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Effect of aortic valve replacement on ventricular recovery and functional class in patients with reduced left ventricular function

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World Journal of Cardiovascular Diseases 2013年第9期3卷 543-550页

作者： Mahdi Ait Houssa Younes Moutakiallah Abdessamad Abdou Abdedaim Hatim Mohamed Drissi Brahim Amahzoune youssef el bekkali Atif Benyass Abdelatif Boulahya Cardiac Surgery Department Mohammed V Military HospitalRabatMorocco ICU of Cardiac Surgery Department Mohammed V Military HospitalRabatMorocco Cardiology Department Mohammed V Military HospitalRabatMorocco

Objective: The aim of the study was to assess the effects of aortic valve replacement (AVR) in patients with aortic stenosis (AS) or regurgitation (AR) and left ventricular (LV) dysfunction. Patients and methods: Retrospective analysis identified 75 consecutive patients with left ventricular ejection fraction (LVEF) assessed by echocardiography ely 56.5 ± 9.3 and 47.9 ± 11.7 years in AS and AR groups, p = 0.001. Before surgery, 88% and 75% of patients were in NYHA III-IV respectively in AS and AR. In the AS group, the mean LVEF and aortic valve area (AVA) were respectively 32.2% ± 8% and 0.65 ± 0.15 cm2. AR group had a mean LVEF of 33.8 ± 6.7% and a mean LV systolic diameter of 62 ± 8.8 mm. All patients underwent AVR under cardiopulmonary bypass. There were 5 operative deaths (12.5%) in AS group and 6 (17.6%) in AR group, p = 0.57. LVEF increased to 49% ± 14.7% and 51.2% ± 10.9% in the AS and AR groups after echocardiography control. The survival rates at 1, 5 and 10 years were respectively 94.4%, 87% and 80% in AS group and 95.2%, 93% and 89% in AR group. Conclusion: Despite higher perioperative mortality in patients with aortic valve disease (AS or AR) and LV dysfunction, long-term outcome is excellent. We, therefore, conclude that AVR can be performed and it should not be denied to patients on the basis of low EF alone.

关键词： Aortic Valve Disease Aortic Valve Replacement Left Ventricular Dysfunction

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Surgery in the Acute Phase of Infective Endocarditis: 5 Years after Our Initial Experience

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World Journal of Cardiovascular Diseases 2016年第8期6卷 275-284页

作者： youssef el bekkali Noureddine Atmani Siham Bellouize Mohamed Drissi Younes Moutakiallah Mehdi Bamous Abdessamad Abdou Fouad Nya Anis Seghrouchni Mahdi Aithoussa Brahim Amahzoune Abdedaim Hatim Ghadbane Abdelatif Boulahya Cardiac Surgery Department Mohammed V Military Hospital Rabat Morocco Reanimation of Cardiac Surgery Department Mohamed V Medical Faculty Rabat Morocco

Aim: Comparing the results of acute phase infectious endocarditis surgery between two periods. Methods and Results: The study is about 2 series, series A between 1993 and 1997, and series B between 1998 and 2012, respectively 13 and 51 patients. The two periods were similar concerning the number of patients per year, which was 3.12 cases/year for series A and 3.64 cases/year for series B. The authors noted a change in epidemiological profile, with an increase of median age (31 y.o for series A and 37 y.o for series B), and the emergency of endocarditis on prosthetic valve (none on series A and 8 cases for series B). Surgical indications and results didn’t change too much, hospital mortality rate was 15.3% for series A and 17.6% for series B. Conclusion: Infectious endocarditis is still a major public healthcare problem in developing countries, despite the development of diagnostic tools and patient care. Prevention is still the major asset in the treatment of this disease.

关键词： Infectious Endocarditis Acute Phase Surgery

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Knowledge, Attitudes and Perception of Moroccan Women about Breast Cancer

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Journal of Health Science 2016年第6期4卷 290-296页

作者： Nadia Benaicha Hafida Charaka Ousmane Desire Samira elfakir Nabil Tachfouti Mohamed Berraho youssef Chami Khazraji Loubna Abousselham Latifa Belakhel Rachid bekkali Chakib Nejjari Department of Epidemiology and Clinical Research Faculty of Medicine Fez Morocco Foundation Lalla Salma Prevention and Treatment of Cancers Rabat Morocco Direction of Population Ministry of Health Rabat Morocco Direction of Epidemiology and Fight against Diseases (DelM) Ministry of Health Rabat Morocco

Breast cancer appears to be a disease of both the developing and developed worlds. Among Moroccan women, breast cancer represents 34.4% of all cancers seen in women. This study aimed to give an overview of the knowledge, attitudes and perceptions related to breast cancer among Moroccan women. To our knowledge there is no previous study in Morocco to assess Moroccan women awareness of breast cancer. A national Cross-sectional study started in July 2011 based on eligible women for early detection programs in basal health centers from five Moroccan regions. A self-filled questionnaire was used to collect data outside working time. Knowledge was assessed using 24 true-false items. The questions were asked about symptoms and risk factors of breast cancer. A score ranging from 0 to 24 was calculated by weighting each item 1 point. Then the score was dichotomized according to the threshold 12 （50% correct answers）. The study included 1,444 women from the regions of Rabat, Casablanca, Marrakech, Fez and Meknes. The average age was 40.6 ~ 10 years, 2 women with a minimum age of 17 years and a 1 with a maximum age of 86 years. At the bivariate analysis using chi-square test we found that Marital Status, Social Security, Education, Origin, Sport, Personal History of Cancer, Medical and Surgical personal History were associated with knowledge score. At the multivariate analysis （Logistic regression）, we found that Social Security, Education, Origin, Sport were associated to knowledge score at the final model. This study has important implications for health care providers. The poor knowledge of risk factors and practice of breast screening leads to late stage presentation at diagnosis of breast cancer.

关键词： Cancer women Morocco perception.

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