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At least 163 records · Page 9Linked to original sources
PubMed1989

[Apropos of 45 cases of cutaneous tuberculosis in Tlemcen (western Algeria)].

The cutaneous tuberculosis (CTB) is still frequent in Algeria. From March 81 through December 87, forty-five cases were observed in our service of Dermato-Venereology (CHU Tlemcen), something like 6.4 cases per year. The two sexes are equally represented; 66.6% aged under 40; 66.6% are living in cities and have modest social and economical conditions; 20% were inoculated with BCG; previous CTB (personal 8.8% of family 11.1%) were hardly seen. It took some 44% of the patients less than a year to ask for a diagnosis, after receiving several non specific treatments. The rest took longer to come for consultation and in one case, the disease evaluated for 28 years. One explanation is that sometimes the affection causes very little annoyance. The clinical aspects observed were often evocative: Lupus vulgaris, 28.8%, scrofuloderma, 28.8%, specific adenitis, 13.3%, tuberculosis verrucosa cutis, 13.3%, gum, 13.9%, ulcerous CTB, 2.2%. Tuberculin skin test was positive for 86% of the cases and was taken into consideration when it reaches over 15 mm (46%), and with discomfort (4.4%). The treatment was efficient in the large majority of the cases. However, 29.5% of the patients gave up before the end of the cure. We insist upon the priority of the relationship doctor-patient in the case of a chronicle affection, which is less uneasy for some and shameful for a great many.

Adolescent↗
PubMed1988

[Resistance to antibiotics of Salmonellae other than typhi and paratyphi isolated in Algeria from 1979 to 1985].

Monitoring of the antibiotic resistance patterns of non typhoid Salmonella is needed. In this paper, we report the results of our study of strains isolated in Algeria from 1979 through 1985. Studied strains were isolated in our laboratory from stool or blood samples or sent to us for confirmation of the diagnosis. We used agar diffusion with IPA 20 medium (Mueller-Hinton medium with tryptophan). Of 3,072 strains tested, 2,467 (80.3%) were resistant to one or more antibiotics. For the most frequent serotypes, the resistance was about 99% whereas, for less frequent ones, it was about 51%. The most part of strains were found to be resistant to more than two antibiotics. The strains showed high rate of resistance to (in decreasing order): ampicillin, sulfamides, chloramphenicol, streptomycin and tetracycline.

Algeria↗
PubMed1988

[Pediatric cancerology in Algeria. Current status and perspectives].

Pediatric oncohematology represents 40% of our daily activity. Its management is analyzed and conditions of its development discussed. In underdeveloped countries, financial, human and management health resources are severely limited. Far less than 8.5% of national product (estimated necessary for a health service to meet population requirements) are spent in Algeria. Then rationing health services is implicit and eventually left to physicians. Limited access to hospitals is more drastic to children than to adults. Paediatricians have therefore to manage their activity to get best value for money spent on health care, training and research.

Algeria↗
PubMed1986

[Sensitivity to antibiotics of Salmonella typhi and paratyphi strains isolated in Algeria 1979-1984].

Outbreaks of typhoid fever due to multiresistant strains of S. typhi have occurred in some countries. Monitoring of the susceptibility of S. typhi and paratyphi strains to antibiotics, especially those used to treat Salmonella infections, is therefore essential. In this paper, we report the results of our study of strains isolated in Algeria from 1979 through 1984. Studied strains were isolated in our laboratory from stool or blood samples or sent to us for confirmation of the diagnosis. We used agar dilution with IPA 20 medium (Mueller-Hinton medium enriched with tryptophan). 6,178 strains were tested, including 5,940 S. typhi strains (96.15%), 123 S. paratyphi A strains (1.99%) and 115 S. paratyphi B strains (1.86%). No resistance was found among the strains tested, whereas 7 resistant strains had been found between July 1973 and December 1978. These results indicate that resistant strains have not spread. However, as new resistant strains might emerge in the future, continued monitoring is needed.

Algeria↗
PubMed1985

[Seroepidemiology of malaria in a residual focus in Algeria: Khemis El Kechua district].

The residual focus of Khemis el Kechna represented in 1981 nearly the totality of the autochtonous cases detected in Algeria that year (51 cases/53 cases). Control measures were applied during 3 successive years, the number of cases dropped from 51 in 1981 to 18 in 1982 and to 0 in 1983. In order to confirm the interruption of malaria transmission a sero-epidemiological study was carried out in 1984. The analysis of serological results by age, time and place of residence led to the conclusion that malaria transmission no longer occurs. A comparison of the serological results obtained by two blood sampling techniques (serum/dried blood on filter paper) confirmed the reliability of the results when eluted dried blood is used. A statistically significant difference was observed between the proportions of positives sera according to the antigen species used (P. falciparum culture strain or P. vivax obtained from patient originating from India.

Adolescent↗
PubMed1977

[Serodiagnosis of 2,438 cases of toxoplasmosis by immunofluorescence at the Pasteur Institute of Algeria. Epidemiological and clinical corollaries].

2 438 sera from patients suspected of having toxoplasmosis, were tested by indirect immunofluorescence at the Pasteur Institute of Algeria between 1969 and 1973. 53,2% of the sera tested were shown to be positive. Although geographically limited, this investigation reveals the frequency of toxoplasmic infection in the Algiers region with a predominance of the polyadenopathic benign form. Moreover, the causative role of toxoplasmosis in repeated abortions is confirmed.

Algeria↗
PubMed1977

[Epidemiology of leishmaniasis in Algeria. 4. The phlebotomi (Diptera, Psychodidae) of tje Aurès region].

Following their epidemiological studies of leishmaniasis in Algeria, the authors report the results of an entomological survey in the Aurès region. They point out the presence in this region of three common vectors of leishmaniasis: two species (Phlebotomus papatasi and P. sergenti) for the cutaneous form, and a third one (P. perniciosus) for the visceral form. Thus, the Aurès region appears to be a potential focus of leishmaniasis.

Algeria↗
PubMedDate not supplied

[A new focus of urinary bilharziasis in Algeria].

In 1976, 161 new cases of urinary bilharziasis were discovered in El Harrach, which until then had been free of the disease. The authors point out the dangers of the disease spreading in view of the presence of Bulinus in Algeria outside the normal foci of bilharziasis.

Adolescent↗
PubMedDate not supplied

[Epidemiology of leishmaniasis in Algeria. 7. Visceral leishmaniasis in the Grande Kabylie focus].

The authors present the results of a survey on visceral leishmaniasis in the Grande Kabylie region (Algeria). With a 2.6 human cases per 100,000 annual prevalence, and a 11.4 per cent incidence of canine leishmaniasis, the Grande Kabylie appears to be the most important focus of visceral leishmaniasis in North Africa. The endemicity ecological factors are discussed and a control program is proposed.

Algeria↗
PubMedDate not supplied

[Infant-juvenile psychiatry in Algeria (author's transl)].

Psychiatric problems of the child and the adolescent in Algeria are discussed in light of traditional psycho-social factors and in the modern world. The emphasis is on the frequency and severity of troubles of organic origin. Parallely, the impact of new aspects, coming from consequences of socio-cultural mutations, is understressed. This study underlines relationships between psychiatric aspects and socio-economical and cultural factors, and the role of the psychiatrist, with the heavy responsabilities he has to face in all areas if he wants to remain in his therapeutic role (Acta psychiat. belg., 1977, 77, 587-622).

Adolescent↗
PubMed1984

[Annual variations in plasma prolactin and testosterone concentrations in the Ouled-Djellal ram in Algeria].

Plasma concentrations of prolactin and testosterone were measured weekly, from November 1976 to December 1977, respectively in 29 and 10 Ouled-Djellal rams penned in the Algeria area. Plasma prolactin and testosterone levels exhibited concomitant seasonal variations: they were low in November-December, then they increased from January to maximal values in summer through two steps, the first in February-March, the second in June-July. Taken all around, the hormones changes paralleled those of photoperiod. The synchronism in annual variations of prolactin and testosterone secretory patterns is a feature of the Ouled-Djellal ram. Results are discussed in relation to effects of prolactin on testicular activity.

Algeria↗
PubMed1982

[Compatibility groups of resistance plasmids from Gram negative bacteria isolated in Algeria ].

The plasmids characterized in Algeria generally belong to the C and F1 me compatibility groups. With the exception of Vibrio cholerae el for the two groups are found in many bacterial species. Plasmids belonging to group C are the only stable in Vibrio cholerae el tor. The possibility that epidemics of Vibrio cholerae el tor carrying C plasmids might be observed, should not be excluded. On the other hand, it is presently impossible to guess what will be the future epidemic plasmid in Salmonella typhi and paratyphi B.

Algeria↗
PubMed1983

[Epidemiology of bacillary dysentery in Algeria. II. The seasonality of dysentery].

Morbidity rises during the period of summer and autumn are characteristic of bacterial dysentery in Algeria. During the last 18 years no essential changes in the seasonal character of bacterial dysentery were observed in the country taken as a whole. However, in different climatic and geographical zones of the country the seasonal character of dysentery greatly varies from one zone to another and essentially differs from the seasonal character of dysentery morbidity, typical of the country as a whole for many years. The most pronounced manifestations of seasonal rises are observed in the Sahara zone. The seasonal character of dysentery is formed mainly by morbidity among patients belonging to 3 age groups. The seasonal rises of dysentery can be probably explained by the complex of social and climatic factors, as well as by the biological features of the causative agents of this disease.

Adolescent↗
PubMed1982

[An inquiry into the use of antibiotics in acute respiratory infections in primary health care centres in Algeria during 1980 (author's transl)].

In an acute respiratory infection the prescription of antibiotics is often still routine in Algeria. Antibiotic consumption has accounted for 20 to 28% of the drug bill in recent years. A prospective pilot study was carried out in 1980 in 26 health centres in different parts of the country. This has allowed an evaluation to be made of the importance of acute respiratory infections in the demand for primary health care and the frequency of antibiotic prescriptions. In 1980 acute respiratory infections accounted for 23% of consultations in primary medical care. In 69% of cases they were for upper respiratory tract above the glottis sometimes extending to the bronchi; in 28% the infections were isolated to the trachea and bronchi; in 3% the infections were bronchiolar, alveolar or pleural. Although the localisation of acute respiratory infections suggests a predominantly viral origin, antibiotics were prescribed in 76% of cases; these prescriptions depend more on the habit of the prescriber than the observed pathology. An agreed strategy is required to deal with acute respiratory infections at the primary care level and is a priority for health care. It should now go beyond the theoretical model to the level of realistic and rational therapeutic decisions.

Acute Disease↗
PubMedDate not supplied

[Characterization of R plasmids in "Salmonella typhi" and "S. paratyphi B" from Algeria (author's transl)].

The distribution of R plasmids in six drug-resistant Salmonella typhi strains and four S. paratyphi B strains isolated from human in Algeria was studied. All strains but one S. typhi harbored one conjugative R plasmid. Plasmids belonging to the incompatibility groups FIme, B, W or P were found in the S. typhi strains and those belonging to groups FIme or B were found in the S. paratyphi B strains. The epidemiological surveillance of R plasmids shows that the drug resistance of these strains is not the result of the epidemic spread of particular strains of Salmonella.

Algeria↗
PubMed1980

[Desire for children and family planning in Algeria (Approach to reproduction in Arab countries) (author's transl)].

Arab patients in the Gynaecological Hospital of the University of Oran, Algeria, were observed. Aspects relating to desire for children, family planning, and parity are discussed in conjunction with the outcome of the latest Algerian census. Three of four children in one family are considered an optimum solution. Early marriage and early gravidity still are widespread. Family planning continues to play a minor role, and only 25.3 per cent of all patients reviewed took to oral contraceptives for shorter or longer periods of time. - The percentages of primiparae and secundiparae in all births as well as the high percentage of multigravidity are parameters by which the approach to reproduction differs substantively from behaviour patterns in Europe. Traditional thinking of couples and resulting behaviours as well as religious and social motivations and insufficient use of family planning facilities are the major reasons.

Algeria↗
PubMedDate not supplied

[Medical beliefs and practices in Algeria. Study of various therapeutic routes].

In Algeria, the official health policy is based on a constant principle: the implementation of a health care system patterned on the Western model. As the country is rooted in a non-Western tradition, two paradigms are competing. The article is aimed at measuring the degree of adhesion given to each paradigm (and system of reference) by the people. In short its objective is to determine how a patient believes respectively in the "western" medicine and the "traditional" on and how he accepts they coexist for alleviating his sufferings. In a society predominantly religious and rural, the therapeutic relation is evaluated firstly on the basis of the kindness and warmth of the care providers. It is also appreciated by its religious surroundings. These two elements are absent in Western-style hospitals. Other factors contribute to strengthen the traditional medicine among the people.

Adult↗