Publications by authors named "Trabelsi I"

Background: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) mainly affects the respiratory tract, but different organs may be involved including the kidney. Data on acute kidney injury (AKI) in critical forms of coronavirus disease 2019 (COVID-19) are scarce. We aimed to assess the incidence, risk factors and prognostic impact of AKI complicating critical forms of COVID-19.

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Introduction: The ingestion of foreign body (FB) is a common problem in paediatrics. Children are curious by nature and tend to explore environment by inserting objects into their mouths.

Aim: To update our epidemiological and clinical data and adapt clinical management in order to limit morbidity associated with this fairly frequent accidental pathology.

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The Horoscope trial aimed to assess the efficacy of home blood pressure (BP) telemonitoring (TLM) in controlling BP reduction in hypertensive patients compared with usual care. This is a multi-center, prospective randomized, parallel-group trial comparing TLM with usual care during a period of 6 months in patients with hypertension. We included 525 patients randomly assigned in a 1-1 ratio to telemonitoring (TLM group; n = 260) or usual care (control group; n = 265).

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The present study undertakes the purification of a novel polysaccharide from Tunisian prickly pear (L.) Mill.) rackets (PPPRs) and the determination of its physicochemical properties, structure, antibacterial and antioxidant properties, as well as its in vitro and in vivo wound healing potential.

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  • Infantile spasms, a serious type of epilepsy in infants, are often misdiagnosed, causing delays in treatment that can hinder cognitive and motor development.
  • This paper presents a new method for detecting these spasms using video data and an advanced 3D neural network trained on human actions, which helps recognize the spasms’ unique patterns.
  • The proposed system achieved a promising accuracy level, with an average ROC curve score of 0.813±0.058, indicating its effectiveness in identifying infantile spasms within a 3-second timeframe.
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  • 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.
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Introduction: The assessment of Volatile Organic Compounds (VOCs) in exhaled breath or sweat represents a potential non-invasive and rapid diagnostic tool for respiratory diseases.

Objective: To determine if trained dogs can reliably identify the odour associated with COVID19.

Methods: This is a monocentric prospective study carried out in the Emergency Department (ED) of a university hospital fromJulyto November 2021.

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Due to low susceptibility of coronavirus disease of 2019 (COVID-19) in children, limited studies are available regarding COVID-19 in the pediatric population in Tunisia. The current study evaluated the incidence, clinical characteristics, and outcomes of severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) infection among children hospitalized at Béchir Hamza Children's Hospital. A retrospective cohort analysis was conducted using the hospital database between March 2020 and February 2022 with children aged ≤15 years with SARS-CoV-2 infection (confirmed by RT-PCR).

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  • * The study analyzed the chemical composition of EOs using gas chromatography and found high levels of compounds like eucalyptol and camphene, which showed strong antioxidant and antifungal properties.
  • * The EOs demonstrated significant phytotoxic activity against weeds, outperforming glyphosate in affecting seed germination and seedling growth, suggesting their potential use in creating biopesticides.
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  • The study investigates antimicrobial resistance and virulence factors of enterococci from chicken caecum in Tunisia, highlighting the significance of the poultry industry in the region.
  • 49 chicken samples were collected across different farms, and isolates were analyzed for antibiotic resistance using advanced techniques like PCR and sequencing, revealing a notable prevalence of resistant strains.
  • The findings show a concerning level of resistance, particularly to linezolid and vancomycin, which poses potential public health risks and underscores the need for increased monitoring in poultry sectors.
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  • Methicillin resistance in staphylococci and mammaliicocci has significant implications for antibiotic use in both human and veterinary medicine, particularly due to the emergence of multidrug-resistant (MDR) strains known as wild MRSA.
  • A review of 533 articles from 2007 to 2023 highlighted only 16 studies that met the criteria for in-depth analysis, revealing that non-staphylococci carrying the methicillin resistance gene predominantly showed resistance to beta-lactam antibiotics and had links to specific genetic markers.
  • Phylogenetic analysis of 17 genomes indicated close genetic relationships (<20 SNPs) between strains from livestock farms across Algeria, Tunisia, and Brazil, suggesting potential transmission routes as well as identification of shared strains from
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This study determined the nasal staphylococci diversity and characterized their resistome, with a focus on the mobilome of methicillin-susceptible Staphylococcus aureus (MSSA)-CC398 subclade from healthy adults in La Rioja (northern Spain). Nasal staphylococci recovered from 57 healthy individuals (HI) were identified (MALDI-TOF-MS) and their antimicrobial resistance, virulence determinants and genetic lineages were studied. The relatedness of MSSA-CC398 isolates was assessed by core-genome single-nucleotide-polymorphisms (SNPs).

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Background/aim: Inflammatory indices are useful informative markers in assessing the severity of the COVID-19 disease course; however, their involvements during series waves of SARS-CoV-2 virus outbreaks in critical patients with COVID-19 remain unclear. Hence, we aimed to ascertain the changing dynamics of the combined inflammatory indices (NLR, dNLR, CLR, LMR, PLR, SII, and SIRI) and their associations with clinical outcomes in severe COVID-19 patients during serial waves of SARS-CoV-2.

Patients And Methods: We retrospectively enrolled 163 severe COVID-19 patients admitted to the ICU during six SARS-CoV-2 waves.

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The incapacity to synthesize certain components of pulmonary surfactant causes a heterogeneous group of rare respiratory diseases called genetic disorders of surfactant dysfunction. We report a female full-term infant with neonatal respiratory distress of early onset due to inherited SP-B deficiency. The infant failed oxygen weaning at multiple trials.

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Background: Melatonin, zinc, and multivitamins are among most recommended supplements in the fight against coronavirus disease 2019 (COVID-19). We aimed to examine the efficacy and safety of this association in the treatment of COVID-19 and COVID-like illnesses.

Methods: We conducted a multicenter prospective, randomized, double-blind, controlled trial.

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Introduction: Mediastinal teratomas are rare in children. Nevertheless, they represent the most frequent mediastinal germ cell tumor. Most often, they are discovered incidentally in older children or adolescents on chest X-ray.

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Functional ingredients are substances that offer health benefits beyond their nutritional value. A novel heteropolysaccharide, named water soluble polysaccharide (LWSP) was purified from L. seeds powder and identified, via TLC and NMR, as a polymer composite of α1-2-L-arabinose, β1-2-D-xylose, β1-2-D-mannose and α1-2-D-glucose.

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Since widespread vaccination, invasive Haemophilus influenzae type b (Hib) has become a rare infection. We here report the case of a 9-year-old boy admitted with seizures associated with fever and impaired general condition. First examination showed comatose child, Glasgow score 9/15, fever 38.

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Introduction: Children's Interstitial Lung Diseases (cHILD) are a heterogeneous group of rare respiratory diseases. Their common characteristics are gas exchange abnormalities and diffuse pulmonary infiltrates on chest imaging. This group includes inherited surfactant protein deficiency (ISPD), a little-known etiology in Tunisia.

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Article Synopsis
  • A study investigated antibiotic prescriptions for acute respiratory tract infections (ARTIs) in Tunisia, covering 63 primary care offices and 6 emergency departments over 8 months.
  • Out of nearly 13,000 screened patients, almost 9,900 were included, with a majority diagnosed with acute bronchitis, and antibiotics prescribed were mainly penicillins and fluoroquinolones.
  • The study found that a significant 75.5% of antibiotic prescriptions were inappropriate, particularly in patients with bronchitis, largely due to criteria like cost and indications for use.
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Background: Zinc supplementation has been considered a potential therapy for coronavirus disease 2019 (COVID-19). We aimed to examine zinc efficacy in adult patients with COVID-19 infection.

Methods: We conducted a prospective, randomized, double-blind, placebo-controlled multicenter trial.

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Objective: The study compared the efficacy and tolerability of piroxicam gel and a new topical combination of medicinal plant products (Soulagel®; Belpharma Tunisia) to treat pain caused by soft tissue injuries.

Methods: Patients (n = 1,525) were assigned to receive piroxicam gel or Soulagel. Efficacy assessments included a change of at least 50% in the pain-on-movement visual numeric scale rating from emergency department discharge (baseline) to day 7 final assessment, as well as the time required to reach pain resolution criteria, the need for rescue analgesia, patients' satisfaction, and the rate of adverse effects.

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