1,011 results match your criteria: "Hedi Chaker Hospital; Renal Pathology Unit UR 12 ES 14[Affiliation]"

The benefits of permanent cardiac pacing have been widely demonstrated. However, the literature on complications remains inconsistent. We lack precise information about the frequency of complications and their predictive factors in our center.

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Introduction/objectives: Psoriatic arthritis (PsA) is a chronic inflammatory rheumatism belonging to the spondyloarthritis family. It is a multifactorial disease whose genetic determinism is still poorly understood. It is favored by environmental factors in genetically predisposed individuals.

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Sarcoidosis in north African people: about 35 cases.

Sarcoidosis Vasc Diffuse Lung Dis

December 2024

Pulmonology department, Hedi Chaker university hospital, Faculty of Medicine of Sfax. Sfax University.

Background And Aim: Sarcoidosis is a systemic disease of unknown cause characterized by the formation of non-caseating granulomatous inflammation in various organs, mainly  lungs and intrathoracic lymph nodes. Its clinical and paraclinical presentation can vary from mild to life-threatening. Our objective is to study the clinical, paraclinical and evolution profile of mediastino-pulmonary sarcoidosis.

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Unlabelled: Polycystic ovary syndrome (PCOS) is a common condition. Its pathophysiology involves an interaction between genetic and environmental factors, resulting in different reproductive and metabolic subtypes. Genetic variation in the angiotensin converting enzyme (ACE) gene has been implicated in the pathophysiology of the syndrome.

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Aims: Pregnancy brings out significant physiological, psychological, and sexual changes that may lead to sexual dysfunction. Our study aimed to explore common beliefs about sexuality during pregnancy among pregnant women and to assess sexual dysfunction in this population.

Methods: We conducted a cross-sectional study between March and August 2022, involving pregnant women regardless of their pregnancy term.

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Basic and preclinical epilepsy research Scientists' perception of clinical epileptology.

Epilepsia

November 2024

Saul R. Korey Department of Neurology, Dominick P. Purpura Department of Neuroscience, Isabelle Rapin Division of Child Neurology, Albert Einstein College of Medicine, Bronx, New York, USA.

The interaction between basic science epilepsy researchers and clinical epileptologists is a longstanding issue. Efforts to provide opportunities for a dialogue between preclinical and clinical epilepsy professionals are crucial to reduce the knowledge gap between them and improve the translational success of neurobiology-based research. The International League Against Epilepsy (ILAE) Research and Innovation Task Force circulated a survey to investigate the need for an update on new clinical epilepsy concepts within the basic science community.

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Predictive Factors for Fertility of Daughter Cysts in Hepatic Cystic Echinococcosis and Insights into the Origin of Daughter Cysts.

Surg Infect (Larchmt)

November 2024

Faculty of Medicine, Department of General and Digestive Surgery, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia.

Article Synopsis
  • The study investigates the fertility of daughter cysts (DC) from hepatic echinococcal cysts to understand their origin, amidst ongoing debates about their developmental potential.
  • A total of 248 DC from 27 cysts in 21 patients were analyzed, revealing a fertility rate of 64.5%, with specific factors such as cyst size, DC size, and WHO classification type CE2 significantly influencing fertility.
  • The results indicate most DC were fertile, and the absence of hooks in infertile DC challenges existing theories about their formation.
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Introduction: The aim of this observational study was to investigate the risk factors of a failed first attempt at pediatric central venous catheter (CVC) placement and its impact on CVC-related morbidity.

Materials And Methods: In this prospective observational study, we included 3-month-to 5-year-old children proposed for infraclavicular subclavian vein catheterization consecutively sing the anatomic landmark technique. Patients were divided into two groups: group 1 included single-attempt catheter placements, and Group 2 included failed first attempts at catheter placement.

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Introduction: Post-COVID syndrome (PCS) is characterized by a polymorphism of symptoms with hypothetical pathophysiological mechanisms. Here, we aimed to analyze the profile of inflammatory cytokines in patients with PCS and to study the relationship between this profile, the clinical symptoms as well as the endothelial function in PCS.

Methods: Our analytical study involved all eligible patients (n = 66) with PCS included from April 2021 to December 2021.

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Article Synopsis
  • This study focuses on chronic immune thrombocytopenic purpura (ITP) in children, reporting on epidemiological data and clinical management from a pediatric department in southern Tunisia over 13 years.
  • Out of 72 newly diagnosed ITP cases, 11 evolved into chronic ITP, with a mix of symptoms and complications, including two patients who experienced severe cases requiring advanced treatment.
  • The findings highlight the difficulties pediatricians face in managing chronic ITP, emphasizing the importance of existing guidelines to assist in treatment strategies for severe cases.
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Aims: The objectives of this study were to determine the plasma homocysteine (Hcy) levels and the prevalence of Hyperhomocysteinemia HHC) in a group of Tunisian patients with deep vein thrombosis (DVT) by comparing it with healthy controls.

Methods: it was an observational case-control study including patients hospitalized for the management of unprovoked DVT. For each subject, a routine biochemical assay was conducted, including plasma homocysteine measurement and determination of vitamin B12 and B9 levels, as these vitamins are essential for assessing hyperhomocysteinemia in DVT patients due to their role in regulating homocysteine.

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Article Synopsis
  • Diagnosing epilepsy through EEG signals is complex and error-prone due to variability and the large amount of data involved, making portable diagnostic systems challenging to develop.
  • The paper proposes using compressive sensing to reduce EEG data while keeping important information, enabling better seizure classification using features extracted from the signals.
  • Implemented on microcontrollers like STM32 and Raspberry Pi, this system achieved significant advances, including up to 70% data reduction, faster transmission times, notable energy savings, and a high classification accuracy of 98.78% with preserved signal quality.
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Objective: The purpose of this study is to compare the surgical outcomes of open appendectomy (OA) and laparoscopic appendectomy (LA) for pediatric acute appendicitis in order to guide its future management.

Materials And Methods: We conducted a retrospective study including all children under the age of 14 years, who underwent appendectomy for acute appendicitis, during a period of 6 years (2013-2018). We divided our patients in two groups based on the surgical modality: the laparoscopic and open group.

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Article Synopsis
  • - The objective of the study was to review how neonatal status epilepticus (SE) is defined and measured, focusing on literature available on seizure burden in newborns.
  • - The review analyzed 44 studies that primarily included infants with conditions like hypoxic-ischemic encephalopathy, using continuous EEG (cEEG) for SE identification, and mostly defined SE via specific seizure durations.
  • - Key findings revealed significant variability in definitions of neonatal SE, with a consistent trend showing that higher seizure burden was linked to worse outcomes in the 16 studies that explored this relationship.
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Background: Hypertension is a prevalent non-communicable disease and unequivocally one of the most serious health threats of the twenty-first century. The prevention of both immediate and long-term consequences depends on ongoing therapeutic education.

Aims: To assess Tunisian hypertensive patients' knowledge of hypertension and then evaluate the impact of an educational program on knowledge among this population.

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Outcomes of peripartum cardiomyopathy in North Africa: insights from a single-center observational study in Tunisia.

BMC Pregnancy Childbirth

November 2024

Department of Gynecology and Obstetrics, Faculty of Medicine, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia.

Article Synopsis
  • - Peripartum cardiomyopathy (PPCM) is a rare and serious heart condition often occurring during or after pregnancy; this study assessed its outcomes in North Africa over a 12-year period from 2010 to 2022.
  • - Out of 27 PPCM patients studied, most presented symptoms like severe dyspnea and had a low average heart function measurement (LVEF of 30%); complications included pulmonary edema (85%) and the need for ECMO support in two patients.
  • - The follow-up revealed that 67% of patients showed recovery in heart function, but the overall mortality rate was 15%, with significant mortality associated with factors like past pregnancies and poor prenatal care.
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Can We Predict Post-operative Sepsis after Neonatal Abdominal Surgery?

Surg Infect (Larchmt)

November 2024

Research laboratory "developmental and induced diseases" (LR19ES12), Faculty of medicine of Sfax, University of Sfax, Sfax, Tunisia.

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Gardner syndrome (GS) is a subtype of familial adenomatous polyposis (FAP) characterized by colorectal polyps, multiple osteomas, soft tissue tumors, and specific oral manifestations, such as jaw osteomas. GS is caused by mutations in the APC gene, resulting in a nonfunctional protein. This study reports a comprehensive clinical evaluation and genetic analysis of a Tunisian family affected by GS.

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Role of pulmonary ultrasonography in diagnosis of acute heart failure.

Curr Probl Cardiol

January 2025

Cardiology Department, Hedi Chaker Hospital, Sfax 3000,Tunisia. Electronic address:

Background: One of the most prevalent causes of emergency room visits is acute dyspnea. Several etiologies, including cardiac, pulmonary, metabolic, psychogenic etc… may be involved. Acute heart failure (AHF) is among the most common causes.

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Hypomyelinating leukodystrophy-5 (HLD5) is a rare autosomal recessive hypomyelination disorder characterized by congenital cataract, progressive neurologic impairment, and myelin deficiency in the central and peripheral nervous system, caused by mutations in the HYCC1 gene. Here we report a 23-year-old girl with HLD5 from unrelated families. Molecular analysis was performed using sequence screening of the HYCC1 gene.

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[Not Available].

Tunis Med

October 2024

Department of Obstetrics and Gynaecology, Hedi Chaker Hospital, Sfax. Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.

Introduction: Vaginal delivery after caesarean section (VBAC) is recommended, but the rising rate of uterine rupture calls into question the safety of this practice.

Aim: To identify risk factors for uterine dehiscence and rupture.

Methods: This was a prospective, analytical and descriptive observational study, carried out in a tertiary care maternity.

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Benefits of self-paced concurrent training on lung function, cardiopulmonary fitness and fatigue perception in patients with multiple sclerosis.

Neurodegener Dis Manag

October 2024

Research Laboratory, Molecular Bases of Human Pathology, LR19ES13, Faculty of Medicine, University of Sfax, 3029, Sfax, Tunisia.

Studying the effects of self-paced concurrent high-intensity interval training and resistance training (HIIT-RT) on respiratory function, cardiopulmonary fitness and fatigue perception in patients with multiple sclerosis (PwMS). Twenty-three PwMS were randomized into a 12-week training group (three times per week) (TG, n = 11) or a control group (CG, n = 12). Lung function (spirometry), aerobic capacity (graded cardiopulmonary-exercise-testing) and perceived fatigue (Fatigue Severity Scale (FSS)) were evaluated pre- and post-intervention.

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