[Advantages of simulation-based training in improving skills of beginners in interventional cardiology procedures: a Tunisian cross-sectional study].

Introduction: simulator training in interventional cardiology (ST) is an educational tool that is rapidly spreading worldwide. The purpose of this study was to evaluate the advantages of ST in improving skills of beginners in interventional cardiology procedures, through a short training cycle.

Methods: we conducted a before-and-after quasi-experimental evaluative study in the simulation center of the Faculty of Medicine in Sfax.

[Ovarian pregnancy case study and literature review].

Ovarian pregnancy is a rare entity among ectopic pregnancies. Its diagnosis and management are not always easy. It is a particular pathology, the clinician is confronted with a poor clinical semiology and a difficult ultrasound diagnosis.

[Assessment of quality of sexual life in women after breast cancer treatment: about 100 cases].

Breast cancer is the most common neoplastic disease in women. Several treatment strategies are used: chemotherapy, radiotherapy, surgery and hormone therapy. Each of these treatments may affect sexual health of patients in the short or long term.

[Ureterocele associated with simplex ureter in children: clinical and therapeutic features].

Ureterocele is a pseudo-cyst dilation of the terminal submucosal ureter. It is a rare malformative uropathy, in particular associated with simplex ureter. We conducted a retrospective study over a period of 10 years.

[The importance of fine needle aspiration biopsy in the diagnosis of parotid tumors].

This study aimed to determine the diagnostic value of fine needle aspiration biopsy (FNAB) and of its contribution to the management of parotid tumors. We conducted a retrospective study of 47 patients who had undergone parotidectomy as well as preoperative fine needle aspiration biopsy. The study highlighted that eighty one percent of patients had a benign tumor while 19% of patients had a malignant tumor.

[Verneuil's disease: a diagnosis that should be taken into consideration in patients with vulvar and perineal tumor-like lesion].

We here report the case of a 58-year old nulliparous patient with a history of Niemann-Pick disease who presented with vulvoperineal, fluctuant, fistulized swelling measuring 10 cm associated with ulceration. The patient was febrile with impaired general state This mass caused some concern about necrotic and infected malignant tumor of the vulva associated with chronic dermatosis. Incision and purulent drainage associated with multiple biopsies excluded the presence of a neoplastic process.

[Sexual disorders among spinal cord injury patients].

Objective: Spinal cord injury (SCI) can alter to varying degrees patients' sexuality. The goals of this study were to evaluate sexual dysfunctions (SD) among a sample of Tunisian patients with SCI and to determine the associated factors.

Methods: A cross-sectional descriptive study was conducted on a sample of 30 patients with SCI.

[Bacteriology of acute exacerbations of chronic obstructive pulmonary disease in Tunisia].

Introduction: The role of bacteria, including atypical organisms, in acute exacerbations of chronic obstructive pulmonary disease (AECOPD) has been assessed in various ways in Tunisia.

Methods: This was a descriptive and analytical study of patients with a mean age of 68.3±10.

[Urinary disorders and metabolic syndrome: prospective study].

Objective: Metabolic syndrome (MS) risk factors are potentially implicated in the development of lower urinary tract symptoms (LUTS). The goals of this study were to analyze the prevalence of the LUTS in patients presenting with MS and to evaluate the correlation between the MS components and LUTS.

Methods: A prospective study was conducted on a group of 34 patients with MS according to the criteria of the NCEP ATP III.

[Cannabis use in a central region of Tunisia].

Objective: The objective of this study was to determine the sociodemographic characteristics of cannabis users, their consumption patterns, and effects.

Methods: Our cross-sectional, descriptive study included 205 subjects (191 men, 14 women, mean age = 25.9 ± 7.

[Towards a new Tunisian Medical Code of Deontology].

The Medical Code of Deontology is a legal text including the physician's duties towards his patients, colleagues, auxiliaries and the community. Considering the scientific, legal and social changes, the deontology code should be revised periodically. The first Tunisian Medical Code of Deontology (TMCD) was promulgated in 1973 and abrogated in 1993 by the new Code.

[Ischemic colitis as a first sign of primary antiphospholipid antibody syndrome. A case report].

Background: The primitif antiphospholpid antibody syndrome is a clinico-biologic entity characterized by the artério-venous thromboses and the presence of circulating antibodies against membranous phospholipids. The systemic demonstrations and in particular ulcerated and ischemic colitises are brought back unusually during this affection.

Aim: Report a new case.

[The Budd-Chiari syndrome and Buerger's disease: a case report].

Background: Buerger's disease is an inflammatory non atheromatous distal arteriopathy affecting mainly young male smokers. There is some controversy about the existence of visceral localisations of the disease.

Aim: Report a new case.

[Embolic pseudotumor diagnosed by surgery].

We report a case of pulmonary infarction in a 72-year-old woman who was hospitalised for hemoptysis, chest pain and weight and coin a lesion in the loss periphery of the left lower lobe. Camputed tomography of the chest demonstrated a sub pleural solitary nodule with spicular radiation. Video-assisted thoracoscopic surgery was performed to obtain a histological diagnosis.

[Pseudotumoral presentation of multiple sclerosis].

Introduction: Multiple sclerosis is one of the most common diseases of the central nervous system with a variety of clinical and radiological presentations. Several cases have been reported of demyelinating processes mimicking a tumour of the central nervous system.

Observation: A 45-year-old man was admitted with acute right hemiparesis associated with intracranial hypertension syndrome.

[Oxidative stress involvement in schizophrenia pathophysiology: a review].

Background: Schizophrenia is a devastating psychiatric disorder with a broad range of behavioural and biologic manifestations. There are several clinical characteristics of the illness that have been consistently associated with poor premorbid adjustment, long duration of psychosis prior to treatment and prominent negative symptoms. The etiopathogenic mechanisms of lack of insight in patients with schizophrenia are to date unknown, although several hypotheses have been suggested.

[Survival and prognostic factors of non small cell lung cancer: analytic review of 211 cases].

Prognostic factors have a pivotal role in clinical oncology. They are helpful in the selection of treatment, provide insights into the disease process and the therapeutic response. The number of possibly useful prognostic factors in the lung cancer is large.

[Ischemic strokes in young adults].

Objectives: The purpose of this study was to determine etiologies and outcome of strokes in young adults.

Patients And Methods: We studied retrospectively 48 cases of patients with transient ischemic attack or arterial ischemic stroke aged between 15 and 48 years admitted in the Neurology and Cardiology Departments of the University Hospital of Monastir from 1987 to 1996. The study variables included the full clinical spectrum, spanning historical, laboratory, radiological and outcome parameters.

[Diffuse interstitial pulmonary fibrosis and bronchial cancer].

Mortality due to lung cancer was 25% (7/28) in this study of patients with diffuse interstitial pulmonary fibrosis. Opacities on the chest x-ray suggestive of lung cancer were observed in 5 of the 7 cases. All 7 had squamous cell carcinoma.