Aim/objective The objective of this study was to translate, culturally adapt, and assess the psychometric properties of the Franco-Moroccan version of the Nurse Clinical Reasoning Scale. Background Several studies have shown that effective clinical reasoning promotes the early detection of patient deterioration and improves clinical outcomes, whereas poor reasoning leads to errors in judgment and patient management. To assess this skill, the Nurse Clinical Reasoning Scale is a valid and reliable self-assessment tool. However, no French version adapted to the Moroccan cultural context was available. Design This research adopted a multicenter cross-sectional design. Methods The study followed international guidelines for the cross-cultural adaptation of measurement instruments. The process included forward and backward translation, content validation by an expert panel, pre-testing, and psychometric evaluation in a sample of 205 nurses. Results The Franco-Moroccan version showed excellent content validity (S-CVI = 1). Internal consistency was excellent (α = 0.938), and test-retest reliability was moderate (ICC = 0.638). Factor analysis suggested a one-factor structure, accounting for 51.7% of the total variance, with satisfactory fit indices (CFI = 0.925; TLI = 0.912; RMSEA = 0.0874, 90% CI: 0.0735–0.101). These data support a single-factor structure consistent with the original scale. The mean clinical reasoning score was 52.3 ± 14.8, indicating a moderate level of perceived clinical reasoning competence. Conclusion The Franco-Moroccan version of the studied scale is a reliable and culturally adapted tool for evaluating nurses' clinical reasoning in Morocco. It can be used in education, clinical practice, and nursing research.

The diet of Moroccan pregnant women is of major public health concern, particularly because of its crucial role in preventing nutritional deficiencies and complications related to gestational diabetes. This study, conducted over 17 months from October 2018 to February 2020 in Safi, aimed to evaluate the relationship between diet quality assessed by the dietary diversity score (DDS) of pregnant women and the incidence of diabetes (GDM). The study included women who attended antenatal consultation services in eight health centers. Nutritional and dietary data were collected using validated questionnaires and analyzed using BILNUT NUTRISOFT V 2.0 software. The exploration of associations between variables used statistical tests of ANOVA, Student's t test and Chi-square test. The results indicated that DDS was low in 42.9%, modeate in 55.4% and high DDS in only 1.7% of the participants. Although the results did not reveal a direct association of DDS with GDM (p > 0.05), a strong correlation was observed between this score and the number the food groups consumed (p < 0.001). The study highlights a partial dietary diversification in this population. To conclude, this study data highlights the importance of a varied and balanced diet in the prevention of complications, particularly in the case of gestational diabetes and call for reinforced nutritional interventions targeting this population category.

Food labelling plays a crucial role in enabling consumers to make informed food choices. The objective of this study was to explore the knowledge and attitudes of students at Mohamed VI University of Health Sciences (UM6SS) towards nutrition labelling, in order to identify gaps and factors influencing their eating behaviour. A cross-sectional study was conducted during the period from March to May 2024, on a sample of 212 students recuited from UM6SS. Data on ingredients, additives and food certifications were collected using a questionnaire designed to assess knowledge and attitudes towards nutritional information. The results showed that 70.6% of the sample had difficulty understanding additives, preservatives, and certifications (DLC, SIGA, NOVA). Analysis of data on attitude showed that 56.9% of participants expressed interest in labelling, motivated by health concerns. However, 43.1% reported neglecting labels because of lack of time or insufficient understanding. The current study data revealed that a request for more detailed labelling declared by students participating in this study, including the origin of products, their allergen and additive contents. These results highlight also, a need for educational campaigns in order to improve label- reading skills by students and encourage informed food choices. Raising awareness and educating students about nutrition labelling is essential to prevent long-term health problems and promote a safe and balanced diet.

Objectives. The nutrition of pregnant women is one of the challenges of the Moroccan health authorities. A healthy and balanced diet based on the principles of the Mediterranean diet (MD) is a potential way to prevent several dietary deficiencies and avoid risks, particularly in women with gestational diabetes (GD). This work aims were to examine the association between adherence to the (MD) and nutritional status, among diabetic pregnant women in the city of Safi in Morocco. Material and methods. A cross-sectional, correlational and analytical study conducted over a period of 17 months, from October 2018 to February 2020, targeted 401 pregnant women attending antenatal consultation (ANC) services in eight health centers (HCs). MD adherence was assessed by the MDS-P score, based on the simplified MD score in addition to the specific needs for Iron (Fe), Calcium (Ca) and folic acid during pregnancy. Results were processed using statistical operations such as correlations, comparison, and ANOVA analysis of variance. Results. The study shows that adherence to the MD was low in 33.9%, moderate in 65.1%, and high in 1% only. The data also revealed that the MD adherence score was not significantly associated with the incidence of GD (p>0.05), while a significant association was found with nutritional status in the majority of cases (p<0.001). Conclusions. Maintaining the Mediterranean dietary model in Morocco plays a crucial role in the public health as it protects against gestational diabetes and several metabolic diseases. Keywords: Mediterranean diet Adherence score, Gestational diabetes, Nutritional status, Nutrition.

Background: Physical activity is recognized as a supportive care in cancer management. Mobile apps have become a common and effective method of promoting physical activity in cancer. The results presented in this paper come from the mobile app design process at the National Institute of Oncology in Morocco. Objectives: This study aimed to describe the short-term changes in physical activity and quality of life in post-cancer treatment, after participating in this mobile app design process. Methods: Twenty-four post-treatment cancer patients participated in a user-centered design process to create a mobile physical activity application. The data collected was based on self-monitoring and self-assessment. The assessment was requested at the beginning and the end of the participation using the International Physical Activity Questionnaire and the SF-12 questionnaire. Results: The physical activity volume rose from 323 MET-min/week (160–410) in the first evaluation to 540 MET-min/week (460–730) after the mobile app participation. Eight of 11 participants have been moved from a low physical activity level to a moderate level. The physical health score rose from 57 (63-37) to 65 (72-54). The mental health score rose from 57 (63-37) to 65 (72-54). Conclusions: A short-term improvement in physical activity and quality of life was observed in post-treatment cancer patients. However, stronger studies are needed to confirm these results.

ContextUtilizing mobile apps to increase physical activity levels is now standard practice in cancer care. The study's objective was to provide patients with precise physical activity recommendations and/or initiate self-directed exercise programs.MethodsA multidisciplinary group directed the design procedure. We adhered to the self-determination approach,and accompanying behavior modification strategies, as well as international guidelines in the field of physical activity in cancer care. The design process was user-centered and involved three steps: Understanding the user and the context, conceptualization, and evaluation of the prototype. The testing was carried out by the beneficiaries, healthcare professionals, and two experts. Three criteria were evaluated in the designed solution: usability, quality, and potential for behavior change.ResultsThe evaluation results of the designed solution showed good perception by both beneficiaries and healthcare professionals. The average system usability scale score was 90,6 (SD: 7.33) for beneficiaries, and 92.75 (SD: 3.83) for healthcare professionals. The first expert received a mean overall quality score of 4.51 on the mobile app rating scale, while the second received a score of 4.27. The results of the app behavior change scale gave the first expert a score of 17/21 and the second a score of 15/21.ConclusionBased on the criteria of usability, quality, and potential for behavior change, the designed app demonstrated positive results. This is a preliminary evaluation, which will be followed by additional, in-depth evaluations with larger sample sizes.

Le syndrome du canal carpien est la neuropathie canalaire la plus fréquente affectant le membre supérieur. Plusieurs approches thérapeutiques sont utilisées pour traiter ce syndrome, dont le traitement conservateur souvent de première ligne. Nous rapportons l´observation d´une patiente de 61 ans, qui s´est présentée au service de neurophysiologie clinique de l´hôpital de spécialités de Rabat pour un syndrome du canal carpien sensitif modéré et bilatéral confirmé par électroneuromyogramme (ENMG). L´intervention a consisté en une thérapie manuelle incluant une mobilisation neurodynamique du nerf médian en bilatéral. L´évolution a été marquée par une disparition de l´engourdissement nocturne et l´ENMG de contrôle a montré une nette amélioration des paramètres de conduction nerveuse. D´après ce résultat positif, la mobilisation neurodynamique du nerf médian pourrait être considérée comme une piste envisageable dans le cadre du traitement conservateur du syndrome du canal carpien.

À partir d’une carte de visite professionnelle, cet article évoque une facette de l’environnement social, politique et législatif à la fin du xixe et au début du XXe siècle.NA.Based on a professional business card, this article traces the social, political and legislative environment of the late 19th and early 20th century.NA.

Cancer is a real public health problem in the world. The patients' functional cancer impact on patients needs a global care approach. Physical activity is recognized as supportive care because it benefits patients throughout the cancer care pathway. Indeed, it seems safe with scientifically proven benefits on physical functions and patients' quality of life. Promoting physical activity, asks for an improvement in the healthcare professional's knowledge and establishing rehabilitation programs through physical activity. A physical exercise program requires an assessment to adapt the program according to the patient's capacities and reactions. Physical activity interventions remain accessible to existing healthcare systems and are less costly than pharmaceutical interventions.

Carpal tunnel syndrome is the most common neuropathy affecting the upper limb. Several therapeutic approaches are used to treat this syndrome, including conservative treatment, often used as the first line treatment. We here report the case of a 61-year-old female patient, presenting to the Department of Clinical Neurophysiology of the Specialty Hospital, Rabat, with moderate and bilateral carpal tunnel syndrome with sensory loss confirmed by electroneuromyography (ENMG). Manual therapy, including bilateral median nerve neurodynamic mobilization, was performed. Patient´s outcome was marked by disappearance of nocturnal numbness and follow up ENMG showed a marked improvement in nerve conduction parameters. Based on this positive result, neurodynamic mobilization of the median nerve may be considered as a possible approach for the conservative treatment of carpal tunnel syndrome.

Background: Carpal tunnel syndrome (CTS) is the most prevalent upper limb compression neuropathy. Surgical or nonsurgical treatment is recommended. Both mild and moderate CTS can be managed conservatively. Neurodynamic mobilisation techniques (NMTs) of the median nerve have not been widely studied, and conflicting findings exist. Methods/design: Sixty-two female patients with mild or moderate bilateral CTS were assigned one wrist to the treatment group (TG) and the other to the control group (CG). Both groups underwent carpal bone mobilisation. The TG underwent NMTs while the CG received a placebo elbow mobilisation not targeting the median nerve. The Numerical Rating Pain Scale, JAMAR Plus Digital Hand dynamometer and Functional Status Scale (FSS) were used to assess pain, grip strength and functional status. Discussion: Comparison of groups showed that NMTs at 5 weeks decreased pain intensity by 1.15 ( p = 0.001) and by 2 ( p ˂ 0.001) at 10 weeks. Difference in functional status was 0.45 at 5 weeks ( p = 0.003) and 0.84 at 10 weeks ( p = 0.003). The CG’s grip strength improved by 0.59 ( p = 0.05) after 5 weeks and 0.61 ( p = 0.028) at 10 weeks. Both groups improved in all parameters over time. Conclusion: When combined with carpal bone mobilisation, both NMTs and placebo elbow mobilisation seem to reduce pain intensity and improve grip strength and functional status. However, NMTs had better results in pain intensity and FSS. Clinical implications: Women with mild or moderate bilateral CTS may benefit from NMTs as a conservative treatment option. Trial registration: Pan African Clinical Trials Registry, PACTR202201807752672, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=19340 .

Introduction:the validity of the upper limb neurodynamic tests and especially the upper limb neurodynamic test 1 for diagnosing carpal tunnel syndrome has been the subject of several previous studies. However, the upper limb neurodynamic test 2A, which is also a test designated to assess the mechanosensitivity of the median nerve, has not been sufficiently studied, particularly for the diagnosis of carpal tunnel syndrome.Methods:we used the upper limb neurodynamic test 2A as the index test and nerve conduction studies as the reference standard. We considered the upper limb neurodynamic test 2A positive according to Nee et al. criteria. Sensitivity, specificity, positive likelihood, and negative likelihood were calculated. In addition, a receiver operating characteristics analysis was carried out.Results:ninety-four women (188 hands) suspected of carpal tunnel syndrome with a mean age of 48.87 years and SD of 12.09 participated in the study. The sensitivity of the upper limb neurodynamic test 2A was estimated at 73.4%, the specificity at 47%, the positive likelihood ratio was 1.38, the negative likelihood ratio was 0.57, and the Kappa agreement was 20.3%, and the area under the curve 60.1%.Conclusion:the upper limb neurodynamic test 2A does not seem to have value in the diagnosis of carpal tunnel syndrome when compared to nerve conduction studies. It could be alternatively used to detect an increased mechanosensitivity of the median nerve when the upper limb neurodynamic test 1 cannot be performed in case of a range of motion limitation of the shoulder abduction.