[An epidemiological and evolutionary profile of occupational asthma of Tunisian workers].

Introduction: This study aims to identify the epidemiological and occupational characteristics of patients with occupational asthma (OA) and to assess their clinical evolution and occupational outcomes.

Methods: We carried out a descriptive epidemiological study over a period of five years (from 2012 to 2016) about the OA cases in the private sector reported in the Tunisian region of Zaghouan.

Results: All in all, 165 OA cases were reported during the study period, representing an annual incidence of 733.

Surgical management of benign noninfected urachal cysts in adult patients: two case reports.

Background: Abnormalities of the urachus include the patent urachus, cysts, sinus, and fistula. Each of these entities represents a failure of complete obliteration of the urachus. Contrary to other urachus anomalies, urachal cysts are usually small and silent unless they are infected.

An epigastric mass? And what if it was an intra-abdominal esophageal duplication cyst: Case report.

Introduction And Importance: Duplication of the alimentary tract are uncommon congenital malformations that may be found anywhere from mouth to anus. Esophageal cystic duplication is a congenital cystic malformation of the alimentary tract consisting of a duplication of the segment of the esophagus to which it is adjacent.

Case Presentation: We report the case of a 29-year-old female who had complained of intermittent epigastric pain and post prandial nausea for several weeks.

Closed loop small bowel obstruction due to small intestine volvulus associated with early adhesion after laparoscopic appendectomy: Case report and review of the literature.

Introduction And Importance: Nowadays the majority of appendectomies are undertaken laparoscopically. The associated per and postoperative complications are well established and known. However, some rare postoperative complications continue to be reported such as small bowel volvulus.

Contribution of Patch Tests with Occupational Handled Products in the Diagnosis of Occupational Contact Dermatitis: A 10-year Review.

Introduction: Allergic contact dermatitis (ACD) is a common occupational disease. Its diagnosis is essentially based on interrogation and patch tests. However, commercially available batteries are sometimes not appropriate for the working conditions and the handled products, which must then be tested.

Studying SARS-CoV-2 vaccine hesitancy among health professionals in Tunisia.

Background: People's lives were seriously affected by the emergence and the spread of the COVID-19 disease. Several vaccines were developed in record time to overcome this pandemic. However, putting an end to this public health problem requires substantial vaccination coverage rate.

Seasonal Variation in Patch Test Results with European Baseline Series.

Aim: To study the influence of season on patch tests results.

Methods: We conducted a retrospective epidemiological study which concerned all the patients of the Tunisian center, who consulted in the Dermato-Allergology Unit of Occupational Medicine Department of Farhat Hached University Hospital-Sousse (Tunisia) over a period of 07 years. All the patients were tested by the European Standard Battery allergens (BSE).

Focal Mass-Forming Autoimmune Pancreatitis Mimicking Pancreatic Cancer: Which strategy?

Autoimmune pancreatitis (AIP) is a rare form of chronic pancreatitis that predominantly affects men in their fifth and sixth decades and often presents with obstructive jaundice and pancreatic enlargement. It is relatively easily diagnosed by characteristics of diffuse swelling of parenchyma and irregular narrowing of the main pancreatic duct. However, focal mass-forming AIP is hard to distinguish from pancreatic cancer.

Ureteral tumor in an ectopic duplex system: a case report.

Introduction: Ureteral ectopia is a rarely observed anomaly. It may be totally asymptomatic. An association with a duplex system is exceptional.

Mercurial hospital waste: management, becoming and recommendations.

Introduction And Purpose: In hospitals, the use of medical instruments and products containing mercury and the management of mercury waste (MW) collected are regulated in developed countries. In Tunisia, MW end up in landfill and no strategy has so far been adopted. The objective of this study was to quantify MW in two university hospitals in Tunis and to indicate the elimination pathways used and to propose certain recommendations.

Evidence of a Synergistic Effect between Pea Seed and Wheat Grain Endogenous Phytase Activities.

Distribution of phytic acid and phytase activity in pea seeds was analyzed and compared with those in wheat grains under identical assay conditions (55 °C, pH 5.5). Most total phytic acid content and phytase activity were found in pea cotyledons.

Comparison of two doses of hypobaric bupivacaine in unilateral spinal anesthesia for hip fracture surgery: 5 mg versus 7.5 mg.

Introduction: Hip fracture is a frequent and severe disease. Its prognosis depends on the perioperative hemodynamic stability which can be preserved by the unilateral spinal anesthesia especially with low doses of local anesthetics. This study aims to compare the efficacy and hemodynamic stability of two doses of hypobaric bupivacaine (7.

[Career concerns among occupational physicians serving on the Institutes for Occupational Safety and Health in Tunisia].

Introduction: Career dissatisfaction among occupational physicians (OP) may affect their performance and the quality of healthcare services provided. Our study aims to assess the job satisfaction of OP serving on the Institutes for Occupational Safety and Health(IOSH) in Tunisia and to identify the determinant factors.

Methodology: We conducted a national cross-sectional validated SAPHORA JOB survey among all the OP serving on 22 IOSH.

Conservative Management of Isolated Superior Mesenteric Artery and Celiac Trunk Dissection: A Case Report and Literature Review.

Isolated arterial dissection without aortic pathology has been rarely reported in mesenteric vessels. The natural history and appropriate treatment for this disease is uncertain because of the scarcity of literature which limits the data available to the clinician, resulting in management challenges. Herein, we report a rare case of a 42-year-old Tunisian man with spontaneous dissection and aneurysmal dilatation of the Celiac Artery (CA) and the Superior Mesenteric Artery (SMA) with partial thrombosis.

[Treatment of idiopathic varicocele: comparative study of three techniques about 128 cases].

Background: Several modalities of varicocele treatment are available, however, no therapeutic technique showed its superiority with regard to the other one.

Aim: To compare the results of three techniques of varicocelecomy.

Methods: Retrospective Analytical and comparative study of 128 patients treated by of three techniques of varicocelectomy: the open surgery by retro peritoneal way for 42 patients (GI), the varicocelectomie coelioscopique for 41 patients (GII) and the antegrade scrotal sclerotherapy done for 45 patients (GIII), between march 2001 and January 2009.

[Results of laparoscopic treatment of morbid obesity: report of 27 cases].

Background: Prevalence of obesity is increasing steadily. It exposes the patient to numerous complications and represents a serious public health issue. Various treatments were tried.

Changes in six-minute walking distance during pulmonary rehabilitation in patients with COPD and in healthy subjects.

Background: The six-minute walking distance (6MWD) test has demonstrated validity and reliability to assess changes in functional capacity following pulmonary rehabilitation in patients with chronic obstructive lung disease. However, no attempt has been made to establish an iterative measurement of 6MWD during the overall period of pulmonary rehabilitation. Therefore, the aim of this study was to evaluate the impact of a twelve-week rehabilitation program on the iterative weekly measurement of 6MWD in chronic obstructive pulmonary disease (COPD) patients and healthy subjects.

Combined process for the treatment of olive oil mill wastewater: absorption on sawdust and combustion of the impregnated sawdust.

Olive oil mill wastewater (OMWW) generated by the olive oil extraction industry constitutes a major pollutant, causing a severe environmental threats because of the high chemical oxygen demand and the high content of polyphenol. This work studied a combined process of absorption on sawdust, a low-cost renewable absorbents, and an energetic valorisation via combustion was studied. The thermal behaviour of different OMWW/sawdust blends was studied under inert and oxidative atmosphere from 20 to 900 degrees C using thermogravimetric analysis (TGA).