Inflammatory myofibroblast tumors (IMT) formerly known as inflammatory pseudotumours was first described in 1905 by Birch-Hirschfield and is characterized by myofibroblastic proliferation associated with lymphocytes, histiocytes, plasmocytes and macrophages that form part of a stroma rich in collagen fibres. Several hypotheses such as autoimmune, infectious and tumour origin have often been discussed, although etiopathogeny is not yet fully understood. The cervico-facial location is extremely rare, less than 3%, and precisely the maxillary has been reported only twenty times in the literature .The treatment is based primarily on the most carcinogenic surgical resection possible when the tumor is accessible. We report the observation of a patient followed in our unit for a pseudoinflammatory maxillary localization tumor. The authors would like to share their approach and discuss the clinical, paraclinic and therapeutic aspects of this rare entity never seen before in our experience.

Purpose: To study the demographic profile of the donated corneas and eye donation trend of an eye bank in tertiary care hospital in North India. Study Design- Retrospective, non-comparative observational study. Material and Methods- Data from 1273 donor eyes collected from all over Haryana under Hospital Cornea Retrieval Programme (HRCP) and those collected from voluntary donors at their residence from April 2011 to March 2020 were analyzed including the demographic features like the cause of death, gender, age, and place of tissue procurement, death-enucleation time &distance from the eye bank. Results: During the study period, 1273 corneas were retrieved from 672 donors, among which 59.2% were males and 40.8% were females, with donor age ranging from 12-102 years. Most of the donors were from nearby districts in Haryana and few from neighbouring state of Punjab. Maximum number of eye donations was in the age group of 51-70 years. Death enucleation time was within 6 hrs from death in majority of the donors. 51.5% of the donor corneas were procured from within 50 kms from the eye bank. 60% of the corneas were collected from home and 40% under HRCP (Hospital corneal retrieval programme). The most common cause of donor death was due to old age (Natural death), followed by cardiovascular disease, trauma/multiple injury. Conclusion: Analysis of the Eye Bank registers provided valuable information in relation to eye banking and corneal utilisation in Haryana, northern India and significant trends were identified in donor demographics.

Objective: To evaluate the practice of antibiotic prophylaxis in trauma-orthopedic surgery at the Moulay Ismail military hospital in Meknes, in order to determine the deviations from the local protocol established and to propose corrective measures. Materials and Methods: This is a descriptive prospective study evaluating the practice of antibiotic prophylaxis in trauma and orthopedic surgery, which involved two hundred seventy-two patients operated on over a period of six months. This study took place in three phases. The collection of data on cards developed for this purpose; analysis of the results and review of the literature to judge the compliance of antibiotic prophylaxis decisions with local recommendations and protocols. Results: For the 272 patients operated on during the study period, of whom 72% were male, the compliance with the judgment criteria was respectively: 97.80% for the indication with antibiotic prophylaxis, 98.33% for the choice of molecule, 95% for the administered dose, 100% for the schedule of the first injection, 100% for the route of administration and only 3% for the duration of the antibiotic prophylaxis. Discussion and conclusion: The results of our study confirm the discrepancies reported by various international studies, these discrepancies are due to the deviation of antibiotic prophylaxis practices to local protocols and international standards. The antibiotic prophylaxis recommendations remain imperfectly applied even after the publication of guidelines. These results make essential: an update of the local protocols already established which must take into account on the one hand recent international recommendations and on the other hand local ecology, the day before the active dissemination of these protocols and their application by professionals and the need to train all prescribers using methods adapted to their professional constraints. Educate surgeons in the hospital department on the lack of interest in extending the prescription of antibiotic prophylaxis beyond 48 hours and in prescribing unjustified combinations.

Introduction: The rational use of antibiotics is a major concern due to the development of bacterial resistance and the emergence of multiresistant bacteria. The objective of this study is to evaluate the consumption of antibiotics within the HMMI for 3 years (2016 to 2018). Materials and Methods: This is a retrospective study of the consumption of antibiotics for 3 years (2016 to 2018), allowing the distribution of hospital services in 5 activity sectors; whereas the calculation of antibiotic consumption in DDJ / 1000JH made it possible to determine the overall consumption of all antibiotics of the HMMI in DDJ / 1000JH for the years 2016-2017-2018; to determine the consumption by antibiotic families of HMMI in DDJ / 1000 JH for the years 2016-2017-2018; to determine the average consumption by antibiotic families and by activity sectors in DDJ / 1000JH. Results: The analysis of the overall consumption of all antibiotic families combined showed a consumption of 861.38 DDJ / 1000JH in 2017 and 700.97 DDJ / 1000JH in 2018. While the calculation of the percentage change between the years 2016 and 2018 revealed a decrease in the overall consumption of antibiotics by (-9.07%). Analysis of consumption by families of antibiotics has shown that betalactamines are the most prescribed molecules with 77.39% or on average (601.86 DDJ / 1000JH); monitoring of fluoroquinolones with 7.21% or on average (56.08 DDJ / 1000JH); monitoring of aminoglycosides with 6.44% or on average (50.12 DDJ / 1000JH). Analysis of the overall antibiotic consumption by sector of activity has shown that the resuscitation sector is the sector most prescribing antibiotics of all families, with an average of 1345.61 DDJ / 1000 JH. Discussion: The results of our work showed high consumption, explained either by an adapted prescription policy or overconsumption by inappropriate prescriptions. Various surveys show that 20 to 50% of prescriptions for antibiotics are inappropriate in hospitals. Conclusion: The link between the use of antibiotics and the emergence of bacterial resistance is clear The present retrospective study was an important assessment. Which must be supplemented by prospective studies evaluating the quality of prescription at the level of the services most consuming antibiotics.

Thalassemia is a genetic disease of autosomal recessive inheritance, characterized by the reduction or absence of production of one of the normal globin chains, which causes chronic hemolytic anemia. Iron overload is the main prognostic factor for mortality and morbidity, and the quality of chelation remains the major prognostic factor for the disease. The aim of our work is to emphasize the major impact of chelating treatment in post-transfusion hemochromatosis, on life expectancy, the prevention of cardiac, hepatic and endocrine complications. Our study is a cross-sectional study on 15 cases of major β thalassemia in children in the pediatric hematology unit of the CHU Oujda whose current age is between 2 and 13 years with an average of 8 years old and predominantly female (66%). Therapeutically, all our patients are on a transfusion program every 2 to 4 weeks. The iron overload assessment in our series was based on the 3-month ferritinemia assay, liver MRI, and annual echocardiography. In our series, 14 of our patients were put on iron chelating treatment for which Deferasirox was the molecule of choice. All of our patients tolerated Deferasirox very well and did not tolerate Deferriprone. The evolution was marked by the improvement of ferritin in 7 cases, 4kept stationary ferritinemia and 3 cases increased their ferritinemia level. In the light of these results, thalassemia is a real public health problem whose complications are serious and whose morbidity and mortality are high, hence the need for good management for a good prognosis based on the 2 pillars monthly transfusion and iron chelation. Hematopoietic stem cell transplantation remains the only curative treatment.

Febrile convulsion (FC) is one of the most common problems of children under five years of age. This fear provoking condition creates anxiety among parents particularly in mothers which may lead to mismanagement. The study aims to determine the impact of educational interventions on maternal knowledge, attitude & practices regarding febrile convulsions before and after intervention. Study Design was Quasi-experimental (pre-posttest) and Setting was department of pediatrics, Jinnah hospital & Children hospital Lahore. Methodology: 100 mothers having children with febrile convulsions were selected by using purposive sampling technique for the period May to October, 2019. On the first day pretest was conducted in which knowledge, attitude and practices on febrile convulsions was assessed. After pretest they were intervened with 01 week educational sessions, each session was of 01 hour. Posttest was conducted after 01 week. Data was collected by using a validated and reliable questionnaire before and after intervention. Analysis was done through statistical package for the social science (SPSS) version 20.0.Result: mean, ± SD were given for quantitative variable while frequencies, percentages were given for qualitative variables. T-test was applied to compare pre & post effect of educational intervention on maternal knowledge, attitude & practices of FC. P-value of ≤ 0.05 was considered significant. The post-test results revealed a significant increase in mother's knowledge (P = < 0.002), attitude (P = <0.01) and practice (P =< 0.04) of febrile convulsion. This study suggested that educational interventions worked efficiently in improving mother's knowledge, attitude and practice of FC.