The main objective of the study was to assess the prevalence of burnout in a group of health personnel during the COVID-19 epidemic in Morocco. The secondary objective was to identify risk factors associated with burnout in this population. In this survey, albeit limited, a questionnaire was sent by e- mail to all the people who form the team during the month of September 2020. The prevalence of burnout was assessed with the validated French version of the Maslach Burnout Inventair. The questionnaire also contained items on socio-demographic characteristics and professional situation. The prevalence of burnout was 46.7%. He had an association between burnout and exposure to the consequences of COVID-19. Hours worked per week and anxiety scores were significantly associated with burnout.
Nosocomial infections are defined as infections acquired in a care facility, which were neither incubating nor present when the patient was admitted. Nosocomial pneumopathies are a public health problem because they are responsible for significant morbidity and mortality with a considerable additional cost. They are frequent and serious in intensive care; they are the second most common acquired infections in a hospital setting. The diagnosis of nosocomial pneumopathy is based on a range of clinical, biological, radiological and bacteriological arguments. They cause problems of diagnostic, therapeutic and economic. The objective of this work consisted of an epidemiological study of the Nosocomial Pneumopathies (NP) and to evaluate the frequency, risk factors, antibiotic resistance of bacteria isolated, and factors of excess mortality. This prospective study focused on 65 patients hospitalized in the service of intensive care of the Mohammed V military instruction hospital in Rabat over a period of 6 month from 06/04/2017 to 06/10/2017, 52 patients had nosocomial pneumonia. The results of this work showed; that the germs isolated were essentially Gram-negative bacilli (77.5%), led by Acinetobacter Baumanii (37.8%), followed by Pseudomonas aeruginosa (18.9%), and klebsiella pneumoniae (9%). Gram positive cocci (7.2%), dominated by Staphylococcus aureus (7.2%). The polymicrobial character was found in 51% of cases. These isolated germs were multiresistant. During this study, there was a very significant morbidity of pneumonia by extending the duration of hospitalization in intensive care and the duration of ventilation. A very high risk of mortality has also been noted in patients infected in case of infection by non-fermenting germs.
The cystic lymphangioma of the pancreas is an exceptional benign vascular malformation especially by its location, its diagnosis is based on imagery and confirmation is made by anatomopathological analysis. The only treatment is the most complete surgical excision possible to prevent recurrences which are frequent. We report a case of a young 26-year-old patient who presented with an atypical symptomatology made up of left lumbosciatic pain as well as abdominal pain. Abdominal MRI showed the presence of a large cystic mass and the anatomopathological examination of the surgical specimen after complete excision confirmed the diagnosis of cystic lymphangioma of the pancreas.
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