• American Studies
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• v.42 no.1
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• pp.57-97
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• 2019

This study seeks to reveal why the U.S. House Democrats showed different levels of support in the voting of the U.S.-Morocco FTA, U.S.-Bahrain FTA, and U.S.-Oman FTA. Existing studies focusing on the constituency or members' ideology do not properly account for the variance of these three FTA voting results. All of these FTAs, however, were promoted as a part of the president's foreign policies. If so, FTA support in Congress could depend on representatives' evaluation of the presidential foreign policy. Based on this, the study analyzes how representatives' evaluation of President Bush's foreign policy changed according to the period of the three FTA votes. The vote on the FTAs has been influenced by their evaluation of the presidential foreign and national security policies.

• 비료회보
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• v.14 no.7 s.374
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• pp.34-53
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• 1989

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.12
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• pp.5153-5157
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• 2016

Objective: The benefits of screening and early detection of breast cancer, including reduced morbidity and mortality, have been well-reported in the literature. In 2011, a breast cancer screening program was launched in Meknes-Tafilalt region of Morocco. The aim of this study was to evaluate the early performance indicators of this program. Materials and Methods: This retrospective evaluative study was conducted between April 2012 and December 2014, in Meknes-Tafilalt region of Morocco. Several performance indicators of the breast cancer screening program were calculated: the compliance rate, the positivity rate, the referral rate, the cancer detection rate and the organizational indicators. Results: During 2012-2014, a total of 184,951 women participated in the breast cancer screening program. The compliance rate was 26%, the positive rate was 3.3%, the referral rate was 36.7%, and the cancer detection rate was 1.2 per 1,000 women. The median time between the date of clinical breast examination and the date of biopsy (or cyto-puncture) was 36 days. The median time between the date of positive mammography and the date of biopsy (or cyto-puncture) was 6 days. The median time between the date of clinical breast examination and the date of the first received treatment was 61 days. Conclusions: The program needs better monitoring, as well as implementation of quality assurance tools to improve performance in our country.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.15
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• pp.6285-6288
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• 2015

Background: Breast cancer is commonly diagnosed at late stages in countries with limited resources. In Morocco, breast cancer is ranked the first female cancer (36.1%) and screening methods could reduce the proportion presenting with a late diagnosis. Morocco is currently adopting a breast cancer screening program based on clinical examination at primary health facilities, diagnosis at secondary level and treatment at tertiary level. So far, there is no systematic information on the performance of the screening program for breast cancer in Morocco. The aim of this study was to analyze early performance indicators. Materials and Methods: A retrospective evaluative study conducted in Temara city. The target population was the entire female population aged between 45-70 years. The study was based on process and performance indicators collected at the individual level from the various health structures in Tamara between 2009 and 2011. Results: A total of 2,350 women participated in the screening program; the participation rate was 35.7%. Of these, 76.8% (1,806) were married and 5.2% (106) of this group had a family history of breast cancer. Of the women who attended screening, 9.3% (190) were found to have an abnormal physical examination findings. A total of 260 (12.7%) were referred for a specialist consultation. The positive predictive value of clinical breast examination versus mammography was 23.0%. Forty four (35.5%) of the lesions found on the mammograms were classified as BI-RADs 3; 4 or 5 category. Cancer was found in 4 (1.95%) of the total number of screened women and benign cases represented 0.58%. Conclusions: These first results of the programme are very encouraging, but there is a need to closely monitor performance and to improve programme procedures with the aim of increasing both the participation rate and the proportion of women eligible to attend screening.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.12
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• pp.5211-5216
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• 2016

Background: Breast cancer is the most frequently diagnosed malignancy and the leading cause of cancer death among women worldwide. In Morocco, there have been few recent descriptive studies on female breast cancer. The aim of this study was to describe the latest available incidence and mortality rates of breast cancer among Moroccan women and to compare them with rates in other regional and Western countries. Methods: For this descriptive study, Moroccan incidence data were obtained from the most recent reports of the cancer registries of Casablanca and Rabat. Information on breast cancer incidence for different countries were obtained primarily from publicly available cancer registries and Cancer Incidence in Five Continents, Volume X. Mortality data were extracted from the GLOBOCAN 2012 published by the International Agency for Research on Cancer. Results: The age-standardized incidence (World) rate of breast cancer in Moroccan women increased from 35.0 to 39.0 per 100,000 women between 2004 and 2008, showing an annual increase of 2.85 %. The highest incidence rates were registered in the age groups of 45-49, 50-54 and 55-59 years (106.1, 108.2 and 108.5 respectively). Sixty-nine percent of female breast cancer cases were diagnosed at stages II and III. In 2012, the estimated number of women who died of breast cancer in Morocco was 2,878. The crude, age-standardized (World) mortality rates were 17.3 and 18.0 per 100,000, respectively. Conclusion: Although the incidence of female breast cancer in Morocco is lower than in Western countries, evidence shows that the rate is rising. This increase of breast cancer incidence has been observed in parallel with changes in reproductive behavior and adoption of a Western lifestyle. Prevention policies need to be implemented.

• Journal of Distribution Science
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• v.18 no.7
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• pp.5-17
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• 2020

Purpose: The purpose of this study is to examine the influence of resilience and work engagement on performance of managers in the automotive sector in Morocco. It analyses the mediating effect of work engagement between resilience and manager performance. Though earlier studies have focused on the effect of resilience on employee performance and work engagement. none has looked at the mediating role of work engagement in this context. Thus, the present paper attempts to fill this literature gap. Research design, data and methodology: A confirmatory survey was conducted among a sample of 196 employees of automobile companies in Tangier-Morocco. A structural equation analysis using SmartPLS was performed while Preacher and Hayes (2008) method was used to analyze the mediation effect. Results: a) Manager resilience has a positive influence on work engagement, which further influences their performance; b) there is a statistically insignificant relationship between resilience and manager performance; c) Structural equation modelling analysis shows that work engagement partially mediates the relationship between resilience and manager performance. Conclusion: Theoretical contributions, practical implications, and future research directions are discussed.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.9
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• pp.4313-4318
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• 2016

Background: This study documented the performance of providers of visual inspection with acetic acid (VIA) at primary health centers, assessing their compliance with the VIA skills checklist and determinants of non-compliance, and exploring their perceptions of VIA training sessions. Materials and Methods: A cross-sectional study was conducted among VIA providers in the $Mekn\grave{e}s$-Tafilalet region of Morocco. Structured observation of their performance was conducted through supervisory visits and multiple focus group discussions (FGDs). Results: Performance of all the recommended steps for effective communication was observed in a low proportion of procedures (36.4%). Midwives/nurses had higher compliance than general practitioners (GPs) (p<0.001). All recommended steps for VIA examination were performed for a high proportion of procedures (82.5%). Compliance was higher among midwives/nurses than among GPs (p<0.001) and among providers in rural areas than those in urban areas (p<0.001). For pre-VIA counselling, all recommended steps were performed for only 36.8% of procedures. For post-VIA counseling, all recommended steps were performed in a high proportion (85.5% for VIA-negative and 85.1% for VIA-positive women). Midwives/nurses had higher compliance than GPs when advising VIA-positive women (p=0.009). All infection prevention practices were followed for only 14.2% of procedures, and compliance was higher among providers in rural areas than those in urban areas (p<0.001). Most FGD participants were satisfied with the content of VIA training sessions. However, they suggested periodic refresher training and supportive supervision. Conclusions: Quality assurance of a cervical cancer screening program is a key element to ensure that the providers perform VIA correctly and confidently.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.12
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• pp.5063-5069
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• 2016

Background: Breast cancer is the most common cancer among women in most countries of the world. It is ranked first in females in Morocco (accounting for 33.4% of the total cancer burden) and more than 60% of cases are diagnosed at stage III or IV. During the last decade, health-related quality of life (HRQOL) has become an important aspect of breast cancer treatment. The objective of this study was to describe self-reported HRQOL in patients with breast cancer and to investigate its associations with sociodemographic and clinical variables. Methods: A prospective study was carried out in the main oncology centers in Morocco. Quality of life was measured using the Moroccan Arabic versions of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C 30 (EORTC QLQ C30) and the Breast Cancer-Specific Quality of Life Questionnaire (EORTC QLQ-BR23). Statistical analyses were performed using descriptive statistics and multivariate analyses. Results: A total of 1463 subjects were included in the study, with a mean age of 55.6 (SD. 11.2) years, 70% being married. The majority had stage II (45.9%) and a few cases stage IV (12.9%) lesions. The participants' global health mean score was 68.5 and in "functional scales", social functioning scored the highest (Mean 86.2 (SD=22.7)). The most distressing symptom on the symptom scale was financial difficulties (Mean 63.2 (SD=38.2)). Using the disease specific tool, it was found that future perspective scored the lowest (Mean 40.5 (SD=37.3)). On the symptom scale, arm symptoms scored the highest (Mean 23.6 (SD=21.6)). Significant mean differences were noted for many functional and symptom scales. Conclusion: Our results emphasized that the general HRQOL for our study population is lower than for corresponding populations in other countries. This study provided baseline information on the quality of life for a large sample of Moroccan women diagnosed with breast cancer.

• Environmental Engineering Research
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• v.20 no.4
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• pp.363-369
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• 2015

This study aims to characterize solid household waste and to present physicochemical characteristics of fresh leachate before landfilling in Kasba Tadla city, Morocco. Obtained results show that household waste produced in 2013 were about 11,787 tons, or 0.27 tons/capita/year. These wastes were composed essentially of organic materials (74%), paper (8%), plastics (9%), metals (1%), and glass (0.5%). However, monthly produced leachate ranges from a maximum of $130.92m^3$ during summer and a minimum of $21.88m^3$ in winter. Moreover, leachate treatment using Upflow Anaerobic Sludge Blanket technique was accompanied by a decrease in electrical conductivity, certainly related to leachate-sediment chemical exchanges. Otherwise, the same acidity reduction phenomenon occurs when pH value increased from 4.49 to 6.17 after 24 hours, confirming the system response since the early stages of treatment. In addition, temporal evolution of the treatment efficiency in terms of COD highlighted a very important reduction which reached 94% after 5 days with an average temperature of $25^{\circ}C$.

• Economic and Environmental Geology
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• v.55 no.3
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• pp.231-239
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• 2022

The irregular shape of the disturbances is a fundamental issue for mining engineers at the Sidi Chennane phosphate deposit in Morocco. A precise classification of disturbed areas is therefore necessary to understand their part in the overall volume of phosphate. In this paper, we investigate the theoretical and practical aspects of studying and measuring multifractal spectrums as a defining and representative parameter for distinguishing between the phosphate deposit of a low rate of disturbances and the deposit of a high rate. An empirical multifractal approach was used by analyzing the disturbed areas through the geoelectric images of an area located in the Sidi Chennane phosphate deposit. The Generalized fractal dimension, D(q), the Singularities of strength, α(q), the local dimension, f(α) and their conjugate parameter the mass exponent, τ(q) as well as f(α)-α spectrum were the common multifractal parameters used. The results reported show wide variations of the analyzed images, indicating that the multifractal analysis is an indicator for evaluate and characterize the disturbed areas within the phosphates deposits through the studied geoelectric images. This could be the starting point for future work aimed at improving phosphate exploration planning.