Oncoplastic breast surgery to treat recurrent granulomatous abscess: A new approach.

Introduction And Importance: Granulomatous mastitis is a rare chronic and benign inflammatory breast disease with challenging diagnosis and management. No commonly recognized recommendations are established. Despite of medical and surgical approaches, relapse rate remains high.

Acanthamoeba keratitis in contact lens wearers in a tertiary center of Tunisia, North Africa.

Purpose: To analyze the epidemiological and clinical features of Acanathamoeba keratitis and to assess the risk factors of this corneal infection in contact lens wearers in a tertiary center of Tunisia, North Africa.

Methods: We carried out a retrospective study between January 2008 and December 2019 in the ophthtalmology department of a referral center, Sousse, Tunisia. A review of the chart of 248 patients using CL and diagnosed with presumed infectious keratitis was done.

Biological Responses to Short-Term Maximal Exercise in Male Police Officers.

The specifics of short-term physical exercise are similar to the immediate reaction demands placed on police officers. Identifying the physiological predisposition to short-term high-intensity exercise in male law enforcement officers will assist in understanding their metabolism and make a significant contribution to a much more personal and individualized workout program. This will improve physical fitness of individual officers, improving their preparedness for such times of emergency.

Optical coherence tomography angiography vessel density parameters in primary open-angle glaucoma.

Background: Many studies suggest the existence of an alteration of the retinal hemoperfusion in primary open-angle glaucoma. The OCT-A is a novel technique that allows to provide information on retinal microcirculation in a non-invasive way, thus it represents a possible imaging target for the early diagnosis and follow-up of glaucoma. The aim of our work is to evaluate the contribution of vascular parameters provided by OCT-A and their diagnostic abilities in the different stages of primary open-angle glaucoma.

Dacryops of the lacrimal gland in an elderly woman: A case report.

Introduction: Dacryops is a rare benign cystic lesion of the lacrimal gland often developing in the palpebral gland. The exact etiology of dacryops remains unclear. Diagnosis could be suspected clinically and established histopathologically.

IgA rheumatoid factor is associated with bone mineral density preservation in rheumatoid arthritis.

Introduction: Autoantibodies such as IgM rheumatoid factor (RF) and anti-citrullinated proteins/peptides antibodies (ACPA) have previously been incriminated in systemic bone loss in rheumatoid arthritis (RA). There are, however, no data describing association of IgA RF and IgG RF with systemic bone loss.

Objective: This study was aimed to investigate the association of RF isotypes with systemic bone loss among patients with RA.

Comments on "Cardiovascular effects of waterpipe smoking: a systematic review and meta-analysis".

No abstract present.

Acute Q Fever in an Ankylosing Spondyloarthritis Patient Treated with Etanercept.

Q fever is a rare zoonotic infection caused by . Tumor necrosis factor-alpha (TNF-) has an important role in the early control of this infection. However, TNF- blockers increase the risk of infectious diseases.

Co-occurrence of Behçet disease with Ig A vasculitis revealed by ophtalmic examination: A case report.

Introduction: Renal involvment of Behçet disease is not usual and Ig A vasculitis complicated by Behçet disease is extremely rare.

Case Presentation: We report a case of Henoch Scholein purpura and nephritis associated with Behçet disease revealed by ophthalmic examination.

Clinical Discussion: Recurrent oral ulcer is not a manifestation of Ig A vasculitis which doesn't affect large or middle sized arteries.

Availability, utilization and quality of emergency obstetric care services in Sousse, Tunisia.

Introduction: emergency obstetric care (EmOC) is a high-impact priority intervention strongly recommended for improving maternal health outcomes. The objectives of this study were to assess the availability, utilization, and quality of emergency obstetric care services in the Governorate of Sousse (Tunisia).

Methods: a cross-sectional study was conducted among public health facilities which performed deliveries in Sousse in 2017.

The impacts of parity on spirometric parameters: a systematic review.

: The relationship between parity and health outcomes has been debated in the scientific literature in terms of 'selection-pressure'. However, no previous review has raised the impacts of parity on spirometric parameters. This Systematic Review aimed to review the impacts of parity on spirometric parameters.

Central odontogenic fibroma of simple type: An original observation.

Central odontogenic fibroma is an uncommon, benign, slow-growing intraosseous mesenchymal odontogenic tumour. It presents a diagnostic dilemma to the clinician and the pathologist because its clinical and radiological features resemble other odontogenic and/or non-odontogenic tumours, and the differential diagnosis is based on histological examination. In this report, we describe our experience with a case of a 23-year-old female patient with central odontogenic fibroma of the mandible that was diagnosed as 'simple type'.

Critical analysis of spirometric patterns in correlation to chest computed tomography among adult Indigenous Australians with chronic airway diseases.

: There is sparse literature evidence in the spirometric patterns of adult Indigenous Australians with and without chest computed tomography (CT)-proven chronic airway diseases (CADs).: Participants spirometry testing graded as acceptable for quality and had a chest CT scan showing radiographic evidence of CADs were included for analysis.: Of the 1350 spirometric tests performed between 2012 and 2020, a total of 212 patients with a mean age of 53 years and 54% females were eligible to be included.

Comparison of diffusing capacity of carbon monoxide (DLCO) and total lung capacity (TLC) between Indigenous Australians and Australian Caucasian adults.

Background And Objective: Currently there is paucity of evidence in the literature in relation to normative values for diffusing capacity of carbon monoxide (DLCO) and total lung capacity (TLC) among Indigenous Australians. Hence, in this study we assessed the DLCO and TLC parameters among Indigenous Australians in comparison to Australian Caucasian counterparts.

Methods: DLCO and TLC values were assessed and compared between Indigenous Australians and Australian Caucasians matched for age, sex and body mass index, with normal chest radiology.

The 'clinically significant' bronchodilator responsiveness (BDR) in children: a comparative study between six definitions of scholarly societies and a mini-review.

: To compare the percentages of children with and without airway obstruction (obstructive and non-obstructive groups, respectively) presenting a 'clinically significant' BDR according to the following definitions: : FEV increase >12% predicted (∆), : FEV increase ≥12% initial (∆) and ∆FEV absolute (∆) ≥200 ml and/or ∆FVC ≥12% and ∆FVC ≥200 ml, British thoracic society (: ∆FEV ≥12%, National asthma education and prevention program (): ∆FEV ≥12% and ∆FEV > 200 ml, Group of research on advances in pediatric pneumology: ∆FEV ≥12% or ∆PEF ≥20%, and South African thoracic society (): ∆FEV ≥12% or ∆FEV >200 ml and/or ∆FVC ≥12% or ∆FVC >200 ml. This was a multicenter comparative study involving 278 children aged 6 to16 years: obstructive group (FEV/FVC < lower-limit-of-normal, n = 116) and non-obstructive group (FEV/FVC ≥ lower-limit-of-normal, n = 162). Spirometry was performed before/after a bronchodilator test.

The Chronic Effects of Narghile Use on Males' Cardiovascular Response During Exercise: A Systematic Review.

Narghile use has regained popularity throughout the world. Public opinion misjudges its chronic harmful effects on health, especially on the cardiovascular system. This systematic review aimed to evaluate the chronic effects of narghile use on cardiovascular response during exercise.

Mandibular non-Hodgkin's lymphoma: two observations of a challenging disease.

Lymphomas are a heterogeneous group of malignant tumours of the haematopoietic system characterized by an aberrant proliferation of mature lymphoid cells or their precursors and mainly represented by non-Hodgkin´s lymphomas (NHL). The aim of this paper was to report two cases of NHLs with mandibular locations by detailing their different clinical, radiological, and histopathological aspects, as well as the approach followed to diagnose these diseases and to provide patients with the appropriate therapeutic management. The first case is about a 72-year-old female patient who was diagnosed with a large B-cell lymphoma while the second one concerns a 16-year-old male patient who was diagnosed with a Burkitt's lymphoma.

Identification of biomarker panels as predictors of severity in coronary artery disease.

Matrix metalloproteinases (MMPs) are implicated in atherosclerotic plaque rupture and recondition. Specific tissue inhibitors (TIMPs) control MMP functions. Both MMPs and TIMPs are potential biomarkers of plaque instability.

Monogenic diabetes characteristics in a transnational multicenter study from Mediterranean countries.

Background: Diagnosis of monogenic diabetes has important clinical implications for treatment and health expenditure. However, its prevalence remains to be specified in many countries, particularly from South Europe, North Africa and Middle-East, where non-autoimmune diabetes in young adults is increasing dramatically.

Aims: To identify cases of monogenic diabetes in young adults from Mediterranean countries and assess the specificities between countries.

Two Erratic Cases of Tinea Capitis in Adults: Utility of Trichoscopy.

Tinea capitis (TC) is a common infectious disease throughout the world, mainly seen in children, but it can occur in adults. Even if mycological examination is essential to confirm the diagnosis, it has been proved that trichoscopy is a very effective useful tool in the screening of TC. Herein, we report two cases of adult TC with atypical clinical presentations causing a diagnostic delay of several years.

Lung function parameters among Australian Aboriginal 'apparently healthy' adults: an Australian Caucasian and Global Lung Function Initiative (GLI-2012) various ethnic norms comparative study.

: There is sparse literature evidence evaluating the applicability of the GLI-2012 spirometric norms for Australian Aboriginal adults.: Lung function parameters (LFPs) were compared between Australian Aboriginal and Australian Caucasians, and the fit of Australian Aboriginals LFPs with various ethnic GLI equations was tested.: Of 1350 and 5634 Pulmonary function tests (PFTs) in Australian Aboriginal and Australian Caucasian adults, 153 and 208 PFTs matched for anthropometrics and normal chest radiology, respectively.