Habib Fki

Hedi Chaker Hospital, Şafāqis, Şafāqis, Tunisia

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Publications (5)1.7 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.
  • S. Yaich · J. Jdidi · M.-A. Karray · M. Kassis · H. Fki · J. Damak ·

    Revue d Épidémiologie et de Santé Publique 04/2010; 58. DOI:10.1016/j.respe.2010.02.101 · 0.59 Impact Factor
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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 Médico-psychologiques revue psychiatrique 07/2006; 164(5):388-394. DOI:10.1016/j.amp.2005.09.027 · 0.22 Impact Factor
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    ABSTRACT: Numerous studies have reported beneficial effects of antioxidant drugs on semen quality, but there is no well-defined therapeutical protocol in male infertility. This study aimed to test the effects of vitamin E and selenium supplementation on lipid peroxidation and on sperm parameters. The study included 54 voluntary and infertile men who produced semen samples for spermiogram and for spectrophotometric measurement of a lipid peroxidation marker, the malondialdehyde (MDA), and produced blood samples for high-performance liquid chromatography assessment of serum vitamin E level. The trial was randomized and open. Twenty-eight men were supplemented daily by vitamin E (400 mg) and selenium (225 microg), during 3 months. The remaining 26 patients received vitamin B (4,5 g/day) for the same duration. Only 20 patients achieved their treatment and returned for control analysis. MDA concentrations in sperm were much less than in seminal plasma and motility and viability were inversely correlated with semen MDA levels. In contrast to vitamin B supplementation, vitamin E and selenium supplementation produced a significant decrease in MDA concentrations and an improvement of sperm motility. The results confirm the protective and beneficial effects of vitamin E and selenium on semen quality and advocate their use in male infertility treatment.
    Archives of Andrology 03/2003; 49(2):83-94. DOI:10.1080/713828100 · 0.89 Impact Factor