The practice of the mental image tool for the training of hand hygiene with Hydro-alcoholics solutions: randomized trial.

Introduction: Mental image (or mental practice), a psychological representation of a task to be carried out, is a technique that could enhance skills in several areas areas including medicine.

Objective: To evaluate the practice of the mental image tool for the training of hand hygiene with Hydro-alcoholics solutions among students of DCEM2.

Methods: Randomized trial including DCEM2 students in Neonatology and Pediatrics at Charles Nicolle Hospital during the same period.

[Epidemiology of domestic accidents of young children in Tunisia: impact of the training of health professionals on data collection quality].

Background: In Tunisia, several studies on domestic injuries have been carried out on children attending care facilities. Nevertheless,there is a lack of data on incidence and kinds of child domestic injuries amongst general population because of absence of a reliable data collect system.

Aim: To estimate the incidence and kinds of domestic injuries through a prospective survey "here-there" within two cohorts of young children attending two mother and child protection centers (MCPC) in Tunis during the three first years of their life and to analyze the importance of health professional training in improving data collect.

[Outcome at 2 years of very premature infants. A Tunisian series].

Background: Neurodevelopmental outcome of very premature infant can be associated with a high rate of cerebral palsy.

Aim: To assess the impact of very preterm birth on neurological outcome at the age of two years.

Methods: Retrospective study of all cases of very premature infants born at less than 33 weeks of gestational age, during the years 2005 to 2007.

[Evaluation of materno-foetal infectious risk after isolated premature rupture of membranes in at term new-born].

Background: Premature rupture of membranes (PROM) is defined as rupture of membranes occurring before the onset of labor. It complicates 5 to 10 % of pregnancies. It continues to be a major cause of morbidity and mortality in the newborn.

[Neonatal respiratory morbidity after elective cesarean section at term].

Background: Incidence of elective caesareans at term is increasing these last decades with an associated increase of neonatal respiratory morbidity.

Aim: To analyse the influence of elective Caesarean delivery at term on the incidence of neonatal respiratory distress in order to propose an effective strategy of prevention.

Methods: It is an analytical study compiling all births resulting from elective Caesarean at term (gestational age ranging between 37 and 41+6 GA), reported over two years period at the Charles Nicolle hospital (Tunis-Tunisia).

[Neonatal hearing screening with transient otoacoustic emissions: pilot study].

Background: Bilateral hearing loss is present in 1-3 per 1000 newborn infants, and in 2-4 per 100 infants in the intensive care unit population. All infants with hearing loss should be identified before 3 months of age and receives intervention by 6 months. If undetected, this will impede speech, language, and cognitive development.

Determinants of neonatal mortality in a Tunisian population.

Background: In Tunisia, perinatal mortality remains a public health problem, currently estimated at 28 per thousand, including 15 per thousand of still birth rate and 10 to 15 per thousand of early neonatal mortality rate. The recent investigations show that about half of the deaths at less than five-years-old are of perinatal origin and that neonatal mortality represents two thirds of infant mortality. Published data regarding neonatal mortality and the causes of death are sparse.

Concordant posterior urethral valves in male monochorionic twins with secondary prune belly syndrome.

Background: Posterior urethral valves (PUVs), the most common congenital cause of lower urinary tract obstruction, have been described to occur in identical and nonidentical twins. Until now, reports have been published on 15 cases of PUVs.

Aim: We report a new case of concordant PUVs in one set of male monochorionic twins with secondary Prune Belly Syndrome.

[Early-onset neonatal bacterial infections: a retrospective series of 144 cases].

Background: Early-onset neonatal bacterial infections continue to be a major cause of morbidity and mortality in the newborn. THE AIM of this study was to determine the incidene, the risk factors and bacterial epidemiology of these infections.

Methods: All cases of early-onset neonatal bacterial infections were identified for the years 2001-2003 using data from obstetric and neonatal reports at the neonatal unit of Charles Nicolle Hospital.

[Neonatal mortality and morbidity in newborn newborns of single mothers].

Background: Newborns of single mothers constitute a high risk population for intra-uterine growth retardation (IUGR) and neonatal mortality.

Aim: Our study analysed the influence of this socio-economic factor on neonatal mortality and morbidity.

Methods: A retrospective cohort compiling all births resulting from illegitimate pregnancies reported between January 2001 and December 2003 at the Charles Nicolle hospital (Tunis-Tunisia) "IG = illegimate group" (n=75), apparied for mothers gestity, parity and age, to 75 legitimate births "LG=legitimate group" reported after or before each illegitimate birth.