The Journal of Bucharest College of Physicians and the Romanian Academy of Medical Sciences

Andrei Manu-Marin

Andrei Manu-Marin

Prevalence and Risk Factors for Diabetic Complications: 8-Year Retrospective Report from a Single Regional Diabetes Center to the Eastern Region of Morocco

Objective: This study aims to investigate the risk factors of diabetes and its complications in the eastern region.

Design: This is a retrospective study conducted on diabetic patients followed at the regional center of diabetology and chronic diseases in Oujda for the period 2012-2019.


Materials and Methods: Clinical, biological, therapeutic and anthropometric data were collected from patient records.


Result: A total of 3.976 patients participated in the study. The frequency of complications is around 1/3. One diabetic out of four has at least one modifiable cardiovascular risk factor: arterial hypertension at 25.35%, dyslipidemia at 12.67%, overweight and obesity at 35.48% and 27.8%. The most discriminating factors in the pathogenesis of diabetic complications in order of importance are age of diabetes, hypertension, HbA1c and dyslipidemia, statistically significant associations were found with p 0.0082, 0.0001, 0.002, 0.0001 respectively). Then a multifactorial analysis coupled with a hierarchical ascending classification in birth data to two large groups of diabetics with complications and those without complications.
Discussion: The age of trend T2DM has fallen to less than 40 years, so that the first characteristics of an epidemiological and nutritional transition are being established in our region. In addition, blood pressure and glycemic imbalance in diabetics reflect a problem of medical and therapeutic management that needs to be resolved.


Conclusion: The pathogenesis of diabetic complications is multifactorial. However, medical care must be taken to reduce the risk of degenerative complications.

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Integrated Multidisciplinary Diagnostic Service Using a Telemedicine Platform

The term of telemedicine involves the use of medical information sent between two or more sites via electronic communication means, having as an ultimate goal the improvement of patients’ clinical condition. After already four decades of development and practical use of this diagnostic and treatment modality, with demonstrations in hospitals extending their remote healthcare services, the use of telemedicineextended rapidly, now being integrated in different current operations in hospitals, specialty departments, home care agencies, private practice offices, and also in different workplaces or residential sites, benefiting nowadays of a variety (constantly increasing) of applications and services using bi-directional video broadcasts, e-mail services, smart phones, wireless devices and other forms of telecommunication technology. (1,2) [...]

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Telemedicine as an Alternative Model for Delivering Healthcare Services: Preliminary Results of the MultiMED Project

According to the formal definition of the profile American association, the term of telemedicine involves the use of medical information sent between two or more sites via electronic communication means, having as an ultimate goal the improvement of patients’ clinical condition.
After already four decades of development and practical use of this diagnostic and treatment modality, with demonstrations in hospitals extending their remote healthcare services, the use of telemedicine extended rapidly, now being integrated in different current operations in hospitals, specialty departments, home care agencies, private practice offices, and also in different workplaces or residential sites, benefiting nowadays of a variety (constantly increasing) of applications and services using bi-directional video broadcasts, e-mail services, smart phones, wireless devices and other forms of telecommunication technology.

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