Introduction: Retinoblastoma is a cancerous tumor of the retina. It is a rare pathology that affects each year, in France, one child out of 15,000 to 20,000 births. In Morocco, and in a prospective study conducted over 2 years and 3 months in the pediatric ophthalmology department in Casablanca, the annual incidence of retinoblastoma was estimated at 18 cases per year. The diagnosis of cancer, like any other serious illness, provokes an intense feeling of guilt in the child and in his parents. The retinoblastoma diagnosis announcement remains a difficult and delicate moment for caregivers and parents. The purpose of our work is to describe the experience of the parents of a child with retinoblastoma and to assess the degree of satisfaction of these children both for the treatment of their child and for clarity. information transmitted. Material and method: We conducted a descriptive cross-sectional study of the parents of children with retinoblastoma who received care in the ophthalmology department of Mohammed VI CHU Marrakech Morocco, and this over a period of one year from March 2016 to March 2017. The data is collected from parents with a questionnaire aimed to assess the parents' feelings and experiences around the following areas: the announcement structure, the climate of trust, proposal of formalizing personalized support. Results: The average age of children at the time of diagnosis is 11 months, with a male predominance, sex ratio is 1.4. All families had one sick child. Retinoblastoma was bilateral in two cases. The surgical treatment was radical in all cases. 75% felt that the doctor was able to find the right words to announce the disease, and 42% felt he found the right words. At the time of diagnosis, 11 out of 12 families felt that they had received sufficient listening from the healthcare professionals and 75% felt that listening was quite sufficient. All parents report that the doctor who made the announcement spoke to them with care and respect and 92% spoke on the extreme positive score. 66% of families report receiving a personalized care plan. Conclusion: The results of this study will improve the overall care provided to children and integrate the difficulties expressed and felt by parents to the care project.
The stigmatization of psychiatric disorders affects the general public but also health professionals, especially doctors and medical students, their attitudes appear more negative towards psychiatric pathologies. At the joint end, it is clear that medical students\' interest in psychiatry as a career choice is low; while improving recruitment in psychiatry is more than ever a public health priority. This work is a \"before/after\" longitudinal study whose target population consists of 5th year medical students starting a psychiatry internship. The data collection was done through an anonymous self-survey with a scale psychometric: ATP-30 this compendium was made on the first and last day of the internship. Out of 90 students contacted we collected 82 actionable questionnaires. The psychiatry internship resulted in an increase in the average ATP-30 score from 111.62 ± 9.99 to 116.30± 9.88, confirming that this internship significantly improves the attitudes of the students in our sample towards psychiatry. Similarly, the frequency of choice of psychiatry is higher at the end of the internship or (41.4%) that at the beginning of the latter (26.8%), an increase in the number of the group wishing to do psychiatry by 14.6% at the end of the internship.
Schizophrenia is a chronic disease which affects 1% of world population and represents a major public health issue. It is often associated with a severe and persistent lack of awareness of the disorder. Our prospective study was carried out at the psychiatric service of Mohammed VI Academic Medical Center in Marrakech on 100 patients hospitalized between August 2012 and February 2013, for schizophrenia diagnosed according to DSM-IV R criteria. The aim of our study was to assess their insight, and identify clinical and therapeutic features associated with this insight. Insight has been assessed by Birchwood insight scale. The bivariate analysis has identified some significant results: poor insight was associated with unvoluntary commitment status and poor treatment adherence.In conclusion, lack of insight in schizophrenia is an important dimension that can have an impact on the therapeutic alliance, treatment adherence and prognosis.
Health care workers around the world have been through a stressful time during the Covid-19 pandemic. In the face of uncertainty, the risk of contamination, the remoteness of caregivers from their families and many other factors, the quality of life of people on the front lines has been affected. In response, the mental health research team at the Mohammed VI University Hospital in Marrakech set up a listening and psychological support unit and conducted a study to assess the impact of work during the pandemic on health care staff. We conducted a descriptive cross-sectional study of 218 people (professors, doctors, nurses, technicians, students). Almost ¾ of participants (71.2%) had never received stress management training, 16.1% of subjects had a history of depression, generalized anxiety disorder in 6.4%, panic disorder in 2.8% and bipolar disorder in 0.9%. The psychological impact of work during the pandemic was marked by family health concerns in 37.1% of cases, 15.5% insomnia, fear of being contaminated 11.3%, anxiety 9.3%, sadness 9.3%, obsession 1.5% and suicidal ideation 1%. Only 5.7% of participants said they had called the listening cell and psychological support, 8.3% of subjects asked for a face-to-face consultation, and hospitalization was required in 1.8% of cases.
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