comparing the area's vernacular architecture and sustainable designs, addressing whether these typologies had any effect on the dweller's socio-cultural and socio-economical dynamics. The area of study is still virgin to different phenomenological interpretation, as the drastic change of typologies occurred in the past 50 years. Dwellers just recently overcame the transitional phase, from applying vernacular construction means, to applying new construction technologies with globalized materials. The area permits us to question the primary existential question of being-in-world, and how citizens coped with their environment in order to sustain their existential being through architectural means. We examine the following phenomenon by learning from dwelling theorists and phenomenologists, focusing on phenomenologists such as Martin Heidegger, Merleau-ponty, and Christian Norberg-Schulz in an attempt to correlate phenomenology with sustainability. Additionally, interpreting architecture hermeneutically through the Arabic parables to comprehend it better in concern with its cultural context., [ES] El papel de la fenomenología ha sido clave en el terreno filosófico. La metodología fenomenológica ha tenido un impacto significativo en la interpretación y comprensión arquitectónica. Puede parecer absurdo cómo el discurso fenomenológico aterriza en la arquitectura a partir de la desintegración del estructuralismo y la semiótica, mientras que en el campo de las humanidades, y concretamente en el ámbito filosófico, el estructuralismo se desarrolla, precisamente, a partir del declive de la fenomenología. Esta situación paradójica se explica a raíz de la demora en la traducción de las ideas filosóficas y su implementación en la arquitectura. En esta investigación se pretende profundizar en la cuestión esencial de la experiencia arquitectónica a partir de la comprensión de los modos de habitar. El estudio se desarrolla en el conjunto de viviendas de la región oriental de Bekaa (Líbano), a partir de casas construidas en dos periodos significativos, periodos que permiten distinguir entre dos modos de construir contrastados, con una fase de transición intermedia. Se muestran las diferentes tipologías que proliferaron en una misma área, permitiendo comparar las arquitecturas vernáculas y los diseños sostenibles, planteando a su vez si estas tipologías tuvieron algún efecto en la dinámica sociocultural y socioeconómica de sus habitantes. El interés del área de estudio radica en considerarse un terreno virgen para abordar diferentes interpretaciones fenomenológicas, ya que el cambio drástico de tipologías ocurrió en los últimos 50 años. Los habitantes superaron la fase de transición recientemente, partiendo de la aplicación de medios de construcción vernáculos hasta la aplicación de nuevas tecnologías de construcción con materiales globalizados. El área nos permite cuestionar la cuestión existencial primaria del ser-en-el mundo, y cómo los ciudadanos cooperaron con su entorno para mantener su ser existencial a través de medios arquitectónicos. Examinamos el siguiente fenómeno aprendiendo de los teóricos de la vivienda y los fenomenólogos, centrándonos en fenomenólogos como Martin Heidegger, Merleau-Ponty y Christian Norberg-Schulz. Además, interpretando la arquitectura hermenéuticamente a través de las parábolas árabes para comprenderla mejor en relación con su contexto cultural., [CA] El paper de la fenomenologia ha sigut clau al terreny filosòfic. La metodologia fenomenològica ha tingut un impacte significatiu a la interpretació i comprensió arquitectònica. Pot semblar absurd com el discurs fenomenològic aterra a l'arquitectura arran la desintegració de l'estructuralisme i la semiòtica, mentre que al camp de les humanitats, i concretament a l'àmbit filosòfic, l'estructuralisme es desenvolupa precisament partint del declivi de la fenomenologia. Aquesta situació paradoxal s'explica arran el retard a la traducció de les idees filosòfiques i la seua implementació a l'arquitectura. A aquesta investigació es pretén aprofundir a la qüestió essencial de l'experiència arquitectònica partint de la comprensió de les maneres d'habitar. L'estudi es desenvolupa al conjunt d'habitatges de la regió oriental de Bekaa (Líban), partint de cases construïdes a dos períodes significatius, períodes que permeten distingir entre dos maneres de construir contrastades, amb una fase de transició intermèdia. Es mostren les diferents tipologies que van proliferar a una mateixa àrea, permetent comparar les arquitectures vernacles i els dissenys sostenibles, plantejant a l'hora si aquestes tipologies van tindre cap efecte a la dinàmica sociocultural i socioeconòmica dels seus habitants. L'interès de l'àrea d'estudi radica en considerar-se un terreny verge per enllestir diferents interpretacions fenomenològiques, ja que el canvi dràstic de tipologies va ocórrer als darrers 50 anys. Els habitants van superar la fase de transició recentment, partint de l'aplicació de mitjans de construcció amb materials globalitzats. L'àrea ens permet qüestionar la qüestió essencial primària de l'ésser-al-món i cóm els ciutadans van cooperar amb el seu entorn per mantenir el seu esser existencial per mitjan de mitjans arquitectònics. Examinem el següent fenomen aprenent dels teòrics de l'habitatge i els fenomenòlegs, centrant-nos en fenomenòlegs com Martin Heidegger, Merleau-Ponty y Christian Norberg- Schulz. A més, interpretant l'arquitectura hermenèuticament mitjançant les paràboles àrabs per comprendre-la millor en relació amb el seu context cultural.

Background & objective Mathematical modeling is the most scientific technique to understand the evolution of natural phenomena, including the spread of infectious diseases. Therefore, these modeling tools have been widely used in epidemiology for predicting risks and decision-making processes. The purpose of this paper is to provide an effective mathematical model for predicting the spread of Covid-19 pandemic. Methods Our mathematical model is performed according to a SIDR model for infectious diseases. Epidemiological data from four countries; Belgium, Morocco, Netherlands and Russia, are used to validate this model. Also, we have evaluated the efficiency of Morocco’s Covid-19 countermeasures and simulated the different relaxation plans in order to predict the effects of relaxation countermeasures. Results and conclusions In this paper, we developed and validated a new way of data aggregation, modeling and interpretation to predict the spread of Covid-19, evaluate the efficiency of countermeasures and suggest potential scenarios. Our results will be used to keep the spread of Covid-19 under control in the world.

Hypertension is a major public health concern worldwide and non-controlling it can lead to various cardiovascular complications. Controlling blood pressure and reducing overall cardiovascular risk are two main goals of treatment. Thus, this study aimed to determine the proportion and factors associated with uncontrolled hypertension in hypertensive patients living in the Beni Mellal city.The cross-sectional survey took place between June and March 2019. It involved 580 hypertensive patients attending the primary health care facilities in Beni Mellal city, using systematic sampling.A total of 580 hypertensive patients were recruited, with a mean age of 55.78 (± 10.82 years) and of which 66.89% were female. The proportion of poor blood pressure control was 74.1% and was associated in multivariate analysis with a family history of hypertension(OR = 1.60; 95% CI = [1.02-2.50]), dyslipidemia (OR = 2.05; 95% CI = [1.32 -3.20]), non-adherence to a regular BP measurement (OR = 4.13; 95% CI = [2.49 -6.86]), to treatment (OR = 3.64; 95% CI = [2.34-5.65]) and regular biological monitoring (OR = 2.45; 95% CI = [1.46-4.08]).Despite the free and available of treatment, the proportion of uncontrolled hypertension was high. This might be linked to a lack of awareness and education concerning disease self-management.

Les questions liées à la responsabilité sociale des entreprises (RSE) ont fait l’objet d’un débat croissant dans un éventail de plus en plus large de disciplines en sciences sociales et en études commerciales et de gestion. L’entreprise a été confrontée à une pression croissante pour prendre au sérieux les questions de RSE, en particulier en ce qui concerne les questions environnementales et les normes du travail. Cependant, les problèmes liés à la RSE et à la gestion des ressources humaines (GRH) restent sous-explorés. Cet article traite des pratiques de gestion des ressources humaines dans la promotion et le développement de la RSE au sein des organisations, tout en examinant une question centrale : comment la responsabilité sociale des entreprises (RSE) affecte les activités des RH? S'appuyant sur une étude qualitative des managers dans une entreprise marocaine de boissons gazeuses et ses filiales déclarant un engagement explicite à la RSE, les preuves montrent que leur engagement a tendance à se concentrer sur la formation, la santé, la sécurité et la promotion des employés, ainsi que l'appropriation du développement par les employés.

This paper presents the design and test of a single phase and thermoelectric cooling Micro-Inverter using a DC-DC interleaved isolated boost. It focuses on the optimization of (DC-DC and DC-AC) converters performances and its physical dimensions, and presents an efficient method to track the maximum power point and the load regulation. For this purpose, a specific architecture and design of a high-reliable, robust, stable and miniaturized system are proposed.