When the Hijab causes death in workplace…: A case series.

In eastern countries, Muslim females wear the Hijab, all the time, conforming to a moral standard of modesty and privacy. Worn in workplaces, the Hijab can causes accidents leading to death. In this context, we report three fatal work accidents related to the Hijab.

Quality of Life of Healthcare Workers Suffering from Occupational Contact Dermatitis.

Background: Healthcare workers are at a high risk of developing Occupational Dermatitis (OD). Affected workers often experience severe impairment of their Quality of Life (QoL). This study aimed to assess the skin-related QoL of healthcare workers with OD and to explore its related factors.

Contribution of the radiological assessment in the compensation of occupational shoulder tendinopathy.

Introduction: Musculoskeletal disorders (MSDs) currently represent the first occupational health problem. Tendinopathy of the shoulder is the most common occupational diseas. It is responsible for variable aftereffects arriving until the articular steepness.

Strain-based work-to-family conflict as a predictor of lumbar and cervical pain in Tunisian nursing staff.

This study aimed to examine the association of the different dimensions and forms of work-family conflict with the occurrence of neck and lower back pain (LBP) in Tunisian nurses. We conducted a cross-sectional study on nurses assigned to a district hospital in Tunisia. The work-family interface was assessed with the work-family conflict scale of Carlson et al.

Does Ramadan fasting affect the physical workload?

Aim: To quantify the physical workload during the Ramadan 2015 (summer season) and to verify if this load changes significantly compared with periods of non-fasting (in summer or winter seasons).

Methods: It was an18-month prospective cohort study conducted in a brickyard and a textile manufacturing company located in the governorate of Monastir (Tunisia). It was based on the results of three visits: The first one (V1) was carried out in the month of Ramadan in the hot season, the second visit (V2) took place in the hot season outside of Ramadan and the third one (V3) was in the cold season outside of Ramadan.

Hepatitis viruses take advantage of traditional practices to increase the burden of hepatocellular carcinoma in Tunisia.

Hepatocellular carcinoma (HCC) is a major public health issue in Africa. In Tunisia, hepatitis B virus (HBV) is known to be an important risk factor for HCC in the south of the country, but the role played by hepatitis C virus (HCV) still remains unclear. The aim of the current case-control study was to identify risk factors for HCC development in the northern part of the country.

Influence of socioprofessional determinants on teachers' mental well-being.

Aims. To assess the influence of socio-professional factors on mental health of teachers at primary and secondary schools. Materials and Methods.

[Semi-quantitative ergonomic analysis of the biomechanical constraints within the cervical spine among screen-operators in the Tunisian universities].

Introduction: This study aims to evaluate the biomechanical constraints associated with neck pain among screen-operators.

Methods: We conducted an ergonomic study of 325 screen-operators in 25 Tunisian universities based on an anthropometric evaluation of on-screen work and on a semi-quantitative analysis of video recordings of the activities of employees over a representative period of 30 minutes.

Results: The prevalence of neck pain was 72.

Prévalence et déterminants des troubles musculosquelettiques des membres supérieurs chez les artisans tunisiens.

Musculoskeletal disorders (MSDs) of the upper limbs are a major occupational health problem. We report the results of a cross-sectional survey of 334 craftsmen from the governorate of Monastir in Tunisia. The objectives of this study were to assess the prevalence of MSDs among these workers and determine their risk factors.

The Quality of Life and Professional Future among Tunisian Workers Suffering from Occupational Asthma.

Objective: To identify the factors influencing the quality of life and professional future of patients suffering from occupational asthma.

Method: A cross-sectional study of patients compensated for occupational asthma in Tunisian center during 2004-2011. The study of quality of life was based on the Asthma Quality of Life Questionnaires (AQLQ).

[Socio professional impact of surgical release of carpal tunnel syndrome].

The objective was studying the socio-professional impact of release surgery for carpal tunnel syndrom (CTS). We conducted a cross-sectional study of patients operated for work-related CTS; data were collected in the Occupational Health Department at the University Hospital Tahar Sfar in Mahdia, Tunisia over a period of 8 years, from 1 January 2006 to December 2013. Data collection was performed using a survey form focusing on participants' socio-professional and medical characteristics and on their professional future.

Traumatic isolated perforation of lower oesophagus.

One of the rarest cases of non-iatrogenic oesophageal perforation is falling from height. We report a case of a 26 year old man with oesophageal perforation resulting from a fall of 12 meter height. A pneumomediastinum in the absence of a pneumothorax and contrast extravasation from the oesophagus on CT evoked a perforation of the aerodigestive tract.

Surgical treatment of Crohn's disease: indications, results and predictive factors of recurrence and morbidity.

Background: Crohn's disease management represents a major problem in gastroenterology and general surgery because it affects young subjects and has a major impact on their quality of life. The aims of our study were to identify the indications for surgery in Crohn's disease, the results and the complications of surgery in our series, and to identify possible predictive factors of recurrence and postoperative morbidity.

Methods: A retrospective descriptive study including 38 cases of patients with Crohn's disease who underwent surgical treatment in the department of surgery in Mongi Slim Hospital, during the period between January 1992 and December 2011 was performed.

Jejunal lymphangioma: an unusual cause of intussusception in an adult patient.

Adult intussusception is a relatively rare clinical entity. Almost 90% of cases of intussusception in adults are secondary to a pathologic condition that serves as a lead point. Lymphangioma of the small bowel is an unusual tumour that has been rarely reported to cause intussusception.

De novo autoimmune hepatitis following liver transplantation for primary biliary cirrhosis: an unusual cause of late grafts dysfunction.

De novo autoimmune hepatitis (AIH) is a rare disorder first described in 1998. It occurs in patients who underwent liver transplantation for a different etiology. We present the case of a 56-year-old woman who was diagnosed with primary biliary cirrhosis and had liver transplantation for refractory pruritis.

[Solitary rectal ulcer syndrome. A Tunisian monocentric Survey].

Background: Solitary rectal ulcer syndrome is an uncommon and benign defecation disorder. Occidental series are scarce and to our knowledge, Tunisian data are not available.

Aims: The aim of this study was to evaluate the clinical, endoscopic and histological spectrum of the solitary rectal ulcer syndrome.

Percutaneous treatment versus hepatic resection for the treatment of small hepatocellular carcinoma.

Background: Hepatocellular carcinoma is the first liver tumor worldwide. Therefore, it is a matter of debate whether surgical treatment or percutaneous treatment should be preferred for the treatment of patients with small hepatocellular carcinoma. The aim of our study was to compare the long-term outcome and the survival between surgically and percutaneously treated small hepatocellular carcinomas.

Pancreatic cystic neoplasms.

Background: Cystic neoplasms of the pancreas are rare and constitute approximately 0.5% of all pancreatic neoplasms.

Aims: The study was to describe clinicopathological features of pancreatic cystic tumors.

Implication of K-ras and p53 in colorectal cancer carcinogenesis in Tunisian population cohort.

According to the multistep route of genetic alterations in the colorectal adenoma-carcinoma sequence, the complex K-ras/p53 mutation is one of the first alterations to occur and represent an important genetic event in colorectal cancer (CRC). An evaluation of the mutation spectra in K-ras and p53 gene was effected in 167 Tunisian patients with sporadic CRC to determine whether our populations have similar pattern of genetic alteration as in Maghrebin's population. Mutation patterns of codon 12-13 of K-ras and exon 5-8 of p53 were analyzed by immunohistochemistry and PCR-SSCP and confirmed by sequencing.

Gender difference in patients with hepatocellular carcinoma.

Background: Hepatocellular carcinoma represents the fifth most common cancer worldwide and account for approximately 90% of primary liver cancer. Men have a higher prevalence than women; the sex ratio varies between 2:1 and 4:1, depending on the geographic region.

Aim: To determine the influence of gender on the clinicopathologic characteristics and survival of patients with hepatocellular carcinoma.

Biological significance of promoter hypermethylation of p14/ARF gene: relationships to p53 mutational status in Tunisian population with colorectal carcinoma.

One of the most important pathways which are frequently affected in colorectal cancer is p53/ (MDM2)/p14ARF pathway. We aim to determine the methylation pattern of p14/ARF in relation to mutation of p53. This correlation was studied to investigate whether their alterations could be considered as a predictor factor of prognosis in colorectal cancer and whether it can be useful in early-stage diagnosis.