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جامعة عمّار ثليجي – الأغواط

Université Amar Telidji de Laghouat

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Recent Submissions

  • Item type:Item,
    The prevalence of Bone Marrow Aplasia Following Chemotherapy in Cancer Patients
    (University of Ammar Thleidji of Laghouat Faculty of Medicine, 2026-06-20) Khelfaoui Hajer Aya; Charrak Rihab
    Chemotherapy-induced bone marrow suppression represents a significant clinical challenge in cancer treatment, with multiple agents including doxorubicin, carboplatin, cisplatin, lenalidomide, thalidomide, and vincristine identified as causative factors. The temporal pattern of myelotoxicity follows a predictable course, with alkylating agents causing acute myelosuppression. The condition presents as three primary cytopenias—neutropenia (neutrophil count <1500 cells/mm³), thrombocytopenia (platelet count <10,000/µL), and anemia (hemoglobin <10 g/dL)—with associated clinical manifestations including infections bleeding complications, and fatigue. Risk factors span patient-related elements (age, comorbidities, genetic factors), disease-related factors (cancer type and stage), and treatment related variables (cumulative dose, drug combinations, concurrent medications), with the highest risk of severe neutropenia occurring during the first chemotherapy cycle. Management strategies encompass supportive care with transfusions and myeloid growth factors, chemotherapy dose modifications or delays, and specific interventions including erythropoietin-stimulating agents and thrombopoietin. The clinical impact extends beyond hematologic parameters, as neutropenia and thrombocytopenia limit chemotherapy dosing and frequency, creating treatment dilemmas between maintaining cancer control and managing potentially life-threatening cytopenias.
  • Item type:Item,
    Development of a Smartphone Application for Diagnostic Support and Therapeutic Management of Psychiatric Emergencies
    (University of Ammar Thelidji, Laghouat Faculty of Medicine, 2026-06-26) Ben Said Sanaa; Hariri Salma
    A psychiatric emergency is defined as a clinical situation requiring an immediate response, as soon as acute psychological distress is identified by the patient, their relatives, or a physician. It necessitates rapid and appropriate management in order to prevent any worsening of the condition and to ensure the patient’s safety. Our thesis work consisted in the development of a mobile application dedicated to psychiatric emergencies, designed in collaboration with the Faculty of Computer Science. This project is part of an innovative approach to digital health in Algeria. The application is intended for medical students as well as healthcare professionals, serving both as a pedagogical tool and as a clinical decision-support system in the management of the most common psychiatric emergencies. The methodology adopted is based on: - An extensive literature review to select reliable and up-to-date medical data. - The organization and structuring of these data into clear decision-making pathways adapted to emergency settings. - The development of a functional application on the Android platform. The application covers the main psychiatric emergencies encountered in clinical practice, including delirium, psychomotor agitation, suicide attempts, panic attacks, psychomotor inhibition (stupor state), postpartum psychosis, neuroleptic malignant syndrome, addictive emergencies and psychiatric disorders secondary to organic conditions. Furthermore, this application aims to improve the diagnostic reasoning and the initial management of psychiatric emergencies, particularly in contexts where access to a psychiatric specialist is limited. It also serves as a complementary educational resource for teaching of psychiatry in hospital and academic settings. This work represents an initial contribution to the field of medical applications dedicated to psychiatric emergencies in Algeria, opening perspectives for continuous improvement and further development of its functionalities.
  • Item type:Item,
    Prevalence of Musculoskeletal Disorders Among Healthcare Workers at Colonel Lotfi Hospital in 2026
    (Amar Thelidji University – Laghouat Faculty of Medicine, 2025) Kechida Ilyes; Abdelmadjid Mansour Mohamed Abderraouf; Naouri Youcef
    Background: Work-related musculoskeletal disorders (WMSDs) represent a major occupational health challenge in healthcare settings worldwide. Healthcare professionals are particularly vulnerable due to the physically demanding nature of their work, including patient handling, prolonged standing, repetitive movements, and exposure to awkward postures. In Algeria, WMSDs remain underrecognized as an occupational health concern, with limited data available on their prevalence among hospital staff. Objectives: The aim of this study was to assess the prevalence of musculoskeletal disorders among healthcare professionals at the Colonel Lotfi Hospital of Laghouat, and to analyze their distribution according to sociodemographic characteristics, occupational factors, and anatomical localization. Methods: An observational, descriptive, cross-sectional epidemiological study was conducted from January to April 2026 across all departments of the EPH of Laghouat. A total of 248 (HCWs) including physicians, surgeons, nurses, and technicians — were surveyed using a structured self-administered questionnaire incorporating the Nordic Musculoskeletal Questionnaire (NMQ). Sociodemographic, anthropometric, and occupational data were collected and analyzed using Microsoft Excel. Results: The overall prevalence of WMSDs was 79.8% (n = 198), affecting nearly four out of five healthcare workers surveyed. The sample was predominantly female (56.6%) with a median age of 34 years. Nurses constituted the most affected professional category, with a prevalence rate of 88.5%, followed by surgeons (80%) and non-surgical physicians (73.9%). Among the affected population, 77.5% presented with multi-site involvement. The low back (lumbar region) was the most frequently reported anatomical site (84.8%), followed by the neck (49.5%) and shoulders (45.5%). Temporal work factors were strongly associated with symptom burden: 75.8% of affected workers reported working shifts exceeding 10 hours, and over 90% worked more than 30 hours per week. Workers with more than 21 years of professional seniority showed the highest prevalence rates (100% and 88.8% for the 21–30 and >30 years groups, respectively). Conclusion: This study reveals a high and concerning prevalence of WMSDs among healthcare professionals at EPH Laghouat, consistent with international data from comparable healthcare settings. The results highlight the urgent need for targeted ergonomic interventions, institutional prevention programs, and systematic occupational health monitoring within Algerian hospitals.
  • Item type:Item,
    L'usage des plantes médicinales chez les patients atteints de diabète de type 2 dans la région de Laghouat
    (Université Amar Thelidji-Laghouat- Faculté de Médecine, 2025) LOUAIL Maria Ichrak; SEDDIKI Halima Saadia
    Introduction: Type 2 diabetes is a major public health problem in Algeria, with an estimated prevalence of 17.5%. Despite conventional treatments, the use of herbal medicine remains widespread in Algerian culture, often practiced alongside prescribed medical treatment without informing the treating physician. The aim of this study is To assess the use of herbal medicine among type 2 diabetic patients in the Laghouat region, by identifying the medicinal plants used and their impact on glycemic control.. Materials and Methods: This is a cross-sectional, descriptive and analytical observational study using both quantitative and qualitative approaches, conducted from 01/12/2025 to 01/05/2026 at the Djoudi Ahmed polyclinic in Laghouat. It included 251 type 2 diabetic patients. Data were collected using a digitized questionnaire via Google Forms and analyzed using Excel software. Results: Of the 251 patients included 158 (62.9%) use phytotherapy alongside their conventional antidiabetic treatment. The study identified 26 plant species belonging to 16 botanical families. Wormwood (Artemisia herba-alba) was the most frequently cited species (48.75%), followed by cinnamon (7.5%), coriander (6.67%), and fenugreek (5.83%). Leaves and aerial parts were the most commonly used, prepared as infusions or decoctions and administered exclusively orally. The main motivation for use was a positive experience reported by a close relative (78.6%). Poor glycemic control (HbA1c > 7%) was observed in 51.9% of users compared to 65.3% of non-users, a statistically significant difference. However, 93.7% of users had not disclosed this practice to their physician, exposing them to toxic effects and potential drug interactions. The vast majority (93%) perceived phytotherapy as effective. Conclusion: This study confirms the high prevalence of phytotherapy use among type 2 diabetic patients in Laghouat, deeply rooted in cultural practices and family transmission. Although users showed relatively better glycemic control, the near-systematic non-disclosure to physicians represents a major clinical risk. These findings highlight the need to systematically incorporate questioning about complementary medicine use into diabetic care and to develop appropriate therapeutic patient education.
  • Item type:Item,
    Traumatismes abdominaux chez l’enfant : aspects épidémiologiques, diagnostiques et thérapeutiques. Étude rétro prospective sur 5 ans à l’Hôpital Mixte de Laghouat. Laghouat.
    (Université Amar Thelidji -Laghouat- Faculté de Médecine, 2025) OUADHI Imane; HADJ AISSA Assia; BENZIANE Hiba
    Introduction: Pediatric abdominal trauma represents a frequent and complex medico-surgical problem, exacerbated by pediatric anatomical and physiological peculiarities. This retrospective study aimed to describe the epidemiological, clinical, paraclinical, and therapeutic characteristics of abdominal trauma in children, as well as their evolution, at the Laghouat Mixed Hospital over a five-year period (2021-2025). Materials and Methods: This work is based on the analysis of two series of pediatric patients. The first population (the emergency department population), comprising 903 cases, was studied to determine the role and cost-effectiveness of CT scans in the initial assessment. The second hospitalized population, consisting of 34 cases of abdominal trauma requiring hospitalization, was subjected to an in-depth analysis of their epidemiological, clinical, paraclinical, and therapeutic aspects. Results: Analysis of cases admitted to the emergency department revealed an overuse of CT scans in the initial assessment. Thirty-four cases of children hospitalized for abdominal trauma, representing 3.86% of pediatric visceral surgical emergencies. A marked male predominance (79.41%) with an average age of 7.38 years. Road traffic accidents (RTAs) constituted the main etiological circumstance (55.88%). Clinically, 82.35% of patients were hemodynamically stable on admission. Imaging played a pivotal role: ultrasound was performed in 85.29% of cases, while computed tomography (CT), the reference examination for lesion staging, was performed in 73.52% of patients. The use of MRI remained exceptional at 2.94% of cases. The liver was the most frequently injured organ (44.11%), followed by the spleen (29.41%). Non-operative management was favored with a remarkable success rate of 85.29%. Surgical treatment (14.7%) was reserved for cases of persistent instability or perforation of hollow organs and failure of NOM. While the treatment success rate was 94%, secondary recourse to surgery in cases of NOM failure or complication allowed for a favorable outcome in all patients, thus bringing the overall therapeutic success rate to 100%. Conclusion: Our study at Laghouat mixed hospital validates the primacy of non-operative management in pediatric abdominal trauma, achieving a 100% therapeutic success rate through a rigorous surveillance strategy and selective surgical intervention. Diagnostic accuracy is ensured by radio-biological coupling, highlighting the need to establish a rigorous decision-making algorithm to guide the indication for CT scans, in order to limit unnecessary radiation exposure in children without compromising diagnostic precision. Concurrently, the epidemiological profile dominated by (boys, public road accidents) underscores the importance of targeted prevention policies adapted to the local socio-economic context.