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Publications (5)0 Total impact

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    ABSTRACT: Adolescents present specific sanitary needs, linked to the physical and psychological mutations that occur during this vulnerable period of life. These needs remain little known in Tunisia. But : To describe epidemiological profile of morbidity of teenagers hospitalized in Hedi Chaker's hospital center of Sfax, during a period of 5 years, between 2003 and 2007. Data exploitation of the descriptive survey of morbidity and mortality of hospitalized adolescents. During the study, 2963 adolescents of 10 to 19 years have been hospitalized (5.1 % of total of hospitalizations). Paediatrics received 36.9 % of adolescents. Paediatrics, haematology and infectious diseases's services received 58.5 % of them. According to the groups of diagnosis, genitourinary and endocrine's diseases, dominate for girls, whereas infectious and parasitic diseases and tumors touched more boys. Diabetes, signs and general symptoms, leukaemia and anaemia, were the most frequent pathologies. Taking care of teenagers is often parcelled out on several hospitable services. Therefore, the improvement of the greeting services, in order to answer the teenager's relational needs home a temporary solution, while hoping, the setting up of units or specific services of adolescents that showed evidence of their utility for the development of the medicine of the teenagers in the industrialized countries.
    La Tunisie médicale 06/2010; 88(6):399-403.
  • Revue D Epidemiologie Et De Sante Publique - REV EPIDEMIOL SANTE PUBL. 01/2010; 58.
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    ABSTRACT: To establish predictive values for the six minutes walk test (6MWT) specific to subjects old more than 40 years from Tunisian population and to compare them with the other pre-established reference equations. 155 voluntary Tunisian subjects, including 75 women, from 40 to 80 years old, sedentaries, no smokers, and without acute or chronic pathologies carried 2 TM6m in a hospital corridor on a way of 30 meters length according to the American Thoracic Society recommendations. Covered distance, heart rate and level of dyspnea were given during each 6MWT. The covered distance was better at the second 6MWT and was significantly different from the predicted values from pre-established equations. Age, sex, weight and size contributed in a multiple linear regression model to explain 60% of the variance of the covered distance and to establish the following regression equation: calculated distance (m) = 299.8 - (4.34 * ageyears) + (342.6 * heightm) - (1.46 * weightkg) + (62.5 * sex) with sex=1 for men and 0 for women and the lower Limit of the normal = calculated distance--124.5 m The use of the regression equation established in this study would be adapted to the subjects between 40 and 80 years old and pertaining to the Tunisian population, and its use must be limited to these criteria.
    La Tunisie médicale 02/2008; 86(1):20-6.
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    ABSTRACT: The objective of this work was to present the main results of this investigation during the year 2002 and to describe the profile of the hospital morbidity. In the setting of the epidemiologic supervision, the Community Medicine and Epidemiology service in Sfax leads a continuous descriptive study of the hospital morbidity and mortality. The average age of the hospitalized was 32.10 years. The sex-ratio was estimated at 0.94. The socio-economic level was relatively low. The chronic pathologies come in head and are dominated by: the chronic renal failure, schizophrenia and diabetes. The profile of morbidity reflects an epidemiological transition phenomenon and call to a backing of the ambulatory handling and the development of specific services capable to make decrease the needs of hospitalizations
    La Tunisie médicale 06/2007; 85(5):398-401.
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    ABSTRACT: In theory, delusional disorder (according to the DSM-IV criteria) is considered to be rare. Its prevalence is close to 0.03%. In practice, this disorder seems to be encountered more frequently than assumed. However, it does not seem to be properly diagnosed at the beginning and this may lead to dramatic consequences. The aim of our study was to make an epidemiological approach to delusional disorder and to find clinical items that could guide to earlier diagnoses. This consisted in a comparative survey of the cases met in a psychiatric service in the Sfax Teaching Hospital in Tunisia. We carried out a retrospective epidemiological study of 66 delusional disorder cases according to DSM-IV criteria. We compared them to a group of 130 patients with other psychiatric disorders. The statistical analysis involved three types of study. First we elaborated a descriptive study of delusional disorder patients. Second, a comparative single variable analysis to pinpoint delusional disorder related items. And finally we made a multiple variable analysis using a logistic regression to identify the most discriminating items of the disease. The delusional disorder group was composed of 53 males and 13 females. For most patients, the educational level was low and the professional situation was poor. The main themes were: persecution (47%) and jealousy (21.2%). The rate of paranoiac personality was 90.9% and that of those who had committed forensic acts was 42.4%. The main initial diagnoses were minor depressive disorder for 40.9% and schizophrenia for 24.2% of cases. The average delay to establish the correct diagnosis was about five years after the first psychiatric examination. According to the single variable analysis, the items statistically related to delusional disorder were: age at the moment of the last diagnosis, marital status (single; divorced), professional qualification, somatic complaints, reported psychosocial stress, no cure requests, the initially prescribed treatment (more often anti-depressant and tranquillizer, and less often neuroleptic), irregular follow-up, dissatisfaction with the outcome under the initial treatment, no compliance with treatment, forensic acts committed (P
    Annales Medico-psychologiques - ANN MEDICO-PSYCHOL. 01/2006; 164(5):388-394.