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Introduction: Childhood obesity, a true international epidemic, is a multifactorial pathology including genetic and environmental factors.

Aim: Determine the prevalence and risk factors of overweight in Tunisian schoolchildren in the Bardo region, an urban department of the Tunis governorate.

Methods: Descriptive and cross-sectional study involving schoolchildren aged between 10 and 12 years old.

Sarcopenia prevalence and risk factors in obese Tunisian adults.

Introduction: Sarcopenia is a clinical condition defined as low skeletal muscle mass and function. It has been identified and described as a geriatric syndrome, but it may arise in individuals with obesity at any age.

Aim: screen for sarcopenia in obese adults and identify the nutritional, clinical and biological risk factors associated with the development of sarcopenic obesity (SO+).

Vitamin Status of Obese Tunisian adults before and after Sleeve Gastrectomy.

Introduction: The worldwide obesity epidemic continues unabated. Obesity and its associated health risks are considered as the major causes of morbidity and mortality. Currently, bariatric surgery is the most effective treatment for people with severe obesity resulting in sustainable weight loss and a reduced risk for co-morbidities.

Does cryopreservation of testicular sperm affect ICSI outcomes in azoospermia ?

Objective: To evaluate the outcomes of intracytoplasmic sperm injection (ICSI) cycles when using fresh versus frozen testicular testicular sperm extraction (TESE) samples in non obstructive and obstructive azoospermia in terms of fertilization, cleavage, embryo quality, implantation and clinical pregnancy rates.

Study Design: A total of one hundred and forty consecutive testicular sperm extraction ICSI cycles were performed at our centre between 2012 and 2018 involving infertile men with obstructive and non-obstructive azoospermia.  Fresh TESE samples were used in 56 consecutive ICSI cycles (group 1) and frozen-thawed TESE sperm samples were used in 84 ICSI cycles (group 2).

A computer-aided method based on geometrical texture features for a precocious detection of fetal Hydrocephalus in ultrasound images.

Backgroud: Hydrocephalus is the most common anomaly of the fetal head characterized by an excessive accumulation of fluid in the brain processing. The diagnostic process of fetal heads using traditional evaluation techniques are generally time consuming and error prone. Usually, fetal head size is computed using an ultrasound (US) image around 20-22 weeks, which is the gestational age (GA).

Supervised classification approach of biometric measures for automatic fetal defect screening in head ultrasound images.

This paper presents an advanced approach for foetal brain abnormalities diagnostic by integrating significant biometric features in the identification process. In foetal anomaly diagnosis, manual evaluation of foetal behaviour in ultrasound images is a subjective, slow and error-prone task, especially in the preliminary treatment phases. The effectiveness of this appearance is strictly subject to the attention and the experience of gynaecologists.

Emerging plant-based flocculation treatment of phosphate clay: case study from Metlaoui-Gafsa (southwest Tunisia).

The objective of this study was to investigate the ability of cactus Opuntia ficus-indica, used as a natural flocculant in the treatment of phosphate clay as an industrial wastewater. It is a new process that has proven very promising in the removal of high turbidity from industrial effluents. The volume of clear water recovered (supernatant) is one of the characteristic features which allow us to judge the effectiveness of this bioflocculant.

Risk Assessment and Management of Venous Thromboembolism in Women during Pregnancy and Puerperium (SAVE): An International, Cross-sectional Study.

The clinical burden of obstetric venous thromboembolism (VTE) risk is inadequately established. This study assessed the prevalence and management of VTE risk during pregnancy and postpartum outside the Western world. This international, noninterventional study enrolled adult women with objectively confirmed pregnancy attending prenatal care/obstetric centers across 18 countries in Africa, Eurasia, Middle-East, and South Asia.

Cactus Opuntia as natural flocculant for urban wastewater treatment.

The cactus tree, species Opuntia ficus-indica, is a primary material of many products in various domains such as cosmetics, medicine and nutrition. In the present work, we assess its potential as a flocculant. We tried a technique which adopts three sequential treatments that used coagulation, flocculation and sedimentation processes under certain operating conditions.

Vascular endothelial growth factor antagonist reduces the early onset and the severity of ovarian hyperstimulation syndrome.

Background: Ovarian hyperstimulation syndrome (OHSS) is the most serious complication of controlled ovarian stimulation (COH) during assisted reproductive technology (ART) protocols. This syndrome is a result of ovarian expression of vascular endothelial growth factor (VEGF), which increases vascular permeability.

Objectives: To evaluate the efficiency of prophylactic and therapeutic use of cabergoline in women with higher risk of developing OHSS.

[Embryo vitrification: First Tunisian live birth following embryo vitrification and literature review].

Embryo cryopreservation is an essential tool in assisted reproduction. The option to freeze gametes and embryos provides unique possibilities for patients with various indications. After a review on some of the technical details of embryo freezing the idea of vitrification compared to slow freezing is discussed.

Pregnancy in kidney transplanted women: what are the optimal conditions for a better pregnancy outcome?

Background: Motherhood has long been not recommended for kidney transplanted women for fear of adverse effects on the graft and the risks to the fetus.

Aims: This article aimed to provide evidence based answer to the following questions regarding pregnancy in kidney transplanted women: 1. what are the nephrologic and obstetrical parameters that can influence the pregnancy outcome? 2.

Soft-tissue tumor of the perineum: an exceptional case of bilateral perineal myoma.

Perineal myomas in female are exceptional. We report the second case in literature of perineal myomas. It is a case of bilateral perineal myomas lifting the skin occurring in a female patient of 49 years old.

Lower incidence of hypotension following spinal anesthesia with 6% hydroxyethyl starch preload compared to 9 ‰ saline solution in caesarean delivery.

Background: Hypotension is a common complication following spinal anesthesia for cesarean delivery. Techniques to prevent hypotension include preloading intravenous fluid.

Aim: To compare the effect of two preloading regimens: 6% hydroxyethyl starch (HES) and 9‰ saline solution, to prevent hypotension after spinal anesthesia in cesarean delivery.

Maternal cerebral venous thrombosis, uncommon but serious disorder, pathologic predictors and contribution of prothrombotic abnormalities.

Cerebral venous thrombosis (CVT) is a rare complication during pregnancy or the puerperium. Our aim was to identify thrombotic risk profiles that predispose to maternal CVT.The study comprised 151 individuals.

Effects of prothrombotic markers and non-O blood group in maternal venous thromboembolism during pregnancy and postpartum.

Our aim was to assess thrombophilic risk factors and the non-O blood group as contributors to the development of venous thromboembolism during pregnancy and the postpartum period. A total of 199 women underwent blood typing and an extensive thombophilia screening. Factor V Leiden, FII G20210A, protein C deficiency and non-O blood group were significantly associated with venous thromboembolism during pregnancy and postpartum period.

PP169. Management of fetal and maternal prognosis during severe toxemia.

Introduction: Severe gravidic toxemia gives heavy maternal and fetal morbidity and mortality.

Objectives: The purpose of our data is to identify bad maternal and fetal factors during severe toxemia and the outcome of pregnancy.

Methods: It is a retrospective and comparative study about 200 cases of severe toxemia reported during 8 years 2004-2011 among 25,000 deliveries (control group).

Association of MTHFR A1298C polymorphism (but not of MTHFR C677T) with elevated homocysteine levels and placental vasculopathies.

Our aim in this study was to investigate the association between elevated homocysteine levels and the two MTHFR polymorphisms, C677T and A1298C, with several pregnancy complications such as recurrent pregnancy loss, preeclampsia, placental abruption and intrauterine growth retardation. In 203 women with different placental vasculopathies, we determined the MTHFR C677T and the A1298C prevalence and their relative association to elevated homocysteine levels. The mean plasma homocysteine level was significantly higher in the pathologic groups when compared with the control group.

The status of thrombophilic defects and non-O blood group as risk factors for gestational vascular complications among Tunisian women.

Aims: Our objectives were to assess inherited thrombophilia and non-O blood group for the risk of gestational vascular complications among the Tunisian population.

Methods: This study comprised 203 test subjects with adverse pregnancy outcomes including recurrent pregnancy loss, intra-uterine growth retardation, pre-eclampsia and placental abruption. Each subgroup was matched with 100 controls and analyzed separately.

[Lower urinary trauma complicating gyneacologic and obstetrical surgery].

Introduction: The trauma of the lower urinary tract in gynecologic and obstetrics surgery is rare.

Aim: Discover the circonstances of their happening, their symptoms, and their methods of diagnostic and their treatment.

Methods: Authors report 24 cases observed over a 12 years period.