Search

Abstract L’objectif de cette enquête est d’évaluer l’application du programme de réhabilitationaméliorée après une cystectomie totale Par les urologues maghrébins.L’enquête a été réalisée en 2017 auprès des urologues maghrébins affiliés à leurssociétés savantes respectives, la société marocaine d’urologie (AMU), la sociététunisienne d’Urologie (STU), la société algérienne de chirurgie urologique (SACU)et l’association algérienne d’urologie (AAU). L’auto-questionnaire a été élaboré surles items du programme de la société de réhabilitation améliorée après chirurgie(ERAS). Il a été donné aux urologues pendant leurs congrès respectifs.Le nombre de questionnaires remplis est de 221 sur 383 distribués dont 115 (52,03%)ont été remplis par des urologues algériens, 85 (38,5%) par des urologues marocainset 21 (9,5%) par les urologues tunisiens. Les médecins hospitalo-universitaires, leshospitaliers et les privés représentent respectivement 43%, 21,3% et 35,7%. Lesurologues déclarent qu’ils ont un programme de prévention des accidents thromboemboliques,l’hypothermie et une analgésie péridurale pour diminuer la douleurpost-opératoire dans 69,6%. 75,6% respectent les recommandations de la réhabilitationpostopératoire avec un taux de 64.7% du lever précoce, la prévention desnausées et vomissements dans 82,8%, l’absence d’utilisation des morphiniques estestimée à 80,1%. La reprise de l’alimentation en post-opératoire est appliquée dans39,4% des cas. L’état nutritionnel en préopératoire, la préparation digestive avec unrégime sans résidu diminue la durée d’hospitalisation (p=0,032, p=0.01, p=0,009).Cette enquête montre que plus de la moitié des urologues maghrébins interrogésdéclarent qu’ils suivent les recommandations du programme de réhabilitation amélioréeafin de diminuer la morbidité et de réduire la durée d’hospitalisation, bienque l’autorisation de l’alimentation postopératoire précoce reste très peu suivie. Abstract The aim of this study is to evaluate the application of the improved rehabilitation program after total cystectomy. The survey was carried out in 2017 among Maghreb urologists affiliated with their respective learned societies, the Moroccan Society of Urology (AMU), the Tunisian Society of Urology (STU), the Algerian Society of Urologi-cal Surgery (SACU) and the Algerian Urology Association (AAU).The self-questionnaire was given to urologists during the congresses of various learned societies on the re-commendations of the ERAS program. The number of completed questionnaires is 221 on 383 distributed, of which 115 (52.03%) were answered by Algerian urologists, 85 (38.5%) by Moroccan urologists and 21 (9.5%) by Tunisian urologists.Hospital-university Physicians, hospital and pri-vate doctors account for 43%, 21.3% and 35.7% respectively.Urologists report that they have a program to prevent thromboembolic events, hypothermia and peridural analgesia to reduce postoperative pain in 69.6%. A total of 75.6% complies with the recommendations of the postoperative rehabilitation with a rate of 64.7% of the ear-ly rise, the prevention of nausea and vomiting in 82.8%, the lack of use of morphine is estimated at 80.1%.The resumption of postoperative feeding is applied in 39.4% of cases. The pre-opera-tive nutritional status, the digestive preparation with a non-residual diet decreases the duration of hospitalization (p = 0.032, p = 0.01, p = 0.009).This survey shows that more than half of the maghrebian urologists report that they are following the recommendations of the improved rehabilitation program to reduce morbidity and decrease the length of hospitalization. The authorisation of the early postoperative feeding remains very little followed.

This research is based on the research gaps in the climate sector and their impacts on rice productivity. From this question, this research aims to identify the main topics and best scenarios to achieve climate mitigation and optimal productivity. The method used is Systematic Literature Review (SLR), searching and reviewing Scopus journals with the keywords: climate, agriculture, and sumatra. Filtering journals using this method has resulted in 52 indexed journals. The result of this study is the discovery of gaps in climate research, especially the correlation of climate phenomena such as El Nino to rice productivity in several regions such as West Sumatra. This region, classified as the west coast of Sumatra Island, contains a minimum of related research topics. Therefore, researching this topic is highly recommended for climate mitigation and maximum productivity achievement.

The aim of the article is to read Vincent’s famous painting La Leçon de labourage as an opportunistic or sincere way for the manufacturer Boyer-Fonfrède to seize upon the « Thermidorian » promotion of human and agricultural sciences in order to contribute to the construction of a new social and political order. It is also a question of making it the starting point of a reflection on the mobilization of the figures of domestication and on what can be a directorial republican ecology.

Copyright of Les Cahiers du CREAD is the property of Centre de Rrecherche en Economie Appliquee pour Developpement and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Les Cahiers du CREAD is the property of Centre de Rrecherche en Economie Appliquee pour Developpement and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)