Prevalence and Risk Factors of Bronchopulmonary Dysplasia Among Very Premature Infants in a Tunisian Neonatal Intensive Care Unit.

Introduction: Bronchopulmonary dysplasia (BPD) stands as the primary chronic respiratory complication in premature infants, posing a substantial public health concern due to its rising prevalence, potential mortality, and socioeconomic burden.

Aim: The aim of this study was to determine the prevalence of BPD in very preterm infants and identify its associated risk factors.

Methods: We conducted a retrospective, descriptive, and analytical study including all premature infants born between 26 and 31 weeks of gestation age (GA) who survived beyond the 28th day of life, over a five-year period (2017-2021).

Structured observation summaries : educational interest in the teaching of pulmonology.

Background: The structured observation summary (SOS) is a method of active case-based learning, whose diagnosis is known to learners.

Aim: To assess the value of SOS in the learning of clinical reasoning in pulmonology among first year students of the second cycle of medical studies.

Methods: This was a descriptive cross-sectional study.

Impact of computerized physician order entry system on parenteral nutrition medication errors in a teaching neonatal intensive care unit.

Objectives: Parenteral nutrition (PN) offers a quality therapeutic option when enteral feeding is non-tolerated or impossible. However, it can be associated with an increased risk of medical errors, especially in sensitive populations such as newborns. This study aimed at determining the impact of the implementation of a computerized physician order entry (CPOE) system on PN medication errors in the neonatology department in the largest teaching hospital in Tunisia.

In-hospital mortality of very preterm infants in a Tunisian neonatal intensive care unit: Prevalence and risk factors.

Background: Prematurity is a major public health problem and it's associated with a high mortality and morbidity. In Tunisia, few investigations studied this area.

Aim: To determine the rate and the risk factors of in-hospital mortality of very preterm infants.

Extremely preterm infants in Tunisia: Where are we now?

Background: Extremely preterm infants are newborns born before 28 weeks of gestation. Survival of these immature newborns depends on resuscitation and the quality of care during hospitalization.

Objective: To determine survival and neurologic outcomes at2 years after extremely preterm birth.

Progress and assessment of a contextualized teaching session of pharmacology.

Background: Learning transfer, in medical teaching, remains an essential question and optimizing it is the main preoccupation of every trainer in medical sciences. Some learning methods showed their efficacy as the contextualized learning in the framework of a professional activity or in a situation recalling it in a realistic manner.

Aim: To describe steps of planning and progress of a session of clarification, illustration, application et participation (CIAP) of pharmacology teaching students from second cycle of medical studies (DCEM) and to assess the session.

Evaluation of CIAP (Clarification, Illustration, Application, Participation) as a teaching tool in rheumatology.

Introduction: The CIAP (Clarification, Illustration, Application, Participation) teaching, was adopted by our faculty since 1988. It allows a pedagogical approach favoring teacher / student contact. It puts the disciple in the center of the work.

The script concordance test as a tool to evaluate clinical reasoning in neonatology.

Background: Script concordance test aims to evaluate knowledge organization, which represents an essential component of the clinical competence.

Objective: To build a script concordance test and demonstrate its relevance in the evaluation of Neonatology skills.

Methods: A script concordance test including 20 vignettes and 20 items, was provided to 52 fourth year medical students and 11 family medicine interns.

Errors in preparation and administration of parenteral drugs in neonatology: evaluation and corrective actions.

Background: The medication iatrogenic risk is quite unevaluated in neonatology Objective: Assessment of errors that occurred during the preparation and administration of injectable medicines in a neonatal unit in order to implement corrective actions to reduce the occurrence of these errors.

Methods: A prospective, observational study was performed in a neonatal unit over a period of one month. The practice of preparing and administering injectable medications were identified through a standardized data collection form.

Fetal Cyst Reveling Retroperitoneal Enteric Duplication.

Retroperitoneum is a very uncommon site of enteric duplication (ED). We report a new case of retroperitoneal ED cyst suspected . Prenatal ultrasound showed an abdominal cystic mass.

Prevalence and outcomes of thrombocytopenia in a neonatal intensive care unit.

Background Thrombocytopenia is a common clinical problem in neonatal intensive care units, affecting about 20 to 35% of all admitted neonates. Even most episodes are mild or moderate, severe episodes could be life-threatening or responsible for sequelae. Objectives The aims of this study were to describe the prevalence, clinical diagnoses, and to determine risk factors for poor prognosis of thrombocytopenia in a neonatal intensive care unit.

Security in Intelligent Transport Systems for Smart Cities: From Theory to Practice.

Connecting vehicles securely and reliably is pivotal to the implementation of next generation ITS applications of smart cities. With continuously growing security threats, vehicles could be exposed to a number of service attacks that could put their safety at stake. To address this concern, both US and European ITS standards have selected Elliptic Curve Cryptography (ECC) algorithms to secure vehicular communications.

Acute neonatal appendicitis in a preterm.

Acute neonatal appendicitis is very rare in the neonatal period. It is usually associated with comorbidity including prematurity. Symptoms are non-specific.

Perinatal lethal type II osteogenesis imperfecta: a case report.

We report a new case of osteogenesis imperfecta (OI) type II which is a perinatal lethal form. First trimester ultrasound didn't identified abnormalities. Second trimester ultrasound showed incurved limbs, narrow chest, with hypomineralization and multiple fractures of ribs and long bones.

A new mHealth communication framework for use in wearable WBANs and mobile technologies.

Driven by the development of biomedical sensors and the availability of high mobile bandwidth, mobile health (mHealth) systems are now offering a wider range of new services. This revolution makes the idea of in-home health monitoring practical and provides the opportunity for assessment in "real-world" environments producing more ecologically valid data. In the field of insomnia diagnosis, for example, it is now possible to offer patients wearable sleep monitoring systems which can be used in the comfort of their homes over long periods of time.

Isolated anti-Ro/SSA thrombocytopenia: a rare feature of neonatal lupus.

We report a rare case of isolated thrombocytopenia related to anti-Ro/SSA antibodies. The mother was followed for unlabeled familial thrombocytopenia. The mother had positive anti-Ro/SSA antibodies.

Surveying wearable human assistive technology for life and safety critical applications: standards, challenges and opportunities.

In this survey a new application paradigm life and safety for critical operations and missions using wearable Wireless Body Area Networks (WBANs) technology is introduced. This paradigm has a vast scope of applications, including disaster management, worker safety in harsh environments such as roadside and building workers, mobile health monitoring, ambient assisted living and many more. It is often the case that during the critical operations and the target conditions, the existing infrastructure is either absent, damaged or overcrowded.