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Common sign keeping track of to cope with presenteeism inside healthcare staff.

Mortality Good thing about Rivaroxaban Additionally Aspirin in Patients Along with Continual Heart or perhaps Side-line Artery Disease.

Critical appraisal of medical literature is a crucial step in the evidence-based-medicine practice, especially for pregraduate medical students who used to deal more with background questions than with patients' health problems. Using serious games seems to be attractive in order to link between a serious purpose, which is handling a health problem and gaming. The authors aimed to describe the process they adopted in order to develop, without a game developer, a serious game dedicated to third-year-medical students. All the steps of the process design were described. Besides, they performed a pilot study in order to assess the students' satisfaction using a think aloud process and a likert-scale questionnaire and aimed to evaluate the effectiveness of the process by comparing pre and post-tests scores.

To determine the prevalence, risk factors as well as consequences of exposure to violence among youth in Maghreb countries.

This is a systematic review. The documentary request was done on 2 October 2019 and no filters were used. It examined all scientific publications indexed in Medline database via Pubmed using the following search equation ("Violence"[Mesh] OR "suicide"[Mesh] OR "crime victims"[Mesh] OR "Child abuse"[Mesh]) AND ("Young Adult"[Mesh] OR "Adolescent"[Mesh] OR "Child"[Mesh]) AND ("Tunisia"[Mesh] OR "Algeria"[Mesh] OR "Morocco"[Mesh] OR "Libya"[Mesh] OR "Mauritania"[Mesh]).

A total of 16 articles were included. Most of them (68.7%) were published in Uganda, United States and England. The most common type of violence was physical abuse (43.8%). https://www.selleckchem.com/products/pci-32765.html Adolescent boys were mostly affected by physical violence. However, girls were more exposed to emotional violence (63% vs 51%). The suicide rate increased after the social and political Tunisian revolution in 2011. link2 Parental conflicts, school failure and social problems were more frequent among victims of violence. In addition, tobacco and alcohol use, substance abuse and suicide attempt (ranging from 5% to 38%) were higher.

Exposure to violence, especially emotional and physical, is becoming more frequent among youth in Maghreb countries. link= https://www.selleckchem.com/products/pci-32765.html There is an urgent need for future survey to provide temporal data about violence, especially sexual abuse, in order to implement more effective prevention strategies.

Exposure to violence, especially emotional and physical, is becoming more frequent among youth in Maghreb countries. There is an urgent need for future survey to provide temporal data about violence, especially sexual abuse, in order to implement more effective prevention strategies.

We report the association of polypoid choroidal vasculopathy (PVC) with angioid streaks (AS) secondary to pseudoxanthoma elasticum (PXE) treated by intravitreal injection of bevacizumab.

A 50-year-old patient, followed in dermatology for a PXE, who consulted for a consulted for a decreased vision in his right eye (RE) for a month. On examination, best corrected visual acuity (BCVA) was at 1/20 P14 in the RE and at 8/10 P2 in the left eye (LE). Fundus examination revealed AS in both eyes, large patches of exudate at the posterior pole with retinal hemorrhages in the RE. Fluorescein angiography (FA) showed constant hypofluorescence by mask effect due to exudates and macular early hyperfluorescence with late diffusion associated with small hyperfluorescent lesions in the RE. We suspected CNV type 2. Macular Spectral Domain optical coherence tomography (SD-OCT) showed significant retinal infiltration with pre-epithelial hyper-reflectivity bracing the diagnosis of type 2 CNV. link2 In view of the importance of exudates and intra-retinal infiltration, we completed by indocyanine green angiography (ICGA) which showed hypercyanecent vascular dilations grouped in clusters of grapes relevant to an associated VPC. The patient received eight monthly intravitreal (IVT) injections of bevacizumab with good anatomical evolution. At 10 months, visual acuity was 1/10 with disappearance of exudates and retinal infiltration.

Patients with AS should receive regular follow-up given the risk of CNV but also of VPC, especially in cases of PXE. Multimodal imaging is of great help and ICGA remains inescapable.

Patients with AS should receive regular follow-up given the risk of CNV but also of VPC, especially in cases of PXE. Multimodal imaging is of great help and ICGA remains inescapable.

Bing-Neel syndrome is a lympho-plasmocytic infiltration of the central nervous system. The Bing-Neel syndrome is a rare entity, which often occurs during the evolution of a Waldenström's macroglobulinemia but can in some cases be the revealing mode of it.

We report the case of a 56-year-old patient with tumoral form of Bing-Neel syndrome revealing Waldentrom's macroglobulinemia.

This observation describes a rare entity whose diagnosis and therapeutic management is complex.

This observation describes a rare entity whose diagnosis and therapeutic management is complex.

The timing of this study coincides with the growing rate of penetration of Internet service across the country. However, it is predictable that any new technology may be associated with a variety of human responses, sometimes harmfull. The young students seem to be especially vulnerable.

The purposes of this study were to evaluate Problematic Internet Use among medical undergraduate students and to investigate for associated anxious symptoms.

We conducted a cross-sectional study on 120 students enrolled in undergraduate medical studies at the University of Medicine of Sfax- Tunisia. The self-administered Young's 8-item questionnaire was used in this survey. The state and trait anxiety inventory was administered to screen for anxiety symptoms.

The results showed that 21.7% of the students have Problematic Internet Use (PIU).The rate of the PIU is greater in male students than infemale students (p=0.035). Anxiety trait was significantly associated in students with PIU compared to those without PIU (p=0.002). Anxiety state was significantly associated in students with PIU compared to those without PIU ( p = 0.003).

Problematic Internet Use is frequent in our students population. link3 Asking students about the characteristics of their Internet usage will help to determine the threats to which they might be exposed. Such association with other psychopathologic problems, especially anxiety, should be sought.

Problematic Internet Use is frequent in our students population. Asking students about the characteristics of their Internet usage will help to determine the threats to which they might be exposed. Such association with other psychopathologic problems, especially anxiety, should be sought.

Radiofrequency ablathermia of pulmonary nodules is a local curative treatment whose efficacy assessment is still a current topic.

To specify the monitoring protocol, the scannographic aspects of treated lesions, deduce criteria of incomplete ablation, and identify the prognostic factors influencing overall and progression-free survivals.

A prognostic descriptive retrospective study conducted in the medical imaging department of Abderrahman Mami Hospital. The nodules were monitored at 24-hour, 2.4,6,9,12,15,18 and 24 months after treatment and then once a year. The study of overall and progression-free survivals was done using Kaplan Meier's method.

Sixteen patients with 21 nodules were included, 20% of them were pulmonary carcinomas and 80% were secondary nodules. 6 nodules presented an incomplete response.The appearance of a convex outline was the first sign of incomplete ablation. 5 out of 6 nodules had a nodular focal enhancement. The cumulative probability of overall survival at 12, 36, and 60 months was 80%, 66% and 39% with a median survival of 31 months. The number of nodules treated was found to be directly related to overall survival. The cumulative probability of progression-free survival was 65% at 12, 36 and 60 months. Pleural contact was the factor influencing progression-free survival.

Radiofrequency ablathermia is an effective technique. Regular CT monitoring allows early detection of tumor recurrence.

Radiofrequency ablathermia is an effective technique. Regular CT monitoring allows early detection of tumor recurrence.

Colorectal cancer (CRC) is at present the third most common malignancy in the world. With changes in lifestyle its incidence and mortality have increased during last decades.

To explore the association between red meat, processed meat and risk of colorectal cancer.

We performed a case-control study, conducted from February to March 2019 at Salah Azaiez institute. One hundred and two subjects were enrolled.

The case group included 52.9% males and 47.1% females. The control group enrolled 49%males and 51% females. The median age was 56 years old in the two groups. 63% of patients were stage I-III disease and 37% have a metastatic disease. The mean Body mass index was 24,76 Kg/m2 in CRC group was 27,39Kg/m2 in controls. CRC cases were more likely than controls to have a family history of CRC and a lower education level. There was a significant difference between cases and controls for socio-economic level and geographic origin. Ninety point two percent of cases and 76.5% of controls consume red meats, no significant association was observed between moderate red meat intake and colorectal cancer risk (p 0,063). However, a high total day meat consumption (> 100 g) was significantly associated with a high risk of CRC compared to low consumption ( <50 g) ( p=0.023). In contrast no significant association was observed when comparing all cooking methods of meet. 51% of cases and 23,5% of controls intake processed meats. Processed meat was positively associated with CRC (p 0,004).

Our findings suggest that higher consumptions of red meat, the consumption of industrially processed meat increased the risk of CRC.

Our findings suggest that higher consumptions of red meat, the consumption of industrially processed meat increased the risk of CRC.

Post total thyroidectomy hypocalcemia is a frequent and serious complication of thyroid surgery. Predictive Factors of its risk, justifying the prescription of preventive treatment are to be determined.

To identify the predictive factors of hypocalcemia secondary to total thyroidectomy.

We report a retrospective study involving 260 patients operated with total thyroidectomy at the ENT department of the military hospital of Tunis over a period of 5 years. A statistical study was carried out to find out predictors of hypocalcemia.

Our patients were women in 85% of cases with an average age of 49 years. The incidence of postoperative hypocalcemia was 31.9%. Hypoparathyroidism was definitive in 1.1% of cases. Univariate statistical analysis identified the following factors presence of cervical swelling at the initial physical exam, gradual onset of mass, thyroid nodule size greater than 4 cm, preoperative calcium level <2.25 mmol/L, one-shot thyroidectomy operating time, histological appearance of thyron.

Chronic rhinitis (CR) is dominated by allergic rhinitis (AR) whose frequency continues to increase. Allergic rhinitis is a public health problem. link3 The distribution of pneumallergens varies according to countries and regions. The epidemiology of pneumallergens, as well as their role in respiratory pathology, remain poorly known in the southern region of Tunisia.

To evaluate the prevalence of skin-tests positivity of patients with CR in a region of southern Tunisia, to identify the main pneumallergens and to look for an epidemiological and clinical prediction of AR.

This is a retrospective study of patients with CD and residing in Sfax, performed in the ENT department of Habib Bourguiba hospital over a period of 2 years (2015-2017).

We collected 300 patients. https://www.selleckchem.com/products/pci-32765.html The diagnosis of AR was retained in 109 patients (36.3%). Mites were the most common allergens (67%) followed by dander (38.5%) and olive pollen (31.2%). Study in uni-variate analysis retained young age, presence of drug allergy, frequent sneezing, nasal hyperreactivity triad, nasal pruritus, and pharyngeal signs as predictors of AR.