La Tunisie médicale (Tunis Med )

Publisher: Ordre des médecins de Tunisie; Société tunisienne des sciences médicales

Description

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  • 5-year impact
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  • Other titles
    Tunisie Medicale
  • ISSN
    0041-4131
  • OCLC
    2268769
  • Material type
    Periodical
  • Document type
    Journal / Magazine / Newspaper

Publications in this journal

  • Asma El Khadir, Wafa Hliwa, Fadoua Laayouni, Rhimou Alaou
    La Tunisie médicale 05/2014; 92(5):359-360.
  • S Chaatani, M Said, W Chaatani, N Souissi
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    ABSTRACT: Background : Malnutrition is owing to an alimentation regarding quantity and quality food. aim: To examine the different forms of malnutrition among Tunisian boys of the north and south regions, to form an idea about the state of their health and their living conditions. methods: Our empirical investigation was carried out on 1082 northern boys and 1016 southern boys, aged from 10 to 14 years including 1057 non pubescent boys and 1041 prepubescent boys. Age, weight and height were recorded for the entire population according to the norms of the standard World Health Organization and the nutritional status of these young was described by two indices: Height for age and body mass index for age. The classification used to describe the build is the Cachera Rolland, results: Malnutrition are significantly more pronounced among the southern boys than their counterparts in the North. Particularly, short stature (19.2% vs 14.4%) and underweight (28% vs 22.5 %). However, the risk of overweight and obesity is more pronounced among the northern boys. However, the comparison between non pubescent and prepubescent boys shows that the prevalence of stunting increases with age. Conclusion: The mechanisms responsible for these inter-individual differences beings regions appear related to living conditions during the first year after birth, particularly, socio-economic status, family size, type of housing, and the education level of parents.
    La Tunisie médicale 05/2014; 92(5):329-334.
  • Rajaa El Bouihi, Mokrane Khazana, Mohamed Rachid, Said Benchekroun, Ihsane Ben Yahya
    La Tunisie médicale 05/2014; 92(5):352-354.
  • Héla Kchir, Asma Ouaka Kchaou, Ali Amouri, Nadia Ben Mahmoud, Mohamed Moussadek Azzouz, Nabil Tahri, Abdeljabbar Ghorbel, Béchir Zouari, Nabyl Ben Mami
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    ABSTRACT: Background: Primary sclerosing cholangitis (PSC) is a chronic cholestatic disease strongly associated, in the western series, to inflammatory bowel disease (IBD) and particularly to chronic ulcerative colitis. North African data are rare. aim : To study the epidemiological, clinicobiological and morphological profile of PSC in Tunisia. methods: A retrospective multicenter study extended over a period of 14 years (1995-2009), including all patients suffering from PSC, hospitalized in the four participants departments. We collected epidemiological, clinico-biological, histopathologic and morphological data for each patient. results: We brought together 33 patients (22 men and 11 women), middle aged 44 years. The disease was symptomatic in 73% of cases. Laboratory tests showed cholestasis (100%) associated with hyperbilirubinemia (72%) and a moderate cytolysis (78%). Morphological analysis of bile ducts by cholangioMRI or endoscopic retrograde cholangio-pancreatography objectified diffuse damage of the biliary tract in 61% of cases. Association with IBD was found in 33% of cases (Crohn's Disease: 27%, chronic ulcerative colitis: 6%). An association with autoimmune hepatitis was found in 6% of cases and primary biliary cirrhosis in 3% of cases. Conclusion : PSC is rare in Tunisia and affects men more often than women. The association with IBD is less frequent than in literature. It concerns essentially Crohn's disease. These data require confirmation by prospective multicenter studies.
    La Tunisie médicale 05/2014; 92(5):323-328.
  • Alia Zehani, Ines Chelly, Haifa Azouz, Khedija Bellil, Slim Haouet, Nidhameddine Kchir
    La Tunisie médicale 05/2014; 92(5):355-356.
  • H Zaghouani Ben Alaya, M Limeme, N Ben Zina, Ch Zarrad, S Majdoub, H Amara, D Bakir, Ch Kraiem
    La Tunisie médicale 05/2014; 92(5):345-346.
  • Alifa Daghfous, Khaled Bouzaidi, Meriem Affes, Nejla Ben Rhouma, Lamia Rezgui Marhoul
    La Tunisie médicale 05/2014; 92(5):354-355.
  • Hager Kamoun, Anissa Boussaadoun, Khaled Anis Kamoun, Mondher Kooli, Azza Hammou
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    ABSTRACT: Background: Orthopaedic theatre personnel (OTP) are exposed to ionizing radiation by the use of Image intensification in the operating room. But :The aims of this study are to determine OTP knowledge about ionizing radiation risks and the availability of radiation protection clothes, to propose appropriate corrective measures. methods: This descriptive study was performed during an orthopaedic operating theatre equipped with a mobile Image intensifier unit in Charles Nicolle hospital, in March 2010. We have performed an orthopaedic theatre visit to identify the availability of radiation protection clothes. We used a questionnaire in order to identity OTP knowledge about ionizing radiation. We established a global score of knowledge to classify our population. results: We identified 65 professionals exposed to ionizing radiation. 54 of them (83%) responded to our questionnaire. 65% were men and sex ratio was 0,54. The median of the age was 32 years (23-51). Orthopaedic theatre personnel were 35% surgeons, 32% nurses, 20% superior technicians and 13% service workers. The mean of the Global score of knowledge was 8,4 /20 (3,6 -15,2). The Kruskal-Wallis test showed that this score increases significantly with grade. Because availability of lead aprons, they were worn by 67% of the staff. Conclusions: In the present study, the results indicate insufficiency in OTP knowledge and in radioprotection tools availability. In order to minimize all unnecessary radiation, attempts should be made to increase orthopaedic theatre personnel knowledge about radiation protection. Safety culture is a referral method to reduce radiation exposure as low as possible.
    La Tunisie médicale 05/2014; 92(5):311-317.
  • Olfa Hellara, Aroua Gueddiche, Wissem Melki, Wafa Ben Mansour, Hichem Loghmari, Nabil Ben Chaabène, Fethia Bdioui, Leila Safer
    La Tunisie médicale 05/2014; 92(5):349-350.
  • Y Kerkeni, A Ksiaa, L Sahnoun, M Belghith, I Krichene, M Mekki, A Nouri
    La Tunisie médicale 05/2014; 92(5):350-351.
  • Leila Mnif, Mouna Boudabbous, Lassad Chtourou, Ali Amouri, Nabil Tahri
    La Tunisie médicale 05/2014; 92(5):352.
  • M Younes, H Hachfi, D Ouertani, M Jguirim, F Hassine Neffati, S Zrour, I Bejia, M Touzi, M F Najjar, N Bergaoui
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    ABSTRACT: Background: Currently, for the diagnosis of osteoporosis, we search risk factors and measure bone mineral density (BMD) by DXA method. However, bone turnover markers, unused still in practice, have shown an interest especially in the prediction of fracture risk. aim: To determine the relationship between bone markers, BMD and osteoporotic fracture. methods: Prospective study of 65 women referred for measure of BMD during the period between May and August 2010. Each patient had a dosage of serum bone formation markers: osteocalcin (OC) and N-terminal propeptide of type I collagen (P1NP) and bone resorption markers: serum and urinary C-terminal telopeptide of type I collagen (β-CTX or CrossLaps) as well as parathyroid hormone and calcium. Risk factors of osteoporosis were identified in each case. results: Our 65 women had a mean age of 58.6 ± 12.1 years. The majority (83%) were menopausal women. Osteoporosis was found in 52%, osteopenia 26% and normal BMD 22% of cases. An increase in bone turnover markers was correlated with menopause (p = 0. 001 for the OC, p = 0.016 for urinary CTX), a low body mass index (p = 0.015 for OC, p = 0.042 for serum CTX) and osteoporosis (p <0.001 for P1NP, p <0.001 for serum and urinary CTX). Corticosteroid therapy was correlated with a decrease in bone formation markers (p = 0.002 for P1NP). The presence of fracture was only associated with increased urinary CTX (p = 0.05). Conclusion: Bone turnover markers increase in menopausal women and in case of low BMD. However, their contribution in the diagnosis of osteoporosis is low. They are rather an interest in the prediction of fracture risk.
    La Tunisie médicale 05/2014; 92(5):304-310.
  • R Hefaiedh, M Sabbah, R Ennaifer, H Romdhane, A Attaoui, N Bel Hadj, L Gharbi, M T Khalfallah
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    ABSTRACT: Background: Ischemic colitis is the most common form of intestinal ischemia. The presence of diarrhea and mild lower gastrointestinal bleeding should guide the diagnosis. Although many laboratory tests and radiographic images may suggest the diagnosis, colonic endoscopic with histological analysis of biopsies is the gold standard for identification of colonic ischemia. aim : The aim of this study was to resume in 5 points: the epidemiology, the clinical features, the diagnostic approach and the management of ischemic colitis in five points. methods: Review of literature. results: Incidence of ischemic colitis was between 3 and 10%. The clinical presentation is predominated by the non gangrenous form associating abdominal pain, tenderness, diarrhea and lower gastrointestinal bleeding. The most frequent causes are represented by systemic hypoperfusion. Laboratory tests can orientate the diagnosis but are unspecific. Radiographic images based on computed tomography or more recently magnetic resonance imaging may suggest the diagnosis, but the confirmation will be given by endoscopic visualization of colonic mucosa with histological analysis of biopsies. Conservative treatment is the most often sufficient to improve colonic lesions. Surgical treatment is reserved for perforations and strictures. Conclusion: The incidence of colonic ischemia is difficult to ascertain. The diagnosis is usually made by medical history, examination, and endoscopy which have become the diagnostic procedure of choice. A high index of suspicion and prompt management are essential for optimum outcomes in patients with colonic ischemia.
    La Tunisie médicale 05/2014; 92(5):299-303.
  • Hassan Bennani, Imad Ziouziou, Yassine Rhannam, Houda Bachir, Tarik Karmouni, Khalid El Khader, Abdellatif Koutani, Ahmed Iben Attya Andaloussi
    La Tunisie médicale 05/2014; 92(5):347-348.
  • Imene Ksibi Ben Salem, Zeineb Saoud, Rim Maaoui, Rahma Sbabti, Leila Metoui, Hajer Rahali Khachlouf
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    ABSTRACT: Background: Osteoarthris represents one of the most frequent degenerative pathologies. Its prevalence increases with the age as well as the functional consequences which are more considerable at the elderly population. aim : study the epidemiology and clinical features of knee osteoarthritis of older patient. methods: retrospective study made in the department of physical and rehabilitation medicine of the military Tunis hospital, on a sample of 60 patients having osteoarthritis, divided in two groups, the one is constituted by 30 subjects of 65 and more years old, other one of 30 adults aged between 30 and 55 years old. All the patients had a clinical and functional evaluation. results: the comparison between both groups showed a statistically significant difference (P < 0.05) in the following items: the severity of the pain, the bilateral hydarthrosis, the muscular strength of quadriceps, hamstrings and their retraction, the severe reduction of walking perimeter, and the bicompartimental lesion of both knees. Conclusion: clinical and sociofunctional features of knee osteoarthritis in the elderly patient require adapted and multidisciplinary management, in order to avoid the potential impact of knee osteoarthritis on the function and quality of life of the patient.
    La Tunisie médicale 05/2014; 92(5):335-340.
  • Lilia Ben Hassine, Rym Kharrat, Ali Ghribi, Fatma Fitouri, Héla Louati, Wièm Douira, Lilia Lahmar, Ibtissem Bellagha, Mourad Hamzaoui
    La Tunisie médicale 05/2014; 92(5):358-359.
  • H Zaibi, J Ammar, H Boussen, A Berraies, A Hamzaoui
    La Tunisie médicale 05/2014; 92(5):359-360.
  • A Ksia, S Belhassen, J Chahed, M Ben Brahim, L Sahnoun, S Mosbahi, B Haggui, S Ben Youssef, K Maazoun, I Krichene, M Mekki, M Belghith, A Nouri
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    ABSTRACT: Background: Open surgery is the standard option for the treatment of hydatid pulmonary cysts. Surgeons are able to replicate the principles of conventional surgery using minimally invasive techniques ,in particular thoracoscopy. However, there are few reports about this subject in children. To our knowledge, this is one of the biggest pediatric series ever reported in the literature. aim: the purpose of this study was to determine the best indications of the thoracospic surgery for the treatment of the pulmonary hydatid cysts in children. methods: We report a series of 25 cases with pulmonary hydatid cysts treated using the thoracoscopic approach from 2005 to 2009. We retrospectively analyzed the patients' sex, age, symptoms, biological data, characteristics of hydatid cysts (location, number and size) and the medical treatments. Pulmonary hydatid cyst diagnosis was performed on Chest x-ray, abdominal ultrasound and biological data in all the cases. Tomography was not systematic. All patients underwent video-assisted surgery. A conversion to thoracotomy was conducteded in 2 cases. All the patients had a chest tube and received an antibio-prophylaxy , without Albendazol . A concurrent hydatid cyst at the opposite lung or in the peritoneal cavity was treated later. results: There were 25 cases with a sex ratio of 2.1 and a mean age of 8 years. All the patients underwent a video-assisted surgery. A conversion to thoracotomy was performed in 2 cases because hydatid cysts were large (size > 8 cm). The average duration of the procedure was 75 minutes. In the post-operative course, one patient presented an air leak which required a prolonged chest drainage for 16 days and a second one was treated for lung infection. In all the other cases, the follow-up was uneventful. Conclusion: The thoracoscopic approach for pulmonary hydatid cysts in children is feasible. For better results, it is recommended for cysts smaller than 5 cm.
    La Tunisie médicale 05/2014; 92(5):341-344.
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    ABSTRACT: Erythrasma is a chronic bacterial infection due to Corynebacterium minutissimum, affecting the interspaces of the toes, the axillary folds and the groin. Its impact is underestimated as it is often misdiagnosed ad wrongly taken as a dermatophytic infection.
    La Tunisie médicale 04/2014; 92(4):245-8.