Publications by authors named "Hyem Khiari"
Objectives: The objective of this study is to assess the cost utility of the implementation of the human papillomavirus (HPV) vaccination programme in Tunisia in addition to the current cytology screening strategy. This study is very important to guide health policy decision-makers and to help them allocate their scarce healthcare resources.
Design: We used a previously described Markov model on the Online Cost Effectiveness Analysis tool programmed with R Software.
Article Synopsis
- Hemodynamic restoration is crucial in sepsis management, with initial treatment focusing on achieving a mean arterial pressure (MAP) of over 65 mmHg through volume expansion and norepinephrine (NE) if needed.
- A multicenter randomized trial is underway to evaluate the effectiveness of low-dose NE in controlling shock within 6 hours in septic patients, comparing it to standard care.
- The study measures various parameters, including lactate levels and cardiac output, with the primary goal of achieving stable shock control, and aims to include at least 100 patients in each treatment group.
Article Synopsis
- - This study explored how emotional intelligence (EI) relates to pre-competitive anxiety and performance in high school physical education exams, involving 350 students from the 2021-2022 academic year.
- - The findings indicated that self-confidence positively correlates with EI dimensions, while somatic anxiety is negatively correlated with performance.
- - Key results highlight that effective emotional management can enhance performance, underscoring the need for social and emotional learning programs in sports and physical education.
Factors Associated with Diagnostic Delays among Tunisian Breast Cancer Patients.
Asian Pac J Cancer Prev
February 2023
Background: Breast cancer (BC) remains one of the most common and deadliest cancer among women worldwide and in Tunisia. The lethality of BC is particularly high in developing countries, such as Tunisia, due to late diagnosis in the majority of cases. The objective of this study was to analyze factors associated with delayed presentation among women followed at the Salah Azaiez institute of Tunis during the year 2021.
View Article and Find Full Text PDFPrognostic impact of tumor-infiltrating lymphocytes in non-small cell lung carcinomas.
Asian Cardiovasc Thorac Ann
February 2022
Introduction: Tumor-infiltrating lymphocytes represent a pivotal component of the host anti-tumor response. Thus, they considerably influence the evolution of cancers including non-small cell lung carcinomas. Even if, this important role is consensual, many discordant results are published in the literature about the prognostic role of the different populations of tumor-infiltrating lymphocytes.
View Article and Find Full Text PDFObjectives: Describe the cancer control strategies adopted by the Maghreb countries and identify their main weaknesses.
Methods: Data on cancer epidemiology and "Cancer plans" in the Maghreb were collected through a search in bibliographic databases, on GLOBOCAN and the sites of international and national organizations responsible for surveillance and cancer control.
Results: In the Maghreb, cancer registries observed low population coverage (Morocco: 20%; Tunisia: 60%; Algeria: 82%) and a lack of computerization.
The objective of primary health care is to reduce mortality and morbidity. This kind of care was very efficient in communicable diseases, malnutrition and maternal and neonatal diseases; however, their impact on non communicable diseases and mental disorders control is not obvious. In Tunisia, primary health care was introduced in the early 1980s; a lot of progress were notified in particular in health of mothers and children in particular, but only slightly in non communicable diseases control and mental health promotion.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to evaluate the impact of road traffic accidents (RTA) in the Maghreb region from 1990 to 2017 using data from the Institute for Health Metrics and Evaluation (IHME).
- Overall, the age-standardized incidence rate of RTAs in the Maghreb decreased from 719.57 to 609.49 per 100,000 inhabitants, with Tunisia reporting the highest mortality rate.
- Despite the decrease in incidence, the burden of disease from road accidents remains significant, indicating a need for policymakers to implement better strategies for road safety.