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For people with haemophilia (PwH) who live in developing countries, haemophilia continues to be a condition with serious medical and social consequences. In Morocco, the efforts of patient associations and medical teams have led to the creation of a national programme for haemophilia care since the end of 2012, and the country is no longer solely reliant on World Federation of Hemophilia (WFH) donations for access to factor products. There is growing recognition of the impact of the pain experienced by PwH. To continue to improve treatment for PwH in Morocco, it is important to ensure that they are also able to manage haemophilia-related pain.

This paper brings out an analysis of the projection iterative algorithm for the numerical solution of the Signorini problem. The very closed connections with the switching method are highlighted. In addition, the relevance of higher-order discretization for Signorini problem is discussed. Thus, a specific iterative solver is developed to address the present fourth and sixth-order compact scheme discretizations. This method is based on a lower-order preconditioning method. Several numerical experiments have been performed to bring light to the accuracy of such method, despite the lack of smoothness at the Signorini boundary. [ABSTRACT FROM AUTHOR]

To evaluate the rooting ability and growth performance in semihardwood cuttings of Argania spinosa under nonmist greenhouse conditions, our experimentation was conducted with three cutting diameters (0.10.3, 0.30.6 and 0.60.9 cm), four leaf retention treatments (leafless, 2, 4 and 8 leaves) and three different rooting substrates (fine sand, peat moss, a 1:1 mixture of fine sand/peat moss). Significant effects of cuttings diameter, leaf retention and rooting substrate on sprouting, rooting and survival ability from A. spinosa semihardwood cuttings were observed. Among all diameters tested, a diameter of (0.30.6 cm) showed maximum rooting and survival capacity, while cuttings with a diameter of 0.60.9 cm resulted in the greatest sprouting ability. Successful vegetative propagation was restricted to leafy stem cuttings. Moreover, it was observed that the highest rooting ability was reached in cuttings planted in finesand substrate. However, the highest sprouting ratio (85.0%) and survival rate (92.5%) were achieved in a mixture of sand and peat moss. Thus, argan trees vegetative propagation could be most effectively achieved using semihardwood cuttings with a 0.4 cm diameter and 4 leaves, planted in a fine sand substrate during the root initiation period and grown in a mixture of fine sand and peat moss for hardening. [ABSTRACT FROM AUTHOR]

According to the World Health Organization, medulloepithelioma belongs to the embryonal neoplasm entity. It is a very rare, highly malignant tumor typically affecting infants and young children. Usually, the tumor arises in the eye or in the central nervous system; a peripheral location has been rarely reported without an established treatment. The recognition and separation of this neoplasm from other differential tumors are mandatory for better understanding of its biology and determination of optimal treatment. This paper reports a case of an ectopic intrapelvic medulloepithelioma with liver metastasis in a 3-year-old girl. [ABSTRACT FROM AUTHOR]

The AguelmamAzegza lake is located in the Middle Atlas mountain range, this region consists of carbonate rocks of Lias. It is the best-watered and richest region in Morocco in terms of wetlands, especially natural lakes, rivers and fresh springs. The lake’s water supply is ensured by the inflows of water in the form of underwater sources fed by precipitation (rain and snow) following tectonics and the genesis of karstic formations by the dissolution of carbonate rocks. The declining trend in lake levels in recent years results from the decrease in precipitation which decreases during these years.

Investigating habitat selection and ecological factors trade-offs is a major avian ecology topic which is closely implicated for conservation purposes. Studies dealing with the impacts of ecological factors on wintering Spoonbills are overall scarce. Here, we used Principal Component Analyses (PCA) and Generalized Linear Mixed Models (GLMM) to test the relevance of geographical, environmental and anthropogenic factors in predicting the occupancy and abundance of the Eurasian spoonbills (Platalea leucorodia) during 2008-2011 within 28 Moroccan wetlands. The Eurasian Spoonbill mean annual occurrence was 59.2% (± 1.5% SE; 95%CI: 56.3%-62.1%). Among the occupied wetlands, 15 (83.3%) were regularly occupied. We found that the Eurasian spoonbill occurrence was negatively related to distance to coastline, altitude and human presence, whereas its abundance increased significantly with increasing mudflat areas. These findings highlight the significant effect of human presence in selecting wintering sites, but not in the prediction of abundance. Management strategies should therefore address specific attributes of coastal wetlands and should carefully consider the effects of habitat use especially those related to mudflats. We further suggest guidelines for future studies to understand the dynamic of Eurasian spoonbills wintering in the region.

Tourism merits on natural spaces are not exhausted, namely economic dynamics, development of the local population’s life conditions, species conservation and awareness of environmental protection. However, the damage caused by Coronavirus to natural and rural spaces has impacted such merits negatively, for example, suspension of tourism and recreation activities. Further, the rebirth of ecotourism will be slower and necessitates profound changes in travel design and service delivery. Hence, sustainability, sanitary and regulatory measures will probably help manage ecotourism systems. Nevertheless, these will be affected by the increase in exploring relations between nature and wildlife regarding zoonotic and vector-borne infections and the fragility of biodiversity. Because of his mobility, a tourist appears to be a potential pathogen transmission factor of infections to natural areas, local communities, ecotourism destinations, his country and the crossed ones. New procedures would reduce travel and control traveler’s behavior, and interactions between travelers and wild animals. The slowdown in demand may thus hinder the development of ecotourism. Sensitivity to epidemiological risk and vector-borne diseases will be greater and the need for health-friendly tourism will be further strengthened.

Effective engineering-change management (ECM) is a real challenge in mechanical engineering industry and manufacturing companies. Computer-aided design systems are usually connected to other systems such as ERP or product data management, but currently this integration does not provide effective means to manage engineering change (EC). While communication between multidisciplinary teams working on a project is known to have a significantly positive impact on the ECM, the communication between disciplines is generally performed solely through message exchange. Experts could feel the need to meet to agree on the requested changes, which in turn translates into longer design and manufacturing processes. There is a need for a system that assists human experts in making decisions about ECs. Such a system will considerably reduce the processing time following a change-request procedure. This paper proposes a collaborative tool named EchoMag, which assists designers and experts during the change-management process. The proposed system ensures the coherence of data between the various disciplines involved in the change process. EchoMag also assists experts in making decisions by proposing alternative solutions when change requests are not agreed upon. Software agents were used to implement EchoMag for which a prototype was developed. Results of the implementation are discussed. [ABSTRACT FROM PUBLISHER]

New techniques are needed to speed-up the identification and antimicrobial susceptibility testing (AST) of bacteria associated with bloodstream infections. Alfred 60/AST (Alifax®, Polverara, Italy) performs AST by light scattering directly from positive blood cultures. We evaluated Alfred 60/AST performances for 4 months. Each new episode of bacteraemia was included and AST were compared to either our rapid automated AST (Vitek® 2) or disk diffusion method. The discrepancies were investigated using Etest®. The time-to-result (TTR) was evaluated by comparing the blood volume inserted into Alfred 60/AST, i.e. 2 versus 7 blood drops. Taking into account the TTR, the workflow of positive blood cultures and the availability of AST results was studied in order to optimize the implementation of Alfred 60/AST. A total of 249 samples and 1108 antibiotics for AST were tested. After exclusion of unavailable results, 1008 antibiotics were analysed. 94.9% (n = 957/1008) of the antibiotics showed categorical agreement. There were 14 very major errors (VME), 24 major errors (ME) and 13 minor errors (mE). The VME were mostly related to clindamycin (64.3%) whereas meropenem and piperacillin-tazobactam constituted the major part (37.5% and 61.5%) of ME and mE respectively. Results were highly reliable for Enterobacterales and enterococci. The mean TTR ranged between 4.3 and 6.3 h and was statistically 20 min faster when applying the 7 blood drops protocol. We showed that Alfred 60/AST could give relievable results within working hours for positive blood culture which are flagged the same day between 12:00 am and 12:00 pm. Our study confirmed that Alfred 60/AST gives reliable AST results in a short period of time, especially for Enterobacterales and enterococci. AST could thus be easily obtained the same day of a positive blood culture. Clinical impact studies are mandatory to validate a 24/24 working. • Analytical performances of Alfred 60/AST are relievable. • Time-to-result of Alfred 60/AST is shortened compared to standard methods. • Alfred 60/AST can give a same day AST result from a positive blood culture. [ABSTRACT FROM AUTHOR]

COVID-19 pandemic has had huge impacts on multiple industries and sectors, not just ecotourism and wildlife protection in Morocco. Ecological health and wildlife are a critical resource for the country’s tourism sector recovery. Conservation is considered as one of the industries that are hit hard by the COVID-19 pandemic. Many of the threats facing biodiversity and protected areas have been exacerbated during and following, the outbreak with practices such as poaching, wildlife trafficking, and forest logging activities resumed due to the country lockdown and ecotourism collapse. Conservationists should take emergency actions in the short-term to help rural communities and grassroots organizations and review waysto achieve conservation and sustainability goals in the post-pandemic era.

The population of the African continent is significantly increasing which has given rise to societal, economic and environmental changes. This will generate an increase in demand for food, water and energy. Thus, strategies for sustainable management of natural resources need to be adopted urgently in order to match the future needs and to ensure sustainable development on the continent. The Water Energy Food (WEF) nexus is one the avenues for studying the current and future interactions and interdependencies of the WEF sectors under different scenarios and challenges in the effort towards establishing sustainable use of natural resources. Policies around the nexus approach are few or absent at the continental and countrylevels. This paper is a first review on the adoption of the Nexus in two model African countries, Morocco and South Africa. The review compares the water, energy and food sectors and the related national policies, plans and frameworks. The data related to the WEF Nexus revealed key difficulties of availability in both countries. A comparative analysis of the situation in both countries demonstrated differences in policies relating to the WEF Nexus across the sectors: water, energy, and agriculture. Additionally, the paper explores the relevance of technology-assisted frameworks for the WEF nexus and also analyzed risks to agriculture and food security in the context of the reviewed countries.

Le carcinome à cellules de Merkel (CCM) est une tumeur cutanée neuroendocrinerare d'évolution imprévisible et à grand potentiel métastatique. Ce néoplasme survient habituellement chez le sujet âgé au niveau des zones photo exposées. L'avidité constante du CCM au 18 fluorodésoxyglucose (FDG) justifie l'intérêt de la tomographie par émission de positon (TEP) au cours de cette pathologie. Toutefois, aucun consensus n'est établi à ce jour. Cette étude rapporte le cas d'une patiente de 25 ans suivie pour CCM métastatique, afin d'attirer l'attention sur cette tumeur particulière et d'illustrer l'intérêt de la TEP au 18 FDG dans la prise en charge de cette entité rare.

To improve haploid plant production in durum wheat, the haplo-method involving intergeneric crossing with maize followed by embryo rescue was used. The influence of parental genotypes and various experimental factors were studied. Ten cultivars of Triticum turgidum ssp. durum (female parent) were crossed with eight genotypes of Zea mays. After pollination, plant stems were either maintained in situ or cut near the base and kept in a 2,4-dichlorophenoxyacetic acid (2,4-D)–sucrose solution. Ten to 18 days after pollination, embryos were excised from developed ovaries and cultured on one of MS, MS/2, or B5 media. Haploid embryos and plants were obtained (78 green haploid plants regenerated in 1 year). The wheat genotype was significant for ovary development, embryo and plant formation, whereas the maize genotype was significant only for embryo formation. Detailed results of all crosses showed the best crossing partner for each wheat genotype. Cutting the plant stems after pollination gave better results than maintaining them in situ. The optimal stage for embryo rescue was 14 days and B5 and MS/2 media were more efficient than MS for embryo culture. [ABSTRACT FROM AUTHOR]